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RPL-14-77178-495 CALL•E TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: RPL -14-771 Property Address: 52673 VIA DONA VOICE (760) 777-7125 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT APN: 777410019 Application Description: POOL AND SPA AT REAR YARD Property Zoning: D p Application Valuation: ff�� n Applicant: JUL V 2B" N ' d.M'(Mt7K%& LICENSED CONTRACTOR'S DECLARATION AF LA QUINTA 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 Professions Code, and my Lic se is in full force and effect. 1 License a s: LI ENFE CLASSIFICATION LigerJse Tf1558 D/ :L�i��,�� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from th 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 reaso 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 Date: 7/1/2014 Owner: PAUL DEWEY PO BOX 10668 PALM DESERT, CA 32255 Contractor: SUNLITE DEVELOPMENT INC P 0 BOX 10668 PALM DESERT, CA 92255 (760)340-9800 Llc. No.: 655874 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 perforrrence of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: r Policy 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 so a: to become subject to the workers' compensation laws of California, and agree that. if I should become subject to the workers' co pensation provisions of Section 37.10 of the Labor Code, I shall forthwith comply wit th ovisions. f Date: GApplican WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFU , AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000jG IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR ITL SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOW.EDGEMENT 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 Cty 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 is-guance of such permit, or cessation of work for 180 days will subject permit to cancella-ion. I certify that I have read this application and stat � that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, n hereby authorize representatives of this city to enter upon the above. mentioned /o er for inspection purposes. Date: 4 l Signature (Applicant or, Agent): �' DESCRIPTION FINANCIAL •• • ACCOUNTr- 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 ACCOUNT CITY AMOUNT PAID PAID DATE SWIMMING POOL/SPA *NONE* 0 $178.75 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA PC 101-0000-42404 0 $97.24 $0.00 PAID BY ` METHOD - RECEIPT # CHECK # CLTD BY Total Paid forPOOL / SPA. $275.99 $0.00 TOTALS:• 00 School Fees Total Permit Fees el ��tooPt,, Bin # Qty of La Q uin to -Building & Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico . 1��. La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: 2 E 3` Owner's Name: L. A. P. Number: ?77 .-.� � 0 _ Q l l Address: O Legal Description: o TRACVt2 T174-, City, ST, Zip: LM 2ZSS ,v Contractor: �, C Telephone: 3 ir Q :z;•;: Address: ZOL-10669'Project Description: SPA City, ST, Zip: eALY" 2Z 55 Telephone: 96 »i'£>-:::...:.:.;::;:::r State Lic. # : rj City Lie. #: Arch., Engr., Designer: 619-0 f AU 6. 1 M 9 91 W'6' Address: t 2a Q Q City, ST, Zip:- �s ZZ SS Telephone: 0 ` Construction Type: Occupancy: Project type (circle one): Now Add'n Alter Repair Demo State Lic. #: C 22 6 '<::= >:>:>`s:= : `•`�-�-•>,�>:<:::-:�•_�<•:-:a•::;.»•o:«�• �>-�>. Name of Contact Person: Sq. FL: # Stories: # U-1its: Telephone *,of Contact Person: Q Estimated Value of Project: 8 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACVJNG PERMIT FEES Plan Sets Plan Check submitted �- Item Amount Structural Calcs. Reviewed, ready for corrcctions Plan Cluck Deposit Truss Calcs. Called Contact Person lan Check glanceF041., Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical 7— Grading plan 2" Review, ready for corrcctions/issue Electrical r� Subcontactor List Called ContactPcrson Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN IiOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee 44anning-A-pprovai -Caticd-Conta-ct-Person Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees el ��tooPt,,