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BPOL2018-000578-495 CALLE TAMPICO 4 44" LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: POOL/PRIVATE Application Number: BPOL2018-0005 Property Address: 52425 AVENIDA JUAREZ APN: 773242023 Application Description: STIRBOZ / POOL AND SPA AT SIDE YARD Property Zoning: Application Valuation: $30,000.00 Rn�a n Applicant: AMERICAN LANDSCAPE & POOLS OF CALIFORNIA r LA¢ 2018 83-103 AVENUE 48 STE 1-13 _ PMB 283 C17YOFLAQUINTA COACHELLA, CA 92236 COMMUNITYDEVELOPMENTDEPARTPAENT 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 lass: C27 C53 License No • 7 Q Date: �Z 1 1 ` C1 [ontr�a or(y J'1� OWNER -BUILDER DE AT' 1 hereby affirm under penalty of perjury that I am exemptrom the ntractor's State License Law for the following reason (Sec. 7031.5, Business a sions 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 I 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_J 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 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 Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/24/2018 Owner: MR AND MRS STIRBOL 52425 AVENIDA JUAREZ LA QUINTA, CA 92253 Contractor: AMERICAN LANDSCAPE & POOLS OF CALIFORNIA 83-103 AVENUE 48 STE i -B PMB 283 COACHELLA, CA 92236 (760)880-1173 Uc. No.: 859417 WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury 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 terk for which this permit is issued. �I 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: NORGUARD INSURANCE COMPANY Policy Number: ROWC946736 _ 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 as to become subject to the workers' compensation laws of California, and agree that, if I s ould become subject to the workers' compensation provisions of a 00 f t e Labor Code, I shall forthwith comply with tho reprovisions. "at: , Z Apple int: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERA UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CVE INES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TOOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 0LABOR 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 this 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 of 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 upon the above- mentio d pr perty for inspection urposes. Dratt�e `� � Signat're pplicantorAgent ): �' Date: 1/24/2018 Application Number: BPOL2018-0005 Owner: ' Property'AHidress: ' " ` 52425 AVENIDA JUAREZ MR AND MRS STIRBOL APN: 773242023 52425 AVENIDAJUAREZ Application Description: STIRBOZ / POOL AND SPA AT SIDE YARD LA QUINTA, CA 92253 Property Zoning: Application Valuation: $30,000.00 Applicant:. Contractor: AMERICAN LANDSCAPE &.POOLS OF CALIFORNIA AMERICAN LANDSCAPE & POOLS OF CALIFORNIA 83-103 AVENUE 48 STE 1-B 83-103 AVENUE 48 STE 1-13 PMB 283 PMB 283 COACHELLA, CA 92236 COACHELLA, CA 92236 (760)880-1173 Llc. No.: 859417 Detail: POOL AND SPA AT SOUTH SIDE YARD YARD [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE. FINANCIAL INFORMATION f;;:�:;f:DESCRITION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $2.00 Total Paid for -BUILDING STANDARDS ADMINISTRATION 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- 301.16DESCRIPTION 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: $5.00 TOTALS: 1 �+- PERMIT # D 1 • 000:5 PLAN LOCATION: Project Address:Project T2 -`f2'S- Description: Pool, Remodel, Add't, Elect, Plumb, Mech Garage SF Telephone: Patio/Porch SF Email: Applicant Name: ¢ State Lic:ss-,7 . ( - City Bus Lic: 'Address:16, O3 -t6, -!F 3 State Lic: City Bus Lic: City, ST, Zip: Telephone: 76 e.> l (% FEmail:C-0 Valuation of Project.$ Contractor Name: 2� New SFD Construction: Address: Conditioned Space SF City, St, Zip Garage SF Telephone: Patio/Porch SF Email: Fire Sprinklers SF ' State Lic:ss-,7 . ( - City Bus Lic: Arch/Eng Name: Construction Type:. Occupancy: Address: Grading: City, St, Zip Construction Type: Occupancy: Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: ltil �S STl R-��L New Commercial / Tenant Improvements: Address :_c{Z5 UC = Z_ Total Building SF . City, ST, Zip L Q C ZZS 3 Construction Type: Occupancy: Telephone: Email• 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 ¢vo�ao�g-000: SaNas �vENTk sm-ir JuR2Ez �'�� VOHY,3A� szh cs OCJ- Rl br'n.ISI TOx t � 1 +18" garden I l patio landscape ,wall area SPA landscape area side walk steps 610 deck Ianter +18" garden 5 1 — wall ' deck '0—' +18" wall deck landscape area deck garden wall X10 10' x 16 covered patio POOL I I planter STORBO RESIDENCE planter 52425 AVENIDA JUARZ LA QUiNTA planter :_ pool equip equip a/c NOIlOf1u1SN �� Q3" O8 'ld3a 1a3-4dS'8 ONI4103 �O DRIVEWAY 4