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BPOL2017-0173
78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: POOL/PRIVATE BPOL2017-0173 01 4 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT . 51480 AVE NIDA JUAREZ 773043031 CONIGLIO RESIDENCE / SPA ADDITION, BBQ, FIRE PIT $14,000.00 Applicant: KANCUN POOLS AND SPAS INC 80-554 WILLOW LN INDI0, CA 92201 A -I OCT 2 6 2017 CIN 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 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C53 License No.: 987978 t '%*flate: 6' Contr ctor: S 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 09 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 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 Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011' INSPECTIONS (760) 777-7153 Date: 10/26/2017 Owner: RONNIE CONICLIO 51480 AVENIDA JUAREZ LA QUINTA, CA92253 Contractor: KANCUN POOLS AND SPAS INC 80-554 WILLOW LN INDIO, CA 92201 (760)397-7699 Llc. No.: 987978 • WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one cfthe 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 thp work for which this permit is issued. N have and will maintain workers' 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: EXEMPT Policy Number: _ _ I certify that in the performance of -he work for which this permit is issued, I shall not employ any person in any manner 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 -- 700 of the Labor Code, I shall forthwith comply with those provisions. -9� u�.tv � , t�U 6u -� ate: -10/ ApplirdnY: r[ Un" Q%1'c ISLS 1'%L WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FO! 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 thi! application. 1. Each person upon whose behalf this 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 cf La Quinta, its officers, agents, and employees for any act or oniission 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 issuz nce 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 upon the above- mentioned property for inspection purposes. bate:/123ZJ Signature (AppUcant:d Agent) ' Date: 10/26/2017 ,Application Number: BPOL2017-0173 Owner: Propeity Address: 51480 AVENIDA JUAREZ RONNIE CONIGLIO APN: 773043031 51480 AVENIDAJUAREZ Application Description: CONIGLIO RESIDENCE / SPA ADDITION, BBQ, FIRE PIT LA QUINTA, CA 92253 Property Zoning: Application Valuation: $14,000.00. Applicant: Contractor: KANCUN POOLS AND SPAS INC KANCUN POOLS AND SPAS INC 80-554 WILLOW LN 80-554 WILLOW LN INDIO, CA 92201 INDIO, CA 92201 (760)397-7699 ----------------------------'---------------------------------------=------------------------ Llc. No.: 987978 Detail: SPA ADDITION; BBQ, TANNING SHELF AND FIRE FIT. [DENISE POELTLER ENGINEERNG] 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 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00. DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $26.01 DESCRIPTION' ACCOUNT CITY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $26.01- 26.01Total TotalPaid for ELECTRICAL: $52.02 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT. GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $26.01 Total Paid for PLUMBING FEES: $39.01 DESCRIPTION ACCOUNT QTY AMOUNT DETACHED SPA/WATER FEATURE/OTHER 101-0000-42404 0 $195.05 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: $496.21 DESCRIPTION ACCOUNT CITY 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 Bin# ' City of La Quinta Building & Safety Division •0 1� 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 , Building Permit Application and Tracking Sheet Permit# � l Yb l' t Project Address: Ave,. Owner's Name: . k3 ' N t L1 A.P. Number Address: Legal Description: City, ST, Zip: L8 Qui I Contractor:©�) S 1 _ Address: _ [ P oject Descrip `On City, ST, Zip: ` 1 1 l Telephone: D - 6 i�• n State Lie. #: /� 53 '� City Lie #: Arch, Engr., Designer: Address: 1 II City, ST, "Zip: v11 "1 Telephone: 710 Construction Type:Occupancy: toN1. State Lie. #: t. Proj. Type ew Add'n Alter Repair Demo Name of Contact: O SgFt: s #Stories #Units: Telephone of Contact: 16 qq Estimated Value of Project: �J APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Req'd TRACKING PERMIT FEES Plan Sets Plan Check Submitted Item Amount Structural Calcs Reviewed, ready for corrections Plan Check Deposit: Truss Calcs Called Contact Person Plan Check Balance: Title 24 Cales 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-corrdctions / Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Apps Date of permit issue School Fees "Total Permit Fees I)