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BPOL2017-0187�. 78-495 CAL LE TAMPICO 4 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: Application Number: Property Address: . APN: Application Description: Property Zoning: Application Valuation: POOL/PRIVATE BPOL2017-0187 79160 CANTERRA CIR CIR. 604263001 RAMIREZ RESIDEN $45,000.00 Applicant: BRILLIANT POOLS DBA PREMIER POOLS & SPAS P 0 BOX 429 YUCCA VALLEY, CA 92286 OPAJ2017 NOV Q CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C53 License No�878257 Da�1D l -o�CeN.tractor: 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.). (_) 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 contractors) 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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/1/2017 Owner: MIGUEL RAMIRE2 79160 CANTERRA CIR LA QUINTA, CA 92253 Contractor: BRILLIANT POOLS DBA PREMIER POOLS & SPAS P O BOX 429 YUCCA VALLEY, CA 92286 (760)333-0187 Llc. No.: 878257 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of :he following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 :)f the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' conpensation insurance, as required by Section 3700 of the Labor Code, for the perfornance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: STATE COMPENSATION INSURANCE FUMD Policy Number: 9099738 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 a:. to become subject to the workers' compensation laws of California, and agree that- if I should be.Some subject to the workers' compensation provisions of Section 3700 of the L r Code, I shall forthwith comply with ose provisions. Oa r 0 A .licant: WARNING: FAILURE TO SECURE WORKERS' COM'?ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA. PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000)i IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWIEDGEMENT 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 behalf this application is made, each person at whose request and for whose benefit work is performec 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 Ci-yof 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 ordinances and state'laws relating to building construction, and hereby authorize representatives of this city to enter on the above mention property for inspection purposes. DatE: �� Signature(Applicant-_oragenttI. i Date: 11/1/2017 Application Number: BPOL2017-0187 Owner: Property Address: 79160 CANTERRA CIR CIR MIGUEL RAMIREZ APN: 604263001 79160 CANTERRF CIR Application Description: RAMIREZ RESIDENCE / POOL & SPA LA QUINTA, CA 922S3 Property Zoning: Application Valuation: $4S,000.00 Applicant: Contractor: BRILLIANT POOLS DBA PREMIER POOLS & SPAS BRILLIANT POOLS -DBA PREMIER POOLS & SPAS P O BOX 429 P O BOX 429 YUCCA VALLEY, CA 92286 YUCCA VALLEY, CA 92286 (760)333-0187 ------------------------------------------------- Llc. No.: 8782S7 ------------------------- ------------------- ,. Detail: POOL & SPA [CHRISTOPHER BIEDENBACH ENGINEERING] THIS PERMIT DOES NOT INCLUDE RELOCATION OF MECHANICAL CONDENSER. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE. i f FINANCIAL INFORMATION DESCRIPTION . ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $2.00 Total Paid for BUILDING STANDARDS ADMINISTRATIOM BSA: $2.00 DESCRIPTION ACCOUNT QTY AMOUNT Credit Card Fee DESCRIPTION . ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $2.00 Total Paid for BUILDING STANDARDS ADMINISTRATIOM BSA: $2.00 DESCRIPTION ACCOUNT QTY AMOUNT Credit Card Fee 101-0000-43505 0 $5.73 Total Paid for Credit Car j Fee: $5.73 DESCRIPTION ACCOUNT QTY AMOUNT SWIMMING POOL/SPA 101-0000-42404 0 $195.05 DESCRIPTION ACCOUNT QTY AMOUNT SWIMMING POOL/SPA PC 101-0000-426000 $106.11 Total Paid for. POOL u' SPA: $301.16. DESCRIPTION ACCOUNT QTY AMOUNT' RECORDS, MANAGEMENT FEE 101-0000-42416. 0 $10.00 Total Paid for RECORDS MANAGEMEN— FEE: $10.00 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TCTALS: $323.89 Bin# , City of La Quinta Building & Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and TrackingS;zeet Permit# VbLOU I Project Address: _7g 16 /1� G�� 1 Com/` t Owner's Name: e—Z Ie--Z— A.P. A.P. Number Address: C� Legal Description:. City, ST, Zip: CA t I Contractor: ; /J,.,, Telephone: Address: r / �A Project Description: City, ST, Zip: pQ f j X03 z_ Telephone: O , o State Lic. #: p�RaS— City Lic #: Arch, Engr., Designer: Address: City, ST, Zip: Telephone: EConstruction Type:.tle't.) Occupancy: State Lic. #: Proj. Type New Add'n Alter Repair Demo Name of Contact: \ Y�c�n Cew /S SgFt:.3 f y #Stories #.Units:, Telephone of Contact: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMITTEES Plan Sets Plan Check Submitted Item Amount Structural Calcs Reviewed, ready for corrections Plan Chedc Deposit: Truss Calcs Called Contact Person Plan Check Balance: Title 24 Calcs Plans Picked Up Construction: Flood Plain Plan Plans Resubmitted Mechanical:' Grading Plan 2nd Rev, Ready for corrections / Electrical: Subcontractor List Called Contact Person Plumbing:. Grant Deed - Plans Picked Up S.M.I. HOA Approval Plans Resubmitted Grading IN-HOUSE 3rd Rev, Ready for corrections / Developer Impact Fee Planning Approval _ Calfed Contact.Person A.I.P. P. Pub. Wks. Apps Date of permit issue School Fees i Total Permit Fees Scale: 1/8" = 1 ft. 79160 Canterra Circle Length: 31' Width: 13' Depth: 3'x 4.5'x 6' Perimeter: 79 Square Footage: 314 Interior finish: Stonescape mini -pebble Material: Gunite, waterline Tile Features: Spa spill way, 12V LED lights Customer Name: Miguel/Patti Ramirez Address: 7916o Canterra Circle City: La Quinta State/Zip: CA LA QUINTA Phone: - BUILDING & SAFETY DEPT. PROVED Cell: 650.575.2877 FOR CONS UCTION Email: patti_ram@yahoo.com Project Manager: Jason Lewis Phone: 76o.333•o187 DA P1