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BPOL2017-0012LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and. my License is in full force and effect. License Class: C53 License No.: 614611 Date:�� ' Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury 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).: (� 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 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. C.). Lender's Lender's Add WORKER'S COMPENSATION DECLARATION I 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 th rk for which this permit is issued. 1 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: WESCO INSURANCE COMPANY Policy Number: WWC3081632 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 become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: — Applican . WARNING: FAILURE TO SECURE WORKERS' CO PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). 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 MPORTANT: Application is hereby made to the Building Official 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 *equest and for whose benefit work is performed under or pursuant to any permit ssued as a result of this application , the owner, and the applicant, each agrees to, and ;hall 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 'ollowing issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is iot commenced within 180 days from date of issuance of such permit, or cessation of Nork for 180 days will subject permit to cancellation. certify 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 :onstruction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. )ate Signature (Applicant or Agen : 78-495 CALLE TAMPICO 4 VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN &DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Application Number: BPOL2017-0012 0 Z Owner: Property Address: 53805 VIA BELLAGIO PETER BORDEN z' APN: 777170013 1609 VIA LAZOo CZ –n Application Description: BORDEN / POOL, SPA, WATERFALL, FIRE PIT PLS VRDS EST, CA 0 r M Property Zoning: Application Valuation: $75,000.00 r—O CD • � W Applicant: Contractor: 1 c No MC INTYRE POOLS & SPAS INC MC INTYRE POOLS & SPAS IC D 83-69S AVENUE 45 83-695 AVENUE 45 INDIO, CA 92201 INDIO, CA 92201 m z (760)342-3612 —� Llc. No.: 614611 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and. my License is in full force and effect. License Class: C53 License No.: 614611 Date:�� ' Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury 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).: (� 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 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. C.). Lender's Lender's Add WORKER'S COMPENSATION DECLARATION I 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 th rk for which this permit is issued. 1 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: WESCO INSURANCE COMPANY Policy Number: WWC3081632 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 become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: — Applican . WARNING: FAILURE TO SECURE WORKERS' CO PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). 