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11-0549 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 �1 Application Number: 11-00000549 Property Address: 49300 AVENIDA FERNANDO APN: 658-280-020- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 35000 Td�t 4 u�w BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: MONTGOMERY JAMES 49300 AVENIDA FERNANDO LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/26/11 one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). . (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1 ) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose'request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessa ' of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that&theoormati n is correct. I agree to comply with all city and county ordinances and state laws relating to bructio , an hereby authorize representatives of this county to enter upon the above-mentioned propction ur ses. Rlate: —%(a— �( Sign re (Applicant or Agent): Contractor: Applicant: Architect or Engineer: C & M POOLS INC 41530 BALACLAVA DRIVE BERMUDA DUNES, CA 92203-111 1 ^//�_ �.Jta (760)360-6254 ( 71 Lic. No.: 838188 I�D LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION ECLARA 64 I � S I hereby affirm under penalty of perjury at I am licensed er provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declaratio Section 7000) of Division 3 of the 8 ness and Profess�ia s Cade, and my License is in full force and effect. I have and will maintain a certificate of consent to self -ins workers' compensation, as provided License Class: C53 icenseNo.: 838188 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2� (( /�ate•J �5ntractor: _ _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the labor / Code, for the performance of the work for which this permit is issued. My workers' compensation NER-BUI ER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt fro the Contractor's State License Law for the Carrier EXEMPT Policy Number EXEMPT following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the �` person in any manner so as to beco subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I sho become ubject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor C a,, shall rthwith comely with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031•.5 by �'(D^ / ( any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)•: ate: pplicant:� - (_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENA TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND , and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). . (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1 ) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose'request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessa ' of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that&theoormati n is correct. I agree to comply with all city and county ordinances and state laws relating to bructio , an hereby authorize representatives of this county to enter upon the above-mentioned propction ur ses. Rlate: —%(a— �( Sign re (Applicant or Agent): Application Number . . . . . 11-00000549 Permit BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 317.00 Plan Check Fee 206.05 Issue Date . . . . Valuation . . . . 35000 Expiration Date 11/22/11 Qty Unit Charge Per Extension BASE FEE 252.00 10.00 ---------------------------------------------------------------------------- 6.5000 THOU BLDG 2.5,001-50,000 65.00 Permit ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/22/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 -----------------------------------7---------------------------------------- 30.0000 EA. ELEC PRIVATE"SWIMMING POOL 30.00 Permit PLUMBING Additional desc . Permit Fee . . . . 27.00 Plan Check Fee 6.75 Issue Date . . . . Valuation 0 Expiration Date 11/22/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 ---------------------------------------------------------------------------- 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 Permit WALL/FENCE.PERMIT Additional desc . . