13-1405 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:.
13-00001405
Property Address:
52720 AVENIDA VELASCO
APN:
773-295-012-13 -000000-
Application description:
POOL - RESIDENTIAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
14000
Applicant:
BUILDING& SAFETY. DEPARTMENT
BUILDING PERMIT
Architect or Engineer: _ .
�) Ih----
------------------
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.
Licepee Class: C53 License No.: 946375
Date:T' 7�h Contractor: it L(a (_ 0�)UrS
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 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
s improve for the purpose of sale.). -
(_) 1, 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.). l
L'ender's Name: _
Lender's Address:
LQPERMIT
Owner:
RW REAL ESTATE, INC.
P.O. BOX 447
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/05/13
Contractor: D Q
NOGUES, JULIO CESAR
46625 DESERT VILLA #1
INDIO, CA 92201 Nov -05 y�ol�
(760)397-7699 G
Lic. No.: 946375 CITY—
..
.-LA
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 EXEMPT Policy Number EXEMPT
I certify that, in the performance of the work for which this permit is issued,.) 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 Lab Code, l shall forthwith comply with those provisions.
Da►te:. I ('.5-13 Applicant: Ao L( c-) C-E'�d a- )�z,G�iE--�
i
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 J$1 00,000). 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 county ordinances and state laws relating to building construction, and hereby authorize representatives
of this unty to enter upon .the�bove-mentioned property fo spection purposes.
Date: 1.L S-)3_ Signaturee((Applicant or Agent): /J
Application Number . . . . . 13-00001405
Permit . . POOL 2013
Additional desc .
Permit Fee178.75 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
` Expiration Date .. 5/04/14
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
-
178.75
------------------------------------------------------------------------=--
Special Notes and Comments
POOL, SPA [10 L.F. OF,1 1/2 INCH GAS
LINE TO PROPANE TANK] EQUIPMENT SHALL BE
INSTALLED IN ACCORDANCE WITH
MANUFACTURER SPECIFICATIONS..ALARMS AND
BARRIERS -REQUIRED TO BE INSTALLED'AT
PRE -PLASTER INSPECTION. 2010 CALIFORNIA
BUILDING CODE.
--------------------------------------------------------------
Other Fees . . BLDG STDS ADMIN (SB1473)
1'.00 '
- PLAN CHECK, POOL
97.24
Fee summary Charged- -Paid Credited
Due
a Permit Fee Total 178.75— .00 .00
178.75
Plan Check .Total .00 .00 .00
.00 -
Other Fee Total 98.24 .00 .00
98.24
Grand Total' 276.99 .00 .00
.276.99
Bin #
Qty of La Q uln t
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
-"/�Q
Project Address:
Ayewdo, J (
Owner's Name: PVAL,5 a—
A. P. Number:
Address:
Legal Description: ybou R PD
A '
City, ST, Zip: tJ `ZZt-1
Contractor: (
Telephone: 60 )
Address: (50-55H
How
Project Description: ?061 d
City, ST, Zip: j• N t o L
I
n 1j(C()C [!i Y1 64asI Y1 pull
Telephone: ne
P 2e17-76
qq
State Lie. #: C-5 3 6 0
City Lie. #.-.I Q 12 91
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
TeleP
<
o truction T e: Occupancy:
Construction YP
State Lie. #:
Project type (circle ne •NAdd'n Alter Repair Demo
Name of Contact Person:
Ll O
C a
Sq. Ft.:1;2-6b
# Stories:
# Units:
Telephone # of Contact Person:
-
Estimated Value of Project: / 00a�-
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted i7
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
1,6y
tad Review, ready for correctio h su 02g
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 correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
CITY OF LA Q N1
BUILDING & SAF DEP
T
tat Permit Fees
r%r r n%.✓ v "v '
FOR CONSTRUCTION
DATE BYE,_
f
7 STREET
RAISED 6"
O
G
6? 3,
3 - 20'
x -
b 1 '
13'.TOICURB, BY OTHERS
KANCUN pool' and spa construction • x
POOLS TITLE
& 52720 AVENIDA VELASCO - -
*LA QUINTA CALIFORNIA 92253'
S PAS INC SIZE ICAGECODE DWG NO REV
----------------- A4 _
• I
=-------=
SCALE_ SHEET
1
RAISED 6"
O
G
6? 3,
3 - 20'
x -
b 1 '
13'.TOICURB, BY OTHERS
KANCUN pool' and spa construction • x
POOLS TITLE
& 52720 AVENIDA VELASCO - -
*LA QUINTA CALIFORNIA 92253'
S PAS INC SIZE ICAGECODE DWG NO REV
----------------- A4 _
• I
=-------=
SCALE_ SHEET
JOB ADDRESS 2 447V IW&& 89 PERMIT NUMBER %�j -�y�� OWNER -7-XeBUILDER U� � � jUb(, �c
�- This form shall be. posted on the Job with the Building Inspection Card. at all times in a conspicuous 121ace. Only persons appearing on this list or their employees are authorized to
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 void
of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
Tr Classification • • :' Contractor State.::Contractor.s License .. .. ;; : :. o :Insura
! : ...,..: Workers,Coni erisati n.. nce::'-'-':" '':. ;.:::..' City,. Biisi�e�s Licensi
Company Name
Classification
(e.g. A, B, C-8)
License Number
(xxxxxx)
Exp. Date
(xx/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number
(Format Varies)
Exp. Date
(xx/xx/xx)
License Number
(xxxx)
Exp.. I
(xx/x)l
EARTHWORK (C*.' 2 :.;
C
C 53
L1 63-7 5
-'_ j
I
1 Z
CONCRETE (C-8) ? . ..
FRAMING
-30-�
CxC
STRUCT.:S'TEEL. jC-5]1
((I—L
Ci H 6T '15
n
NIASONRY(C�29) f`;
• t�,)-S
5 6q33 7
-
MBIN(3 IC -36) - . -
L!L
�. D-l.�
2 �31
1-
ATH; PLASTER (C.35)
V-3\ 10611-112—
- I '
DRYWALL (C-9) ..: • •;
C..(C-2o)':._::j'ECTRICAL.
(C=10)'
1:RS§wEET.META'L
1"1
O
Y
(C:4'3)
ELO0,11ING (0::151;.:;
GLAZING (C.17)x::= .-....
INSULAT[ON :`(C-2) : . ,..:..
SEWAGE DISP -(G-42) -
PAINTING (d-'3'3*)'-:'
%.
O`
ERAMIC TILE (C-54)2saL
- —��
'
- F&fM
��2
2
CABINETS (C-6)
FENCING (C713)
V
LANDSCAPING (C=27)
O'OL (C-531
3vz '' _ -_
3
g63
g�"
l�.
-
1D�28i
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