13-0883 (RPL)Q' 1
4
P.O. BOX 1504 � VOICE (760) 777-7012
78-495 CALLE TAMPICO 7 -.IYJ 1- ' FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT = / INSPECTIONS (760) 777-7153
BUILDING PERMIT
` Date: 7/15/13
Application Number: 13-00000883 Owner:
Property Address: 61678 TORO CANYON WY JACK JONES
APN: 7647280-999-86 -3.00237- 61678 TORO CANYON
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: MEDIUM HIGH DENSITY RES (760) 399-9600 Q
Application valuation: 5800 D
Contractor: ' JUL1
' Applicant: Architect or Engineer: DESERT OUTDOORS INC U 16 2213
78065 MAIN ST STE #205
/ LA QUINTA, CA 92253 r Cl/�QU,NZA
+ / (760) 399-9600 MCEDEPT
!!! Lic. No.:' 964474
L
-----------------------------------------•-------------------------------------------------------—
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
• I hereby affirm under penalty of perjury th kam licensed under provisions of Chapter 9 (commencing with :1 hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Busine a d fessionals 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: . C2 7 - C5 3 License,No.: 964474 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
/ t �.�� - issued. -
®Date: z ! ®Contracto . -900
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 `
OWNER -BUILDER DECLARATION insurance carrier and policy number are: '
I hereby affirm under penalty of rjury at I am exempt from the Contractor's State License Law for the Carrier NORGUARD INS Policy Number DEWC338066 .
following reason (Sec. 7031.5, B " s 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
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the 10'person in any manner so as t 0 ubjec o 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 be ome " ct to a 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 the Labor Code, I s all f ith 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
,any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).: ,��..(�L' Applicant:
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.SECUR WORKER ' 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 CR MINAL PE ALTIES 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 ADDI ON TO E 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 C DE, I EREST, AND to
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 I, as owner of the property, am exclusively coritracting 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 work is performed under or pursuant to any permit issued as a result of this application,
( 1 I am exempt under Sec. , B.&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 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 1 certify that 1 have read this application and state that the above i fo ation 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 con tru do d hereby authorize representatives
of this county to enter upon the -above-mentioned property for in a io rposeS.
Lender's Name: '
• Da—, 1L4rS ignature (Applicant or Agent
Lender's Address: -
LQPERMIT
Application Number . . . . . 13-00000883
Permit ELECTRICAL 2013
Additional desc
Permit-Fee . . . . 23.83 Plan Check Fee
:00,
Issue Date Valuation
0
Expiration Date 1/11/14
Qty-, Unit Charge Per
Extension
1.00 23.8300 LS ELEC DEVICES, FIRST 20
23.83
Permit _ POOL 2013
Additional desc .
Permit..Fee 178.75 Plan Check Fee
.00
Issue Date Valuation . .
. 0
Expiration Date 1/11/14
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 1/11/14
Qty -Unit Charge Per
Extension
1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS
11.92
Special Notes and Comments
INSTALL NEW•WATER FEATURE USING ATTACHED
ORCO BLOCK DETAIL HEIGHTS.VARY FROM 18
INCHES'TO 42 INCHES HIGH, PER APPROVED
PLANS. INSTALL 40 L.F. GAS LINE FOR
FUTURE BAR-B-QUE. 2010 CALIFORNIA
BUILDING CODES.
------------- --------------------------------------------------------
Other Fees BLDG STDS ADMIN (SB1473) .
1.00
PLAN CHECK, POOL
97.24
Fee summary -Charged Paid Credited
Due
------------- --------------
Permit Fee Total 214.50 .00 .00
214.50
PlanCheck Total. .00 .00 .00
.00
Other Fee Total 98..24 .00 .00
98.24
1 Grand•Total 312.74 .00 '..00.
312.74
-LQPERMIT
ern. #
Qty Of >a Quito !JZ 1
Budge» g a Safety Division Lb, y �jiy o 5 2013" .
P.O. Box-1504,'78-495 Cane Tampico N A
La.Qldnta, CA 92233 -:(760) 777-7012�(/jNr
Bifildt Permit-Application" and Trackin Sheet Flo q
gg p
P t #
Project Address: C
%
Owner's Name:. C J 10
A P. Number.
Address: I (p O
Legal Description:
City, ST. Zip: LAC .
Contractor Desert Outdoors
-
Telephone: (Do 01222
Address. 78-065 Main St. Ste. 205
ProjvADescripflon:
city, sr, zip- La Quinta, Ca. 92253
Telephone: 760-399-9600: I
state Lia # : "C-53 964474 city Lic.
Arch., Engr., Designer Flying Buttress
Address: 77725•Enfield Ln. Ste.130
city, sr, zip: Palm Desert, CA. 92211
Telephone: 760-772-411
State Lie.: 33446
C;onseucdonType: _ Occupancy.
Project type (citrde one): New Add'n Alter Repair Demo
Name of C:onw Person:
. Ft.:
g ries:
it Units
rSq,
Telephone # of Contact Person: 7 --7
Estimated Value of Project: '051000
APPLICANT: DO NOT WRITE BELOW THIS UNE
d
Submittal
Req'd
Reed
TRACENG
PERMIT FEES"
Plan Sds
Pian Check submitted
Item Amount
Structural Cases.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
- called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plaitr plan
Plans resubmitted"' .
Mechanical
Grading plan
2°! Review, ready for eorrectionsfissue
Electrical
Subeontattor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IR HOUSE:- :
'"` Review; ready for eorreetionsfissue
Developer Impact Fee
Planning Approval.
Called Contact Person
A".P. "
Pub. Wks. Appr -
Date of permit issue
Schoch Fees "
Total Permit Fees
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