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12-0405 (RPL).1 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 112-00000405 -~ Property Address: 81499 JACARANDA CT APN: 764-280-999-163 -300236- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 20400 Ta�/ " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: DAVID MOODY 81499 JACARANDA COURT LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/13/12 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.). (_ 1 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.). (_) 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. CJ. 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 cessation of work for 180 days will subject permit to cancellation. I certity,that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authoriz a esentatives of thi �c1ou ty toenter up o the above-mentioned property for ' pection purp ses. at I ignature (Applicant or Agent): I f Contractor: D ' Applicant: Architect or Engineer: DESERT OUTDOORS INC ) 79405 HIGHWAY 111, 42fdPC�1 1g�`: LA QUINTA, CA 92253 iH1 110 91 (760) 399-9600 LiC. No.. 964474 FINk►?1 - - -------------------------------------------------------------------------------------.------------ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License -is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Licens la : C 7-053 License No.: 964474 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is / ate: ontracto% .f 11 / y i/ / ���` issued. 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier NORGUARD INS- Policy Number DEWC229889 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 become 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 should become subject to the wor ' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of th Labor Code all forthwith comp) i th a provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by / any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)•: �te pplicant: _1I, 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 WG: FA URE TO SECURE WORKERS' COMPENSATION 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 PENALTIES 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.). (_ 1 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.). (_) 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. CJ. 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 cessation of work for 180 days will subject permit to cancellation. I certity,that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authoriz a esentatives of thi �c1ou ty toenter up o the above-mentioned property for ' pection purp ses. at I ignature (Applicant or Agent): LQPERMIT Application Number 12-00000405 Permit .. MECH POOL ' Additional desc . Permit Fee . . 26.00 Plan Check Fee 6.50 Issue Date . . . Valuation 0 Expiration Date 10/10/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 ----------------------------------------------------------- EA MECH FURNACE >100K --------=-------- 11.00 Permit . . .. PLUMBING Additional desc . Permit Fee . . . . 27.00 Plan Check Fee 6.75 Issue Date . . .' . Valuation . . . . 0 Expiration Date 10/10/12 r 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 . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 216.00 Plan Check Fee 140.40 Issue Date . . . Valuation . . . . 20400• Expiration Date 10/10/12 Qty Unit.Charge Per Extension BASE FEE 45.00 19.00 9.0000 - ----------------------------------------------------------------------------- THOU BLDG 2,001-25.,000 171.00 Permit WALL/FENCE PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 260 Expiration Date 10/10/12 Qty Unit Charge Per Extension --------------------------------- BASE FEE ------------------------------------------ 15.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . LQPERMIT Q Application Number . . . . . 12-00000405 Permit ELEC POOL PERMIT -RES Permit Fee, 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/10/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 ---------------------------------------------------------------------------- Special Notes and Comments SPA WITH WATERFALL, 12 L.F. 54" EQUIPMENT ENCLOSURE, CITY STANDARD.ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. 2010 ` CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 329.00 .00 .00 329.00 -Plan Check Total 164.90 .00 .00 164.90 Other Fee Total 1.00 .Go .00 1.00 Grand Total 494.90 .00 .00 494.90 LQPERMIT nt— CiTYOLAQUINTSoBUILDING &SAFETY DEP : o °� t2 W 4 I 1M APPROVEDE-�l Z go®go o W- NO PART OF WATER FEATURETO BE HIGHER THANP& WALLJ Y4 I ti o ®. _ gY Q e �+ f �r(�, ��{j� TYPICAL JET DETAIL • /.-. uwmwwa I �� `^� -_ _ 1 NOT TO SCALE QQQQ p W&F.C'°°'m°" 0 a°°tcvmm�'rert'w M,�•••p I ... `--_--- ------------- a. vertm.wrrouaeraur LLj ui Ilk ILL I 4 VI C3 LLJ EXISTING I RESIDENCE I - ..m- IIt7[ Ir If _i > s ¢i 61 al i 1 i a333 8 } O B v o c •aiKw�aunw m I ' 1' - 9 c EXISTING 07, DRAINAGE TO BE CHECKED AND I� CORRECTEWREPI—ACED AS NECESSARY I K a C J I 4-4�\ 0 a< DEEP ROOT BUBBLER SYSTEM P € a \ SPAS I i 9. Lrr:crrn 9 JACARANDA DR. o. wurn.rt P 1 Q Q d d }d ' 1 gq AP&97013 1� SITE PLAN SCALE: x= +'-0` DIM. SPA PLAN fN4 � f Nar TO 1 OP1 # Qty. Of, 'La Quin td Building 8E Safety Div[sion Box 1504,78-495 Calle Tampfco Ia.Quinta, CA 92253 -:(760) 777-7012 Building Penmit Application and Tracking Sheet Permit #P.O. ►��� Project Address: 131 9JA Owner's Name:. IV I t =V1 A. P. Number. Address: 2 City, ST, Zip: 1 �:�.. . Telephone `; Legal Description: Contractor: Desert Outdoors Address: 78-065 Main St. Ste. 205 PtrojectDescription: City, ST, Zip: La Quinta, Ca. 92253 Telephone: 760-399-9600: f * " State Lie. # : --c-53 964474 City Lie #,uociU U.. Arch, Engr., Designer: Flying Buttress Address: • 77725,Enfie1d Ln. Ste. 130 City, ST, Zip: Palm Desert, CA. 92211 Telephone: 760-772.4411 �r State Lir. #: 33446; .:' w _..:� Name of Contact Person: �� ' Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo . Sq. Ft.: # Stories: nits: #U Telephone # of Contact Person: Estimated Value of Project: 2.:)�. y o0 APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Reed TRACMG PERMIT FEES Plan Sets Pian Check submitted y Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit, . Truss Cates. Called Contact Person Pian Check Balance Title 24 Cal& Plans picked up Construction Flood plain plan Plans resubmitted.' . Mechanical Giading plan 2'" Review, ready for correctionsfissue Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading » HOUSE:- '"' Review; ready for correetionslissue Developer Impact Fee Planning Approval. Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees