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12-0635 (RPL)P.O. 'BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tiht 4 XP Qum& BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 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 Professionals Code, and my License is in full force and effect. /License Cla/ss: CQ10 C5,,3� License No.: 634338 ate: r'• G (,i o�ltracfor: ER -BUILDER DECLARATION I hereby affirm under penalty of p/,Orrsepatir m exempt from the Cont'ractor's State License Law for the following reason (Sec. 7031 .5, Bssnd Professions Code: Any city or county that requires a permit to construct, alter, improve, demolis 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 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 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: A LQPERA1IT 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 CASTLEPOINT INS Policy Number WCPBC1252212 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 ubject to the workers' compensation provisions of Section 70 of the Labor Code, , hall rt ith comply with those provisions. 15ate: �/ �.,(tpplicant: WARNING: FAILURE T0SECWORKERS' 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. 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 information is correct. I agree to comply with all city and county ordinances a,Pd state laws relating to build' onstruction, and hereby authorize representatives o/ff isgCou;tY"tenter upothe above-mentioned prope r inspection purposes. DateL S' nature (Applicant or Agent)* Date: 6/07/12 Application Number: X12-00000635 Owner: Property Address: APN: 81115 GIACOMO WY 767-320-999-275 -32879 - MICHAEL MICHAUX 81115 GIACOMO WAY '"---- --� Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 D Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 29100 UN Y `' j JUN O>"" ���� Contractor: Applicant: Architect or Engineer: CLASSIC POOLS & SPAS C11lY�F��qQiJildTA 79461 40TH AVENUE F�p�!� I;t r,=pT BERMUDA DUNES, CA 92203 s (760)345-8302 ----------------------------------------------------------------------------------------- .\ t Lic. No.: 634338 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 Professionals Code, and my License is in full force and effect. /License Cla/ss: CQ10 C5,,3� License No.: 634338 ate: r'• G (,i o�ltracfor: ER -BUILDER DECLARATION I hereby affirm under penalty of p/,Orrsepatir m exempt from the Cont'ractor's State License Law for the following reason (Sec. 7031 .5, Bssnd Professions Code: Any city or county that requires a permit to construct, alter, improve, demolis 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 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 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: A LQPERA1IT 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 CASTLEPOINT INS Policy Number WCPBC1252212 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 ubject to the workers' compensation provisions of Section 70 of the Labor Code, , hall rt ith comply with those provisions. 15ate: �/ �.,(tpplicant: WARNING: FAILURE T0SECWORKERS' 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. 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 information is correct. I agree to comply with all city and county ordinances a,Pd state laws relating to build' onstruction, and hereby authorize representatives o/ff isgCou;tY"tenter upothe above-mentioned prope r inspection purposes. DateL S' nature (Applicant or Agent)* Application Number . . . . . 12-00000635 Permit BLDG POOL PERMIT Additional desc . Permit Fee 284.50 Plan Check Fee 184.93 Issue Date . . . . Valuation . . . . 29100 Expiration Date 12/04/12 Qty Unit Charge Per Extension BASE FEE- 252.00 5.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50;000 32.50 Permit MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date-. 12/04/12 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 12/04/12 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 . . . . 