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BPOL2017-019678-495 CALLE TAMPICO.; LA QUINTA, CALIFORNIA 92253 Tiey' 4 4 Q" DESIGN& DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: POOL/PRIVATE Application Number: BPOL2017-0196 Property Address: 52700 AVENIDA DIAZ APN: 773282010 Application Description: FERGUSON / POOL AT COURTYARD Property Zoning: I have and will maintain workers' compensation insurance, as required by Application Valuation: $29,000.00 Applicant: TRIDON POOL AND SPA CONSTRUCTION INC 48869 PARADISE AVENUE MORONGO VALLEY, CA 92256 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/29/2017 BON PETE, 7S & LINA AT WA4NP(ET0 ST 3 ITA, CA 53 N2 0 ,, Contractor: ✓l TRIDON POOL AVD S ONSTRUCTION INC 48869 PARADISE AVENUE MORONGO VALLEY, CA 92256 (760)363-7900 Llc. No.: 837648 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSAJ<ION 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 Business and 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: C53 License No.: 837648 of the work for which this permit is issued. ' I have and will maintain workers' compensation insurance, as required by Date: /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: OWNER -BUILDER DECLARATION Carrier: XET Policy Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State ^- ,certify that in the performance o` the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any sh 1•n mploy any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree tFat, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith signed statement that he or she is licerised.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) that he is therefrom the Date: /7 :� ADDlican. or or she exempt and basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a 6�a a permit subjects the applicant to a civil penalty of not more than five hundred dollars WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMNAL PENALTIES AND CIVIL FINES UP TO (__J 1, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,030).' IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FCR 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 tie 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 app ication 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, in 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 :he work being performed under or the Contractors' State License Law.). following issuance of this permit. u 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 o� issuance of such permit, or cessation of work for 180 days will subject permit to cancEllation. 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: I certify that I have read this application and Sate 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. ��j�'/�J�//// Date- /— Fe—/f/ Si2nn F;i lir(nnAoanYf/.- / , _G Date: 11/29/2017 Application Number: BPOL2017-0196, Owner: Property Add ressi :` 52700 AVENIDA DIAZ FERGUSON PETER S & LINDA A T %APN: 773282010 50855 WASHINGTON ST C134 - Application Description: FERGUSON / POOL AT COURTYARD LA QUINTA, CA 92253 Property Zoning: Application Valuation: $29,000.00 Applicant: Contractor: �TRIDON TRIDON POOL AND SPA CONSTRUCTION INC POOL AND SPA CONSTRUCTION INC 48869 PARADISE AVENUE 48869 PARADISE AVENUE MORONGO VALLEY, CA 92256 MORONGO VALLEY, CA 92256 (760)363-7900 Llc. No.: 837648 Detail: POOL AT FRONT COURTYARD [DENISE POELTLER ENGINEERING] THIS PERMIT INCLUDES 54 LF OF CITY STANDARD BLOCK WALL AROUND COURTYARD. THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER . INSPECTION. 2016 CALIFORNIA BUILDING CODE: -DESCRIPTION WALL/FENCE - FIRST 100 LF DESCRIPTION WALL/FENCE -FIRST 100 LF PC DESCRIPTION BSAS SB1473 FEE DESCRIPTION 'SWIMMING POOL/SPA DESCRIPTION SWIMMING POOL/SPA PC DESCRIPTION RECORDS MANAGEMENT FEE DESCRIPTION ACCOUNT QTY AMOUNT AMOUNT TECHNOLOGY ENHANCEMENT FEE 101-0000-42404 0 $52.01 $5.00 ACCOUNT QTY AMOUNT 101-0000-42600 0 $65.02 Total Paid for.BLOCK WALL: '$117.03' ACCOUNT QTY AMOUNT 101-0000-20306 0 $2.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 ACCOUNT QTY AMOUNT . 101-0000-42404 0 $195.05 - ACCOUNT - QTY AMOUNT 101-0000-42600 0 $106.11 Total Paid for POOL / SPA: $301.16 ACCOUNT QTY AMOUNT 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 ENHANCEMEMT FEE: $5.00 TOTALS: $435.19 Bill # City. of La Qwonta Building &r Safety Dildsion P.O. Box 1504,78-495 Calle, Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 9P0( - 9X1-7- 01 Project Address:5. 1 VU 6nt" I a Owner's Name:. r l7 eJ P� A. P. Number Address: 5a100 AV PXIt�Ot Legal Description: City, ST, Zip: JlnirA { Z� Contractor:'`j/'I Telephone: 33 9aox,MEW= Project Description: N �j (( Co U 7 V Address: l /� � �/ City, ST, Zip; Cr O A'. CA � �-vlp Telephone b ��53 �� _ ` "' tea` • ;f r": „��< City Lie. #; State Lie. # $ Arch, Engr., Designer: Address: City., ST, Zip: - p ::' Telephone: Tele ,� State Lic. #:� -` - � `',2it� `� %� '' Construction Type:. Occupancy: Project type (circle one. Ne Add -:n. Alter Repair Demo Sq. Ft.: # Stories: #Units: Name of ConMet Person r��Eii/1 Telephone # of Contact Person: 11D 35* -6- 3 Estimated Value of Project: A01 co C� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMU FEES Plan Sets Plan Check submitted. Item Amount Structural Calci. Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted.. MechariicEl Grading plan 2"a Review, ready for correctionsfssue 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 correctionsliesue Developer. Impact Fee Planning Approval. Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees J'