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BPOL2017-0028LICENSED 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 the Business and Professions Code, and my License is in full force and effect. License Class: C10 /C,5,3 License No.: 6343338/A Date: 3 h A Contrac� for !ji/' ` T 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 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.). ( ) 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 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. r✓ I have and will maintain workers' compensation insurance, as required by Sectidrf3700 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: EVEREST NATIONAL INSURANCE COMPANY Policy Number: 7600014354 _ I certify that in the performance of -the work for which this permit is issued, I II not employ any person in any manner sc• as to become subject to the workers' ipensation laws of California, and agree tiat, if I should become subject to the -kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith iply with those provisions. /4 r% ApP� li~? 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 tie Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this appbcation 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, andl-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 fie work being performed under or following issuance of this permit. 2. Any permit issued as a result of this appli^:ation becomes null and void if work is not commenced within 180 days from date of issLance of such permit, or cessation of work for 180 days will subject permit to cancellatioi. I certify that I have read this application and sate that the above information is correct. I agree to comply with all city and county ordi lances and state laws relating to building construction, and hereby authorize represent:,tives of this city to enter upon the above- mentioned property for inspection purposes. . - Lender's Address: Q DD Jte.] dIL6117 I Signature (Applicant or Ti,&t VOICE (760) 777-7125 78-495 CALLE TAMPICO D LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/16/2017 Application Number: BPOL2017-0028 Owner: Property Address: 44675 VIA ROSA EUNG KIM w ® z APN: 604610042 Cr Application Description: LA QUINTA DEL ORO / KIM / POOL AND SPA 92253 a Property Zoning: n ti O Application Valuation: $18,000.00 ��•�I N= z 0 w Applicant: Contractor: a CLASSIC POOLS & SPAS CLASSIC POOLS & SPAS [� C:) o 79-461 AVENUE 40 79-461 AVENUE 40 v INDIO, CA 92203 INDIO, CA 92203 z (760)345-830200 Llc. No.: 634338 w [] 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 the Business and Professions Code, and my License is in full force and effect. License Class: C10 /C,5,3 License No.: 6343338/A Date: 3 h A Contrac� for !ji/' ` T 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 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.). ( ) 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 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. r✓ I have and will maintain workers' compensation insurance, as required by Sectidrf3700 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: EVEREST NATIONAL INSURANCE COMPANY Policy Number: 7600014354 _ I certify that in the performance of -the work for which this permit is issued, I II not employ any person in any manner sc• as to become subject to the workers' ipensation laws of California, and agree tiat, if I should become subject to the -kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith iply with those provisions. /4 r% ApP� li~? 