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14-0603 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000603 Property Address: 53773 VIA BELLAGIO APN: 772-510-055- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 50000 Apply t: Arch'/L�ngineer: ,r V BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Professionals Code, and my License is in full force and effect. '��(r License Cie :'C 3 License No.: 614611 I\ Date: �% Contractor: �v 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).: 1 _ 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 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.). 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.). (_ 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: LQPERM IT Owner: NRI CCP I 81100 AVE 53 LA QUINTA, CA 92253 Contractor: MCINTYRE POOLS & SPAS, 83695 AVENUE 45 INDIO, CA 92201 (760)342-3612 Lic. No.: 614611 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/14/14 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 the work for which this permit is 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 insurance carrier and policy number are: Carrier WESCO INS CO Policy Number WWC3053611 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,III shall forth ith comply with those provisions. Date: Gl Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 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 certify that I have read this application and state that the above information is correct. I agree to comply with all city and cou ty ordinances and state laws relating to building�in n, and h authorize representatives of this cou y t nter upon the above-mentioned grope y foput Date: Signature (Applicant or Age C =� Application Number . . .�. . 14-00000603 Permit . . . ELECTRICAL 2013 Additional desc . . Permit Fee . . . . 23.83 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/10/14 Qty Unit Charge Per Extension 1.00 23.8300 ---------------------------------------------------------------------------- LS ELEC DEVICES, FIRST 20 23.83 Permit POOL 2013 - Additional desc . Permit Fee . . . . 357.50 Plan Check Fee .00 Issue Date . . . . - Valuation . . . . 0 Expiration Date 11/10/14 Qty Unit Charge Per Extension 2.00 178.7500 ---------------------------------------------------------------------7------ EA MISC POOL/SPA 357.50 Permit . . . PLUMBING 2013 Additional desc . Permit Fee . . . . 11.92 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 11/10/14 Qty Unit Charge Per Extension 1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS 11.92 ---------------------------------------------------------------------------- Special Notes and Comments POOL,SPA MASTER SPA,& FIREPIT . ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE APPROVED PER AJ. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, ELECTRICAL 23.83 PLAN CHECK, POOL 97.24 PLAN CHECK, PLUMBING 23.83 Fee summary Charged Paid Credited -------------------- Due --------------------------- Permit Fee Total ---------- 393.25 .00 .00 393.25 Plan Check Total .00 .00 .00 .00 Other Fee Total 145.90' •.00 .00 145.90 Grand Total 539.15 .00 .00 539.15 LQPEFNI[T Bin # ty of La Quinta Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: S3 — /u Lellat4o Owner's Name: Address: .77 A. P. Number. Legal Description: City, ST, Zip: Contractor: CIvito 5 3 q Telephone: Address: - 69S Project Description: City, ST,.Zip: Z;O d 9320/ 'KI Telephone: 7ff) - . -1 a -3G ,2 \ State Lic. #:C53 - • City Lic: C. I S Arch., Engr., Designer . Reviewed, ready for corrections Address: Plan Check Deposit City.; ST, Zip: Truss Calcs. Telephone: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: #Stories: Units: State Lia. #: Name of Contact Person: e Telephone # of Contact Person: 7 K'0 - S Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted 'KI Item Amount Structural Calcs.: Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance • 7( I Title 24 Calcs. Plans.picked up Construction X Z P SPA, plain plan Plans resubmitted Mechanical ��--• . . Grading plan 2i° Review, ready for correctionslissue Electrical x Subcontactor List Called Contact Person Plumbing x O Grant Deed Plans.picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN-HOUSE`- ''" Reyiew, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of penult issue School Fees onel lm Aft IIE r I 1 Total Permit Fees Si�I?eN'i' MwN W&M50 WI to 9ft� W744L AK tAN"t 6fk . 4 of.LA Qt9INTA C014DEVELOPMENT HIM I,;? 9 ifldlglg pffl.ia i a9Q a 9 ��. a 1 iW � ga a � 0 0 ..�� s`'��'�"�--- _°°MI °��_ ® A d;� --� ®' �'��� �:I'•■deo � ■ � I -- - — ' lam �� 1r►iEnrwar�am Illllil'19' VIII ■I IIS' �D 181i■ .� .:. i air®���� d�� // ♦ e`I �♦ LANE.� - I'' Dar ■ `e e ♦� D I�. 7L��1^ tin _®®;tea = �::::�-- � �♦♦ - � � - ° . 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