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 MPORTANT: Application is hereby made to the Building Official 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 *equest and for whose benefit work is performed under or pursuant to any permit ssued as a result of this application , the owner, and the applicant, each agrees to, and ;hall 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 'ollowing issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is iot commenced within 180 days from date of issuance of such permit, or cessation of Nork for 180 days will subject permit to cancellation. certify 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 :onstruction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. )ate Signature (Applicant or Agen Date: 2/13/2017 (760)342-3612 Llc. No.: 614611 Detail: POOL, SPA, AND FIRE PIT AT REAR YARD, WITH A WATER FEATURE AT FRONT COURTYARD [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE. Application Number: BPOL2017-0012 Owner: Property'Address: 53805 VIA BELLAGIO PETER BORDEN APN: 777170013 1609 VIA LAZO Application Description: BORDEN / POOL, SPA, WATERFALL, FIRE PIT PLS VRDS EST, CA.0 Property Zoning: Application Valuation: $75,000.00 Applicant: Contractor: MC INTYRE POOLS & SPAS INC MC INTYRE POOLS & SPAS INC 83-695 AVENUE 45 83-695 AVENUE 45 INDIO, CA 92201 INDIO, CA 92201 Date: 2/13/2017 (760)342-3612 Llc. No.: 614611 Detail: POOL, SPA, AND FIRE PIT AT REAR YARD, WITH A WATER FEATURE AT FRONT COURTYARD [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE. DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $3.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: 53.00 DESCRIPTION ACCOUNT CITY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT CITY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $25.33 Total Paid for ELECTRICAL: $50.66 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $25.33 Total Paid for PLUMBING FEES: $38.00 DESCRIPTION ACCOUNT CITY AMOUNT DETACHED SPA/WATER FEATURE/OTHER 101-0000-42404 0 $190.00 DESCRIPTION ACCOUNT CITY AMOUNT SWIMMING POOL/SPA 101-0000-42404 0 $190.00 DESCRIPTION ACCOUNT CITY AMOUNT SWIMMING POOL/SPA PC 101-0000-42600 0 $103.36 Total Paid for POOL / SPA: $483.36 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 � 1( r (0001) /(loo •' L - •' ' ) T t Jj- La.ISTRucnDN Norex (tool I. REFER TO FINISH SRApINS PLANS :-OR LATCH 945TH LOGAnONS • - T -` O. ALL LON.RETE i0 BE 55 SACK MIX TO OBTAIN A MINIMIN dm: • .- - - (ZOO I) •- "i(zp�'- LOrPRE951YE STREN6n1 O' 3500 PSI AT 30 DAYS S. ALL LONSRC1LnON r0 BE liVMB AND TRIC UNLESS optERP15C L% Art• .INDICATED t'I'f (rool)=-�'�--(root) _Iz(yl� asJ 4 VERIFY NTM6 BAEOSOILS 51 E'ER THE Nr�D dR P.XLSI'INC GRASSES .M s C.2 \\ 5TAI MATERIAL. PRr5A77RAnON ETC FOR YIALKS, ]M)N Nopaln moa rM R5. %IAL:. FQ�n`K5, RL ,mm OnK COOmW u)11 -�_(s000 •�� ( \(r S. GO MATERIALS C ANDND oRD;RANG l TO UJNFOfW TO APPLIL.4BLE D a--- T °Op!)OO„\ \ \ , a GOVERNI,RITE Ps N6 oRBE A MIM . ES 6 ALL CONCRETE ^ANI' TO A IYI 0- 3 1/2' iiILK COLORED C .1— T rr. J\ GONLRETE-INTEGRALL LOO EVAN510N JOINTS, AT V -O' ♦ PA\\� O.L. V`LE55 OTIERK5E : . 7. ALLOA FOR ADJOIN.1,5 CONSTRW TION c/p ' °b• PA ^ \ , \(2�1, \ '> ♦\\ '\ ♦'•\\ j B. PAIANS -IV E AND COOPCWTE Mta�THE ELEL ARETE KORAIN I NETORS ARE r SLIBODWRALIw OR •' SYN -LAWN r ` ,.y. \ ♦ . f AND IRRISAnDv SAY NTRPGTOR FOR SLEVMNO, P:PIN6 AND ir�J CONCVIT VMR ALL PAVANS ASSES FN NOTES \ \ t 15N &R .% ' .. .: '�': .n.ci:4_. ^•i.- c) .(+ / \ �\ \ \\ \\ \.\ \ T I. SLOPE ALL DRAM LINES AT A MINIM.M OF 4 % A�\\ \ \ \ \ \ \ \ ,♦ �. PA4V OR SPCEP TTPE ELLS ANO CkaW>ES OF DIREGnOliS r0 EL MADE MTH ._` a O-pA • PA ::Y.�,',. ' is t` ' ;ate.:',^• :.' O >e \ \ w •� 9. PROV15rON5 FOR POSITIVE DR4WA6E OF ALL tA1m5LI.