33.00 Plan Check Fee 8.25 Issue Date Valuation . . . . 0. Expiration Date 12/04/12 Qty Unit Charge Per 1 Extension BASE FEE 15.00 2.00 6.0000.EA PLB FIXTURE 12.00 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 . . . . . 12-00000635 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date .' . . . Valuation 346 Expiration Date 12/04/12 Qty Unit Charge, Per Extension BASE FEE 15.00 ------------------------------------------------------- Special Notes and Comments ------- -------------- POOL/SPA, 16 L.F. 5' EQUIPMENT ENCLOSURE CITY STANDARD, GAS & ELECTRIC STUB-OUTS FOR FUTURE BBQ & FIREPIT. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE-PLASTER INSPECTION. 2010 CODES. -----------------------------------------7----------------7----------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary Charged Paid Credited ---------=--------------------- ---------- Due ----------------- Permit Fee Total 403.50 .00 .00 403.50 Plan Check Total 210.93 .00 .00 210.93 Other Fee Total 2.00 .00 .00 2.00 Grand Total 616.43 .00 .00 616.43 LQPERMIT June 6, 2012 Michael Michaux 54-180 81115 Giacoma Way La Quinta, CA 92253 Re: Pool Project .Personalized Property Management 68950 Adelina Road Cathedral City, CA 92234 (760) 325-9500 (760) 325-9300 fax Your application to install a pool and spa in your rear yard has been approved ^> as* s per the plans presented. Please ensure your contractor keeps the area in rf"and around your property in a clean condition. l/ c' F For the Board of Directors Dayton Dickey Community Manager J. . . . . . . . . . . . . . . . . . . . . . . Community Living at its Finest Fire Pit 50� Pool Split Main Drain Suction Min. 3' Part 15, Pool -o -5' _ so' Pool Light Junction 3„DRAIM -3' Block Wall Pool 8' Equip. labo Spa Spa Light )unction -- BBQ ' a3IF't i Li i Existing Patio 11' I � 4 6 5li4ing Door , M i —i-15' i Existing Re5i�ence I - O Gas I ' V i • V • 1 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE &Pa BY AREA SCHEDULE POOL 750 S .FT POOL PERIMETER 130 LN.FT POOL COPING 122 S .FT SPA 64 SQYT SPA PERIMETER 36 LNYT SPA SPILLWAY 14 LN.FT SPA COPING. 36 S .FT GAS LINE E:2- . 182 LN.FT +18" RAISED BOND BEAM 50 LNYT 5' HIGH BLOCK WALL • 16 LNYT THESE PLANS, DRAWINGS AND SPECIFICATIONS ARF. NOT TO RE REPRODUCED, CHANGED OR COPIED IN ANY FORM OR MANNER WHATSOEVER WITHOUT THE EXPRESSED CONSENT OF CLASSIC POOLS AND SPAS. (classic 1 Pools / Spas OFFICE (760)345-830 Lic#,C10 C53 634338 NAME MICHAEL MICHAUX - ADDRESS: 81-115 GIACOMO WAY CITY. LA QUINTA, CA 92253 Bln #City of Lel Qu(nta Buf(dtnt 8T Safety DMdon P.O. Box 1504, 78-495 Cage Tampko La Qutnta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Peffnk # Project Address: r— /.5 ('OL c u Owner's Name: C C lYl (e),(Q V A. P. Number: Adi toss: 91-115 ,C rn c -u A Legal Description: O City. ST. Zip: L �' - !9 a`d`s `3 Contractor: C l. O O\ S0.S Telephone: - Address: %C'P ' ([ D Project Description: OO C S A city, ST. Zip: 0 ??Q.03 F c, tr g<jLga= Telephone: State Lic. # : City Lic. #; U % Arch., Engr., Designer WAS 1—c l 6 CLS D ti �- Aadtess: City., ST,.Tap: Telephone: Con &action Type: Occupancy: State Lic. p: Project type (circle one): N Add'n Alta Repair Demo Name of Contact Person:�t A� Sq. FL: T -v g Stories: Units Telephone # of Contact Person: Estimated Value of Project 106) APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Reed TRACING PERMIT FEES Plan Sets Plan Check srbmitted Item Mnoat Straetaral Cales. Reviewed, ready for corrections Phu Check Deposit Truss Cala. Called Contact Person l Plan Cheek Balance Titre 24 Cales. Pians picked up Constraetioa " Flood plain plan Plass resubmitted Mechanical Grading plan 2'' Review, ready for correctionslissue Electrical Subeontaetor List Called Contact Person Plumbing Grant Deed Plans picked up SALL H.O.A. Approval Plans resubmitted Grading IN HOUSE-- Review, ready for eorrectionstissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wits. Appr Date of permit issue School Fees Total Permit Fees