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14-0786 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: ' APN: Application description Property Zoning: Application valuation: Applicant: 14-00000786 80792 CASTILLO DEL AREANA 762-240-014-24 -34243 - POOL - RESIDENTIAL RL AG/EQ OVERLAY 25000 T4t!t 4 4 Q" Architect or Engineer: 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 Code, and my License is in full force and effect. License Class: C8, 10, 27, 2 License No.: 656128 r-- ,Vale: %D Contractor: OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that 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 ($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.). (_ 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.). (_ 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: AV CONSTRUCTION LLC 315 S BEVERLY DR STE 208 BEVERLY HILLS, CA 90212 0 Contractor: TESERRA P.O. BOX 1280 COACHELLA, CA 922 (760)398-9222 LiC. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/06/14 --1 Zll � I ,ITY�gUINTA 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 IN Policy Number 7600006481141 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 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith�with )ovisions. Dat /V/// Applicant. WARNING: FAILURE TO SEC 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 county ordinances and state laws relating to building construction, and hereby authorize representatives of this c//oun to enter upon the above-mentioned property for inspection purposes. Date.•�� Signature (Applicant or Agent): r 1.1 `#e �z Application Number . . . . . 14-00000786 Permit . . . POOL 2013 Additional desc . . Permit Fee 178.75 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/03/14 Qty Unit Charge Per Extension 1.00 178.7500 EA MISC POOL/SPA 178.75 ---------------------------------------------------------------------------- ' Special Notes and Comments POOL AND SPA AT SIDE YARD [DOUGLAS FERRELL ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. June 6, 2014 1:11:10 PM AORTEGA -- -- --- --- ------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) -------------- 1.00 PLAN CHECK, POOL 97.24 r Fee summary Charged Paid Credited ------------------------------------- Due -------------------- Permit Fee Total 178.75 .00 .00 178.75 Plan Check Total .00 .00 .00 .00 • Other Fee Total 98.24 .00 .00 98.24 Grand Total 276.99 .00 .00 276.99 LQPERMIT + Qin # Oty of L2. Quint -a -- Building &" Safety Division Permit # P.O. Box 1504, 78-495 Calfe Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Applicati®n and Tracking Sheet Project Address -z G'-4avZ-Q RP Owner's Name: A. P. Number: Address: C: Legal Description: City, ST, Zip: Contractor: s//J r � Telephone:/- Address: f0� � Project Description" ? City, ST, Zip: L��Cs�G'CL TRACKING PERMIT FEES Telephone: {.isO:ilvniii•.F:$�/.L.::$i?i.i�^.: }}i::i:ifCi?�' Plan Sets State Lic. # : Sj City Lie. #: Arch., Engr., Designer: i Item Address: City., ST, Zip: Telephone: i'•.::Y.'jt::J. :::'?:ii r ti is{:i::i•i::'iii: i'i,.:::�'<>j� j: i%: »:#:::<;;<;;_:;;; " '%"v?%"''`» ~'''' ::�'::•::<..z:>.:?,`:>:<<><>; Construction Type: Occupancy: Project a ) type (circle one): New Add'nAlter Repair Demo State Lie. #: Name of Contact Person: ` � Sq. Ft.: # Stories: # Units: Telephone #,of Contact Person: �;,�� j�p Estimated Value of Project: S') % e ' APPI 1PAPrr. r►rn Plnr Iam1-1 n # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted i Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. 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 corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HdUSE: 3' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue Scho6l Fees Total Permit Fees OF IW4 - 944-4V