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BPOL2015-016578-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: BPOL2015-0165 81893 SUN 764330020- MAY 64330020MAY / P001 $27,000.00 Applicant: DESERT OUTDOORS INC 78-065 MAIN STREET STE 205 LA QUINTA, CA 92253 V `&(t 4 4v Qumrcu COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed un er provisions of Chapter 9 {commencing with Section 7000} oJe 3 of th Busi and Professions Code, and my License is in full force and eff License Class: C27. C53 Licens4Date: ContrOWNER-DEC RATION I hereby affirm under penalty of perja exempt from the Contractor's State License Law for the following reason1. , Business and Professions Code: Any city or county that requires a permitt, 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 Divisio 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 fo a permit subjects the applicant to a civil penalty of not more than five hundred dolla s ($500).: (_) 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.). (_)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 contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. B.&P.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.). Lender's Name: Lender's Add VOICE (760) 777-712° FAX (760) 777-7011 INSPECTIONS (760) 777-71S_ Date: 8/13/201E Owner: BEVERLY MAY ? 81893 SUN CACTUS LA QUINTA, CA 92253 Contractor: DESERT OUTDOORS INC 78-065 MAIN STREET STE 205 LA QUINTA, CA 92253 (760)399-9600 Llc. No.: 964474 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 insurance carrier and policy number are: Carrier: _ Policy Number: _ I certify that in the performance of the work for which this permit is issued, shall not employ any person in any manner so as to bam subject to the workers' compensation laws of California, and agree that, if I ouldeco a subject to the workers' compensation provisions of Section 3700 f the L oy�ode, I shall forthwith comply'with those provisions. �� ;tee" 101' 1.5 Applicant WARNING: FAILURE TO SECURE WOR RS' COMP NSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER Tq CRIMINA PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS( 100,000) IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVI D FOR 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 aboyp information is correct - I agree to comply with all city and county ordinances and state s relati to building; construction, and hereby authorize representatives of this city t nte yt the above- mentioned property for inspection purposes. ate: 6, H r 0 Signature (Applicant or,4191entc. INFORMATION 'DESCRIPTION w 'z.`M f ' '." =l ;SACCbUNT, ;T" i�Tr$_ QTY ri'�rAMOUNT� F4 � PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 ' $2.00 $0.00 - PAID:BY METHOD 4 RECEIPT # -' : CHECK # , ` CLTD BY' Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $2.00 $0.00 fi DESCRIPTION, ,: r =`. ;• s 'ACCOUNT *QTY; AMOUNT ' -. ,, , ' PAID .' PAID, -DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 '0 $12.09 $0.00` PAID BY r ' METHOD RECEIPT#, 'CHECK #` CL -TD BY . r DESCRIPTION, ` ,'' 'ACCOUNT t .' QTY AMOUNT'- '. .` PAID PAID`DATE= GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $0.00 PAID BY . t E r' METHODS RECEIPT # �. CHECK # CLTD BYE Total Paid for PLUMBING FEES: $36.26 $0.00 bESCRIPTION , fY "ACCOUNT ,QTY AMOUNT ` PAID ' .PAID ;DATE SWIMMING POOL/SPA 101-000042404 0 $181.29 $0.00 PAID BY tet,`1. ' q _,METHOD" :'RECEIPT#xy CHECK#`� {°- 'CLTDBY _rte ' .DESCRIPTION R. 'a, t`,::.' ACCOUNT '. <QTY" :: AMOUNT - 14 PAID PAID DATE SWIMMING POOL/SPA PC 101-0000-42600 0 $98.62 $0.00 4 n ti - �.' - PAID -BY' J . , .'; METHOD t`. * ` s RECEIPT # CHE'CK # CLTD BY Total Paid for POOL/ SPA: $279.91 $0.00 TOTALS:•0 Description: MAY / POOL AND FIRE PIT Type: POOL Subtype: Status: APPROVED Applied: 8/3/2015 SKH Approved: 8/4/2015 KKI - Parcel No: 764330020 Site Address: 81893 SUN CACTUS LN LA QUINTA,CA 92253 Subdivision: TR 30023-1 Block: Lot: 20 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $27,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 `' ACTION DATE Details: POOL, FIRE PIT, [2 INCH GAS PIPING/#8 AWG IN 1 INCH CONDUIT ELECTRICAL] THIS PERMIT DOES NOT INCLUDE ELECTRICAL AT BBQ. