BPOL2017-020378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
EFRAIN MUNOZ-JIMENEZ
69859 CENTURY PARK -
CATHEDRAL CITY, CA 92234
POOL/PRIVATE
BPOL2017-0203
80130 CEDAR CREST
4 4v Qu&ro
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
775250038
MARCUS RESIDENCE / POOL & SPA
$40,000.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and
my License is in full, force and effect.
License Class: C53 License No.: 995993 p
'Date: 1 L 1 Contractor:
M LIw'Z_
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, 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 Na
Lender's Add,
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Dater 12/14/2017
Owner:
MARC M4RCUS
80130 CEDAR CREST
LA QUINTA, CA 92253
Contractc r:
EFRAIN IVUNOZ-JIMENEZ
69859 CENTURY PARK -
CATHEDRAL CITY, CA 92234
(760)409-7915
Llc. No.: 295993
WORKER'S 0014 PENSATION DECLARATION .
I hereby affirm under penalty of perjuri 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
of thew rk for which this permit is issued.
ave and will maintain wod(ers' 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 insurance carrier and policy number are:
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9220330
_ 1 certify that in the performance of the work for which this permit is issued, I
shal l not employ any person in any ma iner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply.with those provisions.
Date: is — �� — Applicant �T�°► r �tyVN�vz—
WARNING: FAILURE TO SECURE WORICRS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TC CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS (3100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVL)ED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
. APPLICANT ACKNOWLEDGEMENT .
APORTANT: Application is hereby made to the Building Official for a permit subject to
,e conditions and restrictions set fort -i on this application.
1. Each person upon whose behalf tHs application is made, each person at whose
!quest and for whose benefit work is performed under or pursuant to any Permit issued
a result of this application , the owner, and the applicant, each agrees to, and shall
?fend, indemnify and hold harmless tie City of La Quinta, its officers, agents, and
nployees for any act or omission related to the work being performed under or
allowing issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not
)mmenced within 180 days from date of issuance of such permit, or cessation of work
,r 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 upon the above-
mentioned property for inspection purposes.
Date: U— y —0 Signature (Apolicant or Agent)
Date: 12/14/2017
Application Number: BPOL2017-0203
Owner:
Property Addresr . `tM30 CEDAR CREST
MARC MARCUS
APN: 775250038
80130 CEDAR'CREST
Application Description: MARCUS RESIDENCE/ POOL & SPA
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $40,000.00
Applicant:
Contractor:
EFRAIN MUNOZ-JIMENEZ'
EFRAIN MUNOZ-JIMENEZ
69859.CENTURY PARK
69859 CENTURY PARK
CATHEDRAL CITY, CA 92234
CATHEDRAL CITY, CA 92234
(760)409-)915
Llc. No.: 995993
Detail: POOL & SPA [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT
ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO
BE INSTALLED AT PRE -PLASTER INSPECTION. PER 2016 CALIFORNIA BUILDING CODE.
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $2.00
Total Paid for BUILDING STANDARDS ADMINIST-3ATION BSA: $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA
.101-0000-42404
0
$195.05
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
; $106.11
Total Paid for POOL / SPA: $301.16
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
.0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
W ' W
._._.._--..C:EVT gftb, C)PCER:r ._.._--- ..._...
PERMIT #
PLAN LOCATION:
Project Address:0 r 130 COtr"reS'�—
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Q S
Patio/Porch SF
Email:Ce411 5), 10Ov� o�
Applicant Name:
State Lic:q I S—� City Bus Lic:
Address: 69 Y" Ce_vx�l 9NA,
Stories:
City, ST, Zip:
Email:
.Telephone:
Email:
Valuation of Project,$ 6� ! 0
Contractor Name: _, O
New SFD Construction:
Address: �G�
Conditioned Space SF
City, St, Zip C. 3
Garage SF. -
Telephone:
Patio/Porch SF
Email:Ce411 5), 10Ov� o�
Fire Sprinklers SF
State Lic:q I S—� City Bus Lic:
Bedrooms:
Arch/Eng Name:
�,, ,� s�
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Email:
Telephone:
`
\ % r ,N'A1\
Bedrooms:
Stories:
#Units:
Email:
State Lic:
.'City Bus Lic:
Property Owner's Name: Rar
New Commercial/ Tenant Improvements:
Address: lo— 13 C
Total Building SF
City, ST, Zip f�u�'� a 3-3
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
-Rec'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
t '
Soils Report
Grading Pian (PM 10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris. Plan
Planning approval
Public Works approval
Fire approval
City. Business License
.
t