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14-0079 (RPL)C_ P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000079 Property Address: 43098 PARKWAY ESPLANADE E APN: 609-380-999-90 -293234- Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Anolication valuation: 29900 Applicant: Architect or Engineer: C,�•�/I�tt7xrit v c1A ------------------ LICENSED CONTRACTOR'S DECLARATION 4 c BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Class: C�53License N . 818835 ADate: L �'t'T Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perju t 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 1$5001•: 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 _ 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 contractorls) 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: MILLER, DEAN R & APRI: 43675 CALLE ESPADA LA QUINTA, CA 92253 (760)534-1515 Contractor: MC CALLUM POOLS 46576 VIA CELESTE INDIO, CA 92201 (760)775-5685 Lic. No.: 818835 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date:, 1/30/14 ------------------ 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. 1 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 nsurance carrier and policy number are: Carrier EX T Policy Number EXEMPT 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 ould become subject to the workers' compensation provisions'of Section LZ 3700 of the Labor I shall forthwith comply with those provisions. ate: ^ l Applicant: WARNING: FAILURE TO SECURE 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 t t the Bove information is correct. I agree to comply with all city and county ordinances and state laws relating t building c struction, and hereby authorize representatives of this county to enter upon the above-mentioned pr rty for ins ectioJurpcxsnes. Dater Signature (Applicant or Agentl: co Application Number . . . . 14-00000079 Permit . . . 'POOL 2013 Additional desc . Permit Fee . . . 178.75 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 7/29/14 Qty. Unit Charge Per Extension 1.00 178.7500 EA MISC POOL/SPA 178.75 Permit . . . . . . WALL/"FENCE PERMIT 2013" Additional des- . Permit Fee . . . . 47.19 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 29900 Expiration Date 7/29/14 Qty 'Unit Charge Per Extension 1.00 47.1900 LS MISC WALL, FIRST 100 LF 47.19 ------------------------------------- -------------------------------------- Special Notes and Comments POOL AND SPA AT REAR YARD W/6LF OF 4' HIGH EQUIPMENT ENCLOSURE WALL [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE PATIO COVERS, BBQ, OR FIRE PIT. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013.CALIFORNIA BUILDING CODE. January 30, 2014 9-46:44 AM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . .. BLDG STDS ADMIN (SB1473) 2.00 PLAN CHECK, POOL 97.24 PLAN CHECK, WALLS _ 60.06 Fee summary Charged Paid Credited Due Permit Fee Total 225.94 .00 .00 225.94 Plan Check Total .00. .00 .00 .00 Other Fee Total 159.30 .00 .00 159.30 Grand Total 385.24 .00 .00 385.24 LQPERMIT ' 6►n # City of La Quints JL ��' Building Bt SafetyDivision P.O. Box 1504, 78-495 Calle Tampico JAN 2 7.2014 ' La Quinta, CA 92253 - (760) 777-7012C N` OF: LA QUIN A Building Permit Application and Tracking , UNITY DEVELOI N Permit # l Project Address: —0 B t--?�n•1L er'sName: DcCt'.', A. P. Number: n (LLQQ a ,,1 d� Address: L4 -0c, 1�'c� Legal Description: Contractor:telephone: m C City, ST, Zip:La Q C P, '>`:'N'`:»' <? <">>:.:•. Address: V 1 C e l e <+-t- Project Description: City, ST, Zip: a 1 C �22C�' —1 wmv Telephone: ( I oc)S" wi o?, aifi:iJ: �ii:;i:}y!i:>!�±`:�i^'+.•'iii%'f•>•:'• State Lic. # : e G I 3 City Lica #-. Arch., Engr., Designer: Address: City., ST, Zip: Telephone: <>i:.i:;<..;::;:::..:• i;:n;:;.;:.;::.:ii.<:>:i:i::ii:r P<< State Lic. # Name of Contact Person: dI= 1N\ ecc: 1 Construction Type: Occupancy: ProJect hPa circle one): Add'nAlter Repair Demo Sq. Ft.: # Stories: # Units: Telephone #,of Contact Person: '`� P �O(� d %� • � �{ C7_) c�0 Estimated Value of Project: q0 Q APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets . Plan Check submitted ' I n/1 Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction; Flood plain plan Plans resubmitted Mechanical Grading plan 2,d Review, ready for corrections/issue > Electrical Subcontactor List, Called Contact Person Plumbing Grant Deed M.I. Plans picked upOF H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctio ssu Developer Impact Fee Planning Approval Called Contact Person, A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees T ►�?��ot� - Rt',>►�o PrP �e�r 11 t„Q w l Sura 4ST 4 ENT 'ITY OF LA QUINTA SUB -CONTRACTOR. LIST C C• ` ` �• � (j�U,� �c BUILDER ��` %U/l V�w�� ' PERMIT NUMBER �4- OWNER - - - �"1_ � ' to work JOB ADDRESS - Only persons appearing on this list or their employees are authorized This .form shall be posted on the iob with the B ilding Inspection Card at all times in a conspicuous place. be by the Building Division prior to commencement of work.' Failure to comply will result in a stoppage of work and/or the voidance on this job; Any changes • For to this list must approved mation r e uested below must be completed by applicant. "On File" is not an acceptable. response. applicable ble trade all information q of building permit.' 9 P each • .........::::...:.........................:..:::::::..................::::::: state t.o ntrac ZOr S L Il C11J Wbrkers.Com ensat ion. Irrsucanc. <.. cense::::::.:... Cit Business:l......................... • ;:.:«Trade;:l:.;C.la,ssi#ica ............................... . Tact. C t Policy Number Varies) F mat 1 Exp,:'Date •x x x x x / 1 x / License Number xx xx 1 Exp. Date' x xx x xx/ / 1 Name Co m P a n Y Na 'on ' icati Classification �f Li n s e Nu m be r ce Ex p . Date Carrier Name ..................... ........................................... .. e. A B C-8) 9• 1 1 x // 1xxxxxx[le.g. xx x aIC om State Fund, C 1 SPxx or Fit EARTHVI(ORK CONCRETE (C $) = STRUCT STEEL (C 51� 5? LATH'I?LL1$TERIiC:.;3.:::1::::::: - .. • .01 ELECTRICAL 1 (— i SHEET METAL ............ SUL 0i'- 2 SE1NAGrt.,i)1SP CC -4..1 4 .. _ ' _ �. CERLkMiC TILE (C 5 ) , CABINETS ..F:E,NCI.N,..G(.C..:;::::.::1 LANA.S:C'API.NG<:i:C.;�:::1::::::::: l ✓� ( ,Q O;bL.I:C:=`x:3:1;::;::::::>:::>:::::.. ;;>:<:::>::>