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14-0057 (RPL)Ab P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000057 Property Address: 52711 VIA DONA APN: 772-410-999-79 -298944- Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 30000 Applicant: �:Z11'a�l ea T4tyl " `_ , BUILDING & SAFETY DEPARTMENT BUILDING PERMIT v Architect or Engineer: 144 ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se ion 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. cense Cla C 3 '�/ License No.: 614611 ,at Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt 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).: (_ 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 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 _ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 1 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: LQPERM[T Owner: LEMKE, FREDRICH A 168 RUNNING SPRINGS DR PALM DESERT, CA 92211 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/21/14 Contractor: MCINTYRE POOLS & SPAS, INC.----. 83695 AVENUE 45 INDIO, CA 92201 (760)342-3612 I" LiC. No.: 614611 2 12 __________________________ ci�r��4u�Kr�------ --- -f WORKER'S COMPENSATION DECL�T70Pd=�� C_ PT. _— 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 WESCO INS CO Policy Number QWCA1843029 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 subj ct to the workers' compensation provisions of Section 0 of the Labor Code I shall fort o ply 'th those provisions. , Date: � � Applicant: WARNING: FAILURE TO SECURE WORKERS' 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 Ouinta, 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 co my ordinances and state laws relating to building constr tion, and reby authorize representatives yf this co my t enter upon the above-mentioned proper ctio ses. Date l Signature (Applicant or Agent)' 1A Application Number . . . . . 14-00000057 Permit . . . POOL 2013 Additional desc . Permit Fee 178.75 Plan Check Fee .00 Issue Date . . . . Valuation . . . 0 Expiration Date . . 7/20/14 Qty Unit Charge Per Extension 1.00 178.7500 ---------------------------------------------------------------------------- EA MISC POOL/SPA 178.75 Permit . . . PLUMBING 2013 Additional desc . . BBQ ONLY Permit Fee . . . . 11.92 Issue Date . . Expiration Date . . 7/20/14 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS 11.92 ---------------------------------------------------------------------------- Special Notes and Comments POOL W/FIRE BOWLS, SPA AND FIRE PIT AT REAR YARD [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE, WATER FEATURES OR BBQ. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. January 21, 2014 4:11:29 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 PLAN CHECK, POOL 97.24 PLAN CHECK, PLUMBING 23.83 Fee summary Charged Paid Credited Due Permit Fee Total 190.67 .00 .00 190.67 Plan Check Total .00 .00 .00 .00 Other Fee Total 123.07 .00 .00 123.07 Grand Total 313.74 .00 .00 313.7.4 LQPERMIT Bin # Pqrqlt # Project Address: City of La Quinta Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Perm-it Application and Tracking SheEt r Owner's Name: t� e vr A. P. Number. Address:- �3;�- 7? 1 odki Legal Description: City, . ST, Zip: Contractor: C= 11C. Telephone: Address: 7 IYS - Project Description: P)01 City,'ST,.Zip: Telephone: State - # Lic Li . --'IY6'11. Arch., Engr., Designer. city tic. Address: City.; ST, Zip: Telephoner State Lic. #: Construction type: Occupancy: -Project type (circle one): New Add'n- Aller Repair Demo - Name of Contact Person: Sq. Ft-: # Stories: # Units: Telephone 0 of Contact Person: Estimated Value of Project: 30 APPLICANT. DO NOT WRITE BELOW THIS LINE # 'Submittal. Plan Sets Req'd RWd TRACKING Plan Check submitted PEREAU FEES item Amount Structural Calcs., Reviewed, ready for corrections Plan Ian Ch . eck*De . pd sL Truss Calca. Called Contact Person Platt Check Bala nee. Title 24 Caics. Plans picked up Construction Flood plain plan Plans resubmitted mechanical Grading plan 2" Revlewj ready for correctionsrtssucc Electi-lcal Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up I.S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE.:- Review, ready for correction ueDeveloper A Impact Fee Planning Approval Called Contact Person AXP.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees Tfo. M 1'21 j%Iq -