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14-0086 (RPL)P.O. BOX 1504 • ����I{,.Gv 78-495 CALLE TAMPICO LA QUINTA,-CALIFORNIA 92253 0000086 5 VISTA LUNA 180-999-1 -294574- - RESIDENTIAL DENSITY RESIDENTIAL 50000 Contractor: Architect or Engineer: BUBBLE SPRINGS ' G P.O. BOX 1046 .RANCHO MIRAGE, CA 92270 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 14-0 4939 602 - POOL LOW BUILDING &SAFETY DEPARTMENT BUILDING PERMIT ' Owner: T D DESERT DEV 81570 CARBONERAS LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/30/14 t760.)341-2336 Lic. No.: 728796 y�kv o ---———-——————————-- — — — --- LICEN NTRACTOR'S DE LARATION WORKER'S COMPEN TI D - - SA ON ECLARATION I hereby affirm under penalty of perjury that I lice ed under provisi sof Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: - Section 7000) of Division 3 of the Business d Pro ionals Code, d my License is in full force and effect. - _ ave and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C53 D35 Licens o.: 728796 - r b ction 3700 of the Labor Code, for the performance of theworkfor which this permit is i i d. *'Date, ?��r V Contractor: have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor r - _ 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 perjury that I am exempt from the Contractor's State License Law for the Carrier EVEREST NATL Policy Number 76001635131 following reason (Sec. 7031'.5, Business and Professions 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 Iany construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to b e subject to the orkers' compensation laws of California, permit to file a, signed statement that he or she is licensed pursuant to the provisions of the Contractor's State - _ and ree that, if I should b me ubject to the rkers' compensation provisions of Section , License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or, ` 37 0 of the Labor Code, hall orthwith co with those provisions. 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 ($5001": - Date: pplicant: - (_ ) 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERA E IS UNLAWFUL, AND SHALL ` Contractors' State License Law 'does not apply to an owner of property who builds or improves thereon, - SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, 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 (_ 1 1, 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 L 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 . performed under or following issuance of this permit. Date: Owner: 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 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 abo nfor tion is correct. I a t0 comply with all - work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to buildi constr tion, and hereby oriierepresentatives . of this.coun to elft?Vu on the above-mentioned prope for ins coon purposes. / Lender's Name: / ,/ !- - &ate: � ignature (Applicant or Agent): Lender's Address: 7 LQPERMIT Application Number . . . . . 14-00000086 Permit _ . . POOL 2013 Additional desc . Permit Fee . . . . 178.75 Plan Check Fee 00 Issue Date Valuation . . . . 0 Expiration Date .' 7/29/14 Qty Unit Charge Per Extension 1.00 178.7500 EA MISC POOL/SPA 178.75 Permit . . . PLUMBING 2013 Additional desc BBQ AND FIRE PIT Permit.Fee 11.92 Plan Check Fee .00 Issue Date . . Valuation . . . . 0 Expiration Date 7/29/14 Qty Unit Charge Per Extension - 1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS 11.92 Permit . . . . . . ELECTRICAL 2013 " Additional desc -BBQ ONLY Permit Fee 23.83- Plan Check Fee .00. Issue Date Valuation 0 Expiration Date 7/29/14 ' Qty -Unit Charge Per Extension 1.00 23.8300 LS _ ELEC DEVICES, FIRST 20 ------------------------------------------------------------------------------- 23.83 Special Notes and Comments POOL, SPA, BBQ, AND FIRE PIT AT REAR YARD [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. January 30, 2014 2:32:00 PM AORTEGA ----------------------------------- Other Fees . . . . ... . . BLDG STDS ADMIN ASB1473) 2.00 PLAN CHECK, ELECTRICAL 23.83 PLAN CHECK, POOL 97.24 PLAN CHECK, PLUMBING 23.83 Fee summary Charged PaidCredited ----------------- Due ------------------------------ ---------- Permit Fee Total 214.50 .00 .00 214.50 LQPERMIT - .. Bin.# Cl rof Qurhtd Building 8t Safety Division Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application' and Tracking Sheet Permit #P.O. I G Project Address: Owner's Name: �Sr T ' /rGslo 9N4v .q v, A/ �y A. P. Number. Address: _ 0 Legal Description: Contractor: ? r oLl City, ST, Ztp.L Telephone _ �.s Address: j! �JU DY Project Description: �y City, ST, Zip: Q�� 'G ��Q i �G % 2Z�� }' %3• Telephone: ' State Lic. # : 7Z g City Lie. #t,: Areh., Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. M .Name of Contact Person: Construction Type: , Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq -Ft ; '— - #Stories: #Units: - -7 Telephone # of Contact Person: / (0a ' • Estimated Value of Project: APPLICANT: DO NOT WME BELOW THIS LINE H Submittal Rcq'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit, Truss Cates. J. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Goading plan 2'! Review, ready for correctioammue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review; ready for correetion a Developer Impact Fee . Pinning Approval Called Contact Person , A,I,P,P• Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 1 rl 1 A11" T " rpgMry "Wo- a /gyp 1- ke 1%14 -11� P. -NY" -.w .]to+ n .r s a�Zp tTl��O� 0r rX7d yCC .ZN�`� 1J1L > ZV-yI x ood to Mr �� ZCtn �r� �,.� nZ - -. .ado v� �•�.� "4 rflZ tTj ❑•❑ ' Q ac i' xCZG>', (A M �O0Z --] m •r7 P-4 do i' a ot oZonro i rA �9 F❑ ZE i.�v i �O PIAMiNGARFA - ❑ ' -ri ❑ vb�O i r) C) �.n � y y '-• •- -•-• ', - , - �, rTl o O C C Z C r -) ;0 d° •... i Z x yob nr0 nrC�.�p .��+ ""' - 0� - �„ . r mr0� y �C7m yrzn �ZN -•-.� Gy -GO O •0O :v O -1 O C7 O m Z zOO m�_yW,0 r.. Zo �Z Qat 'a N O�Z Z rYrrn�'. s -, cn cMr - rn 00 , -70 N r °go y Cn M U)r T . :. .> D y • ! x t . Bubble Springs Pool Construction JOHN & MONA LOEWEN PO Box 1046 760.341.2336 office .49-395 Vista Luna ;, �� Rancho Mirage, Ca 92270 760.275.7676 cell Y'0 PLO .BubblespringsC&msn.com 760.837.9018 fax T •� La Wnta, Ca 92253 • t - .