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 tie Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this appbcation 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, andl-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 fie work being performed under or following issuance of this permit. 2. Any permit issued as a result of this appli^:ation becomes null and void if work is not commenced within 180 days from date of issLance of such permit, or cessation of work for 180 days will subject permit to cancellatioi. I certify that I have read this application and sate that the above information is correct. I agree to comply with all city and county ordi lances and state laws relating to building construction, and hereby authorize represent:,tives of this city to enter upon the above- mentioned property for inspection purposes. . - Lender's Address: Q DD Jte.] dIL6117 I Signature (Applicant or Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: CLASSIC POOLS & SPAS 79-461 AVENUE 40 INDIO, CA 92203 BPOL2017-0028 44675 VIA ROSA 604610042 LA QUINTA DEL ORO / KIM / POOL AND SPA $18,000.00 Owner: EUNG KIM , 92253 Contractor: CLASSIC POOL! & SPAS 79-461 AVENU•= 40 INDIO, CA 92203 (760)345-8302 Llc. No.: 634338 Date: 3/16/2017 Detail: POOL AND SPA AT REAR YARD [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE. DESCRIPTION FINANCIAL INFORMATION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT SWIMMING POOL/SPA 101-0000-42404 0 $190.00 DESCRIPTION ACCOUNT CITY AMOUNT SWIMMING POOL/SPA PC 101-0000-42600 0 $103.36 Total Paid for POOL / SPA: $293.36 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: TOTALS: $5.00 $299.36 Bin # City of La Quinta Bugft & Safety DMdm P.O Box 1504, 78-49S title Tampka to Qutnta, CA 92253 - (760) 777-7012 Buiiding Permit Application and Tracking Sheet Pemmltt # PmjcctAddmss: L _ IBJ t l�i�SGt Owner's Name:U 9•' nq ScD K, yvI Address: �/�- lg J City. ST. Zip: Telephone - Project Description: Poo I spa(le - A. P. Number: Legal Dawription: Contracoor. S f D Address: _ V U 'yQ City. ST. Zip: �" d ' o Telephone D o State Lia #: City Lia #: Atzh., Engr., Designs: Address: l Construction Type: Cay City. ST. Zip: Telephone. I State Lia #: (Q 2 �2 �' Name of Contact Person jk tx r Pmjed type (circle one): New Add% Alter Repair Demo Sq. FL: #Stories #Units Telephone # of Contact Person: / Estimated Value of Project �O APPLICANT: DO NOT WRITE BELOW THIS.LINE # Suboitial Req'd Redd TRAC MG PERM FM Phu Sets Phu Ckwk wbnitted item Am ent Skwtual C&k Reviewed, ready for eorragod Phu ChedcDeposit Truss Cabe. Geed Contact Person Pim Pim ClKdcBalauee Title Z1 Calm picked up Construction • . Flood plate plan Plans resubmitted Mecbanied Gmdimg P" Z'! Review. ready for correefionsfluue Electrical SubcoatedDr List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. ELO.A. Approval Plans resabmitted Craffing IN HO11&f-- -- - — ''+ Review, ready for wrreetions/usueRF Developer 15npact Fee Planning Approval Called Coutatt Person .LP A.P. - Pub. Wits. Appr School Fees Date of permit iuue C OF LA UINTA COMM ITY DEVELOP Total Permit Fees NT aO- {�xrnmcn ntwpn) .