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12-0522 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:X12, 0� 000052y _ Property Address: 79185-KARA CT APN: 604-313-015-31 -26188 - Application description: POOL - RESIDENTIAL Property. Zoning: LOW DENSITY RESIDENTIAL Application valuation: 13500 T-it!t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: ROBERT PARRAL 79185 KARA COURT LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/29/12 Applicant: Architect or Engineer: Contractor: MAY 2 9 2012 SECARD POOLS j i 9292 NINTH STREET RANCHO CUCAMONGA, CA 91 30 CITY OF LA QUINTA / (909)980-6744 FINANCE DEPT, Lic. No.: 233403 ---------------------------------------------------------------------7-------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals 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: C53 License No.: 233403 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is `) issued. Date: Contractor: 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier PRESS INS Policy Number 3300060643111 following reason (Sec. 7031.5, Business 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 person in any manner so as to become subject to 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 become subl'9A to the 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 Cly, I shall for i comply 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 ($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 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—) I am exempt under Sec. , B.&P.C. for this reason ate caner 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 WARNING: FAILURE TO SECME 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 aunty ordinances and state laws relating to building construction, and hereby authorize representatives of thi aunty to enter upZthebove-mentioned propert r' spec ion pur ate5'-ligpplicant or Agentl- Application Number . . ... . 12-00000522 Permit BLDG POOL PERMIT Additional desc . Permit Fee . . . . 153.00 Plan Check Fee 99.45 Issue Date Valuation . . . . 13500 Expiration Date 11/25/12 Qty Unit Charge Per Extension BASE FEE 45.00 12.00 9.0000 THOU BLDG 2,001-25,000 108.00 ---------------------------------------------------------------------------- Permit . . . ELEC POOL PERMIT -RES Additional desc . . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date Valuation . . . . 0 Expiration Date 11/25/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.•00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00• -------------------------------------------------------------=-------------- Permit . . . PLUMBING Additional desc . Permit Fee 27.00 Plan Check Fee 6.75 Issue Date Valuation 0 Expiration Date 11/25/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments INSTALL VINYL POOL, PER APPROVED ENGINEERIGN (JT). ALARMS/BARRIERS SHALL BE IN PLACE AT ENCAP INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED..2010 CODES. -----------------_------------------------------ - Other Fees . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 225.00 .00 .00 225.00 Plan Check Total 117.45 .00 .00 117.45 J LQPERMIT LQPERMIT Application Number . . . . . 12-00000522 Other Fee Total 1.00 .00 .00 1.00 Grand Total .343.45 .00 .00 343.45 Bln. # City.., of, La Quinta -Bullding & Safety Division P.O. Box 1504,78-495 Calle Tampico La.Qulnta, CA 92253 -:(760) 777-7012 Building Permit Application* and Tracking Sheet Permit # ' 1 a' Project Address: % 9 Owner's Name: A. P. Number. Address: / Legal Description: Contractor. " City, ST, Zip. 53 Telephone• - x Project Description: Address: �% r- City, $T, Zip: CvN ca (A. ) Telephone. b IS State Lic. # : C-5372-33463 City Lic. #: Arch., Engr., Designer V�kvlv_ML ' Address: 4-7 Xc City., ST, Zip: _ 2: Telephone: y 09 1,114_ l 57 Z r - State Lic. #: �; :hw, Name of Contact Person:'Rp 0� Q Construction Type;. Occupancy: Project type (circle one)(New Add'n Alter Repair Demo Sq, Ft.:#Stories: # Unity: Telephone # of COnnt�act Person: ,6 6 0— Estimated Value of Project: 64. APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person J Ian Check Balance. Mile 24 Calci. Plans piclud up ' Construction Flood plain plan Pians resubmitted.. Mecharilcal Grading plan 2'4 Review, ready for correctionsr'issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. [LOA. Approval d Q A Plans resubmitted Gradiug IN HOUSE:- s"' Review; ready for correctionsAssuc Developer Impact Fee Planning Approval. Called Contact Person A,I,P,p, Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees a 4 : CA-54 p . 5 �5 �?fj�2 - . STrLl2irt� wog wl� M#= P.O. BOX 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PROPERTY OWNER'S PACKAGE (760) 777-7012 FAX (760).777-7011 Disclosures & Porins for Owner-Bauders Applying for Construction Permits .140MY77 I�iQTICF Tn P>[rrm pm Dear Property Owner: Aii. application €or a building permit has been submitted irr your name listing yourself as the buddeF of the .property improvements specified at —�7 / _�T� G r y 6ldlA �a (' `j -2 2S? Wv are 1womding you with an Owner -builder Acknowledgment -and • Information Verifieation Forns to make you av =e U your responsibilities and possible risk you may incur by having this permit•issued. in your name asthe Ovaries -Bt ilder. We will sot issue a building -permit until yeu�have read, initiated your understanding of eadr`provision, signed, and returned this form to us at our emcial address indicated. An agent of the owner cannot execute this. -notice unless you, the property owner, obtain the prior approval of the permitting authority. '3 pI N ED l' 9 VURFfiCA'IF'>1(iN' 01 II VONWN DAW'�'WNS: Bead and mitial : SWwnenrb44w--W signify you andnrstaad or verb this k1formadon. �1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material petsonallli.1, as an Owner -Builder, may be held liable and subject to serious. financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries: I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers my P y 2. I understand building permits are not required tobe signed by property owners unless they are responsible for the construction al2d are not hiring a licensed Contractor to assume this responsibility. . 