BPOL2017-007878-495CALLE TAMPICO U �NMUCl/ VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/9/2017
Application Number: BPOL2017-0078 Owner:
Property Address: 78675 VIA SONATA FREDDY ESPARZA v
APN: 646290001 PO BOX 790 f—
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Application Description: ESPARZA RESIDENCE /POOL &SPA CATHEDRAL CITY, CA 92235 �
Property Zoning:
Application Valuation: $40,000.00'
Applicant: Contractor: ViiQ-L Lu`
FRED ROCK POOLS CONSTRUCTION FRED ROCK POOLS CONSTRU 0
P 0 BOX 790 P 0 BOX 790
CATHEDRAL CITY, CA 92235 CATHEDRAL CITY, CA 92235
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(760)343-6279
Llc. No.: 924163 t
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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
(commencing with Section 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License ClasLicense No.: 924163
Date: Al� 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).:
( __) 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 reason
Date: O / �- - 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:
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'
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Pet
sation, as provided for by Section 3700 of the Labor Code, for the performance
or
k for which this permit is issued.
.have and will maintain workers' compensation insurance, as required by.
S3700 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:
Carry: SECURITY NATIONAL INSURANCE COMPANY Policy Number:
VI 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 of the Labor Code, I shall forthwith
comply with th a 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 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 isnot
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 county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned pr perty for inspection purposes.
/' Date: ,Signature (Applicant. or Agent):
Date: 6/9/2017
Application Number:
BPOL2017-0078
Owner:
' Property Address:
78675 VIA SONATA
FREDDY'ESPARZA
APN:
646290001
PO BOX 790
Application Description:
ESPARZA RESIDENCE / POOL & SPA
CATHEDRAL CITY, CA 92235
Property Zoning:
Application Valuation:
$40,000.00
Applicant:
Contractor:. .
FRED ROCK POOLS CONSTRUCTION .
FRED ROCK POOLS CONSTRUCTION
P 0 BOX 790
P 0 BOX 790
CATHEDRAL CITY, CA 92235
CATHEDRAL CITY, CA 92235.
(760)343-6279
Llc. No.: 924163
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.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $2.00
Total•Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING.POOL/SPA
101-0000-42404.
0
$190.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
$103.36
Total Paid for POOL / SPA: $293.36
DESCRIPTION
ACCOUNT .
QTY
AMOUNT '
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611.
0
$5.00..
Bin #'
City of La Q uin to
x Guildinn 82: Safety Division
Pen u 78-495 Calle Tampico
l / La Quinta, CA .92253.- (760) 777-701.2
- Building Permit Application and Tracking Sheet
Project Address: % (/ c -A SOAR Owner's Name:
A. P. Number:
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Bin #'
City of La Q uin to
x Guildinn 82: Safety Division
Pen u 78-495 Calle Tampico
l / La Quinta, CA .92253.- (760) 777-701.2
- Building Permit Application and Tracking Sheet
Project Address: % (/ c -A SOAR Owner's Name:
A. P. Number:
Address:/100 160 x 19 U. "
Legal Description:
City, ST, Zip: G/9 t 42'a''l 5
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Telephone: v y 2
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Address: PD .9 0 90
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State Lic. # : L/ 163
lCity Lic. #.:
Arch.,`Engr., Designer:
Address:
City, ST, Zip:
Telephone:
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Con tructi nT4XfOccupancy:
Slate Lic. #:
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Name of Contact Person:
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# tories:
# Units:
Telephone # of Contact Person: `7 6 0 — 5 31,1 — ,� O 61
Estimated Value of Pro : �O z%Q'4-�'
APPLICANT: DO NOT WRITE BELOW THIS LIN
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Submittal
Req'd.
Rcc'd
TACKrNG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amougt
Structural Calcs.Reviewed,
ready for corrections
Pian Cbeck Deposit
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for corrections/issue
Electrical
'SubcontactorList
Called Contact Person
Plumbing
Grant Deed
Plaits picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
Review, ready for correctionstissuc
Developer Impact Fee
f
Planning Approval
Called Contact Person,
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
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