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14-0821 (RPL)78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: RPL -14-821 53444 VIA aRADA 772540051. POOL AND SPA AT REAR YAF V` , t 4 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT $34,000.00 C ..&V"t7t v1 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 Lice se is in full force and effect. License a s: CE SE CLASSIFICATION Lice s No.: Date Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contr ctor'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: 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 Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/1/2014 Owner: GNG HIDEAWAY LLC 445 18TH ST SANTA MONICA, CA 90402 Contractor: SUNLITE DEVELOPMENT INC PO BOX 10668' PALM DESERT, CA 92255 Lic. No.: 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 performance of the work for which this permit is issued. My workers' compensation insurance carrier and polity 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 of the Labor Code, I shall forthwith comply wit th se rovisions. Ilk Da m Applicant: o WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UN 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building constructio ,and hereby authorize representatives of this city to enter upon the above. mentione pr pe for inspection purposes. DaW: Signature (Applicant or Agent): 16 o 6 DESCRIPTION FINANCIAL INFORMATION ACCOUNT 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 for BUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00 DESCRIPTION ACCOUNT QTY 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 # l CLTD BY I I Total Paid for POOL / SPA: TOTALS:iii $275.99 $0.00 gin # Permit # !k ,� v Project Address: ` 3 -- City of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking -Sheet Owner's Name: A. P. Number: 7 �'� _ 2 _ Q Address:1 16667 Legal Description: 2 City, ST, Zip: C 22S,S' Contractor: / 1. G ,y Telephone: 3 Q g(/ .'z::>'>:�;>.s:.:�:�•s::;>:•;:<:.>:•;�:::::;::;;..:.. `.:z Address: 1 6' Project Description: City, ST, Zip: ZLSS Telephone: ' ...:........... State Lie. 4: City Lie. #; Arch., Engr., Designer: r l 0 Address: L g0 City, ST, Zip Z2-SS Telephone: �^ g.....<' Construction Type: Occupancy: cY= State Lie. # :z 2-6 Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person:Q2 0f,1AA_,,Y Sq. Ft.: # Stories: # Units: Telephone *,of Contact Person: 3 0lq.r6 (7 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Pian Check submitted 11 Item Amount Structural Cala. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check alance_� Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical ^ Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called ContactPcrson Plumbing Grant Decd Plans picked up S.M.I. II.O.A. Approval P12ns resubmitted Grading IN HOUSE:- '"' Review, ready for correctionsrssue Developer Impact Fee - —Nanning-Approvai CallcdContactPrrson �t�3'3'. Pub. Wks. Appr Date of permit issue S01061 Fees J:To:t:.:1Permi( Fccs (0//). 0­d�021 W>07 N/ X - IoI n 1*4 . R6. LJIMLM • FM w 'ON • , A"ramie os mncMTWaaRINN AF ND asm umm OUR ma quoCW NX RAN& n[ aNrWW 6 RB M m am= 1w aun aev 9M a NX =WkG& nE aarrW= KnovwMtabelOW. RoarMWALL eam,.erawxammwr Cell borero.&o. MUlm 2S MOUS 0 1 IM 0 Ma► 4 LOT 268 .1e jm � se rvswr u a®iv v�iu vc rso�v v� vase �a asp pq ramaaaa ra�mas ��a(q r aeea a � 04. eemr ®Boo .®. r>Dsa�.ny®esu ro.m�.0 amps ® a� ■ .mrm .aQ wr 6 e.mra e ♦avivoava®r r�l sarQa�a.or ■ .aa s �.aa a.00 r R®Af>l�f Om GRAPHIC SCALE �mr.m a aTe amw APPROVED BY.- Ra r /m Ir► the City of La Quinta "" a.eny.e..ap r.r..sowe. ® 2 rars a Precise Grading Plan Lor 167, Awdee rmd Na 19M-2 an: Ax A J271U-8$ AAV 777-2W-019 rex VQ.rO Rersiderr..oe ..