3. I understand as. an "Owner -Builder" I am the responsible, party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her narAe instead of my own. . 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. 5.1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars -($500), including labor and materials, I may be considered an "employer" under state and federal law. 6. I understand if I am considered an "employer , under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disabilityiffiuFance, and contribute to unetrloyment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk- 7. isk7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot .legally build them with. the .intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four'within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal. bo.pries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. 9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (C�.R at I - 800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. 10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the PlyJQgally • and aflancially responsible for proposed construction activity at the following address: Li oL agree that, as the party legally and f-inaacially responsible for this proposed construction activity,.l will abide by all applicable laws and requirements that govern bwfier=Builders as well as employers. /)XFI 12.1 agree to notify the issuer of this. form immediately of any additions, deletions, or changes to any of the inferalWon I have provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a tmnser the Contractors' State License Board may be unable to amt you with arty finarieiarl loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be iftleivil court. It is also ifiwoftwt for you to understand that -if an unlicemad.Contractor or employee of that individual at firm is Wjured while vworlsing on your property, you may be )told Mile for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be ruspgnAle for vaifying v&t&w o$ not those Contractors are properly tk=sed and the MWS of dMir workers' coition insurance coverage. Before a building permit can be issued„ this form must be completed and signed by the property owner and returned to the agency responsible for issuing dw perms. Note: A copy, of the propetV awner's aWvesr.'ffiA'beffsei farM coot M?09ci0erc or other venTwation acceptable to the agl. ' mired to be presented wheel the pgsmit is i setua to. x the pwpeny opener's signature. Signature of property o Date Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OP AGIEW TO ACT ON PROPERTY OWNER'S BEHALF Excluding.the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following persons) to act as my ageat(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is r uired"to be ` celled ►when the permit is issued to verify the property owner's signature.. Property Owner's Signa Date: i Burt Hanada From: John Thompson <jthompson@valuengr.com> Sent:. Friday, May 2S, 2012 1:27 PM To: Burt Hanada; Kay Hensel Subject: r 79-185�kara Court PC 12-252 Categories: Temp Assignment Burt/ Kay I spoke to the engineer of record for the vinyl pool and worked out the 3 structural plan check comments that I had. No revisions to the structural plans/calculations are required. Structural content is approvable. If you have any questions please call., Sincerely, John W. Thompson, PE Young Engineering Services 71-780 San Jacinto Drive, Suite E2 Rancho Mirage, CA 92270 T: 760.834.8860 F: 760.834.8861 e.mail:jt}l rrlf scm,u'Vd. ue:ngmconi 3ENERAL SPECIFICATIONS POOL SPA NGTH )TH r 'ER 14 C RAISED BOND BM. r j RESPONSIBILITIES AND REPRESENTATIONS OF BUYER Buyer responsible for sprinkler, gas, water, or electric lines when found to interfere with pool site. Buyer tove, reroute, relocate or cap at Buyer's expense. ' Buyer responsible for drainage away pool site which meets city or county requirements. Buyer is responsible for providing fencing with self-closing ,self -latching gates prior to pool bein , d with water which meets city or county requirements. Secard Pools will not be responsible for any unforseen underground obstructions such as but not limited to: rock, boulders, hardpan, granite, spetic or sewer lines, sprinkler lines, sprinkler wire, outdoor lighting wire, electrical lines, gas lines, underground water tables, or underground structures which would require additiowql4time or special equipment to proceed with excavation. x Secard pools will not be responsible for any damage to landscape, grass, trees, shrubs, sprinklers rete and asphalt in access path to excavate pool. When access is made through a neighbor's property it is understood that you the Buyer have written per ion from said neighbor and assume full responsibility. , x SPECIAL L COI` S_f'0(;T10N � E DAT -13Y SALESMAN 4SSTATE r eCa"d Pools I INC. LIC. #C53-233403 PH: (909) 980-6744 9292 Ninth Street Rancho Cucamonga, CA 91730 CONTRACT OATEJ _ -I JOB NO. _jjff MAP BOOK NO. r L` , LOT NO. i ` TRACT NO. Prepared E3pecially For' Street City Phone Signata 4_e, _ Date -� �l ; +rv�1 ,ui11 bp- Sh.,KaA ,C. N�S_P ���(A EQ: I.5 HP POMP 110 VOLT HARDWIRE 325 SQ FT FILTER TIMER 110 VOLT HARDWIRE SLAB 2 X 3 NYLON EQUIPMENT BASE LIGHT UL LISTED BOND -ALL METAL TO BE BONDED WITH 48 COPPER WIRE ROD NO HEATER PLANS TO CONFORM WITH ALL CBC 2011 NEC 2011 UPC 2011 SND ENERGY STD 2011 1# ELECTRICAL NOTE 1 110 VOLT„+ 20 AMP BREAKER #12 WIRE { $ 3/4" CONDUIT 1a G.F.C.I. ALL ELECTRICAL TO MEET UBC AND CBC CODES, 21 r . &_055 l CITY OF LA ()UNTA BUILDING A ._ � - APPR EO"i L COI` S_f'0(;T10N � E DAT -13Y iv =' :. , 1J 6kp ivy �joo BIC C i 7 ftn text~ ALVA1)Ae- AVArm n ucbr f2" M AV%rm -A ustomeresp�ns-��1lie Customer to imt� proper aWible alarms on all doors prior to pool fill Cnsto= to bane all gates sealoshig and selflat0irzg prior to pool fill All gates to swing away :Som pool area All gates nuni;i=n 5' high All latches minimum 54" high Customer to remove the following Plan, sled and debris in pool area fit 0 J� fYV_ oe_ ?jta�� u 5e1�l lcxlr_.h�,vuIT . dent Vn - A1At' I��rmGC�S �f�ri� �IEXIFI. v �n CvI"_ CAU' G J