13-0655 (RPL)P.O.TA f4
BOX 1504' VOICE (760) 777-7012
78-495 CALLE TAMPICO ✓ FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/30/13
Application Number: 13-00000655 Owner:
Property Address: 60213 DESERT SHADOWS DR ALVES, EMANUEL
APN: 764-270-999-49 -300232- 60213 DESERT SHADOWS
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: MEDIUM HIGH DENSITY RES n
Application valuation: 33000 tJ d
Contractor:
Applicant: Architect or Engineer: VACATION POOLS INC AY�}
P.O. BOX 10940 �� 013
INDIO, CA 92202 Q
(760) 775-0468 F AN F QZA
Lic. No.: 856835 OEpT
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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 Busine and fes onals Code, and my License is in full force and effect.
License Class: C55?3 License No.: 856835
Date: l Contrac[oc.`-
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's StateLicenseLaw 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.).
(_ 1 1, 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:
LQPE"4IT
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 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 Section 3700 of the Labor'
C;�Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1948584-2012
I certify that, in the performance of a work for which this permit is issued, I shall not employ any
person in any manner as tc/ a me subject to the workers' is
laws of California,
and agree that, if I s rld b Eom subject to the workers' compensation provisions of Section
P3700 of the Labor ode, shallthwith comply with those pr isions.
Date: Appli t
WARNING: FAILURE TO S C E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER 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 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 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 infor a n is correct. I agree to comply with all
city and county ordinances and state laws relating to buildip &cti
and hereby authorize representatives
of this county to enter upon the above-mentioned proper f rpurposes.
Dat 7`•' I/ Signature (Applicant or Agent _
Application Number . . . . . 13-00000655
Permit . . . . . POOL 2013
Additional desc .
Permit Fee . . . . 178.75 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. . 0
Expiration Date 11/26/13
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
178.75
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Special Notes and Comments
POOL AND SPA AT REAR YARD (POOL
ENGINEERING INC] THIS PERMIT DOES NOT
INCLUDE BBQ, FIRE PITS OR WATER
FEATURES. ALARMS AND BARRIERS REQUIRED
TO BE INSTALLED -AT PRE -PLASTER
INSPECTION. 2010 CALIFORNIA BUILDING
CODE.
`
May 23, 2013 1:47:22 PM AORTEGA
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Other Fees . . . . ... . . . BLDG STDS ADMIN (SB1473)
2.00
PLAN CHECK, POOL
97.24
Fee summary Charged Paid Credited
-----------------------------------------------
Due
----------
Permit Fee Total 178.75 .00 .00
178.'75
Plan Check Total .00 .00 .00
.00
Other Fee Total 99.24 .00 .00
99.24
Grand Total 277.99 .00 .00
277.99
LQPERAUT
CITY OF LA QUI"NTA ;
BUILDING & SAFETY DEPT.
APPROVED►,
FOR CONSTRUCTION
DATE BY
foot.
VACATION PWLS, INC.
P.O. Boot 10840
a hW11% CA MW
Ph. (180) 7784488. Fax( M 778 M
Ucen"SC458490M
NOTE:
Landscape elements (Trees,
Shrubs, Vines and Lawn) and Patio
Furniture, shown for illustration only.
Unless by separate bid
CONTRACTOR cannot assume
responsibility for damage to curbs,
sidewalks, driveways, cement slabs,
sewers, lawns, trees, fences, retaining
walls, sprinklers, wires, valves,
telephone or shrubs.
When access is made through a
neighbor's property it is understood
that you, the owner, have that
neighbor's permission and assume full
responsibility.
DATE 516NATURE
0
Scale:
ALVE5 RE51 DENCE
60-215 DESERT SHADOWS DRIVE
LA QUINTA, GA Q2255
TRILOGY
DATE: 05.01.13 1 REV15ED:
RECEIVED
sin.#
QW/ Of is Who MAY 2 3 20 3
Bullding & Safety Dit+ision CITY OF 1-, Q, NTA
P.O. Box 1504,78-495 Calle Tamploo COMMUNITY DEVE OPM
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application'and Tracking Sheet
Permit #
13� ®655"
Project Address: ,, � lml — S 4 C(,(ls Jr
Owner's Name:. L V
A. P. Number.
Address:
Legal Description:
City, ST, Zip.%�-
Contractor. Q G Q7,-10 A-) (O0
Telephone: K -
Address:
Project Description: GQ o A
City, ST, Zip:
Telephone: / Q • 77 0 ya MEN I
State Lic. #: 0 City Lic f �dl
Arch., Engr., Designer: .
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Ft.: # Stories-. # Units:
Name of Contact Person:Sq.
Telephone # of Contact Person: —
Estimated Value of Project 31. 000
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACEING 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 Calci.
Plans picked up Constructionech
Flood plain plan
Plans resubmitted Manical
Grading plan
V Review, ready for correctionsfissue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up SNL
H.O.A. Approval
Plans resubmitted Grading
IPI HOUSE:-
1jd Rtview; ready for correetio a Developer Impact Fee
Planning Approval
Called Contact Person 5 %� A I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
POOATC
ENT