BPOL2016-000278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&�t440"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPOL2016-0002
Property Address:
81751 ANDALUSIA
APN:
764670040
Application Description:
ANDALUSIA / TO DESERT DEVELOPMENT / SPA IN COURTYARD
Property Zoning:
m
Application Valuation:
$20,000.00
Applicant:
o o
JOHN L CAREY INC DBA BUBBLE SPRINGS
P 0 BOX 1046
RANCHO MIRAGE, CA 92270
JOHN L CAREY INC DBA BUB
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 Division 3 of t e Business and Professions Code,
and my License is in full force and effect.
License Class- C53 35 License No.: 7
Date: 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).:
(_J 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 ) I am exempt under Sec. . BAP.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm'under penalty of perjurythat 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:
11111111111111111111
16
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/8/2016
Owner:
o as=_7 y•
T D DESERT DEV
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81570 CARBONERAS
z
LA QUINTA, CA 0
m
m
Zo
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Contractor:
rnD p
D7
JOHN L CAREY INC DBA BUB
L S RINGS
P 0 BOX 1046
m
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.ANCHO MIRAGE, CA 92270
-----'
(760)341-2336
Llc. No.: 728796
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 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: _ 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 as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 he Labor Cod I shall forthwith
comply with tho e p visions.
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 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 above i formation is correct.
I agree to comply with all city and county ordinances and sta a s relating to i ing
construction, and h reby authorize representatives of thi icy enter upo e'
above -men oned roperty for inspection purposes.
Date: Signature tApplicant or Ag
l INFORMATION
FINANCIAL
DESCRIPTION ACCOUNT
CITY AMOUNT PAID
PAID DATE
BSAS SB1473 FEE 101-0000-20306
0 $1.00 $0.00
PAID BY METHOD
RECEIPT #. CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD . •
RECEIPT #
CHECK #
CLTD BY
Total Paid for PLUMBING FEES: $36.26 $0.00
DESCRIPTION
ACCOUNT .
QTY
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: $279.91 $0.00
TOTALS:••
Description: ANDALUSIA / TD DESERT DEVELOPMENT / SPA IN COURTYARD
Type: POOL Subtype: Status: UNDER REVIEW
Applied: 1/7/2016 SKH
Approved:
Parcel No: 764670040 Site Address: 81751 ANDALUSIA LA QUINTA,CA 92253
Subdivision: TR 31681-3 Block: Lot: 70
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $20,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NAME TYPE
Details: SPA AND GAS LINE FOR FUTURE FIRE PIT AT COURTYARD. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER
SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING
CODE.
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESS1
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
JOHN L CAREY INC DBA BUBBLE
SPRINGS
P 0 BOX 1046
RANCHO
MIRAGE
CA
92270
BUBBLESPRINGS@MSN
COM
CONTRACTOR
JOHN L CAREY INC DBA BUBBLE
SPRINGS
P 0 BOX 1046
RANCHO
I MIRAGE
CA
I
92270
I
I
I
BUBBLESPRINGS@MSN
I COM
OWNER
T D DESERT DEV
81570 CARBONERAS
LA QUINTA
CA
0
Printed: Friday, January 08, 2016 2:23:41 PM 1 of 2
• . r SYSTFMS
Printed: Friday, January 08, 2016 2:23:41 PM 2 of 2 c
SYS7EtitS,
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
GAS SYSTEM, 1-4
101-0000-42401
0
$12.09
$0.00
OUTLETS -
GAS SYSTEM, 1-4
101-0000-42600
0
$24.17
$0.00
OUTLETS PC
Total Paid for PLUMBING FEES: $36.26 $0.00
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 / SPAN $279.91 $0.00
TOTALS:00
Printed: Friday, January 08, 2016 2:23:41 PM 2 of 2 c
SYS7EtitS,
srrr. #
CI I O Qutnta
atdlalg & Safety DhWon
P.Q. Box 1504,78-495 Caffe Tampfco
4.Quk4 CA 92253 _.(760) 777-7012
Building Permit Applicadon* and Tracking Sheet
permit #
Project Address:
INIV
Owner's Name:. -r . b2 t f �- c v /V RA+
A. P. Number.
Address:
Legal Description:
Cont -actor. U ,Q it VIA41
City, ST, Zip: Clk QVIAtA Cti q ZZ- �J 3
Telephone: l 0) 171 • I q.N
Address: TO. *- 04!9
Project Description: (0 0( G f
City, ST. Zip: LnckcK
Telephone: 6• q 1.l
\ i vw
State Lia #: l 2 City Lic. g:
Arch., Engr., Designer.
Address:
City, ST. Zip:
Telephone:
State Lic. p:
Construction Type: lA Occupancy:
Project type (carde one): ew Add'a Alter Repair Demo
Sq. Ft : # Stories # Units
Name of Contact Person:
y Telephone # of Contact Pelson p (1� Estimated Value of Project Z O Ov O
APPLICANT: DO NOT WRITE BELOW THIS UNE
p
Submittal
RWd
Ree'd
TRACMG PERMCTFEES
Plan Sets
PIan Cheek submitted item Amount
Structural Cales.
Reviewed, ready for corrections Plan Check Deposit
Truss Cala.
Called Contact Person Plan Cheek Balance
Title ?A Cake.
Plana picked up Construction '
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2' Review, ready for oorrectlonafissut Electrical
Subcontaetor List
Called Contact Pas" Plumbing
Grant Decd
Plans lucked up SALL
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
'"' Review, ready for eorrectionslissae Developer Impact Fee '
Planning Approval
Catled Contact Person A.U.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees