13-1686 (RPL)P.O.. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
"`&t�t 4 4a Q"
BUILDING & SAFETY.DEPARTMENT
BUILDING PERMIT -
Application Number: 13-00001686 Owner:
Property Address: 78800 NOLAN CIR. CARUANA, JON ANTHONY
APN: 604-233-015-184 -23268 - PO BOX 296
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92247
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 30000
Contractor:
Applicant: Architect or Engineer: VACATION POOLS INC
P.O. BOX 10940
I 92202
(760)760) 775-5- 0468
Lic. No.: 856835
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury the I a lic sed rider provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busine a d Prof ss' nal. Code, and my License is in full force and effect.
License Class: C53 LicenseNo.: 856835
01
Dater Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty erjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish; or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
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).:
1 _ I I, 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
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold'within
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 contractors) 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. C.). -
Lender's Name: t`�\
Lender's Address: \I
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/03/14
e D
JAN 03 2014
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
y/1 issued.
f/ 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
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1948584-2013
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should became subject to the workers' compensation provisions of Section
/n( 3700 of the LaborC yl hall fort th com f�with those provisions.
Date:/�/ Applicant*
WARNING: FAILURE TO SECUfiE`WORKERS' COMPENSATION COWER E IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED -THOU SAND
DOLLARS ($100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 issuancopermit, or c tion of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state rmati n is correct. I agree to comply with all
city and county ordinances and state laws relating ucti , and hereby authorize representatives
of this county to enter upon the above-mentioned . n purposes.
Date:, . ;/ Signature (Applicant or Agent
3-
Application Number . . . . .. 13-00001686
Permit . . . POOL 2013
Additional desc .
Permit Fee . . . . 178.75 Plan Check
Fee
.00
Issue Date . . . . Valuation
. . .
. 0
Expiration Date 7/02/14
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
178.75
----------------------------------------------------------------------------
Special Notes and Comments
POOL AND SPA AT REAR YARD [POOL
ENGINEERING INC] THIS PERMIT DOES NOT
INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT
PRE -PLASTER INSPECTION. 2010 CALIFORNIA
BUILDING CODE.
January. -2, 2014 4:53:36 PM AORTEGA
----------------------------------------------------------------------------
Other Fees . . ... . . . . . BLDG STDS ADMIN (SB1473)
2.00
PLAN CHECK, POOL
97.24
Fee summary Charged Paid Credited
Due
Permit Fee Total 178.75 .00
.00
178.75
Plan Check Total ..00 .00
.00
.00
Other -Fee Total 99.24 .00
.00
99.24
Grand Total 277:99 .00
.00
2.77.99
LQPERMIT
Din #
City of La Quinta
Building &r SafetyDivision
P.O. Box 1504, 78-495 Calle Tarnpico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
1,;,'�8�
Project Address: ()<. D N LQ )u Dade
Owner's Name: r q ? Al,
A. P. Number:
Address: NQ C /G ei
Legal Description:
City, ST, Zip: moa, 4-(I C-7), 4 5
Contractor: /� C q l /-foN 001 r l
SG
Telephone:
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"9"•"
Address: y ' /90-7 ly C4G/l-
Ce�v�i3' ��
Project Description: d"
City, ST, Zip: ` � /G
Telephone: WC, 7 S- 0 Vi
.....................................::..:::.::....
i
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r Q
State Lic. # : 3J
City Lie. #;
Arch., Engr., Designer.
Address:
City., ST, Zip:
Utc
Zs
Telephone:
P
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Construction Type:
, 1 r
Project type (circle one): New Add n Alter ��p(�
State Lic. #::.;:•>>:<.:s:>:»<;>;<.<:
Name of Contact Person: ei� M Ki
Sq, Ft::
# Stories:
# Units:
Telephone # of Contact Person: �'C- 7 % �'(/�6
Estimated Value of Project: 00"
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
tad Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
14.0. A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'"' Review, ready for correcti rss
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
A
Am%o [sN'�?At�t�Q, (• 1SC, ..
i.
zr
VACAnON POOLS, IN �s
P.O. G= 10M
Mft CA MW
PA Exi 1 PA PA PP Pool/Spa Equipment
Existin e 8
Palm Treto remain
existing Lawn 1 Existin Lawn
to remain • + to remain Remove existing palm and transplant
existing palm to this location.
PA
+IS", -'-O" dia. Spa with Concrete Gap, PA
Stucco Exterior Veneer and (6'-O" wide PA
5tocked Stone 5pillway - Optional)
CITY OerKOUINTA
BUILDING & SAFETY DEPT.
�Lf. tI `Jf`Pool
, Bench
ExI5tin r -3 -O FOR CONSTRUCTION
Existing PA ton Existing PA
remain Pool DATE 112,64 —.By�_
30'L x 15'W j
Tanning Shelf with Umbrella Sleeve �i
NOTE:
Landscape elements (Trees,
�i
Shrubs, Vines and Lawn) and Patio
Existing Lawn Furniture shown for illustration only.
to remain
New Concrete Doc king
'C Unless by separate bid.
• ('169 sq. ft.) '
New PA
Lj
Existing Covered
Patio and Concrete below
to remain
Existing Electric this side
Existing Electric lines shall be
BBQ run under eaves of house.
CARUANA
Existing Gas R�51 DANCE
this side
1
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CONTRACTOR cannot assume
responsibility for damage to curbs,
sidewalks, driveways, cement slabs,
sewers, lawns, trees, fences, retaining
walls, sprinklers, wires, valves,
telephone or shrubs.
When access is made through a
neighbor's property it is understood
that you, the owner, have that
neighbor's permission and assume full
responsibility.
DATE 515NATURE
CARUANA RESIDENCE •
18-800 NOLAN GIRGLE
LA OUINTA, GA
DATE: 1122.13 1 REV15ED: 12.14.13