BPOL2014-101178-495 CALLE TAMPICO
°� aw VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/7/2014
Application Number: BPOL2014-1011 Owner:
Property Address: 81540 BAFFIN AVE JAMES LIPPM
APN: 767710036 317 N ROCKit M
Application Description: POOL/SPA/WATER FEATURE AND GAS LINES FOR FIRE PITS LOS ANGELES
Property Zoning:
Application Valuation: $95,000.00 AUG O
7 2014
Applicant: Contractor:
DESERT OUTDOORS INC DESERT 0 �FjApM�fMA
78-065 MAIN STREET STE 205 78-065 MAIN STREET ST DEPARTMENT
LA QUINTA, CA 92253 LA QUINTA, CA 92253
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LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9 {commencing with Section 7000) of Division 3 of the Bu n ss a Professions Code, _ I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C27, C53 License No.: 964474 of the work for which this permit is issued.
((�� have and will maintain workers' compensation insurance, as required by
Date: �9 • • Contractor: 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:
J OWNER-BUI DER DEC RATION Carrier: _ Policy Number:
I hereby affirm under penalty of perjuLec..
at'l am'exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (70/3, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit tnst, alter, improve, demolish, or repair compensation laws of California, and agree that, if I s Id—YbC?
subje t to the
any structure, prior to its issuance, als ares the applicant for the permit to file a workers' compensation provisions of Section 3700 o the Lae, IIforthwith
signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions.
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 Date: J' • Applicant
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 WARNING: FAILURE TO SECURE WORKE S' COMP NSATION COVERAGE 15 UNLAWFUL,
($500).: AND SHALL SUBJECT AN EMPLOYER TO RIMIN PENALTIES AND CIVIL FINES UP TO
(_) 1, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,00P. IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDCR F IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES.
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 APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose
( ) I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or
the Contractors' State License Law.). following issuance of this permit.
(_) I am exempt under Sec. B.&P.C. for this reason 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.
(760)399-9600
Llc. No.: 964474
Date:
Owner:
CONSTRUCTION LENDING AGENCY
1 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 Na
Lender's Add
I certify that I have read this application and state that the above info tig ton is correct.
I agree to comply with all city and county ordinances and state laws ela o uilding
construction, and hereby authorize representatives of this city to en r u h above-
mentioned property for inspection purposes.
Date: v • Signature (Applicant or A nt)
FINANCIAL INFORMATION
y rDESCRIPTION`3 - ". R s y 'ACCOUNT QTY ' AMOUNT ';' PAID PAID DATE'
BSAS SB1473 FEE 101-0000-20306 0
$4.00 $0.00
r - 7 -PAID BY _ "' "' METHOD4 " RECEIPT # -'CHECK "CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $4.00 $0.00
DESCRIPTION
- ACCOUNT - .
QTY
AMOUNT,
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$11.92
$0.00
PAID BY -
METHOD
RECEIPT # .
CHECK # ,y _
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$23.83
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #' .'
CLTD BY
Total Paid for PLUMBING FEES: $35.75 $0.00
DESCRIPTION `'
- -ACCOUNT '
QTY
AMOUNT
;PAID
PAID DATE
DETACHED SPA/WATER FEATURE/OTHER
101-0000-42404
0
$178.75
$0.00
PAID.BY ;.
METHOD' „
_ RECEIPT #'
CHECK V Z,
CLTD BY
DESCRIPTION'
* •, _ ACCOUNT -
QTY
AMOUNT _ -
:PAID
-PAID DATE
SWIMMING POOL/SPA
101-0000-42404
0
$178.75
$0.00
k" PAID BY
,METHOD
RECEIPT #
CHECK # " .:
'CLTD BY=,
. DESCRIPTION
ACCOUNT
QTY
AMOUNT
p" PAID " `
PAID DATE
SWIMMING POOL/SPA PC
101-0000-42600
0
$97.24
$0.00
PAID BY ._ ,,
METHODRECEIPT
#
CLTD BY
Total Paid for POOL/ SPA: $454.74 $0.00
TOTALS:$494.49 $0.00
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Description: POOL/SPA/WATER FEATURE.AND GAS LINES FOR FIRE PITS •- c t
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Type: POOL Subt�.
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Status: PENDING DOCUMENTS,,Applied: 7/14/2014 KHE
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Parcel No: 767730036 +' Site Address' 81540 BAFFIN AVE LA QUINT_ CA 92253 ,. Approved:
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Subdivision: PM 36300-Block:, 1ot 2' Issued
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: -` Finaled:
#
Valuation: $95,000.00 Occupancy.Type Construction Type: ' . Expired:.
'
'
No. Buildings: 0 No. Stories: 0 No. Unites: 0,
Details: POOL, SPA, WATER FEATURES AND GAS'PIPING FOR FIRE PITS THROUGHOUT PROPERTY [DENISE POELTLER ENGINEERING] THIS
PERMIT DOES;NOT INCLUDE EQUIPMENTVAULTS, BLOCK WALLS OR BBQ. ALARMS AND BARRIERS
'
REQUIRED TO BE INSTALLED AT
PRE:PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
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-ADDITIONAL
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-CHRONOLOGY
CONTACTSCONDITIONS
NAM TYPE NAME ADDRESSlr ",CITiI( ST E ZIP PHONE
0-61111 F
d11'f'LICANT 62�eK UU I UUURS INC'. . ' , 78-065 MAIN.STREET . LA QUINTA CA 92253 (760)399-9600
• ,• STE 205,._
CONTRACTOR. DESERT OUTDOORS INC 78-065 MAIN STREET . , LA QUINTA CA 92253 (760)399-9600
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STE.205 '
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JAMES LIPPMAN. - 317 N ROCKINGHAM LOS ANGELES CA 0 = (760)399-9600
TINANCIAL -INFORMATION
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Printed ,Tuesday,'luly 15, 2014 9:50:01 AM 1 of 3 ,
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