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BPOL2015-00442 VOICE (760) 777-7125 Q� 78-495 CALLE TAMPICO C� 0 D 64� iUllf�l/ LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/16/2015 Application Number: BPOL2015-0044 Owner: Property Address: 78740 AVENIDA LA 1ARITA MORRIS, JUSTIN & KELLY' APN: 770144006 Property Zoning: Application Valuation: $35,000.00 Applicant: _.,_.—•----� Contractor: ROPER MORRIS CONSTRUCTION INCrM ROPER MORRIS CONSTRUCTION INC 50855 WASHINGTON ST STE C-216 50855 WASHINGTON ST STE C-216 LA QUINTA, CA 92253 LA QUINTA, CA 92253 Q(760)272-9292 OFLAQ�INTA Ltc. No.: 867583 VELOPMENT DEPARTMENT 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: License No.: 867583 Date�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 s ned 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 tender's 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:_ Policy Number: I certify that in the performance of the work for which this permit is issued, I shallof employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if 1 shouldbeo6me subject to the workers' compensation provisions of Section 3700 he r Code, I shall forthwith comply with those provisions, / Date: �3�, Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENS VERAGE 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. r 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 en/n the above mentioned property for inspection purposes. Z7 Date: 3 JI 3 , ' Signature (Applicant or Agent) Bin #City Of La Quinta. ' Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ,, h L Lam" Pro jectAddress: -719 4e, Owner's Name: . A. P. Number: 77 (j — /!l QQ & Address: Legal Description: City, ST, Zip: Contractor: Q IOGr /', &- �: Telephone: Address: 15-08S-3-MAiki AV 57. aC Jib Project Description: , City, ST, Zip: �� A" J w M I1. j n.d %—. �� p l Telephone: 76� .: (p State Lic. # city >ric Arch., Engr., Designer: Address: City, ST, Zip: Telephone: P Constructione: Oecu an T Project type (circle one): New Add'n Alter Repair Demo State Lic. #: :<;.•:.:>..s:.;r.;: >.;::, .;.;-::.y. ..................................................... Name of Contact Person: P�I� Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: 00 NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Itcm Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Cheek Balance n Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°"Review, ready or correc on issue Electrical -Subcontac(or List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'rd Reyiew, ready for corrcctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Da(c of permit issue School Fees Total Permit Fees DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE .BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING'STANDARDS ADMINISTRATION BSA $2.00 $0.00 DESCRIPTION ACCOUNT •, QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA 101-0000-42404 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 s , PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for POOL/ SPA: TOTALS:0• $279.91 $0.00 ot Description: MORRIS RESIDENCE POOL & SPA Type: POOL Subtype: Status: APPROVED Applied: 3/12/2015 PJU Approved: 3/12/2015 KKI Parcel No: 770144006 Site Address: 78740 AVENIDA LA JARITALA QUINTA,CA 92253 Subdivision: DESERT CLUB TR UNIT 5 Block: Lot: 128 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $35,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ACTION DATE Details: POOL AND SPA (THIS PERMIT DOES NOT INCLUDE ELECTRICAL AT BBQ, GAS AT FIRE PIT OR EQUIPMENT WALL). EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE - PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. Applied to Approved Printed: Monday, March 16, 2015 10:24:15 AM 1 of 2ILi iJ 1 L SYSTEMS CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTE PHILIP JUAREZ 3/12/2015 gave to philip PLAN CHECK SUBMITTAL RECEIVED PHILIP JUAREZ 3/12/2015 3/12/2015 PLANS PUT ON KIRK KIRKLAND DESKFOR PLAN REVIEW. NAME TYPE- NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT ROPER MORRIS CONSTRUCTION INC 50855 WASHINGTON ST STE C-216 LA QUINTA CA 92253 CONTRACTOR ROPER MORRIS CONSTRUCTION INC 50855 WASHINGTON ST STE C-216 LA QUINTA CA 92253 OWNER MORRIS, JUSTIN & KELLY 50855 WASHINGTON ST # C-216 LA QUINTA CA 92253 Printed: Monday, March 16, 2015 10:24:15 AM 1 of 2ILi iJ 1 L SYSTEMS Printed: Monday, March 16, 2015 10:24:15 AM 2 of 2. CRWIYSTEMS FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $2,00 $0.00 BSA: 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 RESULT, REMARKS NOTES DATE DATE FINAL" Printed: Monday, March 16, 2015 10:24:15 AM 2 of 2. CRWIYSTEMS . ^�^� �^� CITY OFLA ��~~..~....~ . JOB ADDRESS ��ru� ��~ �� '=�—� PERMIT~��Y��E This form shall be posted on the job with the Building Inspection Card at all times is nlace. Only appearing | persons � ' i this list ortheir 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 c,omply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be | File" is riot an acceptable