14-0775 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 14-00000775
Property Address: 53210 AVENIDA DIAZ
APN: • 774-042-011-14 -000000-
Application description: POOL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 15000
T4bt 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant:
Architect or Engineer:
--------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
' I hereby affirm under penalty of perjury that 1 am licensed unrpi�sions of Chapter 9 (commencing with
Section 7000) of Division 3 of the
iness d Professionad my License is in full force and effect.
License Class: B
: 727199
Date: C-( -/'1 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).:
(_ 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
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—) I am exempt under Sec. , BAP.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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/04/14
Owner:
3 BOULDERS
45311 GOLF CENTER PKWY STE B
INDIO, CA 92201
Contractor: D
CORONEL ENTERPRISE
42760 MADIO STREET JUN 19t
INDIO, CA 92201
(760) 775-1234 CmOF�
Lic. No.: 727199 Ql>llki�
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 STATE FOND Policy Number 9090158-2014
I certify that, in the performance of the work for whit is pe it is issued, I shall not employ any
person in any ma We so as to ecome s ject to a worke 'compensation laws of California,
and agree that, if sho Id bet a subje to the rkers' mpensation provisions of Section
3700 of the Labo Co , I shal forthwit comply h t se provisions.
Date:fA-t9-1�-f 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 1$100,0001. 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 cessa ' f work days will subject
permit to cancellation.
I certify that I have read this application and state th t ejabovemati n is correc I agree o comply with all
city and county ordinances and state laws relating to ui tion and hereb authori a representatives
of this county to enter upon the above-mentioned prop tion PE rposes.
Date:[ 11��.`f Signature (Applicant or Agent):.
Application Number . . . . . 14-00000775
Permit . . . POOL 2013
Additional desc .
Permit Fee . . . . 178.75 Plan Check
Fee
.00
Issue Date . . . . Valuation
. . .
. 0
Expiration Date . . 12/01/14
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
178.75
----------------------------------------------------------------------------
Special Notes and Comments
POOL -AND SPA AT FRONT YARD ONLY (DENISE
POELTLER ENGINEERING) THIS PERMIT DOES
NOT INCLUDE REQUIRED ENCLOSURE AND
SCREEN WALLS FOR POOL AND EQUIPMENT..
ALARMS AND BARRIERS REQUIRED.TO BE
INSTALLED AT PRE -PLASTER INSPECTION.
2013 CALIFORNIA BUILDING CODES.
June 4, 2014 4:37:38 PM AORTEGA
----------------------------------------------------------------------------
Other• Fees . . . . . . . . . BLDG STDS ADMIN (SB1.473)
1.00
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 98.24 .00
.00
98.24
Grand Total 276.99 :00
.00
276.99
LQPERMIT
EXISTING RESIDENCE
APN.:774-042-023
R 50'
PROPOSED 6' Block Walt [By Separate Permit]
SWALE MINIMUM (1) ONE %
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EXISTING RESIDENCE
APN.:774-042-023
R 50'
PROPOSED 6' Block Walt [By Separate Permit]
SWALE MINIMUM (1) ONE %
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EXISTING RESIDENCE
APN.:774-042-023
R 50'
PROPOSED 6' Block Walt [By Separate Permit]
SWALE MINIMUM (1) ONE %
APN .:774-042-011
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W.I. GATE
250 GAL. GAS TANK
31.5" DIAM.
7'-10" LENGHT
3'-3" HEIGHT
W/HOOD
60" LEG SPACING
3/4 LEG HEIGHT
NOTE: ow wDATUM
(1) 24" BOX DRIVEWAY APPROA 9 IBES SEPARATE POINT
SHOESTRING ACACIA PERMIT AND INSPECTION BY CITY OF LA
(ACACIA STENOPHYLLA) 9UINTA PUBLIC WORKS
THE DEVELOPER/CONTRACTOR/OWNER
IS RESPONSABILE FOR THE VERIFICATION OF
EXISTING CURB (OR EDGE OF STREET
TF
(CE;
u
CQ
_ In
`O
°
W.I. GATE
250 GAL. GAS TANK
31.5" DIAM.
7'-10" LENGHT
3'-3" HEIGHT
W/HOOD
60" LEG SPACING
3/4 LEG HEIGHT
NOTE: ow wDATUM
(1) 24" BOX DRIVEWAY APPROA 9 IBES SEPARATE POINT
SHOESTRING ACACIA PERMIT AND INSPECTION BY CITY OF LA
(ACACIA STENOPHYLLA) 9UINTA PUBLIC WORKS
THE DEVELOPER/CONTRACTOR/OWNER
IS RESPONSABILE FOR THE VERIFICATION OF
EXISTING CURB (OR EDGE OF STREET
TF
(CE;
u