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11-1148 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00001i48 Property Address: 61047 DESERT ROSE DR APN: 764-270-999-132 -300231- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 12000 Applicant: Architect or Engineer: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: BOWMAN 61047 DESERT ROSE DRIVE LA QUINTA, CA 92253 Contractor: TESERRA VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/19/11 11 D► /A t 2 4 2011 P.O. BOX 1280 ( CI y r' A0L49!',I' f1 COACHELLA, CA 92236 (760)398-9222 1%1 Lic. No.: 656128 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury at I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Busine and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: 8, 0, 27 2 License No.: 656128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date:/v 2 f Z/ ntractor:-h 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that l am exempt from the Contractor's State License Law for the Carrier EVEREST NATL IN Policy Number 7600006481111 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performskeofthe work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so acomesubject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I shoulde subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 7 0 of the Labor Code, Iorthwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by i any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).:ate: Li Aipplicant: 1 _ 1 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). - (_ 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 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 Ouinta, 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 abovKction is correct. I agree to comply with all city and county ordinances and state laws relating to building cnd hereby authorize representatives of this county to me�upon the above-mentioned property for iposes. Date: C Li Signature (Applicant or Agent):' Application Number . : . . . 11-00001148 Permit BLDG POOL PERMIT Additional desc . Permit Fee . . . . 135.00 Plan Check Fee 87.75 Issue Date . . . . Valuation 12000 Expiration Date 4/16/12. Qty 'Unit Charge Per Extension BASE FEE 45.00 10.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 90.00. Permit MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check •Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date 4/16/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K •11.00 Permit . . . ELEC POOL PERMIT -RES Additional. desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . 0 Expiration Date 4/16/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 -------------------------------------- EA ELEC PRIVATE SWIMMING -------------------- POOL ------------------ 30.00 Permit PLUMBING Additional desc . Permit Fee .. . . 27.00 Plan Check Fee 6.75 Issue Date . . . . Valuation 0 Expiration Date 4/16/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 ---------------------------------------------------------------------------- EA PLB GAS PIPE 1-4 OUTLETS 3.00 Permit . . . . . . WALL/FENCE PERMIT LQPERMIT Application Number . . . . . 11-00001148 Permit WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee . Issue Date . . . . Valuation Expiration Date 4/16/12 .00 352 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SPA & 22 L.F. 4' EQUIPMENT ENCLOSURE,. CITY STANDARD.. INCLUDES 71 L.F. 1 1/2" GAS LINE. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. 2010 CODES. ----------------------------------------------------------=----------------- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due ------------------------------------- Permit Fee Total 248.00 .00 -------------------- .00 248.00 Plan Check Total 112.25 ..00 00 112.25 Other Fee Total 1.00 .00 .00 1.00 Grand Total 361.25 .00 .00 361.25 LQPERMIT Bin # Ptj/ Of Ld Qu1►1 Building & Safety Division. P.O. Box 1504, 78-495 Calle Tampico*. P Quinta, CA 92253 (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address:jl— �i Owner's Name: A. P. Numher: Address: Legal Description: City, ST, Zip: L u,,a ZZS Contractor Telephone: <':s:z? > ;:; w45:..M >•<* Address: 6 A0 Q i S Project Description: City, ST, Zip: C% 23 G Y .,, Telephone: 39 P •v, `r;?ar}::;H:>::>>K>�;z'}:r«.; � / State Lic. # : $61Z City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: ' ij:;4;ii}~:v:,:`.,;Ya'.'S•,SQ:,'J,l{5i `�::jjt'i;:;:: Telephone: • �,?.iv.•:� �}Y v>v��•rJ'. '?ii i'i'i i::y:Yf.C:�:•: State Lic. #: > tv.: >: ^ ' ^ } Name of Contact Person: Construction Type: (LW Occupancy: Project type (circle one Ne � Add'n Alter Repair Demo Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: - Estimated Value of Project: 660 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd 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. Pians picked up. Construction Flood plain pian Plans resubmitted Mechanical Grading plan 2p. 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:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees I "o EXISTING FIREPLACE WALL AND DECKING RAISED WALL AT +18' WITH STUCCO CAP, POOL SPLIT MAIN DRAIN SUCTION MINIMUM N APART. .E STUCCO FACE TO MATCH EXISTING WALL ANTI -COVERS 10' ASME / ANSI APPROVED LIGHT BROOM FINISH COLORED 3 CONCRETE DECKING POOL EQUIPMENT BLINDWALL AT +48" PL WITH STUCCO AND PAINT TO MATCH Hi _ I PL POOL / SPA LIGHT JUNCTION B N A MMY 0 'KITCHEN I t3f ■ Alk�'1w Y.��' PB ED PB wN" .' aaen 6.�,Ri u�xmnr� aqua .......,,,,, i rows, tt8" POOL / SPA LIGHT ON GROUNI a' RAISED BOND BEAM AT +24" Wfi i CONCRETE CAP, LEDGER STON! TWO 3'-0" WIDE SHEER DESCEN' 73" SB. --- 7'-5" 0B. POOL EQUIPMENT 50 AMP SU WITH 30" CLEARANCE AT FRC POOL EQUIPMENT:400,000 BTU HE *ALL EQUIPMENT SHALL BE SEISM ELECTRIC CONDUIT 71' -12" POLYPROPYLENE GAS PIP]