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BPOL2014-10097fuild,ing Permit Page 1 of 1 PERMIT NO 11BPOL2014-1009 4V.,iew l3eport 04 4 1 of 2 ? D Do 1oo�io -j Find Next El Applicant: Contractor: MCRAE POOLS & SPAS MCRAE POOLS & SPAS 79 105 DESERT STREAM DRIVE 79 105 DESERT STREAM DRIVE LA QUINTA, CA 92253 LA QUINTA, CA 92253 (760)774-6343 Llc. No.: 823017 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing witfi Section 7000) of Division 3 of the Business and Professions Code, _ I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the License Class: C53, C27 License No.: 823017 perf9fManc•_of.the work for which this permit is issued. j(/ ave and will maintain workers' compensation insurance, as required by Date:- r /Contractor: a tion 3700 of the Labor Code, for the performance of the work for which this permit 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).: U 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 improve for the purpose of sale.). (_J 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.). (J I am exempt under Sec.. B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hgreby affirm under penalty of perjury that there is a construction lending agency for, thf performance of the work for which this permit is issued (Sec. 3097, Civ. C.). -t lender's Name: ) Lender's Address: is issued. My workers' compensation insurance carrier and policy number are: Carrier: _ Polity Number: _ _ 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, I shall forthwith comply with those provisions. 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 Building Official 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 city to enter upon the above-mentioned property for inspection purposes. Signature (Applicant or http://laquinta.crw.coni/trakit9lDocumentViewer.aspx?&report=lDocumentsIPERMITS/B... 7/14/2014 VOICE (760) 777-7125 78-495 CALLE TAMPICO D FAX777-7011 FAX (760) LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT (760) 777-7153 BUILDING PERMIT Date: 7/14/2014 Application Number: - BPOL2014-1009 Owner: Property Address: 77450 CALLE TACATE EDWIN BURGOS APN: 774293025 77450 CALLE TECATE Application Description: ADD SPA TO EXISTING POOL AND REPLACE EQUIPMENT LA QUINTA, CA 92253 Property Zoning: Application Valuation: $12,000.00 Applicant: Contractor: MCRAE POOLS & SPAS MCRAE POOLS & SPAS 79 105 DESERT STREAM DRIVE 79 105 DESERT STREAM DRIVE LA QUINTA, CA 92253 LA QUINTA, CA 92253 (760)774-6343 Llc. No.: 823017 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing witfi Section 7000) of Division 3 of the Business and Professions Code, _ I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the License Class: C53, C27 License No.: 823017 perf9fManc•_of.the work for which this permit is issued. j(/ ave and will maintain workers' compensation insurance, as required by Date:- r /Contractor: a tion 3700 of the Labor Code, for the performance of the work for which this permit 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).: U 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 improve for the purpose of sale.). (_J 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.). (J I am exempt under Sec.. B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hgreby affirm under penalty of perjury that there is a construction lending agency for, thf performance of the work for which this permit is issued (Sec. 3097, Civ. C.). -t lender's Name: ) Lender's Address: is issued. My workers' compensation insurance carrier and policy number are: Carrier: _ Polity Number: _ _ 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, I shall forthwith comply with those provisions. 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 Building Official 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 city to enter upon the above-mentioned property for inspection purposes. Signature (Applicant or http://laquinta.crw.coni/trakit9lDocumentViewer.aspx?&report=lDocumentsIPERMITS/B... 7/14/2014 DESCRIPTION ACCOUNT • �PermItTRAK 'PAID `BPOL2014Y1009 Addr,""77450 CALLE TACATE e -ss: srApn: 774293025: tiw�,' $276:99; it �BUILDINGSTANDARDS AMINISTRATION BSA - *+� 'a" �; _ x$1:00 BSAS SB1473FEE 101-0000-20306 0 $1.00 . z _ r „ ^,POOLY /SPA t g �, i l 'r F$ 275.99 - - SWIMMING POOL/SPA PC 101-0000-42600 0 $97.24 SWIMMING POOL/SPA 101-0000-42404 0 $178.75 filo.# City of La Quinta �l Building & Safety Division Vv' f P.O. Box 1504,-78-495 Calle Tampico �.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #®� Project Address: ' % ! _ ySO Ir 7EO4715.Ownu's Name:. ED. V OSE' A. P. Number. Address: 77 ' !I/tC MKLA' Legal Description: "77 Contractor. City, ST, Zip: a 922,ra•- -Telephone: �3f PrejectDescription: ,S Address: City, ST, Zip:U N .Z�.3 - �:^% L U/t Iy%sw7' Telephone: _ 3' y 3'iE State Lic. # : :Z 3 Of 7 City Lir #: Arch., Engr., Designer &qrre5,CS... . Address: City., ST, Zip: Telephone: State Lic. #: .a Name of Contact Person: C - Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd ' Rec'd TRACKING PERMFr FEES Plan Sets Plan Check submitted 1 ;.I ,o Item Amoaat Structural Cates. Reviewed, ready for corrections Plan Check Deposit. . Truss Coles. Called Contact Person Plan Check Balance Tide 24 Calks. Plans picked up Construction Flood plain plan Plans resubmitted ' Mechanical Grading plan r' Revlew, ready for correcfionsrissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted i Grading IN HOUSE- ''' Review; ready for corrections/issue i Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees \ Qa Totp) Permit Fees 1164 1 2014 iU*W .0 tf.Q� ''v'- it v CU14 CITY OF'� QUINtA COMMUNm DEVELQPMENT f � CITY OF LA QUINTA"SUB-CONTRACT,w LIST 77 LIS� JE: JOB ADDRESS. PERMIT NUMBER OWNER W G_ -BUILDER . This form shall be posted on the job with the Building Inspection Card' at all times in a conspicuous place. Only persons appearing on this list or their employees are uthorized to work 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 voidance )f building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. Trade /Classification :...... ; ContractorState::Contractot.s. license . :.: :...::.. ::. .:. W.orlfeis Com erlsatlort:tnsurance:' :.... ;::.:: .` p City...Biisness License::::. `.• 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/xxt), License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C-12) :.... l sob ;3ii''l7 Ev6REST - A z000c79 %Z� � 7- Z07 % CONCRETE (C-8) FRAMING 5) STRUCT:.STEEL (t3 -5 i) _0k -324 y F rn/ a' Z 066099.688-1 /o %y �D .-S"9. - MASONRY W 2,9) PLUMBING (C-36) - • LATH; PLASTER (C.:35) CRYWALL-C-91.' ..: HVAC. (C720)':.:.`:'::`: .:. ELECTRICAL. •(C=10)' :..., "1 ell ROOGJC .:::.. . . 'SHEET•METAL jC 431' GLAZING (C -17)f. INSULATION (C72): SEWAGE DISPiAd--43 ) -PAINTING (C=33) CERAMIC TILE (C-54) CABINE S (C-6) F CING (C-13) LANDSCAPING (C=27) POOL (C-53) Al S.d W.4 L'e«rr}ta, I.', yV- t_� BUILDING & SAFETY DEPT. a APPROVES _. I. I FOR CONSTRUCTION r l uaau+e o ©' DATE BY Vi o — — — _ — — — — — — GALLE_ TECAI — — — 7E PL • SCALE: 178'=I -O''.: NORTH • r`b- :� E fir. e \ I .tet..-.