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. F R J Applied to Approved FINANCIAL INFORMATION • s Printed: Thursday, August 13; 2015 3:12:31 PM 1 of 2 07W.SYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY.TYPE "'` `+ STAFF NAME `' ACTION DATE • COMPLETION DATE NOTES NOTE* PHILIP JUAREZ 8/4/2015 8/4/2015 SENT BACK TO PHILIP 8/4/15 CONDITIONS CONTACTS • NAMETI(PE Lit - --' -= 6 �' NAME '` ADDRESSl b - CITYSTATE ZIP - ;PHONE • - FAX' f `'''` EMAII Y•, APPLICANT DESERT OUTDOORS INC_ 78-065 MAIN STREET STE 205 LA QUINTA CA 92253 CONTRACTOR DESERT OUTDOORS INC 78-065 MAIN STREET STE 205 LA QUINTA CA 92253 OWNER BEVERLY MAY 81893 SUN CACTUS LA QUINTA CA 92253 FINANCIAL INFORMATION • s Printed: Thursday, August 13; 2015 3:12:31 PM 1 of 2 07W.SYSTEMS yw DESCRIPTION ACCOUNT QTY r AMOUNT SAM PAID : PAID DATE RECEIPT # CHECK #" 'METHOD PAID BY ? CLTD DUE DATE NOTES, { r.. NON-STRUCTURAL- KIRK 8/4/2015 , t V fix` BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $2,00 $0.00 BSA: GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $0.00 OUTLETS _ - GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $0.00 OUTLETS PC Total Paid for PLUMBING FEES: $36.26 $0.00 SWIMMING POOL/SPA 101-0000-42404 0 -$181.29 $0.00 SWIMMING POOL/SPA 101-0000-42600 0 $98.62 $0.00 PC Total Paid for POOL/ SPA.- $279.91 $0.00 TOTALS:0• INSPECTIONS SEQID {- :; INSPECTION; TYPE - . r4INSPECTOR , SCHEDULED COMPLETED RESULT REMARKS'-' ;, : , N R O . ATE DATE ATTACHMENTS FINAL" BLD PARENT PROJECTS BOND REVIEWS .-REVIEW_TYPE "REVIEWER ATTACHMENTS - RETURNED , "STATUS ', ' REMARKS - • - " '-. SENT DATE-, DUE DATE NOTES, { r'. NON-STRUCTURAL- KIRK 8/4/2015 8/11/2015 8/4/2015 APPROVED 1 WK KIRKLAND BOND INFORMATION ATTACHMENTS ?rint9d: Thurcday, Auguct 13, 2015 3112!31 PM 2 of 2 C, SYSTEMS Bin # City of La Quinta BOOS er Safety DAWon M Box 1504,'76-49S Calle Tampico La.QWnta, CA 92233 - (760) 777-7012 Building Permit Application and Tracking Sheet permit # Project Address: �j �'-� S Owner's Name: A. P. Number. Address:1' Su (� �/ Lew Dmipti n. Contractor: V -T City ST, Zip• QU I rl L' 2Z�3 Telephone- — Project Description: Address: —Mc45 MAva— 225 City, ST, Zip- L, V C Telephone: .3 �( oty Lie. N; State Lit #: Arci , EnSr., Designer. Address: City, ST, Zap: Telephone: State Lia. #: l' �p Constntctlon Type: oc;upan*cy: Project We (circle one): Now Add'n Alter Repair Demo Name of contact Person: Sq. Ft.: #Stories: # Unity Telephone # of Contact Parson: Fstit adw Value of Project: 2T0,.N7 APPLICANT,. DO HOT WRITE BELOW THIS LINE N Submittal Rcq'd Reed TRACKM PERM FEES Plan Sets Plan Cheek submitted Item Amonnt Strnctnral CaIca. Reviewed, rady for corrections Plan Chuck Deposit Truss Calls. Coiled Contact Penon PianCheck Batanee- Mde 24 Calls. Pians pleked up Construction Flood plain plan Plans resubmitted Mesbatitcal Grading plea 2'' Review, ready for oorrecdonslute Eleculeal Subcontactor List Called Contact Person Plumbing Grant Deed Pians picked up & H.O.A. Approval Plans resubmitted Grading [INHOUSE.- ''° Review, ready for cormdonsmsve Developer Impact Fee Planning Approval Called Contact Person AJLP,P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees C 0000 ! r co 0 � m _ ® � � a $1 9aAlai EQ s I 0° 51 Io oil con o �. 90 .� ® v �� 500 z rn 4 , n m a. ��o�� E.E. , �.. ;' ,�,. b.. i . ��m� o ps Q •""• �a AIXISTOMRESD lI1ALrem RMFORa oMAY RESIDENCE . a m e 1 e @ 81-893 SUN CACTUS gg DE=OUTDOORS o m i II I) E e v . LA QUINTA, CA. ,.: ..am e. noYera•m um°® O O ' C"7 fp � tl� a®3ggY r II=j r 11 II IIIIIIII a I E � I mou @ H ;�s 10 0 r � 0000 ! r co 0 � m _ ® � � a $1 9aAlai EQ s I 0° 51 Io oil con o �. 90 .� ® v �� 500 z rn 4 , n m a. ��o�� E.E. , �.. ;' ,�,. b.. i . ��m� o ps Q •""• �a AIXISTOMRESD lI1ALrem RMFORa oMAY RESIDENCE . a m e 1 e @ 81-893 SUN CACTUS gg DE=OUTDOORS o m i II I) E e v . LA QUINTA, CA. ,.: ..am e. noYera•m um°®