BPOL2015-0039yr 1b ✓
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78-495 CALLE fAMPICO `&t,/ 4
LA QUINTA, CALIFORNIA 92253
Application Number:
BPOL2015-0039
Property Address:
52885 LATROBE LN
APN:
770340005
Application Description:
CEBRON / POOL/SPA
Property Zoning:
Application Valuation:
$35,000.00
Applicant:. '
PREMIER OUTDOOR INC
77588 EL DUNA COURT
STE F
PALM DESERT, CA 92211
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
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 Divisi 3 o the Business and Professions Code,
and my License is in full force and effect.
License Class'._ Lice se No.: 963116
• Date: 3 ( Contractor:
OWNER -BUILDER E R IOftl-_--
I hereby affirm under penalty of perjury that I aii exe pt 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).:
(_) 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
Lender's Address:
•
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/5/2015
Owner:
HARRY CEBRON
52885 LATROBE
LA QUINTA, CA 92253
Contractor:
PREMIER OUTDOOR INC
77588 EL DUNA COURT
STE F
PALM DESERT, CA 92211
(760)345-9791
Llc. No.: 963116
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: _ Polity 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 as to become subject to the workers'
compensation laws of California, and aerAe tha , if I s ecome subject to the
workers' compensation provisions of Set 3 0 e or Code, I shall forthwith
comply with thoprovisions.
Date:, ' s 1) Applican
WARNING: FAILURE TO SECURE WORKER7 9OMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CPIYAINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($1W,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 ove' formation is correct.
I agree to comply with all city and county ordinances an state la s relati building
construction, and hereby authorize representatives oft Ys city to ter o e above-
mentione prop rty for inspection purposes.
Date: Signature (Applicant or Agent):
jJ
FCEBRONENCE
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FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT
QTY.
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$2.00
$0.00
PAID BY'
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA
$2.00
$0.00
DESCRIPTION
ACCOUNTQTY
AMOUNT
PAID
PAID DATE
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID,
PAID DATE
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$0.00
PAID BY .
METHOD .
RECEIPT #
CHECK #
CLTD BY
Total Paid for POOL / SPA:
TOTALS:•0
$279.91
$0.00
Description: CEBRON / POOL/SPA
Type: POOL
Subtype: Status: UNDER REVIEW
Applied: 3/5/2015 PJU
Approved:
Parcel No: 770340005 Site Address: 52885 LATROBE LN LA QUINA,CA 92253
Subdivision: TR.28867
Block: Lot: 5
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $35,000.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
-.NME^`:
NAME L.,.,. A
Details: POOL/SPA /GAS LINE /POOL EQUIPMENT APPROVED PER KK .ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER
INSPECTION. 2013 CALIFORNIA BUILDING CODE
APPLICANT
Printed: Thursday, March 05, 2015 12:11:08 PM 1 of 2
RWSYS TEMS
CHRONOLOGY
CONDITIONS
CONTACTS
-.NME^`:
NAME L.,.,. A
..,...._.�.,._. rt <, ,,.-.._F.�r
", :ADDRESSI4, ITY �nra °
C STATE
i ZIP '" : ,{PHONE, FAX' c,r EMAIL'• .
t' k
APPLICANT
PREMIER OUTDOOR INC
77588 EL DUNA COURT
PALM DESERT
CA
92211
CONTRACTOR
PREMIER OUTDOOR INC
77588 EL DUNA COURT
PALM DESERT
CA
92211
OWNER
HARRY CEBRON
52885 LATROBE
LA QUINTA.
CA
92253
Printed: Thursday, March 05, 2015 12:11:08 PM 1 of 2
RWSYS TEMS
Printed: Thursday, March 05, 2015 12:11:08 PM 2 of 2 CRWYSrEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
FINAL"
CLT'
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT#
CHECK #
METHOD
PAID BY
BY`
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 for POOL/ SPA. $279.91 $0.00
Printed: Thursday, March 05, 2015 12:11:08 PM 2 of 2 CRWYSrEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
FINAL"
Printed: Thursday, March 05, 2015 12:11:08 PM 2 of 2 CRWYSrEMS
Cid Of, 'La Quinta
,BiltWMg ar Safety Uvw6 t
P.O Box 1504,-78495 Cat% Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Shee
permit #
Project Address: 1-- � `/� � R U � LJV
•OwnWsName: CQ ron
•
A P. N}�u�mber,.�
Adtddress: .
�
Legal Description:
contractor. �r �'do�or - G �
City, S% �:
'Telephone:
ProjectDescription: L;a�
Address:. 7715,09',61 ur! C
City. ST> Zip: yaim bgA& CA q2z 11
Telephone: -/&0. 3 ys'• 974 /`
State Lia 4:
Arch, Engr., Designer
Address:
City., ST, Tap:
Telephone:
Consbuc2ion Type: oc�p�cy: /
Project type (circ!* one): New Add'n Alter Repair Demo
Sq. FL: # Stories: #Unit$
Stat* Lic. #:
Name of Comet Person:
Telephone of Cornea Pelson; �(p0• �J7g'Zq
Estimated Value of Project 000
APPLICANT: DO NOT WRITE BELOW THIS LINE
to
• wd
Reed
TSACMG
PERMr FEES
Pica Seb
Plan Cluck submitted
Item Amount
Structural C"
Reviewed, ready for corrections
Plan Check Deposit • .
'has= Caks
- called Contact Person .
Pian Cf;ecic Balani
Title 24 Cates.
Plaw plaid up
construction.
Flood plain plan
P m resubmidsd.' •
Metba»ical
G:Mdlag plan
211 Review, ready for correctionsfisste
Electrical
Subeontactor List
Called contact Person
Ptnmbing
Grant Deed
Pians pkked up
S D4.L
H.O.A. Approval
Plans resabmitted
Grading
IN HOUSE:-
7ji Review, ready for earrectioaslissne
Developer impaet Fee
Planning Approval
Called contact Person
AJ.P.P.
Pub. Wh. Appr
Date of permit issue
sdwol Fees
Total Permit Fees
UK0 W)