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13-1136 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht 4 a v Qum& r BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 13-00001136 Property Address: 79783 JOEY CT APN: 602-390-035- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 18000 Applicant:� Architect or Engineer: eIU V v` �o ----------------- LICENSED CONTRACTOR'S DECLARATION _ I hereby affirm under penalty of perjury tha a icensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine and of ionals Code, and my License is in full force and effect. License C ss: CS sense No.: 977341 4 ` // Dated Contractor:// ' f� NER-BUILDER DECLARATION I hereby affirm under penalty of jury that exempt from the Contractor's Slate License Law for the following reason (Sec. 7031.5, Business a Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or r air 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 _ 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.). (_) 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: CANTARINI 79783 JOEY CT. LA QUINTA, CA 92253 Contractor: BLACK DIAMOND POOLS & DES 88351 AVENUE 58TH, #6 THERMAL, CA 92274 (760)619-1362 LiC- No.: 977341 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/12/13 D Q SMI ` 3 2013 GN CITY OF LA QUINYA I PlINANCE r)EP7 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION 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 EXEMPT Policy Number EXEMPT ,-o�] 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 rAWt to the workers' compensation provisions of Section ��he Labor ode, hal ith comply with those provisions. Date: r pplicant:51' � �COMPENSACTJIM WARNING: FAILURE TO SECURE W ERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIS UP TO ONE HUNDRED THOUSAND DOLLARS($100,000). IN ADDITIONTION, 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 Buildirig 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 th above in ation i rr I ee to comply with all city and county ordinances and state laws relating to buil g construc ' , and, reb tfiorize resentatives of this county to anteon the above-mentioned property ine o oses. Dat�AcGc///7J /'_,T 'Signature (Applicant or Agent): _ Application Number . . . . 13-00001136 Permit . . . POOL 2013 Additional desc . . Permit Fee . . . . 178.75 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 3/08/14 Qty Unit Charge Per Extension 1.00 178.7500 EA MISC POOL/SPA 178.75 ---------------------------------------------------------------------------- Special Notes and Comments POOL, NO SPA, BAR.TABLE WITH 3 BAR STOOLS AND A BENCH PER ATTACHED APPROVED PLANS/ENGINEERING [100 L.F. OF 1 1/2 INCH GAS PIPING]. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH - MANUFACTURER SPECIFICATIONS. ALARMS AND -, BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2010 CALIFORNIA BUILDING CODE. ---------------------------------------------------------------------------- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, POOL 97.24 Fee summary Charged Paid Credited --------------------------------------------------------- Due Total Permit Fee Total 1.78.'%5 .00 .00 178'.75 - Plan Check Tota.00 .00 .00 .00 Other Fee Total 98.24 .00 .00 98.24 Grand Total .276.99 .00 '.00 276.•99 , LQPERM[T Bin # Qty of La Quinta -Building 8i' Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Peri # (/ I I Project Address: 7�� C)� G Owner's Name: A. P. Number: fi dg C Address: ��—% �ds C Legal Description: Contractor: 6— City, ST, Zip: �j�-- Q(� 1>1 Telephone: Address: Project Description: Qit f �L S City, ST, Zip: R41-7yy0-C_ Telephone: �. 6'� .., •.:::.;>;;;:.::::: C.i ! ��J L(l� �� State Lic. # : City Lic. #: In Fjl FU��%1 s_ WI ll S / 44 00- Arch., Engr., Designer: z a� 4— 'Address: City, ST, Zip: Tele hone: Construction T e: Occupancy: State Lic. #: oJ'ecttYP circle one): ew dd'n Alter Repair Demo Name of Contact Person: F Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 6 2' Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE Y Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for correction4 s Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- ''' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date ermit issue School Fees eu)LoII T Apo-Q�rm A,EPj ; Total Permit Fees FOR CONS RT "-#' �ON . oar �a - La QUINTA RENAISSANCE HOMEOWNERS ASSOCIATION 68-950 Adelina Road, Cathedral City, CA 92234 ARCHITECTURAL VARIANCE REQUEST UNIT ADDRESS: S� ✓ �V� UNIT NUMBER: HOMEOWNER: ✓ r �� t DATE: 0' / MAIL ADDRESS: 1 �� PHONE:- - ` PROPOSED NQ� �D (% CHANGE: You are -hereby advised that the above-described work is proposed for the above-described unit and approval thereof is requested. Attached are I/— sets of drawings of the work to be done and a complete description of the materials to be used. Also enclosed--isa refundable S1500 security deposit (POOLS AND -LARGE PROJECTS ONLY) I/We understand that building permits for home improvements may be required by the City of La Quinta, and the cost of the pera.iits, the responsibility for obtaining the permits and subsequent inspections will be borne by the applicant. –�_ I/We acknowledge that all approved changes in the original design will be at our expense, that any damage tool' relocatioc of eNisting sprinkler systems; underground utilities, building -s .ext€' landscaping or any other damage resulting from implementation of these permitted imprgvements will be at the applicants expense. The work will requiredays from start to completion. Must begin within 45 days and completed within 90 days of app a . I ]/We understand and agree that it is the Applicant's -responsibility to advise any subsequent owner of the modifications and any subsequentmaintenance responsibility. Signature(s) of all owners: (k) Date: r f d I Date: The above request, has been reviewed by the Board of Directors on F_1 )1/and has.been: APPROVED (G -r— REJECTED ( ) COMMENTS: PENDING FURTHER INFORMATION ( ) Date: Completed work inspected by: _ Date: 6-04 Board of Directors U CITY OF LA QUINTA SUB-CONTR TOlR JOB ADDRESS � T r�G�� G PERMIT NUMBER (�j- l \'jLc OWNER 7 iC C foBUILDER ..' This rm shall be peed on the job wit the . ldirtg Inspection Card at times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each aoolicable trade. all information requested below must be completed by annlicant- "On FiIP" is not an accentable resnonse. Trade Classification Tra / .. ... :. ra Copt clot ::;:::; :::::;::..::;_ State.Contracto�'s.licerfs6.; blokes Com ensatiaii:;insurance:' Su ; . City sines LiCensa Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp, Date (xx/xx/xx) EARTHWORK (C-12) //L l �� /-/ 7 G /f/ 7 kOO60 9%,1J) 9,02 lid 3� l CONCRETE (C-8) ' V'� v c� [ �� f' l2 ��-( S • �cj �/� Q SS~7j��ZU� �Z (� �O ��7 FRAMING (C-5) STRUCT.:ST. EL (G-51) Lj i �f /'�/� 0 7�v•I 7 V--( /' /,, "/ / � K/ S S� �� .9`7 5:46'G� MASONRY (C-29) Ar �% e- r Gi �r . c rT• l� l� PLUMBING IC-36j �! �� l/ lr 4- -¢ LATH; PLASTER (C.:35) DRYWALL (C-9) .::. HVAC- (C-24) ELECTRICAL. (C=10) :. (mil C( �� « SHEET.METAL (C43):. FLOORING 1C:=:1 51:. GLAZING (C.: 7);: =: v INSULATIONIC. -2) SEWAGE DISP: (0-42) PAINTING (C=33) CERAMIC TILE (C-54) V111VCr s e CABINETS (C-6) FENCING (C-13) LANDSCAPING IC=271 POOL (C-53) (A4 ?2 5- � 16:-7' y r r CANTARIM RESIDENCE 79-783 JOEY COURT IA QUINTA, CA BLACK MAMOND POOLS AND DESIGN INC SCALE`,dj" — 1'._11