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BPOL2015-023978-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 4 Tiht 4 4� Qalas COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPOL2015-0239 Property Address: 59805 -SEVILLE APN: 764710014 Application Description: TD DESERT/ POOL SPA BBQ (2)FII Property Zoning: Application Valuation: $50,000.00 Applicant: JOHN L CAREY INC DBA BUBBLE SPRINGS P 0 BOX 1046 RANCHO MIRAGE, CA 92270 11111111111111111111 16 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/6/2015 Owner: T•D DESERT DEV 81570 CARBONERAS W46 -AND -(M, RE PIT LA QUINTA, CA 0 Nov 17 2015 Contractor: JOHN L CAREY INC DBA BUBBLE SPRINGS . P 0 BOX 1046 Of LAQIiIPiTA RANCHO MIRAGE, CA 92270 IN pcVEl4P�1ENj npARiMENT (760)341 2336 Llc. No.: 728796 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am ' e� sed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 f the Business an Professions Code, and my License is in full force and effect. License Ch ,&- C53 D35 License No.: 7 879 Date• �( 0n1ractor. 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.). (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.). (_) 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: 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 J ork fowhich this permit is issued. � e and will maintain workers' compensation insurance, as required.by n 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: _ Polity 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 e>jome subject to the workers' compensation laws.of California, and agree that, ' I should Vbor=deul bject to the workers' compensation provisions of Section 3 00 o the Lashall forthwith comply wWthosrovisions. DatQ� 1 AP�t: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYERTO 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 behaNthis 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 ordipances and state I s relating to building construction, a d hereby authorize represe tatives of this cit enter upon the above -mmentio p operty for inspection urppses. Sign(A plic ge FINANCIAL •• • DESCRIPTIONACCOUNT 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 DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $48.34 $0.00 DESCRIPTION ACCOUNT . QTY. AMOUNT. PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT ` QTY AMOUNT PAID PAID DATE: GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $36.26 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA PC 101-0000-42600' 0 $98.62 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for POOL / SPA: $279.91 $0.00 TOTALS:00 Description: TD DESERT / POOL SPA BBQ (2)FIRE BOWLS AND (1) FIRE PIT type: FUUL Subiype: SLiLus. APPROVED Applied: 11/5/2015 SKI1 Approved: 11/6/2015 KKI Parcel No: 764710014 Site Address: 59805 SEVILLE LA QUINTA,CA 92253 Subdivision: TR 31681-3 Block: Lot: 188 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $50,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 sent back 11/6/15 Details: POOL, SPA, BBQ, FIRE PIT, AND (2) FIRE BOWLS. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. CHRONOLOGY TYPE STAFF NAME' ACTION DATE` CHRONOLOGY . COMPLETION DATE NOTES - NOTE MARY FASANO 11/6/2015 sent back 11/6/15 CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT JOHN L CAREY INC DBA BUBBLE SPRINGS P 0 BOX 1046 RANCHO MIRAGE CA 92270 CONTRACTOR JOHN L CAREY INC DBA BUBBLE SPRINGS P O BOX 1046 I RANCHO I MIRAGE CA 92270 OWNER T D DESERT DEV 81570 CARBONERAS I LA QUINTA CA 0 Printed:. Friday, November 06, 2015 2:04:47 PM 1 of 2 ff?wSYS TEIviS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $2.00 $0.00 BSA: DEVICES, FIRST 20 101-0000-42403 0 $24.17. $0.00 DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 Total Paid for ELECTRICAL: $48.34 $0.00 GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $0.00 OUTLETS GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $0.00 OUTLETS PC Total Paid for PLUMBING FEES: $36.26 $0.00 SWIMMING POOL/SPA 101-0000-42404 0 $181.29. $0.00 SWIMMING POOL/SPA 101-0000-42600 0 $98.62 $0.00 PC Total Paid for POOL / SPA: $279.91 $0.00 TOTALS:•0 INSPECTIONS Printed: Friday, November 06, 2015 2:04:47 PM 2 of 2 ff �� SYSTEMS B'n.# Cit�r: of La Qull:tia Bugg a Safety Division P.O. Box 1504,78-495 Cage Tampico 4.Quk4 CA 92253 -:(760) 777-7012 Bcrilding Permit APPlication" and Tracking Sheet Permit # Project Address: V ( Owner's Name:. T-3)MQ%b� A P. Number AMP= � D A jrJU r0. Legal Description: City, ST, Zip: a t!i vl••�`� CO',q 7-Z 5 Contractor: &W 1(1AAe Telephone: l 0) 171 - I q q1 Address: p . * p Project Description: U01 J fal •City,ST,Zip: 1 a gIUD Telephone: 6 • + . �j ' State Lia # : 1't, City Lic. t. b ikrch., Engr., Designer. Address: City, ST, Zip: ' Telephone: Construction Type: W Occupancy: Stato Lic. #: Project type (circle one):ew Add'a Alter Repair Demo Name of Contact Person: I Sq. Ft.: #Stories #Unit$ Telephone # of Contact Petson: n 1 ` i Estimated Value of Project: ego APPLICANT: DO NOT. WRITE BELOW THIS UNE N Submittal Req'd 'Ree'd TRAC=G PERMEr FEES Plan Sets Pian Cheek submitted Item Amount Structural Calea Reviewed, ready for corrections Plan Check Deposit Truss C21cs. Called contact Person Pian Check Balance Title TA tales. Plana picked up Constmetlon ' Flood plain plan Plans resubmitted Mechatilcal Giading plan Z' Review, ready for correctionsrissue Electrical Subcontactor List Called CoutadPeraoa Plumbing Grant Deed. Plana picked up SALL H.O.& Approval Plans resubmitted Grading IN HOUSE- 'n5 Review, ready for eorreetionsAssue Developer Impact Fee Planning Approval Called Contact Person A.LP P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees N oZA E 4 8 � �' � p � � o � o � o � 7C "•' i n s mo � .�''. � p n o � "'� � � r1^i D pp � "� it 0> z '�i m z a 41 L x m o zz m 1Az mm g � m � m y 4 t. 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