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12-1002 (RPL)�r - P.O. BOX 1504 , • 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: C-12-00001002 , Property Address: 52315 SHINING STAR IN APN: 767-200-999-16 -312022- Application description: POOL - RESIDENTIAL Property Zoning'- LOW DENSITY RESIDENTIAL Application valuation: W 30000 BUILDING & SAFETY DEPARTMENT. BUILDING PERMIT Owner: ABBIE STONE 52315 SHINING STAR LANE. LA QUINTA, CA 92253 (760)777-9920 0- E (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/31/12 Contractor: Applicant: Architect or Engineer: JJB POOLS rA 77700 ENFIELD LANE #C1 PALM DESERT, CA 92211(760)322-1515 3 �-12Lic. No.: 920450 NCE DEFT A ------------ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals 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 License Class: C53 License No.: 920450 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is w/ issued. Date: 3t � ntractor: C .1/� I have and w111 maintain workers' compensation insurance, as required by Section 3700 of the Labor /f T , Code, foi the performance of the work for which this permit is issued. My workers' compensation • OWNER -BUILDER DECLARATION 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 WILLZAMSBURG_ . -.. Policy Number WC0622753-01 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _- I certify that, in the performance of the work for which this permit is issued, I shall not employ any a construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the 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 beco subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 oft Laborteal, I shall rthwith comply with [hose provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ��pp .. any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: te: `0 WIPplicant: (_ 1 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 WARNING: FAILURE TO SECURE WORKERS'( OMPENSATION 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. 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 fora 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 work is performed under or pursuant to any permit issued as a result of this application, I—) I am exempt under Sec. B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnity 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. Date: Owner: - 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 CONSTRUCTION LENDING AGENCY permit to cancellation. 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 this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authorize representatives r0'.t his county to enter upon the above-mentioned property for ins ction purposes. Lender's Name:���((((e: �Si ture (Applicant or Agent): �- - Lender's Address: r` - LQPERMIT " • - �� a Application Number . . . . . 12-00001002 .. - ^ Permit.BLDG POOL PERMIT Additional desc .` . Permit Fee 284.50 Plan Check Fee 184.93 Issue Date Valuation' 300.00 ` Expiration Date 2/26/13. ♦ Qty Unit Charge- Per Extension. ° BASE FEE 252.00 5.00 6.5000 THOU BLDG 25,001-50,000 32.50 • Permit MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 '• - Issue Date T Valuation 0 Expiration Date 2/26/13 Qty Unit Charge Per - Extension BASE FEE 15.00 1.00 11. 0000 MECH FURNACE >100K 11.00 .. .EA 'c.----- .. � . • --- ------. - i .Permit ELEC POOL PERMIT -RES--'----------`---------------- . Additional desc Permit Fee . . . . 45.00 Plan Check Fee 11.25 • Issue,Date Valuation . . . . 0 Expiration Date :2/26/13 ' • Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 .. ,--.-;-------------------------------------------------------'---------------- Permit. . . PLUMBING ,.. Additional desc 's Permit Fee' 33.00 Plan Check Fee 8.25 Issue Date Valuation 0 Expiration Date .'2/26/13 -. rQty Unit ChargePer: -,Extension BASE FEE 15.•00 ` 2.00. 6.0000 EA" ' PLB `FIXTURE, 12.00 1.00'' 3.0000 EA PLB WATER INST/ALT/REP `' 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.007.: Special Notes and.Comments t POOL/SPA. ALARMS/BARRIERS SHALL BE IN LQPERMIT Application Number 12-00001002 ------ ---- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. 2010 CODES. ---------------------------------'-------------------------------------------- Other Fees . . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary Charged Paid Credited 'Due Permit Fee Total 388..50 .00 .00 388.50 Plan Check Total 210.93 .00 .00 210.93 Other Fee Total -2.00 .00 .00 2.00' Grand Total 601.43 .00, .00 601.43 LQPERMIT RADONI DESIGN HEREBY EXPRESSLY RESERVE ITS COMMON LAW COPY RIGHT AND OTHER PROPERTY RIGHTS IN THESE PLANS. THESE PLANS ARE NOT TO BE REPRODUCED, COPIED OR CHANGED IN ANY FORM OR MANNER WHATSOEVER, NOR ARE THEY TO BE ASSIGNED TO ANY THIRD PARTY WITHOUT FIRST OBTAINING THE EXPRESS WRITTEN PERMISSION AND CONSENT OF RADONI DESIGN. EXISTING 6' HIGH PROPERTY LINE BLOCK WALL�c POOL EQUIPMENT V NOTE: _ 1. SELF -LATCHING DEVICE SHALL BE PLACED NO LOWER THAM 54" ABOVE THE FLOOR. 2. 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SELF -LATCHING DEVICE SHALL BE PLACED NO LOWER THAM 54" ABOVE THE FLOOR. 2. SELF-CLOSING DIEVICE MUST COUSE THE -POOL ®L 1 TO CLOSE AND LATCH AUTOMATICALLY, DOOR SCALE:1 /4"=1 °-0" WITHOUT ANY OTHER ASSISTANCE SITE PLAN - SCALE:1 /8"=1'-0 I, I' �I I I I I I i REVISIONS BY Z V N Q N a) Q W Z�� 0 6 J W Z UWP 0 ti 0 ~ " N � U VJ � N � (n O fA . Lie) T Q U N C) Z M J I- >0 � W I W it W Om ZOUL 306 W J W 7) o a0 '`. ti ti 0C Q Z ci Q � Z_ Z 2 U) w Zz 0 J m� Lo off-- �� LL z Q Z V J ZQ J =z 0 o LL] U) O lei c a 0.00 C Q N -� Do u') Q DRAWN A. RADONI CHECKED A.R. DATE 018-20-2012 SCALE 1/4=1'-O" JOB NO. 2012-011 SHEET A. 1 PLANS PREPARED BY: RADONI DESIGN 760.969.2541 A. RADONI Bin.# CIS}/ Of La utnta Building a Safety Division Box 1504,78-495 Calle Tampico 1.4.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet PenNt #P.O. Project Address: Z j .2 (,'1 m i cJclJ / qc L,J Owner's Name:. A P. Number.Address: z 2 1 a ri GVr L J• Legal Description: City, ST, Zip: QJI�'�Contractor. ;-� �'� �� Or Telephone: lJ �` l a aAddress: — 00 l ,�,� Project Description: City, ST, Zip: q wLS t r ( C� � 2Z.1 �..� c -e) c tv . el A Telephone:1AA 21 Vl i— State Lic. #: T71 #; d S . .o o� 0.:r 909 Arch., Engr., Designer: � 1 S� t o el l P e7. Address: dd City., ST, Zip: GILIICsL a a +i`T ZZ Telephone: State Lic. #: Name of Contact Person: Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: #Univ Telephone # of Contact Person: `�O 14 t '9 5 Estimated Value of Project ,p ,p APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Req'd Recd TRAgMG PERMITFEES- Plan Sets Plan Check submitted Item Amount Structural CaIc Reviewed, ready for corrections Plan Check Deposit. . Tran C2Im• Called Contact Person Pisa Check Balance Title 24 talcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan Z'! Review, ready for corrections/assue Electrical Subeontaetor List Called Contact Person Plumbing Grant Deed Plans picked up Shu H.O.A. Approval Plans resubmitted Grading WHOM:- ''' Review; ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue Saudi Fees Total Permit Fees