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 238 Expiration Date 11/22/11 Qty Unit Charge Per Extension BASE FEE 15.00 -------------------------7-------------------------------------------------- Special Notes and Comments ADD SPA TO EXISTING POOL RELOCATE EXISTING POOL EQUIPMENT, BBQ WITH LQPERMIT Application Number . . . . . 11-00000549 ---------------------------------------------------------------------------- Special Notes and Comments ELECTRICAL & STUB -OUT FOR GAS,8 L.F. 5 - WALL BEHIND BBQ, (2) 116" PILASTERS FOR 4' GATE. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary ----------------- Charged ---------- Paid ---------- Credited -------------------- Due Permit Fee Total 404.00 .00 .00 404.00 Plan Check Total 224.05 .00 .00 224.05 Other Fee Total 2.00 .00 .00 2.00 Grand Total 630.05 .00 .00 630.05 LQPERMIT La Quinta Golf Estates Community Association Architectural Committee P.O. Box 553 La Quinta, CA 92247 (760) 564-0136 iLila lid iaveijzon.net May 12, 2011 Mr. and Mrs. Montgomery 49 -300 -Avenida Fernando' La Quinta, CA 92253 Dear Mr. and Mrs. Montgomery: The Architectural Committee for the La Quinta Golf Estates Community Association has reviewed the plans that you submitted for the modifications to .your home at 49-300 Avenida Fernando and we have approved them. I have stamped the plans indicating our. approval so that you can submit them to the City of La Quinta for approval by them. Please remember that the approval is for these preliminary plans only and if you make changes to these plans they will have to be resubmitted for approval. Yours truly, Jimmie D. Woods Chairman, Architectural Committee Bin # City of La Quinta Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Applicatioq and Tracking Sheet Permit # �a01 Project Address: —?j 00UC, 1, j ��p.r�u Owner's Name: L ryX o ot-g� A. P. Number: Address:4 uza�r,,�j43 Legal Description: City, ST, Zip: C ALJ �j i01 o , Address: -S;o 80- a,G � ZAP ix l (• `,.: • :Telephone:Contractor> : i ' Projec Description: � S X (SX v\ City, ST, Zip.�.pr„-j w ( u V\Q♦ eQ �'LZO �/1 �;.• Telepho �� J6u ''t e��if$ •v i• . i jj4G�� (y��iG �O� (� � I � � Q” State Lic. # (Y Y City Lic. 1 ) V�_ t '('rte o (o I v(A - CDl't, t Arch., Engr., Designer. t Address: ? C City, ST, Zip: Telephone: Construction Type: Occupancy: Project type (circle one): New d' Alter Repair Demo Sq. Ft.:#Stories: #Units: State Lic. #:y:?xx" Name of Contact Person: r� (t i v Telephone # of Contact Person — c. Estimated Value of Project:3 APPLICANT: DO NOT WRITE BELOW THIS LINE q Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted S Item Amount Structural Coles. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Tide 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for corrections issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit Issue School Fees -� I.Total Permit Fees �,L q CITY OF LA QUINTA SUB -CONT CTOP IST JOB ADDRESS f (' �` �� '"` °�� PERMIT NUMBER OWNER <<"1 I &120 `'k BUILDER This form shall be posted on the iob with the Building Inspection Card at all times in a conspicuous place. Only persons appearing o this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance OT DUIIUIny pernnL. r -U1 earn appncame traae, an Inrormauon requesiea Delow muse De compleiea Dy appilcanT. -un me is not an acceptable response. Trade. las 1fic.aUon Contra r _... .. _ ...... cto State:.Contractor ;lacepse..; Wbtkers Com `ensatlon Insurance .: Clt Cosiness License; . .. Company Name Classification License Number Exp. Date Carrier Name Policy Number Exp. Date License Number Exp. Date (e.g. A, B, C-8) (xxxxxx) (xx/xx/xx) (e.g. State Fund, CalComp) (Format Varies) (xx/xx/xx) (xxxx) (xx/xx/xx) EA"IAWO. (C 12► CONCRETE (C 81: E" IJ, C^ (Co�vUt�14 r(CA W Co 61 J S30 FRAMING,(C 5) STftUCT STEEL (C 51) f T q3a MASONRY (C 29) PLU.MBtNG IC 36). I bbl rl�k-S C.� J �Z�� I 31 /�- (ZiC/�2.([�i-� ��,x cn,.�s.� 000 0411, It ?,- 0 11 LAT-K;PLASTERIC-3 51 ;:: tv-� `5� �P �� D� 30 [3 e�t ��lo• S c1z- �I%00 b c1�o00 (D� (o O1 �f! �-2,� I ( I DRINVALL. HVAC (C=2Q) ELECTRICAL (C 1:0') ROQ:FING;:(C 39) ;: SHEET NIE.TAL (C-431 FLU:ORING;(C 15)' GLAZING IG 171 )NSULATION. (C. 2) SEWAGE DLSP (C42) PAINTING::JC 33)' CERAMIC TIM ..(C-54) CABINETS ;IC 6Y FENCING (C:-131