BPOL2014-1113 (RPL)78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BPOL2014-1113
Property Address: 53005 LATROBE
APN:
Application Description: POOL AND SPA ONLY
Property Zoning:
Application Valuation: $73,000.00
Applicant:
DUNN'S DESERT LANDSCAPE SERVIC
P 0 BOX 10279
PALM DESERT, CA 92260
COMMUNITY DEVELOPMENT 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 Professions Code,
and my License is in full force and effect. _
License Class: C27. C53 License No.: 635896
i
Date:� % —1 Contractor:
OWNER -BUILDER DECLARATION
I 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.).
(_) 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777=7153
Date: 11/13/2014
Owner:
MATTISON/FLOYD
53005 LATROBE
LA QUINTA, CA 92253
Contractor:
DUNN'S DESERT LANDSCAPE SERVIC•
P 0 BOX 10279
PALM DESERT, CA 92260
(760)773-9923
Llc. No.: 635896
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.
have and will maintain workers' compensation insurance, as required by
4c5tion�370of 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: Policy Number:
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
comply with those provisions.
Date: 1 Applicant:
WARNING: FAILURE TO SECURE 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 Building Official 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 city to enter upon the above-
mentioned property
%or inspection purposes.
Date: G r ' 3 ` Signature (Applicant or Agent).
w
V
cc
a
H w
C=
O N
Z o
z
e�
g R
..�
d
Q �
U o
o>
CD
Z
U
z
o
U
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.
have and will maintain workers' compensation insurance, as required by
4c5tion�370of 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: Policy Number:
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
comply with those provisions.
Date: 1 Applicant:
WARNING: FAILURE TO SECURE 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 Building Official 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 city to enter upon the above-
mentioned property
%or inspection purposes.
Date: G r ' 3 ` Signature (Applicant or Agent).
FINANCIAL INFORMATION
DESCRIPTION °"ACCOUNT ` QTY AMOUNT
PAID`
PAID DATE
BSAS SB1473 FEE 101-0000-20306
0
$3.00
$0.00
' PAID BY METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $3.00 $0.00
DESCRIPTION.
ACCOUNT
QTY`
. " AMOUNT
PAID
PAID DATE
SWIMMING POOL/SPA
101-0000-02404
0
$181.29
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for POOL/ SPA: $279.91 $0.00
TOTALS:00
Description: POOL AND SPA ONLY
Type: POOL Subtype: Status: SUBMITTED
Applied: 11/13/2014 SKH
Approved:
Parcel No: Site Address: 53005 LATROBE LA QUINTA,CA 92253
Subdivision: Block: Lot: 16
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $73,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: POOL AND SPA ONLY [2 INCH GAS PIPING/#8 AWG IN 1 INCH CONDUIT ELECTRICAL) THIS PERMIT DOES NOT INCLUDE BBQ OR FIRE
PIT. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED
TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
Printed: Thursday, November 13, 2014 3:35:58 PM 1 of 2
SYSTr:MS
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP PHONE FAX EMAIL
APPLICANT
DUNN'S DESERT LANDSCAPE SERVIC
P 0 BOX 10279
PALM DESERT
CA
92260
CONTRACTOR
DUN N'S DESERT LANDSCAPE SERVIC
P 0 BOX 10279
PALM DESERT
CA
92260
OWNER
MATTISON/FLOYD
53005 LATROBE
LA QUINTA
CA
92253
Printed: Thursday, November 13, 2014 3:35:58 PM 1 of 2
SYSTr:MS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
SWIMMING POOL/SPA
101-0000-42600
0
$98.62
$0.00
PC
Total Paid for POOL/ SPA: $279.91 $0.00
TOTALS:00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR 'SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES -
FINAL"
BOND INFORMATION "
AI I ACHMENTS
Printed: Thursday, November 13, 2014 3:35:58 PM 2 of 2
SYSTEMS
.aF
9 4 5 25 & 9 21
M
°W Copir, ow /
SETBACK
r� kV.\
e t r 1n f1,1,1111'�� P
05,
LA QUIN
CITY 01
�, �....�-
_
�PwG�� � , VE
ai�
FRU(',ON
4 t F FOR CONST
I
12
-
i 26
COPING +0
OFFICE
12
'= 80 360 AVE 413
INDIO CA. 92201
a
CIL}/ Of %ci Quinta
Buffing at Safety Dwon
P.O Box 1504,'78-49S Calle Tampico
La.Qdnta, CA 92253 -:(760) 777-7012
Fow< luilding Penult A.0plicadda and Tracidng Sheet
p #
ProjectAddress Lex*l& Lar;O 1,M-
Crooner's Name . n
A- P. Number.
Address:
Leel Description:
Contractor.
City, ST, Zip: LaTA G
Telephone: -Q�
Address r—
PmjectDescription:
City, ST Tap:,
S
V
Telephone:
Slate Lic. # : 3 S Q City Lic �;
Arcfi, &W., Designer
Address:
City, ST, Zap:
Telephone:
State Lir, #:
Name of Con= Person:
Cainshuction Type:. Oocupmmcy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft: # SWries: #Unity
Estimated Value of Project: 107 coo•�
Telephone # of Contact Person: 7 ►I r&O
APPLICANT: DO NOT WRITE SAW THIS LWE
9
Submittal
Wd
Ree'd
PERMrFFEES
Plan Sets
Pian Cheek Submitted
�� I�
R. Amount
Strgctaral Cabs.
Reviewed. ready for corrections
Pfau Check Deposit • .
Trust Cates.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plane picked cap
Construction
Flood !lain plan
Plans resubmitted _' .
Mechanical
Giadlog pin
2" Review, ready for correctionsrrssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Pians picked cap
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE--
'''' Repiew; ready for corrse8onslissae
Developer Impact Fee
Planning Approval -
Called Contact Person
A.LP.P.
Pub. Wks Appr
Date of permit Issae
Schod Fees
Total Permit Fees
a