04-0749 (RPL)_ P.O. BOX 1504
. A 78-495CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: �"14-_000.0.0749..
Property Address: 78680 CALLE TAMPICO
APN: 770 -106 -008 -120 -000000 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 20000
Appli milt: Architect or Engineer:
r
�—
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
MAURY HANDLER
882 S PENNSYLVANIA ST
DENVER, CO 80209
(303)638-2576
Contractor:
A & R COMPLETE POOL SERVICE
P.O. BOX 103
LA QUINTA, CA .92247
(760)272-7349
Lic. No.: 841981
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
I
Date: 6/10/14
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LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
icensed u r provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury tha�;,'
I hereby affirm under penalty of perjury one of the following declarations:
Section 70001 of Division 3 of the Businer fessio s Code, and my License is in full force and effect.
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
Licenge las : C53 Lice No.: 841981
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
_Di." te:' / Contra tor:
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
V OWNER -BUILDER DECLARATION
V
insurance carrier and policy number are:
I hereby affirm under penalty ofperjury that I am exempt from the Contractor's State License Law for the
Carrier WESCO INS 'CO Policy Number WWC3092154
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to—
1 certify that, in the performance of the work for -h,2?this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as t ecome subject t e workers' compensation 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 agree that, if I should: c me bject tot workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of th
abor-.Code s II hwith c ply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
11
---Date: �t�
''
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500):
Appli
ant:
sowner-of-the-property,or-my-employees-with-wages-as-theirsolecompensation,-willdo-the-work;and—=-----
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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.
t 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 —) 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 contractors) licensed
pursuant to the Contractors' State License Law.).
(_) I am exempt under Sec. , BAP.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.).
i
Lender's Name:
Lender's Address:
LQPERMIT
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 ab a formati is correct. I agree to comply with all
city and county ordinances and state laws rel ng to buildin c structi , and hereby authorize representatives
of this Fo�ter upon the above -menti ned propert specti purposes.
Signature (Applicant or gent) J�
1)
Application Number . . . . . 14-00000749
,1
PermitPOOL 2013
Additional desc .
Permit Fee 178.75 Plan Check Fee
.00
Issue bate . . . . Valuation
0
Expiration Date 12/07/14
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
178.75
Permit . . . PLUMBING 2013
Additional desc .
Permit Fee . . . . 11.92 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 12/07/14
Qty Unit Charge Per
Extension
1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS
11.92
--------------------------------------------------------------
Special Notes and Comments
--------------
SPA ADDITION AT EXISTING POOL AT REAR
YARD INCLUDING TWO (2) GAS STUBS FOR BBQ
AND FIREPIT [POOL ENGINEERING INC
W/SUPPLEMENT] THIS PERMIT DOES NOT
INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT
PRE -PLASTER INSPECTION. 2013 CALIFORNIA
BUILDING CODE.
June 9, 2014 9:51:15 AM AORTEGA
-------------------------------------------------- ---------------------------
Other Fees .. . . . . . . BLDG STDS ADMIN (SB1473).
1.00
' PLAN CHECK, POOL
97.24"
PLAN CHECK, PLUMBING
23.83
Fee summary Charged Paid Credited
Due
---------------------------------------------------------
Permit Fee Total 190.67 .00 .00
190.67
Plan Check Total .00 .00 .00
.00
Other _Fee Total 122.07 - _-0.0 _ -.D0
122..07
Grand Total 312.74 .00 .00
312.74
LQPERMIT
Bin #
City of La Quinta
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 #
Project Address: ��I j�,,,� n� �"
A. P. Number: `
Owner's Name:
Address:
Legal Description:,
City, ST, Zip:
Contractor:4
Tele hone:
p
Address: P o
Project Description:
City, ST, Zip:
_�'e, ws rkXiLArNt, 0201 Pew Oil Neto
Telephone: •J1,(
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Y�
StateLic. # :
City Lie. #:
l.uw�b SQS EO�t 1V�!
Arch., Engr., Designer:
Address:
V- "Y -P— N
City., ST, Zip:
Telephone:
:::;:;:.<,>.;: ::;•;:;:;s :::z<v:::;;> :::
<<:
Construction Type: 1 Occupancy.
a i
State .#• L c
Project type (circle one): New Add Alter Repair Demo
Name of Contact Person:
Sq. Ft.: 49 vw
I # Stories:
# Units:
Telephone # of Contact Person: UL 1 2—Q-7-5 Z
Estimated Value of Project: 201000
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 Cala.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
'"' Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
" ala 1U14 — P.4#4 OmA-w� I Po'T 4z6
1� enV4� `RAS
18•b4o G�..s'
Ock
Add on spa 7'x7'
raised 18" to existing
pool.
EXISTING POOL
►2rlo�l�l�c�h1- , �
�W.v*f-0J— NSW
001
Locckbc4
C'as 5
List
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CITY OF LA*QUINTA
BUILDING & SAFETY DEPT.
APPROVED
- FOR CONSTRUCTION
DATE BY
HANDLER RESIDENCE
78680 CALLE TAMPICO
LA QUINTA, CA. 92253
c A VLA Vv` P+i CSO