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13-0262 (RPL)P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICOf FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253, . BUILDING & SAFETY DEPARTMENT' INSPECTIONS (760) 777-7153• BUILDING PERMIT Date: 3/15/13 Application Number:' 13-00000262 Owner: - Property Address: 77440 VISTA ROSA, MICHAEL HAMMER APN: 658-220-021- - 77440 VISTA ROSA Application descriptiorii POOL - RESIDENTIAL • t✓ LA QUINTA, CA 92253 F Property Zoning: LOW DENSITY RESIDENTIAL d ( Application valuation: 24000 ontractorr, r Applicant: Architect or Engineer: • �i 7� LATINUM POOLS & SPAS INC - /`. 78310 -AVENUE -41 t BERMUDA DUNES, CA 92203 , 4. �1'i'�Y=�CT1Cl�"' • . f I A/yC'����//�, ,. (7 6 0) 3 4 5- 8 3 3 3 y Lic. No.: 965236 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION �7 • - 1 hereby affirm under penalty of perjury that I am licensed u der provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: - - Section 7000) of Division 3 of the. Business n o ss' a Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C53 icense No.: 965236. 'for by Section 3700 of the Labor Code, for the performance of the work for which this permit is - - ]� issued. • ti��i3 _ _ - Date:3 �7 Contractor: _ 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 OWNER -BUILDER DECLARATION " insurance carrier and policy number are: .. I hereby affirm under penalty of pe jury that I m exempt from the Contractor's State License Law for the Carrier EX PT Policy Number EXEMPT - following reason (Sec. 7031.5, Bu iness and rofessions Code: Any city or county that requires a permit to I certify that, in the performance of the work for which this permit is issued, I shall not employ any ' ' construct, alter, improve, demolish, r repair ny structure, prior to its issuance, also requires the applicant for the person in any manner so a to b e s 'ect to the workers' compensation laws of California, , permit to file a signed statement that a is licensed. pursuant to the provisions of the Contractor's State - and agree that, if I should ecom b' c o the.workers' compensation provisions of Section ' License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - 3700 of the Labor Code, I h i comply with those provisions.. t, . that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Sectidn,7031.5 by 15� -1 - any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date:�� J Applica " (_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure isnot intended or offered for sale -(Sec. 7044, Business and Professions Code: The � WARNING: FAILURE TO S CURE WORKE ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER CRIMINAL PE JALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS 1$100,000). IN. DITION TOT E COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN C ' improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABO ODE, IN REST,, AND ATTORNEY'S FEES. 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.). - APPLICANT ACKNOWLEDGEMENT I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT _Application is hereby made to the Director of Building and Safety for a permit subject to the . 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s)licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. , B.&P.C. for this reason 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 ' Date: Owner: - 2. Any under or following issuance of this permit. y 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 CONSTRUCTION LENDING AGENCY - permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the a ov rmati correct. I agree to comply with all - work for which this permit is issued (Sec. 3097, Civ. C.)• city and county ordinances and state laws relating to buildin co st cti r, a hereby authorize representatives _ of this county to enter upon the above-mentioned property s cti DD poses. ' Lender's Name: i . ' 543 C �" Date: Signature (Applicant or Age Lender's Address: LQPERAI IT LQPERMIT Application Number . . 13-00000262 Permit . . BLDG POOL PERMIT Additional desc . Permit Fee . . . .. 243.00 Plan Check Fee 157.95 Issue Date Valuation 24000 Expiration Date 9/11/13 Qty Unit Charge Per Extension BASE FEE 45.00 22.00 9.0000 THOU BLDG 2,001-25,000 198.00 Permit ELEC POOL PERMIT -RES Additional desc Permit Fee, 45.00 Plan Check Fee 11.25 Issue Date . . Valuation . . . . 0 Expiration Date 9/11/13 Qty -Unit Charge -Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 ;Permit . . . PLUMBING Additional desc Permit Fee '27:0.0.. Plan Check Fee'. 6.75 Issue Date,,. . > Valuation . 