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BPOL2014-1129A. �i An VOICE (760) 777-7125 78-495 CALLC TAMPICO ) � Ur FAX(760)777-7011 LA QUINTA, CALIFORNIA 92253 (+ .�� COMMUNITY DEVELOPMENT DEPARTMENT `, INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 12/11/2014 Application Number: BPOL2014-1129 Owner: Property Address: 47645 VIA MONTANA FRANK RASADA APN: 643120050 47645 VIA MONTANA' Application Description: TANNING SHELF WATER, FIRE FEAUTURE& RET WALL LA QUINTA, CA 92253 Property Zoning: _ Application Valuation: $57,600.00 Contractor: MASTER POOLS AND SPAS 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 Applicant: MASTER POOLS AND SPAS 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 D Q DEC 1 1 2014 CITY OF LA QUINTA COMMUNITY DEVELOPMENT 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 Cla ff License No.::LIC-000001 Date: }Z ( L 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 Na Lender's Address: (760)346-6120 Llc. No.: :LIC -0000016 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 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if.1 should become subject to the workers' compensation provisions of Section 3700 of he Labor Code shall forthwith comply with tho a �prroovisions. Date: u "rl 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. R 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 cit to enter upon th above- mentioned property for inspection purposes. Date: Signature (Applicant or Agent): FINANCIAL O• • DESCRIP,TION.x.#��r�°` z µ,?;ACCOUNT'y ,QTYAIVIOUNT� ;as' `4PAID " 4 PAID -DATE f 1 BSA" S@1473iFEE 101-0000-20306 0 $3.00 $0.00 D BY +i �' ± Z'isRECEIPT # PAI'r; � }� ' CHECK. # - :, CLTD BY ?METHOD r - Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $3.00 $0.00 '. "DESCRIPTION ` '.:,Y ' '� ` OUNT ,QTY. 'AMOUNT �,' .PAID PAID DATE r` .a',AC �u ... v' . GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $0.00 rr PAID BY METHODS s; RECEIPT # t�, - ;,` CHECK # CLTD BY , q:DESCRIPTION. . +" "� ,' .A000UNT,� " ¢. n QT,Y;� z AMOUNT '*� ,_< PAID i .: PAID,DATE, o GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $0.00 PAID�BY t'" r •r r xr 'spa `` METHOD RECEIPT'# CHECK,#r�_ " CLTD BY,,,. Total Paid for PLUMBING FEES: $36.26 $0.00 5 w D s QTY AMOUN PAID r'A000UNT PAIDESCRIPTION''j ,DATE ,- _ ,.. WATER FEATURE ONLY 101-0000-42404 0 $181.29 $0.00 ` ­PPBY r 4 , �,.:„y �' x METHOD •,RECEIPT # CHECK # ;°' CLTD,BY,. DESCRIPTION ;":m ' r i " 'ACCOUNT t;:,; r}; '_QTY' AMOUNTPAID PAID DATE r a .. r r.. dM: WATER FEATURE ONLY PC 101-0000-42600 0 $98.62 $0.00 e r `PAID�BY` 1 .. Y METHOD RECEIPT=# ter; '” CHECK # BY; { *„1'} . ,_ :,�L ,CLTD Total Paid forPOOL / SPA: $279.91 $0.00 DESCRIPTION , ''' ACCOUNT QTY ;x AMOUNTPAID x.. DATE RET WALL >12 - FIRST 100 LF 101-0000-42404 0 $72.52 $0.00 PAID BY �,7 �' g METHOD RECEIPT #, CHECK # .n `sCLTD BY 4 ACCOUNT � PAID DATE , , RET WALL >12 - FIRST 100 LF PC 101-0000-42600 0 $60.43 $0.00 METHOD '<a r-•RECEIP.T #p � 3; CHECK`# CLTD..BY Total Paid for RETAINING WALL $132.95- $0.00 TOTALS:• 00 OF, Description: TANNING SHELF WATER, FIRE FEAUTURE& RET WALL Type: POOL Subtype: Status: SUBMITTED Applied: 12/11/2014 PJU Approved: Parcel No: 643120050 Site Address: 47645 VIA MONTANA LA QUINTA,CA 92253 Subdivision: TR 26152 Block: Lot: 278 Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $57,600.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: ADDING TANNING SHELF WATER & FIRE FEAUTURE, ENGINEERED WALLS PER JEFFERY COLLINS RETAINING WALL 35 LN FT X 4'6" & 37 LN FT X 3'6" ALL APPROVED PER AJ.L) THIS PERMIT DOES NOT INCLUDE ELECTRICAL. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. CONDITIONS Printed: Thursday, December 11, 2014 4:57:10 PM 1 of 2 C SYSTEMS DESCRIPTION r + ACCOUNT ------ QTY '- AMOUNT PAID ; PAID DATE' - 77 RECEIPT #, -----r--� CHECK #'. ------.----- , METHOD ~ ; - 'PAID BY ; 3- 3 t r., . 7 t k i�•r. -"t d.:. V;'i- 1' --i' .'r. F f l C -! BY-'. GAS SYSTEM, 1-4. 101-0000-42401 0 $12.09 $0.00 ~ OUTLETS GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $0.00 OUTLETS PC Total Paid for PLUMBING FEES: $36.26 $0.00 WATER FEATURE ONLY 101-0000-42404 0 $181.29 $0.00 WATER FEATURE ONLY 101-0000-42600 0 $98.62 $0.00 PC - TotalPaidforPOOL/SPA: $279.91 $0.00 RET WALL >12 - FIRST 101-0000-42404 0 $72.52 $0.00 - 100 LF RET WALL >12 -FIRST 101-0000-42600 0 • $60.43 $0.00 F 100 LF PC Total Paid forRETAINING WALL- $132.95 $0.00 TOTALS:•0 PARENT PROJECTS BOND INFORMATION ATTACHMENTS Printed: Thursday, December 11, 2014 4:57:10 PM 2 of 2 COT • SYS7EM5 Bin AC City of La Quin to . �1—� Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit APPIrcat►on and Sheet Pe mit # 1 Project Address: _ A- 4 Owner's Name: A. P. Number: Address: 4 .. Legal Description:. City, ST, Zip: Qd�11� tr t Con ac or• Telephone: Address: .�� ( Project Description: City, ST, Zip: _--, ® 2-M I .` �� Tele ho ne P 1 State Lic. #: 7iajIM4 City Lie. �fl�' 1 l� 1>-7l ©� Arch., Engr., Designer: Address: City., ST, Zip:. V Telephone: . Construction e: Occu Pan n TYP ic. taeL#: S t Project type (circle one): Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: #Stories: # Units: Telephone,l,of Contact Person: ��q� Estimated Value of Project:45 APPLICANT: DO NOT WHITE BELOW THIS LINE # Subniittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance, Title 24 Calcs. ' Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading planV'.. 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 HOUSE:- 7rd Review, ready for corrcctionsCssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Pecs L- I S:\DRAWINGS\DRAWINGS RESTDENTIAL\M-Z\RASADA-FRANK\RASADA-FRANK.dwg, 10/28/2014 9:06:08 AM i I