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14-0675 (RPL).. fes. P.O: BOX 1504 78-495 CALLE TAMPICO `f LA QUI.NTA, CALIFORNIA 92253 T,iht 4 4a Q" Application Number: 14-00000675 Property Address: 56525 VILLAGE DR APN: 764-040-015- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL A00liCation Va(Uation: 29000 Applica Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Professionals Code, and my License is in full force and effect. License Class: C53 A License No.: 963116 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).: (_ I 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.). ( 1 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 Name: _ Lender's Address: LQPERMIT Owner: MATHESON JOHN PO BOX 32109 LONG BEACH, CA & GRETCHEN 90832 Contractor: PREMIER OUTDOOR INC 77588 EL DUNA COURT PALM DESERT, CA 922 (760)345-9791 Lic. No.: 963116 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 kE MAY2 92 2044F 1 CITY AF w QUWTA FINANCE DEPT. Date: 5/21/14 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 policy number are: Carrier CALIF INS Policy Number 4600301104 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 Ce, I sh forthwith comply with 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, indemnity 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. 1 agree to comply with all city and county ordinances and state laws relating to building constru n, and hereby authorize representatives of this county to enter upon the above-mentioned property f spa n purpoS Date: Signature (Applicant or Agent): !!// Application Number . . . . . 14-00000675 Permit . . . POOL 2013 Additional desc . . Permit Fee . . . 178.75 Plan Check Fee .00 . Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/17/14 Qty Unit Charge Per Extension 1.00 178.7500 EA MISC POOL/SPA ---------------------------------------------------------------------------- 178.75 Permit . . . WALL/FENCE PERMIT 2013 Additional desc . Permit Fee . . . . 47.19 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 29000 Expiration Date . . 11/17/14 Qty Unit Charge Per Extension 1.00 47.1900 LS MISC WALL, FIRST 100 LF - 47.19 ---------------------------------------------------------------------------- Special Notes and Comments POOL AND SPA W/EQUIPMENT WALL AT REAR YARD [DENISE POELTLER ENGINEERING] ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. May 21, 2014 4:35:30 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 PLAN CHECK, POOL 97.24 PLAN CHECK, WALLS 60.06 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 225.94 .00 .00 225.94 Plan Check Total .00 .00 .00 .00 Other Fee Total 159.30 .00 .00 159.30 Grand Total 385.24 .00 .00 385.24 LQPERMIT RECEIVFn # Cj/ Of Qtllhta MAY 1 Bultding 81• Safety Division 9 2014 P.O. Box 1SO4, 78-49S Calle TamplccClTy OF LA QUINTA 4.Quinta, CA 92253 • (760) 77 AUNLl DEVELOPMENT Building Permit Application and Tracking deet Permit # 14 Project Address: V LL "Dr. ner's Name:3)� &dit-A& • G A. P. Number ress:�/i �bGLegal Fdd Description: Contractor: Pr, +- 60* r, G , , ST, Zip: La Ou QZ,%00 Telephone: £ j Address:. -775$8 a( Dung CProectDescription: City, sT, Zip: 7alyd 4S60, CA qZZ I l L .SFA t �rytEIUT !. Telephone: -tW - 3 y S- 4?711 _ Y a _ State Lic. # : Lie. #, Arch, Engr., Designer. Address: City., ST, Zip: Telephone:y Construction Type:. Occupancy: planState Lic. #: b Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: �i l ed Drl Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: .300 Estimated Value of Project �2R 000 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check reposit. . Truss Cates. Called Contact Person. Plan Check lalanct Title 24 Calci. Plans picked up Construction; Flood plain plan Plans resubmitted.' • Mechanical Giading plan 2'! Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up SALL H.O.A. Approval Plans resubmitted Grading IN ROUSE:- 'i° Review; ready for correction a Developer Impact Fee Planning Approval. Called Contact Person All A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permi-Fees 1" SPA WET EDGE SEE ENGINEERING PLAN f , i r � i! �/�'/ � /` ✓ yi ,�""� f'�s' ,r� / s��'/ / �� /! e. . rr r .' Jam% r ' f i / 28' REIDENCE SETBACK cn x cn g rn � r=- > :r -0 H cn H CO n " x �C2-7 L7 a O0 x .Il 28' REIDENCE SETBACK — O— �_ H Z P° o n ADD x 17 "Tl co N C m � _ , C _. _ O M p Z Z D W y y w � z G'7 - W + a) CD o o "_' + 4- 00 00 5' POOL SETBACK cs C." — —PROPERTY LINE_ — 4 — — — — — — - JL%.cn � P'- 5 3 0 �g 15G-5-2-95 o d Q c V I LLA& 1'L LN Qu I NTA- CA . 02 X22 N N F-+ N —cn 5' P L SETBACK — — — — --PBOPERTY-,INE— — — r(,- ,e �j / i K� T.760.345.9791 �# 963116 F.760.345.9803 x cn rn � r=- > -0 H — O— �_ H Z P° o n ADD x 17 "Tl co N C m � _ , C _. _ O M p Z Z D W y y w � z G'7 - W + a) CD o o "_' + 4- 00 00 5' POOL SETBACK cs C." — —PROPERTY LINE_ — 4 — — — — — — - JL%.cn � P'- 5 3 0 �g 15G-5-2-95 o d Q c V I LLA& 1'L LN Qu I NTA- CA . 02 X22 N N F-+ N —cn 5' P L SETBACK — — — — --PBOPERTY-,INE— — — r(,- ,e �j / i K� T.760.345.9791 �# 963116 F.760.345.9803