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12-1376 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00001376 Property Address: 53544 VIA DONA APN: 777-420-008-3 -298944- Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation:. 33000 Applicant: �u1.Ct/IAesf�J1/L Tiht °F 4 Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT D Nov 2 2092 OF VOICE (760) 777-7012 FAX (760) 777-7011 `J INSPECTIONS (760) 777-7153 Owner: EHLERT, BARRY M/M 35 AUTUMN GARDENS SE CALGARY, AB T3G 2-V1 Contractor: VACATION POOLS INC PO BOX 10940 INDIO, CA 92202 (760)775-0468 LiC. No.: 856835 Date: 11/21/12 --------------------------------------------------------=---------------------------------------- UCENS!�R CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I ed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: ?amicen Section 7000) of Division 3 of the Busi s arof Tonal, Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C53 License No.: 856835 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is 9 J - issued. ���t— Da te• �j• Contractor: 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: , I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 1948584-2012 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to I certify that, in the perforrrt of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the _ rce person in any manner 6 as to b ome subject to the workers' compensation laws of California, 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 and agree that, if I s uld beco a subject to the workers' compensation provisions of Section /� �370�the Labor od✓; sh I f h it omply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by - i any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: /`/, b/r Date: plicant: (_ 1 1, 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 WARNING: FAILURE TO SE E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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: LQPERMIT 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 ae . for ation is correct. I agree to comply with all city and county ordinances and state laws relating to buil ' c stru tion, and hereby authorize representatives of this Qloynty tO enter upon the above-mentioned prope y r insp tion purposes. Date: /' ( t—ilgnature (Applicant or Age Application Number . . . . . 12-00001376 Permit BLDG POOL PERMIT Additional desc - Permit Fee . . . . 304.00 Plan Check Fee 197.60 Issue Date . . . . Valuation . . . . 33000 Expiration Date 5/20/13 Qty Unit Charge Per Extension RDGR, FRE 252.00 8.00 6.5000 THOU BLDG 25,001-50,000 52.00 ---------------------------------------------------------------------------- Permit MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/20/13 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 . . 5/20/13 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 . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . 0 Expiration Date 5/20/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL AND SPA AT REAR YARD ONLY [1-1/4 INCH GAS PIPE FOR HEATER ONLY] THIS LQPERMIT Application Number . . . . 12-00001376 ---------------------------------------------------------------------------- Special Notes and Comments PERMIT DOES NOT INCLUDE EQUIPMENT WALL, FIRE PITS, OR WATER FEATURES. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2010 CALIFORNIA BUILDING CODE. November 21, 2012 1:18:53 PM AORTEGA Fee summary Charged ----------------- ---------- Permit Fee Total 399.00 Plan Check Total 221.35 Grand Total 620.35 LQPERMIT Paid Credited nue ---------- ---------- ---------- .00 .00 399.00 .00 00 221.35 .00 .00 620.35 Bin.# 5 Crtj, of La Quina Building 81 Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 --(760) 777-7012 Building Permit Application and Tracking Sheet Permit # IZ •t'',�Io Project Address: vf_J 0/4 / Owner's Name:. A. P. Number. Address: 513 Legal Description: Contractor. CC'Irl (. City, ST, Zip: q -h,, f 4- Telephone: % �'DYtx; ... :sem Addr090 Project Description: City, ST, Zip: lG C-41- Telephone: State Lic. # : City Lic. C Arch., Engr., Designer. Address: City, ST, Zip: Telephone: State Lic. #: - Name of Contact Person: . ^ >� Y ,, w : , . ,.r Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft: #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: OC GO (g APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctionirmsue Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN ROUSE:- ''" Review; ready for correctiansfissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees +Ia", T X Q' SPA 5' WIDE TILE SPII TANNING SHELF 18" W.D. WITH UMBRELLA SLEE, 6 -1T -y - OF LA QUIi�1TA BUILDING & SAFETY DPT. AP P- q9 rT�D i�ON\ s ifl21lrY VACATION POOLS, INC. P.O. Box 10940 Indio, CA 92202 Ph. (760) 775-0468, Fax(760) 775-0469 License # C-53-856835 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 51ONATURE Scale: I/8"=1' -O" HIDEAWAY LOT 250 55-544 VIA DONA LA OUINTA, GA Q2255 HIDEAWAY GOUNTRY CLUB APN 777-420-008 DATE: 11.21.12 1 REVISED: O \ \ e FOOEfiL� U5PAA \ \N j .18', -7- X 9' SPA WITH R 5' WIDE TILE SPILLWAY Cry TANNING SHELF 18• YID. WITH UM5KELLA SLEEVE \ FRONT \ LOT 250 YARD POOL -5' 30'-8° .53-544 VIA DONA 11'X 54' LA GiUINTA, GA 82253 \ m \ NOTE: Landscape elements (Trees, Shrubs, Vines and Lawn) and Patio f=urniture shown for illustration only. Unless by separate bid. .,,_*VACATION POOLS, INC. P.O. Box 10940 a- Indio, CA 92202 Ph. (760) 775-0468, Fax(760) 775-0469 License # C-53-856835 GONTRAGTOR cannot assume responsibility for damage to curbs, sidewalks, driveways, cement slabs, sewers, lawns, trees, fences, retaining walls, sprinklers, wires, valves, HIDEAWAY LOT 250 55-544 VIA DONA LA allINTA, GA 82253 HIDEAWAY COUNTRY CLUB telephone or shrubs. APN 771-420-008 When access is made through a neighbor's property it is understood the owner, have that DATE: 11.21.12 REVISED: nighbthatou, e or's permission and assume full C) responsibility. DATE 515NATURE Scale: 1"=20'-0`