BPOL2015-014778-495 CALLE TAMPICO
VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
1. BUILDING PERMIT
Date: 7/9/2015
Application Number: BPOL2015-0147
Owner:
Property Address: 45180 DESERT HILLS CT CT
JENNIFER BRANCO
APN: 604280002
45180 DESERT HILLS CT
Application Description: BRANCO RESIDENCE POOL & SPA
LA QUINTA, CA 92253
Property Zoning:
q'
Application Valuation: $30,000.00
Applicant: '
Contractor:
LINDLY'S POOLS OF CALIFORNIA I
LINDLY'S POOLS OF CALIFORNIA 1�
30755 DESERT PALM DRIVE
30755 DESERT PALM DRIVE
.
THOUSAND PALMS, CA 92276
THOUSAND PALMS, CA 92276
(760)343-0600
Llc. No.: 833313
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: C53 License No.: 833313
Date: Contractor: 41 A4
OWNER -BUILD DECLARATION
I hereby affirm under penalty of perjury th t 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
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).:
(_J 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:
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 I should become subject to the
workers' compensation provisions of Section 3700 of a Labor Code, I shall forthwith
comply with those provisions.
Date: / /® //SApplicant:
WARNING: FAILURE TO SECURE WORKERS OMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TOC INAL 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 entePon the above-
mentioned property for inspection purposes. /
Date: I /� Signature (Applicant or Agent):
iifArr
•
City of !rM Qulhta
Bttf[dmg 8r Safety DMWon
P.O. Box 1504,-78-493 Cage Tamptco
L.06" CA 92253 -:(760) 777-7012
O 147 Building pennit.gppllcatioon and Tracking Sheet
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A. P. Number
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Telephone:
PmedDescri0on:
address: `1�5 'SE(LT .fAv�n p�
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Telephone: -�O- `� j�b�0MMIMM G'Q►S lJlX f-4. M MIM
Slde Lia #: City Lie tk-_10101 ,
Arch, .Dasigaer:
Address:
Cft. sr. v).
TdePhoae:
State Lir. d:
construction Type:. oc xupancy:
Pmjed type (circle one): New Add'n Alter Repair Demo
Sq. FL: $ SWriex # Ut►its
Name: of contact Person: � , &-DA'lUQVL
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Estimabod Value of Pmj=t
APPLICANT: DO NOT WRITE BELOW THM UNE
A
Submittal
Wd
Reed
TRACKING
PERMIT' FEFS-
PIW Seb
Plan Check submitted
new Amount
Shvcturai Cdw.
R-iaxd, ready for corrections
Pian Cheep Deposit. .
Truss CdCs.
Called Contact Person
PHe Check Babrne_
Mile 24 Cala.
Placa picked up
Construction '
Flood plain plae
Plans resubmitted.'.
Mechanical
Grading pl-
2's Renew, ready for eorrectioneumte
Electrical
SubeontactorList
called contact Person
Plumbing
Grant Deed
Pines picked up
S.MJ,
MOA Appreval
Plass mabmftted
Gradleg
IN HOU"-
all Review. ready for eometiondime
D"doper Impact Fee
Planning Approval
filed Contact Person
A .P.
Pub. Wlca. Appy
Date of permit bsue
School Fees '
Total Permit Fes
Description: BRANCO RESIDENCE POOL & SPA.
Type: POOL . Subtype: Status: APPROVED
Applied: 7/9/2015 EVA
Approved: 7/9/2015 KKI
Parcel No: 604280002 Site Address: 45180 DESERT HILLS CT CT LA QUINTA,CA 92253
Subdivision: TR 23935-3 Block: Lot: 15
Issued:
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $30,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0.
MARY FASANO
Details: POOL, SPA, [2 INCH GAS PIPING/##8 AWG IN 1 INCH CONDUIT ELECTRICAL] THIS PERMIT DOES NOT INCLUDE ELECTRICAL AT BBQ.
EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO
BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
__j Appiiea to Approvea
FINANCIAL INFORMATION
Printed: Thursday, July 09, 2015 3:03:19 PM 1 of 2
SYSTEMS
ADDITIONAL
CHRONOLOGY TYPE STAFF NAME
ACTION DATE
CHRONOLOGY
COMPLETION DATE
..........._... _._ . .
NOTES
NOTE
MARY FASANO
7/9/2015
sent back to marry 7/9/15
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
LINDLY'S POOLS OF CALIFORNIA I
30755 DESERT PALM
DRIVE
THOUSAND
PALMS
CA
92276
CONTRACTOR
LINDLY'S POOLS OF CALIFORNIA I
30755 DESERT PALM
DRIVE
THOUSAND
PALMS
CA
92276
OWNER
JENNIFER BRANCO
45180 DESERT HILLS CT
LA QUINTA
CA
92253
FINANCIAL INFORMATION
Printed: Thursday, July 09, 2015 3:03:19 PM 1 of 2
SYSTEMS
DESCRIPTION
ACCOUNTQTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
-PAID BY
CLTD
.
BY ..
BSAS SB1473 FEE
101-0000-20306
0
$2.00
$0.00
Total Paid forBUILDING 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 forP00L / SPA: $279.91 $0.00
TOTALS;
PARFNT PRORCoTS
ATTACHMENTS
Printed: Thursday, July 09, 2015 3:03:19 PM 2 of 2 V?
SYSTEMS