-00 M*,=-10mzin5ODv�� U OZ*>ZmFOmZZOmrZDmzz Z0 Zmv vCOil-nvmoo >M;DM U><0 OCD000 0>0-9-40 W� C/) rm>0 >zC;.,zZ -_10 mm K;r-10-10FM m O r x M tncn �x mv0m�O�Zz= m ai Z-0 x> D�z-COcn=1 > D W v� c= M Z K n n> M 0 -0 � OOZZ �Cn -<X- U) mDO O M �o r�D�zOmxD M0 �� mDmxvcnD-1 D DD Zz M�>DZZZzim m aoz -0 G) �M 0-<vnDA m Ov m— xz000wm�c r <M M cn cn — m D -1 mp �xM-0 >w>Nm -DI M Zo OOm>000m0 O O►rn rr- v --1 ;a n m r T-0OZOO Cww-n--j O D nrWM 0ZC0 Z� pcnDDz C m Z� v !A "DO 0 m�cnMm cn D OT � O *M>C) D z o O D mm 2 cn� Z D r-0m-vW -D1 D cn r cnxx.mn MMO z v �vc�� o x0 O� c/)m�=1 D 5 :r Mpuri M � DpF M Z M vZ ;a0 �Zx D �0 o v° Z 0 mM m M2mm9D-i0>w OwOr'mzmcr-> O-1cM000mrm Dr-p=D9zmZ� m -4 n z � 0 � _ � vznm �m r- >;u z �-1m W05 mr- Z�cn r M90 ZO >K M Myo X_ �'-zi OmZ cnm 00 IMcmM = M m o> p m 29 Dz 0) M Z mei 09 �D ;D m cn 0 r- > v� o2 Z� z cn 0 o -q x Z chD O M9 z� �m aim =m 0z M ;O Trnmrnmv v z71pmxc-4z mvmmxo uic A w N.ApNrnrOZxO m�r;�o m,m0ADmm r-w���DOz3ar-r-'yv>� r�'�OmC 44mnO�T-i0OZrrm6r 9z0- 9m=Ew�M600cT_1Zp 1Nrrc0 3 0 0 0 M rr c o m c m rp -< T m z�0 �m�Z0-1-41mK NDwfrrn� Gimp �x�mxymOOm >c) m> ocy mm0m-c�Cn cn ��Z-nw 0 cA00-0 mtn c0o00 r2 ;5Zsscw z -4;0z Z� ��mtci)C) -4 r- mTz 01 �c0,.� :>* r �10 rnx 10� rm p rn DZ D=O=�tn= rnm DO m 0m mfr-; 9 D D 0 z-zi mC) Z r9 rr, T T z =T 0 m � N 0, 0nOND m� r OT �^ �Z moomm -rin x z rn i v m r D M v x m m O DD 00 D-0 M0 v 0 c DC7 m0 OO _9p C � m �m '0 om m < n m a ? 0 D D 0 0 > coo C 0 > O n -p z O 1k z -rt 4 D -1M z�Mz DATE: 9/10/16 O --------------- © O O O © © O y A L O CM >D r N> j I I 0 0 0 0 0 0 0 A D D F y _v m m c n v z 7u 3 N A T CN -r r° Q 4� m I m A m M G� = n m it G J0I I ILS 03 m O 1 m �' Z T O m m � (1 j z mUE:D7 I r M n o _ Z m > I m o n m m v D v O Z A z 3 o O _ N r ZI N m r T A N T J r T W T � o N rn D U) d rn Z d3a L9- 0 1 °_ � 1 ° P Z m N =N PL IZ Ar DZ m z > coo C 0 > O n -p z O 1k z -rt 4 D -1M z�Mz DATE: 9/10/16 O O © O O O © © O m O CM >D r N> j y N 0 0 0 0 0 0 0 A D D F y _v m m c n v z 7u 3 N A -r r° r rn 4� m m A m M G� M n m D 03 m O 1 m �' Z T O m m � (1 r M n o _ Z m > m o n m m v D v O Z z N N r T O W r T _ N r ZI N m r T A N T J r T W T N O N T N T SHEET TITLE: POOL PLAN SCALE: $"=1'-011 44��15 VIM lecS-A O 4 OOOOOO m O D n O m N N r O 71M Z y O rn U3 m m -r r° z O 4� m m M 0 i 1 O a N 03 m O 1 m �' Z T O m m � (1 r m P o _ Z m > m o n m m v v O Z N OWNER NAME: KIM RESIDENCE OWNERS ADDRESS: 44-675 VIA ROSA LA QU I NTA, CA 92253 N N N N N 00000 6'tTo+a1GS 09000 DDDD rrrrr T T-1 -1 -1 00000 M;a ;a ;0 ;a zzzzz 5; 5> -SDS zrr30l 0 1 3 0 0 m n z 9 � -n �ODm cjo0rc M 0 0 p r, 0< CD t'T G) cn ^9 1 fn O 0 DOZom �ZO ooNaZD fn yoroom nnc0 Ino �v rn m A � D Ln (0 m 0M y (4 o.. f N. �RyR.6 vi A ryI A°mb\ Cb t° O IZ) ;j rcvM R m� `O b n n �v `Q m R� ora M `0+00 o � � R H o M M �ti0 N M A AN. cN h to ."OMm z0t N Z N N RI --O m m X X O 35- x O c--1 oza-1 p�r_��r3 rD_ < TTCcnCC 9p DM Rm11cr0or3mc 'MV �O ZC DwE�omG)Sm=i< p� Ov�mmCr�+�) M m xvcx cn SOr�o I jmv D r*m r z co my,ivc)�M m y=c3�'0.. r r zx x�m y REC�ElV MAR 14 2016 CITY OF LA CONTRACTOR: CLOS-\I C PObLS,/& SPAS LIC' C10 C53 '634338 OFFICE: 760-345-8302