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13-1034 (RPL)fi P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00001034 Property Address: 81151 LAGUNA CT APN: 764-280-004-15 -35996 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 31400 Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Susine nd P fessionals Code, and my License is in full force and effect. �- License Class: C227-053 License No.: 964474 71Date: r I l Contractor: • ` OWNER -BUILDER DECLARATION I hereby affirm under penalty of pUse m exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Burofessions 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.). ' (_ 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.). (_ 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 177-7153 Date: 8/16/13 Owner: AL FROWISS 81151 LAGUNA COURT LA QUINTA, CA 92253 ( Contractor: ' DESERT OUTDOORS INC �`�W �V i 78065_ MAIN ST STE .#205 LA QUINTA, CA 92253 (760) 399-9600 Lic. No.: 964474 -------------------7--------------------------- 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 NORGUARD INS Policy Number DEWC338066 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 o bec a subject to the workers' compensation laws of California, and agree that, if I should b m s ject to the workers' compensation provisions of Section 3700 of the Labor Cod 1 11 f rtwith comply with those provisions. �Datea') ApplicanOWORK WARNING: FAILURE TO SECS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TONALTIES AND CIVIL FINES UPTO ONE HUNDRED THOUSAND DOLLARS($100,000). IN ADHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOEREST, 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&reby work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above ct. I agree to comply with all city and county ordinances and state laws relating to building co str authorize representatives of this count1y,.to enter upon the above-mentioned grope pec Date: Int 13 Signature (Applicant or Agent) Application Number . . . . . 13-00001034 Permit POOL 2013 Additional desc . Permit Fee . . . . 178.75 Plan Check Fee .00 Issue Date . . . Valuation . . . . 0 Expiration Date . . 2/12/14 Qty Unit Charge Per Extension 1.00 178.7500 EA MISC POOL/SPA ---------------------------------------------------------------------------- 178.75 Permit WALL/FENCE PERMIT 2013 Additional desc . Permit Fee 47.19 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 31400 Expiration Date 2/12/14 Qty Unit Charge Per Extension 1.00 • . 47.1900 LS MISC WALL, FIRST 100 LF 47.19 ---------------------------------------------------------------------------- Special Notes and Comments POOL, SPA, AND BBQ WITH 13LF 54" EQUIPMENT WALL [DENISE POELTLER] EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2010 CALIFORNIA BUILDING CODE. ---------------------------------------------------------------------------- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, POOL 97.24 PLAN CHECK, WALLS 60.06 Fee summary Charged Paid Credited Due Permit Fee Total 22.5.94 .00 .00 225.94 Plan Check Total .00 .00 .00 .00 Other Fee Total 158.30. .00 .00 158.30 Grand Total 384.24 .00 .00 384.24 J LQPERMIT Bln. # L.— , QtY Of Qr1II? Building a Safety Division ; A 11 G 1.5 2 0 '�3 P.O. Box 1504,78-495 Calle Tampico 14.Quinta, CA 92253 -:(760) 777-7012 cm OF w C?tJTNTA Building Permit Application and TraGf� ggego DEV�i_ P>' N Permit # Project Address: 1� l �v Owner's Name:. A L1 S A. P. Number. _W Address: Legal Description: City, ST, Zip: Contractor: '� 5,1 DV j 1�� S Telephone: ( •� z • •w Address: Project Description: City, ST, Zip: ;A ZZG-3ft I 3 W t4 -i `i { ILA Telephone: Sffi Ij State Lia #: q (p`} yCity Lic. #; Arch, lgbesigner.%(,h , S • .' Address: City, ST, Zip: �P Telephone: 2 1 State Lie. #: Name of Contact Person: `�Q� Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: -A .3,19-12359 Estimated Value of Project: I APPLICANT: DO NOT WHITE BELOW THIS UNE V Submittal Req'd "Reed TRACMG PERMIT FEES Pian Sets Plan Cheek submitted Item Amount Structural Coles. Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted.' . Mecharilcal Grading plea 2' Review, ready for correct! o rssue Electrical Subcoatactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'id Review, ready for correctlonsfissae Developer Impact Fee Planning Approval. Called Contact Person A LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees APPROVED FOR CONSTRUCTION DA - BY��_