°® AREAS TO TACE U 'FC/ -I 0. ��a d - •; PA c Nl e.., .L�$ ; `•:-°: y . -5 \\ \` ♦ /96,6, PRElA95E OVER MLiADINS AS D:A6RAMEp 0:16RADIN& PLvVI a \:: ='• „„ .:' : s'> \ \ \\ C J• {. HOLD FINISH &RADE 14` BE OM FINISH SIRFALE �i.?i:.:.t:::,T, \ \ \ \\ \\\ \.� �(O6,e \ 5. SLOPE ALL EARTHEN AREASAT A 41NIMl`I OF 1% TO DRAIN - R PREFERRED ^W VR.AI b s�j J\ ♦ \ \ . SLOPE ALL FINISH %WR ES AT A MINIMUM OF IS TO DRAIN r ' < o ' O Q I +`�• ^4�4�4`•••y��,,,,,...��,, K \ + OD S \\\ 1, ALL ORD AL5 AND MORX.MANSiIP 6 TO CONFORM To 60VER+1.N5 LCOe5 V. fu \rt J \` \\ ANDOFDINANLEJ V .•a '` ' m OO i.—ER SUITE- ^,� � v'j }:._ .®) -S POOL PAA \ . (^00 $J, `� `\ � \\ B, 5LCPE M LAKY AREAS IS !U'T TO FJtL® 3, W �G l�` . O O Y = r • , ® . ♦P b. >y\ / / y J• \ ` \ '\\ 9. NOLO FINISH &RADE A M NAM OF 9' SE1ON TOP OF AALLS, 6' BELOW N.50 IA/ QA v 0 VF.RAMpA • �Lyyyg��'.:1� / \ \ \ '\ riLtlR> OF SLAB` AND IY �.OM FINISH P_CORS QI CENT cNRONAL HOOD r . ' �•] ' - _ i `C.•`.: -:r: -S' PA E7Tt5�7NG fiNA99E3 - \ '•\ , ROOPoNG '� ar ®®® \ u \ ♦\ lo. PROVIDE ORAINUNE CCFA`YVIS ANPIOR LATLN BASINS AT A MINIMM OF •A• I• --I �,,, I µ°icu ____1^_ _-__t. ':4': i`• 4 (A .c:' _ ^T ``\ \ ':\ O.C. OR AT FVL-P.' LrANSE OF MRWTCN \ \ W • ^ L1Ot -. '\\` ,\♦, OYFINi'.S1. 5EH�JA &RADE t MASTER �OSE' C ' P^'••� oF, O, 12. RAFPS INTO 9ALOW, 40T TO EXCEED A SLOPE OF Ir12 OR 69% GRADIENT ..:• �� � ` \ \ ♦\ � 13. PFD.ELT BALKS NOT TO EXE® A'SLOPE OF 1:70 OR 5% &PAD19ti T O °. \ \ Y - ca P` \�w�r, ^v\ �?^.ci 'mom \ � \ \• rAsonRr MFy� ' M • 5 I rLAUNDR`Y �- � _ rhA r ” �".��\:�'K''. �: �,,'n�',��".Cry" A .� +n . •4' , �\ � .' `< ('/SYN NN \ � \ �� t ) S 6R0.T AL' Cn IAATH 5:E3501.p-IF PHNNN6, DRWT ALL rcrASOLO .. � : `,� '}',ar' • :..„i ,�• �"e Y 2� �.. i`. a \ 00 00 04 9 ® { • _ ,�C* ;�^ �..� }�: PA \ _>� b J J, ), 6ROVT SNN.L of FWD fal&51 1 ATH A RATIO OF N PART CDO,T, FJ/ •'.,.' (•^.-..'::.<; :: _ arta\ `'dI : V i PARTS SATO. (71 PARTS PFA 6RAVEi PA [!p /✓ . (T`:•� ` ;+2 'S;': )' �.♦ -•\ S. MORTAR' L ITE . =J PAPREENED MD Vj) PARTS SAND IN 11E RATIO. _-.',�'Y. ^�✓' ' .S .`:�'O, ^AM-' - ' v ;h,�" i, ~:.''\ F i If '^ CP (I) PART LOETo kS PART Lu¢ Rrt1Y.lA-VJ1 PAR[5 SND A0 P JJ •?�: \ C'� >t(T � ` - � ):X '���(1 .\ ` i LOIFO@I i0 44.TH. ®® _ - + Ji .."�'.,, �\ :v r ..;`.'1i. ��•, F ) •. QRQE Q L`u zrPa 5Iw-L 1�5 oPxaHra BARS crnrow+lw TO Aa.rH. Aa5 jF•`ri .`S; ami .\ ..: `.� OIADEW - .L PA`&, to ;$ ,), Q',.L aij`<: 5F 1;=;;J l- w \\'';' `' yfNj�Jy �'t S. CON51ip.Gi MALS R1P0 Ally TRtE STS FOpiDIS51Y NE)! IAOCK LVLRE!@Ifl ' r :.] t; 1 e' „\Sn\• \� I5 N) `} { J Q PA •/ \ ? •S \\:: \' \\ b. ALIGN FOR AOJOM W COtB/21CT10N _ _ `.y�yr,Q \ ✓} ORM—CES NAD WiERULS TO LOW'OW T060V`..RMI1& LODES M9._....__.._._..__....- r:• Tr• .•. 1 `` l r • PA t^YvY` A D. A15TLeLO OR ILk MN19 T,�lUVE OPEIIIGD JOM15 AT 970L. ................. __.. __.. PA B _ -'� .. +P/ �ryL2` r // 'O J '�!a•-- ` Ai flRST CLiRSE ABOVE 6RADEggqqq:U0. ORVN.•OE ': r; - . �.•. GARAGE r5 `. l• PA ♦♦ , / t 6 • / ' N ` 9. ALL PCO:DGS SMLL :B P—JON o.DSTrRBEO INTURAL 50[ ON LO)FALTSD FIL (95%RB.Anyri ♦ r PA = ^.T- OO O . '•' / /O O O AO. AIL FRL>tAN)M5 M419 i0 INVE A MMMM Q° W BNt DIAEtERS OVFA,M O f - i - ' ♦ AT $PALACES All RETAIMNS IIAII SPJLg TO BE A MNIMM OF b BAR q ERRS III a! n4 I y .: `. ti>• .. - s ' :` ^ - •A yA �^ \ . II. DO`1 S S M AT LEAST EOW ry SIS AND SPACIN& TO VERTICK BARS O 17. W_I0RTAMTS SNNl M &RADE KI LGSOl 5 TO ASTM. FAO, AND IN AC40R A MTN LON;FE'IE MASONRY ASO TION STANOARtFi 15, PoRTLNm X ENT y1µ1 L6tP+]fmH i0 __ I,— cc �-' � f'-�t. O l 7t._ ' U IO LLT:LI�1E 5NA11 HAVE A MMIMM (gIPR-gg1yE 5TT@N&TN OP ]OCTA P51. AT ID DAYS yr EwA1810N YiMS IN MLL9 AT 35'•O' OL. MA g NT II • a -- �y:�� -"�`.