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12-0979 (RPL)P.O. BOX 1504 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 12-00000979 Owner: Property Address: 58593 JEREZ ; TD DESERT DEVELOPMENT APN: 764-650-005- - - 81570 CARBONERAS Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 88210 Contractor: Applicant: Architect or Engineer: BUBBLE SPRINGS P.O. BOX 1046 RANCHO MIRAGE, CA 92270 Jlt� (760)341-2336 1 Lic. No.: 728796 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. Lic a Classs: C53 D35 icense No.: 728796 DateRo1 2 4 ontractor: NER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I/exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and rofessions 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).: (_) 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 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/23/12 1 A=1 ii 1 V WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 a 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 su ' ct a workers' compensation provisions of Section _ 3700 of th abor Code sh f co ly with those provisions. Date:��� �� pplicant: ' WARNING: FAILURE TO SECURE WORKERS'C NSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. 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 co tion, d hereb a ize representatives of th/is.��ounty to enter upo the above-mentioned property f nsp ctio rp ruFe�`4T % ignature (Applicant or Agentl: Application Number . . . . . 12-00000979 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 590.00 Plan Check Fee 383.50 Issue Date . . . . Valuation . . . . 88210 Expiration Date . . 2/19/13 Qty Unit Charge Per Extension BASE FEE 414.50 39.00 4.5000 THOU BLDG 50,001-100,000 175.50 ---------------------------------------------------------------------------- Permit . . . MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/19/13 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 1/19/,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 2/19/13 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 -- LQPERMIT Application Number . . . . . 12-00000979 ----------------------------L----------------------------------------------- Special Notes and Comments SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 4.00 Fee summary Charged --------------------------- Paid ---------- Credited -------------------- Due Permit Fee Total 694.00 .00 .00 694.00 Plan Check Total 409.50 00 .00 409.50 Other Fee Total 4.00 .00 .00 4.00 Grand Total 1107.50 .00 .00 1107.50 ■ . 1 PI Lawn EQUIPMENT LOCATION RESIDENCE STEPPING STONES TANNING SHELF WITH (1) ONE UMBRELLA W SLEEVE • O BBQ - TILE TOP TO MATCH POOL; STUCCO SIDES TO MATCH HOUSE QN Lawn a +6" SWIM OUT WITH (1) ONE UMBRELLA SLEEVE CONCRETE FIRE BOWL (30" inside radius) ANDALUSIA LOT # L005 58-593 Jerez La Quinta, Ca 92253 CIO Maryanne Remilong �I\ POOL -0- ELEVATION SPA +6" Pi ject Specifications IL SPECS 45' x 37 SQFr: 1345 SQ. Fr. is 3.5'- 5.0' PERIMETER: 187 HERS: 1 INTERIOR MATERIAL: Pebble Plaster 6" x 6" the S: Tanning Shelf with (2) two umbrella sleeves; Infinity Edge with Infinity Trough (47.5' x 3 -- Area 142 sq.R. -- Perimeter 101 UMBRELLA SLEEVE Infinity Edge and N Infinity Trough *y SPECS 10' X 6' SQFr: 60 SQ.FT. H: 3.5' - PERIMETER: 32' D HEIGHT: -0- SPILLWAY: Tile 6" X 6" TILE • INTERIOR MATERIAL: PEBBLE PLASTER X ,TYPE: Colored Broom Finish TOTAL DECK SQFr: 2316 SQ.Fr. S: ALL DECK AT -0- INCLUDING EQUIPMENT PAD ■ . 1 PI Lawn EQUIPMENT LOCATION RESIDENCE STEPPING STONES TANNING SHELF WITH (1) ONE UMBRELLA W SLEEVE • O BBQ - TILE TOP TO MATCH POOL; STUCCO SIDES TO MATCH HOUSE QN Lawn a +6" SWIM OUT WITH (1) ONE UMBRELLA SLEEVE CONCRETE FIRE BOWL (30" inside radius) ANDALUSIA LOT # L005 58-593 Jerez La Quinta, Ca 92253 CIO Maryanne Remilong �I\ POOL -0- ELEVATION SPA Bubble Springs Pool Construction PO Box 1046 760.341.2336 office Rancho Mirage, Ca 92270 760.275.7676 cell Bubblesprings@msn.com 760.837.9018 fax +6" INFINITY TROUGH -6" -1211 TANNING SHELF e WITH (2) TWO Go UMBRELLA SLEEVE Infinity Edge and N Infinity Trough *y Bubble Springs Pool Construction PO Box 1046 760.341.2336 office Rancho Mirage, Ca 92270 760.275.7676 cell Bubblesprings@msn.com 760.837.9018 fax RESIDENCE F STEPPING STONES TANNING SHELF WITH (1) ONE UMBRELLA W SLEEVE ' O � 5f Lawn BBQ - TILE TOP TO MATCH POOL; STUCCO SIDES TO MATCH HOUSE " +6" s / I \ SWIM OUT WITH (1) ONE UMBRELLA SLEEVE • JPA +6" 16' Lawn -POOL -0- ELEVATION SPA +6" -0- INFINI TROUGH -6„ -12" -12" • CONCRETE FIRE BOWL (30" TANNING SHELF 00 inside radius) WITH (2) TWOUMBRELLA SLEEVE Infinity Edge and Infinity Trough N rl ' N Lawn ANDALUSIA LOT # L005" * Bubble. Springs Pool Construction 00.. 58-593 Jerez o a �i .let, .4 PO Box 1046 760.341.2336 office La Quinta, Ca 92253 —+'� •w� -- --a Rancho Mirage, Ca 92270 760.275.7676 cell •• �' - �• Bubblesprings@msn.com 760.837.9018 fax C/O Maryanne Remilon Permit # /n /tq 2 l� _I J( Project Address: S S A. P. Number: Legal Description: Contractor: Address- - City, ST, Zip: Telephone:7G0,-, 7Il-A3-?e �C State Lic. # Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone # of Contact Person # Submittal Plan Sets Structural Cates. Truss Calcs. Title 24 Cates. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. %Vks. Appr School Fees 'd City of La Quinta 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 wner's Name: 4). City, ST, Zip: S elephdne: Project Description:-I� , r 1121-9 C_ Lic. #: Construction Type: Occupancy: Project type (circle one): Ne%v Add'n Alter Repair Demo L. Ft.: # Stories: ' V #Units: rEstimated Value of Projec APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACKING Plan Check submitted Reviewed, ready for corrections Called Contact Persorr Plans picked up Plans resubmitted "" Review, ready for corrections/issue Called Contact Person Plans picked up Plans resubmitted Review, ready for corrections/issue Called Contact Person Date of permit issue PERMIT FEES Item Plan Check Deposit Plan Check Balance Construction Mechanical Electrical Plumbing S.M.I. Grading Developer Impact Fee A.I.P. P. Total Permit Fees Amount