0 Expiration Date Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE, 6.00 1:00 - 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 ---------------------------------------------------------------------------- EA. PLB GAS PIPE 1-4 OUTLETS 3.00 Permit MECH POOL Additional desc . Permit Fee . . . . 15.00 Plan Check Fee.. 3.75 Issue Date Valuation 0. Expiration"Date 9/11/13 Qty Unit Charge Per Extension BASE FEE 15.00 ---- --- ---------------------------- Special Notes and Comments --- DEMO AND INCREASE WIDTH OF EXISTING POOL BY 3-4 FT., BUILD NEW SPA, ADD 200 SQ. LQPERMIT Application Number 13=00000262 - - - ----------------------------------------------------------- Special.Notes and Comments FT. OF DECK. 2010 CODES. Fee summary Charged Paid Credited Due Permit Fee.Total 330.00 .00 .00 330.00 Plan Check Total 179.70 ..00 .00 179.70 Grand Total 509.70, .00 .00 509.70 LQPERMIT Bin. # City of La Quinta BWdpg 8C Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quhlta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: omr- O.i Owner's Name:. A �uf�- '�W A P. Number. Address: 7.7'f VO I/!tii Legal Description: City, ST, Zip: Contractor. L�'huu`i S7 Telephone: Address: 7�?j/D� Project Description: City, ST, Zip:"9Ez-4i 1jq AACJ" e¢ 9L26 3 moo) IA/a&ff Telephone: 70-2-7Y- 735 / td/� A)F � 4 -0.4 2M 5'P /I State Lic. 4: 96523 City Lic. C. Arch., Engr., Designer. Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person �Otf O/ir ���T" Construction Type:. Occupancy: Project type (cirde one): New Add'n Alter Repair Demo Sq. Ft.: #Stories: 7F units: Telephone # of Contact Person:70' Z7S %3S9 7b- LIS 935 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE M Submittal Plan Sets Req'd ' Rec'd TRACMNG PERMIT FEES Plan Check Submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Peron Plan `Check Balance Title 24 Calla. Plana picked up Construction Flood pima plan Plans resubmitted Mechafilcal Grading plan Z`! Review, ready for correctiouslissue Elecdieal Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S hLL H.O.A. Approval Plans resubmitted Grradlug IPI UOIISE:- 3" Review; ready for correetionAssac Developer Impact Fee . Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit Issue School Fees A r�A 3 j►s X013- re,�„�ap APPROVE® 0(c%4FT ��t TO fwllk.,tr,� FOR CONSTRUCTION Z St�tuA�c. Std rto��uR. DATE 3 I3 BY ,�y��,/� U,51-4" CITY OF LA QUINTA'SUB-CONTRACTOR LIST JOB ADDRESS/ / `t" �'�' PERMIT NUMBER _ OWNER �A p QE - BUILDER This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information reguested below must be completed by applicant. "On File" is not an acceptable response. City 6'usiness 4lcense Trade I Classification 1 Contractor License Number (xxxxxx)) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) Company Name Classification (e.g. A, B, C-8) EARTHWORK (C-12) Z �nl I �SC'1D � CONCRETE IC -81 CICS QJ FRAMING'(C-5170AC�s� nC �� �I Ir[1-. ��Y.�C S' STRUCT: STEEL IG -51) MASONRY (C-29) Ol_D� � IMII �J� 1-)-. I 1�J 1 l t 313 �y PLUMBING (C-36) G p(� r%3Z 611 T4c"-m.-x)lnij C. f wCy24353 5 I �� 3j LATH; PLASTER (C-35) DRYWALL (C-9) ; HVAC (C-20) ELECTRICAL.(C-10► SHEET METAL (C43) FCO RING 1P.1 5): GLAZING (C-17) ` INSULATION1(C721. SEWAGE DISK (C-42) ' PAINTING (C=33) CERAMIC TILE IC -54) I CABINETS (C-6) FENCING (C-13) LANDSCAPING IC -271 ' POOL IC -53) FfrIWin OOL C J� �� �� �ll�il 1� � � � tl I �J► X D vHESE vws¢ aru*vw sccsCCunw a � co Z 4 V OD w o.�G)0 'P a o � m (A ' z® c0 Ir m m 6 to t �O. L--- m s 0 m N m c4 r. av Eo €3 r� �• I n o 4 r n Z. x o mm m Cl) (ow a I _ m e s I n m m " 1 � f N r� I F t' a + I { 1, p I �J► X D vHESE vws¢ aru*vw sccsCCunw a � co Z 4 V OD w o.�G)0 'P a o � m (A ' z® c0 riv m m 6 CL' m t �O. L--- m 0 m N m "laa O OX OH 87z° A MO a 0 a��e la a a atm m p J m 1 O 111 A A # 0 ' �J► X D D N rn� 0 •rn a � co Z an 0> o.�G)0 -I CO ® D m CC-I<M M z® c0 riv # 0 ' R b im . a D D D P� 0 Z -I -1 c0 1,1... 6 t L--- pD 0 Z m R b im . a � � Hor roa: . ow owr�wmart na: co®rt ff vuvwr vows. vuvwr Oona � w��mv rs�s frs oorrax uwomnaartwoonef �r�rsroiH�vuaa aiwasarwro�wuff •osr vn�ro�ff ns�rtwosee.�ro�sx�crw a�. e k a x� Ila all i a z a azaoil I I lane € I 14. A D D D O D L 1,1... 6 t L--- pD m c4 �� n oc- mm m Cl) a _ m e n m m r� r � � Hor roa: . ow owr�wmart na: co®rt ff vuvwr vows. vuvwr Oona � w��mv rs�s frs oorrax uwomnaartwoonef �r�rsroiH�vuaa aiwasarwro�wuff •osr vn�ro�ff ns�rtwosee.�ro�sx�crw a�. e k a x� Ila all i a z a azaoil I I lane € I 14. A D D D D D L 1,1... 6 ` I 6 1 'HAMMERRESI DENCE 77-440 VISTA ROSA LA QUINTA, CA.