`'. �f_=..____- � dP ;.:. • ,� _ Ib. N11 FOOiUG9209E (AMIIWla LSA0f316AR O'@0155 CIN OF LA QUINTA BUILDING 8 SAFETY DEPT. APPROVED FOR CONSTRUCTION on l° - we..>HMraer .e�mn> M I» r.N.0 a m>ar. m. +r .Pyn..•o>.Tn, u E-�--. ..- . v sam .nU¢ r a m m.r.�e m r.rao �ol. a law >dn m <w.. m mo:rr:aer ., :n. >ei.l. m.r.a +am, s wror• • I>•V bPtlWhr Mn, Y aleC M>I . ��ape,% :I:al Nb rgriwnil srm b nv0. la app( ­OYI. � • R'+4+0 b � /• O D' S' 9]' 'P>mt o tom.+.' I�mp>.y>.aw Ik +.i ro ^m1 >a cw,wawr mrlrrt> mlw uv+n H atc:s t smu. me naa - f/J ���.mY�m-LV De .a�'ry mom. w�'� u�• r. m °e ae)a�i)�tlraarmwi r� � On. ,o. r`Q.a§ev d a<+4r � a SEE SHEET L-5 FOR CONSTRUCTION DETAILS 5c_ALE: 1/8" : r-0" '}`•,_r.1. .. a -`i ri• J LEGEND �• P •. -L1WN OOfr PDGATBSTE,Id ' . ''-rJ-"'•I PA - 'j•• �: PAL-5 ' 8 .. ti.:�' —roTTATp &8T H)9c ♦P .^ :;TCT:ILEA _ --J L-5 1 I \ P.A. LAAN— CIN OF LA QUINTA BUILDING 8 SAFETY DEPT. APPROVED FOR CONSTRUCTION on l° - we..>HMraer .e�mn> M I» r.N.0 a m>ar. m. +r .Pyn..•o>.Tn, u E-�--. ..- . v sam .nU¢ r a m m.r.�e m r.rao �ol. a law >dn m <w.. m mo:rr:aer ., :n. >ei.l. m.r.a +am, s wror• • I>•V bPtlWhr Mn, Y aleC M>I . ��ape,% :I:al Nb rgriwnil srm b nv0. la app( ­OYI. � • R'+4+0 b � /• O D' S' 9]' 'P>mt o tom.+.' I�mp>.y>.aw Ik +.i ro ^m1 >a cw,wawr mrlrrt> mlw uv+n H atc:s t smu. me naa - f/J ���.mY�m-LV De .a�'ry mom. w�'� u�• r. m °e ae)a�i)�tlraarmwi r� � On. ,o. r`Q.a§ev d a<+4r � a SEE SHEET L-5 FOR CONSTRUCTION DETAILS 5c_ALE: 1/8" : r-0" Bin# Submittal Req'd city Of La Qurnta. PERMIT FEES Building st Safety Division Plan Sets Plan Check submitted P.O. Box ISO4, 78495 Calle Tampico 'Permit # La Quinta, CA 92253 - (760) 777-7012 91P OL.2,017 00 12 Building Permit Application and `Tracking Sheet Project Address: S'?2, �� b(,� a (� Owner's Name: �JO� A. P. Number. S Called Contact Person Address: � 3 — i'� /JC Legal Description: I.Tide City, ST, Zip: Contractor: C—Tv he S S Telephone: Address: — 6c? S Flood plain plan Project Description: City, ST,.Zip:�Jto C� � 020 eve i Telephone: 760 — . H �3(j X Znd Review, ready for correctionslissye Electrical State tic. # : C 53 — I I City Lic: #; I �S Arch., Engr., Designer. . Called Contact Person Plumbing .RE Address: Grant Deed City.; ST, Zip: AWN S.M.L V Telephone: H.O.A. Approval Construction Type: Occupancy: State Lk. #: 2017 , a: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: a Sq. Ft.: # Stories: #.Units: Telephone # of Contact Person: 0 — S Estimated Value of Project: golf 'Called Contact Person AXP.P. is a ice: 4� �ilb,v j11 Pub. Wks. Appr ` APPLICANT: DO NOT WRITE 13ELOW THIS LINE tl Submittal Req'd Rec'•d TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs., Reviewed, ready for corrections Plan Check Deposit Truss Calcs. ' Called Contact Person Plait Check Balance. I.Tide 24 Cales. Plaus .picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan Znd Review, ready for correctionslissye Electrical Subcontactor List Called Contact Person Plumbing .RE Grant Deed Plans.picked up AWN S.M.L V H.O.A. Approval Plans resubmitted FE Grading 2017 IN-HOUSE: ''' Reyiew, ready for correctionstiissue Developer Imps Wei '11 KITA Planning Approval • 'Called Contact Person AXP.P. is a ice: 4� �ilb,v j11 Pub. Wks. Appr ` Date of permit issue School Fees Total Permit Fees