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13-1157 (RPL)P.O. BOX 1504 ^� VOICE (760) 777-7012 78-495 CALLE TAMPICO fAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Application Number: 13-00001157 Property Address: 80270 VIA CAPRI APN: 777-100-073- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 30000 Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. license Clas CC553 License No.: 614611 NDate<i���' Contractor: \ 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).: 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 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 riot 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 Date: 9/12/13 Owner: RICHARD & ALEXANDRA ALBERS ALBERS FAMILY TRUST 80270 VIA CAPRI LA QUINTA, CA 92253 D D Contractor: �� i v 2U13 MCINTYRE POOLS & SPAS, IPC. 83695 AVENUE 45 CITY OFLA QUINTA INDIO, CA 92201 (760) 342-3612 FINANCE DEF�T. Lic. No.: 614611 ----------------------------------------------- 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 WESCO INS CO Policy Number QWCA1843029 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 C���J ,� 300 of the- Labor Code, I all orthwit comply with those Provisions. Dat,%49 : C��w/��d'/�/ Applicant: 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 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 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 nd hereby authorize representatives of this county o e ter upon the above-mentioned pr pert sectio r `Date: !� Signature (Applicant or Agent): Application Number. . . . . 13-00001157 Permit POOL 2013 Additional desc . Permit Fee . . . 357.50 Plan Check Fee,.. 00 _. Issue Date . . . . Valuation 0 Expiration Date 3/11/14 Qty Unit Charge Per Extension 2.00, 178.7500 EA MISC POOL/SPA. ---------------------------------------------------------------------------- 357.50 Permit . . -PLUMBING 2013. Additional desc . Permit Fee . : . 35.75 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 3/11/14 Qty Unit Charge Per. Extension 1.00 35.7500 LS PLBG GAS SYS, 5+ OUTLETS 35.75 ---------------------------------------------------------------------------- Special Notes and Comments FRONT YARD POOL W/FIRE BOWLS AND REAR YARD SPA.AND WATER FEATURE W/FIRE BOWLS AND PIT [DENISE POELTLER] THIS PERMIT DOES NOT INCLUDE BBQ OR EQUIPMENT WALLS. 2010 CALIFORNIA BUILDING CODES. September 12, 2013 5:07:46 PM AORTEGA - ------------------------------------------------------------- Other. Fees . . . . . . . : BLDG STDS ADMIN (SB1473) ---=---------- 2.00 PLAN CHECK, POOL 97.24 PLAN CHECK, PLUMBING 23.83 Fee summary Charged Paid Credited ---------------------------------------------------------- Due Permit Fee Total 393.25 .00 .00 393.25 Plan Check Total 00 .00 .00 .00 Other Fee Total 123.07 .00 .00 123.07' Grand Total. 516.32. .00 .00 516.32 LQPERMIT i Bin # Cr of LQQuInta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - •(760) 777-7012 Building Permit Application and Tracking Sheet —'27 U Owner's Name: ° Pefmit # Project Address: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: 1 � S � fielephone: Address: -ml-op lyProject Description: City, `ST,.Zip: ' C. to Telephone: Q-1 f . \\ . %• L a4 State Lic. # : yG I �. City Lic. #: S Arch., Engr., Designer: . Address: City.; ST, Zip: Telephoner HSY r� " State Iiia. #: Name of Contact Person: 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 Recd TRACKING PERMIT FEES Plan gets Plan Check submitted Item Amount Structural Calcs.. Reviewed, ready. for corrections Plan Check Deposit. Truss Calcs. Called Contact Person Plan Check Balance Title 24 Coles. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2-" Review; ready for correctionstissue Electrical Subcontactor List i Called Contact Person Plumbing, . Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted J Grading IN HOUSE:- ''a Review, ready for correctioissu J116, Developer Impact Fee - Planning Approval Called Contact Person AD A,I;P,P, Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 13 R X CITY OF LA QUINTA COMMUNITY DEVELOPMENT , ♦ e, Y1� 00'N05°5901 IN.. I _ a s> D3 sm a D v0'�•�Jt • SI1 �7'• T••. Z. v 10' S = ® to Ch- g w Qpp �OO��a _e J n e� " a O O �' + Cn .`C1 j G> t 'O (�-' -fin to • N P, -3 m .:o w N = •. p cv f a �n p cu N + — �_ Gl N rn p oI • tPr A; z o z rn Q T v A a a � Y r ' N D • . ° ' o o k -A ' j 9. 0 . �n crn. , A D �' Oo °o °o °o C) r r rn r fl z rn T- 7C 7C -0 j 71 A (` 7O7pp' QI r r r -0 � G1 � h1 -t � (� D • O D • � • � g � ,�, _ .� rn rn A lPA. 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