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13-1164 (RPL)+- A P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00001164 Property Address: 81905 SUN CACTUS LN APN: 764-270-999-19 -300231- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 29400 Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I lice d under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a Pr es ionals Code, and my License is in full force and effect. License Class: C27-1753 License No.: 964474 Date: • 13 113 Contractor: N OWNER -BUILDER DECLARATION I hereby affirm under penalty of per ry that I exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Bus' ss and ofessions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or r ny 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).: 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 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 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.). 1 _) 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 Address: LQPERMIT Owner: MCNALLY, PATRICK M 3899 SW 19TH ST GRESHAM, OR 97080 Contractor: DESERT OUTDOORS.INC 78065 MAIN ST STE 4205 LA_ QUINTA, CA 92253 (760)399-9600 Lic. No.: 964474 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/18/13 ----------------------------------------------- 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 NORGUARD INS Policy Number DEWC338066 I certify that, in the performa e t work for which this permit is issued, I shall not employ any person in any manner so to b e subject to the workers' compensation laws of California, and agree that, if I should eco a ubject to the workers' compensation provisions of Section 113700 of the Labor de, sh thwith comply with those provisions. Date: � I 1 V ApplicICRIMINAL WARNING: FAILURE TO SES' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TNALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). INAHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABEREST, AND ATTORNEY'S FEES. 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 permi r cessation of workfor 180 days will subject permit to cancellation. I certify that I have read this application and state that the above i or atio correct. I agree to comply with all city and county ordinances and state laws relating to building cons ruc on, d hereby authorize representatives of thi oufnty to enter upon the above-mentioned property for ins on poses. Date i Signature (Applicant or Agent): LQPERMIT Application Number . . . 13-00001164 Permit. . . . PLUMBING 2013 Additional desc . Permit Fee. . . . . 11.92_ Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 3/17/14 Qty Unit Charge Per Extension 1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS 11.92. Permit. POOL 2013 Additional desc . Permit Fee 178.75 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 3/17/14 Qty. Unit Charge Per Extension • 1.00 178.7500 EA MISC POOL/SPA 178:75 -- --------------7-------- Special Notes and Comments SPA WITH WATER FEATURE AND GAS LINE FOR FUTURE FIRE PIT AT REAR YARD [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE-PLASTER INSPECTION. 2010 CALIFORNIA BUILDING CODE. September 16, 2013 1:50:29 PM 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 .00 ..00 122.07 Grand Total•- 312.-74 .00 _. 00 312.74 LQPERMIT Name of Contact Person: �Q Sq. Ft.: # Stories: # Units: Telephone # of Contact Person:'7�-Qxi--72jSJ Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted ( 'Jj Item Amount Structural Coles. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. . Called Contact Person Plan Check Balance. Tide 24 Coles. Plans picked up Construction Flood plain plan Pians resubmitted ' Mechanical Grading plan rReview, ready for correctious/issue Electrical Snbeoatactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L iLO.A. Approval Plans resubmitted Grading IN II0USE- Revtew, ready for correction Impact Fee Planning Approval. InIonDeveloper Called Contact Person AXP -P. Pub. Wks. Appr Date of permi School Fees STIKC4 tre l a I i�O�tiOl�j'^' v TA t f s►tA W to Total Permit Fees :. SEP 10.2013 . MM��LA QUINTS � EVELU SNI .NT . C � r ' � �.�"�,�W. _ - .• - ., _c � ti . �, p1l oil 'FOR e®R` � � `s� \ CONSTRUCTION o r , o "�! • M. O J/�y Z • ®D®DD W R O p l .uiwiu gyp\\/J) - ` • I � Lu J CITY O A QUINTA "_j 000eui ®®u "Zp r6g I LL)BUILDING & SAFETY DEPT.., SPA� TYP. JETLOCATION DETAIL TrM d fl ', ® 000, '� SCALE' N..S. �® r -APPROVED rn _ • PAR �° o FOR CONSTRUCTION . iwnm.rrNrA v f ma.. IB17 . y Z Er¢ao eAxo wvrnamnoo r O O ®®i f • •QJ q J j. • ¢ i $ WAIERLwE ; .•° , , :• 1 BY- DATE = o a .� C7 I a g FIE I I=1 Pool S� W W�'t&L fQ6 M*ID l - rnl�oa�Aea-1I1—.. o ,.� �N p I !ed f —III=ITI -0 ,�xxnxm I . PEBBLE / � •-11 :�11 �J PLASTER ircnEe lPMnsaWpN .❑ xce). ml.�wx. • ! '� � .• • 'A !� � .� LI A! 110N9:. 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