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13-0351 (RPL) Revised- P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA',. CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT, �-% INSPECTIONS (760).777-7153 BUILDING ,PERMIT Date: 3/29/13 Application Number: 13-00000351 Owner: -Property Address: 54020 AVENIDA VELASCO LARRY & LILLIAN FREASE APN: 774-215-001-1 -000000- LA QU3NTA, CA 92253 Application description: POOL - RESIDENTIAL (503) 516-34.51' Property Zoning: COVE RESIDENTIAL Application valuation: 27229 Contractor: r 2� 3 Applicant: • Architect or Engineer: AMERICAN A ii •HERITAGE POOL CORPORA PO BOX 11996 w PALM DESERT, CA 92255 Ql9lP1A 4 (760) 340-2588 CITY®F i.,0.= Lia. No.: 945084 LICENSED CON O DECLARATION WORKER'S COMPENSATION DECLARATION - I hereby affirm under t I am licensed nd i i s of Chapt�I9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of rvisio 3 of the Business a rofess' nals de my Lice Ge is in -full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C e s 94 84 for by'Section 3700 of the Labor Code, for the performance of. the work for which this permit is issued. X Date: _ -/ .Con ctor: _ 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' Ompensation ER•BUILD ECLARATION 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 E7 PT mber EX PT 11 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to .I certify that, in the'perf ance of the work which i r i issued, tall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the ' person in any man er become subject o th er ' mpens ion 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 agre , i should become-su . to e w e ensat' provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - 3700 the Labo Code, I shall forthwith pl i h rovis' s. 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).: Date: l 3 App' nt: 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 WARNING: FAILURE TO SECURE W S' COMPE ION COVERAGE IS LAWFUL, AND SHALL _ Contractors' State License Law does not -apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PE 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.). - APPLICANT ACKNOWLEDGEMENT (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. - property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. , Each person upon whose behalf this application is made, each person at whose request and for ` pursuant to the Contractors' State License Law.). whose benefit w6ik is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt.under Sec. , a.&P.C. for this reason 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 relat o the work being performed under or following issuance of this permit. Date: Owner: 2. Any permit issued as a resu I'Ei cmt"6� omes f10 d void if ork ' of menced within 180 da date of iss ce o s mit, or cessa ' n of ork 18 ays will subject CONSTRUCTION LENDING AGENCY permit to ca ellation. I hereby affirm under penalty of perjury that there is a construction lending agency' for the performance of the I certify that I have read th application a, d state that the above infor io s c r t. I gr o comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and couOrdinances an tate law' relating to building constructio nd re th i repres atives ' of this coun ty enter upon the ab -m ntioned property for inspec ' u s . Lender's Name: ate: Signature (Applicant or gen . Lender's Address: LQPERMIT f Application Number . . . . . 13-00000351 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 265.00 Plan Check Fee 172.25 Issue Date . . . . Valuation .. . . . . 26558 Expiration Date 9/25/1.3 Qty Unit Charge Per Extension BASE FEE 252.00 2.00 6.5000 THOU 'BLDG 25,001-50,000 13.00 PermitMECH POOL Additional desc . Permit Fee . . 24.00 Plan Check Fee_ : 6.00 Issue Date . . Valuation . . . 0 Expiration Date 9/21/•13 Qty- Unit Charge Per Extension BASE FEE 15.00 1°.00 9.0000 ----=---------------------------------------- EA MECH FURNACE <=100K -------------------------------. 9.00 PermitELEC POOL PERMIT -RES Additional desc . Permit Fee 45..00 Plan Check Fee 11.25 Issue Date Valuation . . . . 0 Expiration,Date 9/21/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00. Permit PLUMBING Additional desc .'. Permit,Fee 27.00 Plan Check Fee 6.75 Issue Date Valuation ,.. 0 Expiration Date 9/21/13 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 . . . WALL/FENCE PERMIT LQPERMIT Application Number 13-00000351 Permit ... WALL/FENCE PERMIT Additional desc'.: Permit Fee . . 19.00 Plan Check Fee-., .00 Issue Date Valuation 671 Expiration Date 9'/21/13 Qty .Unit Charge Per Extension - BASE FEE .• 15.00 .. 2.00 2.0000 HND BLDG, 501-2,000 4.00• =--=-------------------------------------------------=------------------------ Special Notes and Comments POOL AT REAR YARD AND PROPANE TANK WITH' ' 31LF OF 51-HIGH BLOCK ENCLOSURE WALL AT FRONT YARD [ORCO SPEC]. TANK ENCLOSURE LOCATION TO COMPLY WITH CITY BUILDING AND.LQ.MUNICIPAL.CODES. PRECISION CONCRETE BLOCK SHALL BE COVERED WITH - STUCCO,.PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. . AT.ARMS AND BARRIERS REQUIRED.TO BE INSTALLED AT PRE-PLASTER INSPECTION. 2010 CALIFORNIA BUILDING CODES. March 25,,2013 3:18:13 PM AORTEGA - Other Fees. BLDG STDS'ADMIN (SB1473) 2..00 Fee summary_ Charged` Paid Credited Due Permit Fee Total 380.00 115.00 00 265.00 Plan Check Total 196.25 24.00 .00 172.25 . Other Fee Total 2.00 .00 .00 2.00 Grand Total 578.25 -139.00 .00' 439.25