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12-0936 (RPL)P.O. BOX 1504 78495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: A —1 i—t • 12-00000936 58681 JEREZ 764-6507009- - - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 71525 Tiht 4 4 Q" Architect or Engineer: pip BUILDING &- SAFETY DEPARTMENT BUILDING PERMIT 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 Co , nd'my License is in full force and effect. License Class: C53 D35 Ljp se o.: 728796 Date��onuactor: OW - UILDER DECLARATION I hereby -affirm under penalty of perjury that I am mpt 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 s 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.). (_) 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 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: I LQPERMIT Owner: TD DESERT DEVELOPMENT 81570 CARBONERAS LA QUINTA, CA 92253 Contractor: BUBBLE SPRINGS P.O. BOX 1046 RANCHO MIRAGE, CA (760)341-2336 Lic. No.: 728796 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/17/12 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 EVEREST NATL Policy Number 7600001635121 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 be �I, sect to rkers' compensation provisions of Section 3700 zli bor Cod sh Ii mp with those provisions. to ,LPL 'Z : WARNING: FAILURE TO SECURE WORKERS' CO ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL ES 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 co rect. I agree to comply with all -city and county ordinances and state laws relating to building co truction, an reby thorize representatives of this ountty-to/enter upon t o above-mentioned propert r in ep4n p s ems! �Si ature (Applicant or Agent): Application Number .'. 12-00000936 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 513.50 Plan Check Fee 333.78 ' Issue Date . . . . Valuation . . . . 71525 Expiration Date . 2/13/13 Qty Unit Charge Per Extension BASE FEE 414.50 22.00 4.5000 ---------------------------------------------------------------------------- THOU BLDG 50,001-100,000 99.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/13/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 ---------------------------------------------------------------------------- EA MECH FURNACE >100K 11.00 Permit ELEC POOL PERMIT -RES Additional desc . Permit Fee 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date ... 2/13/13 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 . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . '0 Expiration Date -2/13/13 Qty Unit Charge Per Extension BASE FEE .15.00 2.00 6.0000 EA PLB FIXTURE 12.00 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 POOL/SPA, BBQ, FIREPIT. ALARMS/BARRIERS LQPERMIT Application Number . . . . . 12-00000936 -------------------------------------------------------------=------------=- Special Notes and Comments SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 3.00 Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total 617.50 ------ --- .00 ---------- ---------- .00 617.50 Plan Check Total 359.78 .00 .00 359.78 Other Fee Total 3.00 .00 .00 3.00 Grand Total 980.28 .00 .00 980.28 LQPERMIT ANDALUSIA LOT # L-009 Bubble Springs Pool Construction 00ori 58-681 Jerez;. ',,i PO Box 1046 760.341.2336 office I. La Quinta, Ca 92253 •-� bi- E,, Rancho Mirage, Ca 92270 760.275.7676 cell • • • —FU*g Bubblesprings@msn.com 760.837.9018 fax CIO Maryanne Remilong�� 17-1 RESIDENCE Equipment Location -0- ELEVATION SPA t . BBQ - ALL SIDES AND COUNTER 1:1 El El EJ El STEPPING STONES ❑ ❑ i mot F] -------=--------------------------------� ...------------------------------------ tpA ■I■I■I +9" FIREPIT - ALL STONE CAP AND FACE o Water, 'eature o 4.v 1p of Planting Area WATER FEATURE - +24" WITH 3 ARTISIANS AND SPILLWAY INTO POOL; STONE FACE, CAP AND SIDES LAWN F3 s. = POOL N CITY OF LA QUINTA BUILDING& SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE -V 2 /112, BYKA+ 1156 24'3 TOP STEP DEPTH WITH UMBRELLA SLEEVE IAWN Planting Area C% Project Specifications POOL SPECS SIZE: 50'X 20' SQFT: 920 sq.ft. DEPTH: 0 - 3.5'- 5.0' PERIMETER: 139 SKIMMERS: 1 INTERIOR MATERIAL: PEBBLE PLASTER TILE: STONE TILE NOTES: FEATURES: TANNING SHELF WITH UMBRELLA SLEEVE; +24" WATER FEATURE ALL STONE FACE AND SIDES WITH 3 ARTISIANS AND S ILLWA O POOL SPA SPECS SIZE: 9'X 6' SQFT: S4 SQ.FT. DEPTH: 3.5' PERIMETER: 30' RAISED HEIGHT: -0- SPILLWAY: STONE TILE TILE: STONE TILE INTERIOR MATERIAL: PEBBLE PLASTER NOTES: DECK DECK TYPE: STAMPED CONCRETE TOTAL DECK SQFT: 1717 SQ.FT. NOTES: INCLUDES: POOL DECK, STEPS, FIRE WALL CAP AND EQUIPMENT LOCATION Dill rt Permit # ' ^ a� J( Project Address: A. P. Number: Legal Description: Contractor: c # I Submittal Plan Sets Structural Calcs. Truss Cafes. Title 24 Cates. Flood plain plan Grading plan Subcontactor List Grant EApproval H.O.A. IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees Req'd CitY Of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit APPlication and Tracking Sheet wner's Name: 'ity, ST, Zip: elephone: roject Description: EM City, ST, Zip• u Occupancy: P an c Y: 4, I� Telephone;740— y/ 7 # Ur'its: State Lic. # Arch., Engr., Designer: Address: LINE Recd ffLic. Name of Contact Person: '# Telephone # of Contact Person: # I Submittal Plan Sets Structural Calcs. Truss Cafes. Title 24 Cates. Flood plain plan Grading plan Subcontactor List Grant EApproval H.O.A. IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees Req'd CitY Of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit APPlication and Tracking Sheet wner's Name: 'ity, ST, Zip: elephone: roject Description: EM Total Permit Fees Construction Type: u Occupancy: P an c Y: Project ec t type(circle one): New Add'n Alter Repair pair Demo i Sq. Ft.: # Stories: # Ur'its: _7e ,;g5' Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACKING PERMIT FEES Plan Check submitted Item Amount Reviewed, ready for corrections Plan Check Deposit Called Contact Person Plan Check Balance Plans picked up Construction Plans resubmitted Mechanical 2"d Review, ready, for corrections/issue Electrical Called Contact Person Plumbing Plans picked up S.M.I. Plans resubmitted Grading Review, ready for corrections/issue Developer Impact Fee Called Contact Person A.I.P.P. Date of permit issue Total Permit Fees