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11-1228 (SOTB)Ff P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number. Property Address: APN: Application description: Property Zoning: Application valuation: Applicant - Tit!t 4 4v Q" 11_00001228 81260 KINGSTON HEATH 767-490-023- - - STRUCTURES OTHER THAN BUILDINGS LOW DENSITY RESIDENTIAL 15000 Architect or Engineer: NIA. BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/14/11 Owner: ALAN MORSE 81260 KINGSTON HEATH D LA QUINTA, CA 922531 4 O / NOV 1 f Contractor: ' �U l I t f VACATION POOLS INC (.1YyCJF j -A �iiJ1/Nl PO BOX 10940 INDIO, CA 92202 (760)775-0468 Lic. No.: 856835 ----------- -------------------------------------- LICENSED CONTRACTOR'S DECLARATION -- ----------------------------------------------— WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licen ed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Busi an ro sio Is Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided _ License Class: C53 icense No.: 856835 fur by Seutiuu 3700 of the Labor Code, for the performance of the work for which this permit is _ issued. -- Date:- '/ t-- -(�_r,- Contracto _ 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 OWNER -BUILDER DECLARATION - insurance carrier and policy number are: ' I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 1948584-2010 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I shoo b c7eyubj tothe workers' compensation provisions of. Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Co e, I Ih mply with those provisions. 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 155001.: Date: ' Applicant: (_ I 1, 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, BuSiOeSS aii(i Fwfessiuns Code: The - WARNING: FAiLURE TO SECU ORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL-' Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO C IMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .. one year of completiori, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT (_ I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. - property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , BAP.C. for this reason 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 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: LQPERMIT 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 Abd* e inf ation is correct. I agree to comply with all city and county ordinances and state laws relating n r ,and hereby authorize representatives of this county to enter upon the above-mentioned p purposes. Date"- (Signature (Applicant or Agent C-01 Application Number . . . . . 11-00001228 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 162.00 Plan Check Fee 105.30 Issue Date Valuation . . . . 15000 Expiration Date 5/12/12 Qty Unit Charge Per Extension BASE FEE 45.00 13.00 9.0000 ---------------------------------------------------------------------------- THOU. BLDG 2,001-25,000 117.00 Permit ELEC-MISCELLANEOUS Additional desc . Permit Fee 15.75 Plan Check Fee 3.94 Issue Date . . Valuation . . . . 0 Expiration Date 5/12/12 Qty Unit Charge Per. Extension BASE FEE 15.00 1.00 .7500 ---------------------------------------------------------------------------- PER ELEC DEVICE/FIXTURE 1ST 20 .75 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 18.00 Plan Check Fee... 4.50 Issue Date . . . Valuation . . . . 0 Expiration Date 5/12/12 Qty Unit.Charge Per Extension BASE FEE 15.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 --------------------------------------------------------------------- - Special Notes and Comments GAS & ELECTRIC FOR BBQ (NO SINK) & FIREPIT. 2010 CODES. _----------------------------------------------------------------------------- Other Fees . . . . ... . . BLDG STDS ADMIN (SB1473) _ 1.00 ENERGY REVIEW FEE 10.53 Fee summary Charged Paid Credited Due . Permit Fee Total 195.75 .00 .00 195.75 Plan Check Total 113..74 .00 .00 113.74 Other Fee Total 11.53 .00 .00 11.53' Grand Total 321.02 .00 .00 .321.0.2 LQPERMIT ABG ABG Lawn ABG Outdoor Cooking Center 0 � o ABGCP r � + n I Arizona River U` Rock Grave I O V Y� Natural Boulder Water Feature 6'L x &H x 5'H Lawn Existing Concrete around Pool to Remain — New Decking (1,115 sq. ft) New Pots with annual -color,, 1 By Others ABG • ABG ABG Ex.!sting Hedge . to remain ABG Lawn 11=___� - , New Stacked Stone 5PIllw0y Existing Pool x 52' Ex!st!ng Concrete to Remain MORSE REST DENGE Existing Ficus Nltida Tree to remain — Citrus - Mexican Lime - 24" Box ICY • — Washingtonla filfera Existing Mediterranean Fan Palm to remain 6" Artificial Turf Bands, typ. +15" Fire Pit with Stone Veneer I Step Stone 5ldewalk VACATION POOLS, INC. P.O. Box 10940 Indio, CA 92202 Ph. (760) 775-0468, Fax(760) 775-0469 License # C-53-856835 ABG .�W:"410- Lawn ,A•N•° Pot Col -lection N=�:`/, k%) — Rose Bush with River — Transplant Rose Bushes (5) EDI Rock ',rallopq Lantana 1MUSERNMR, _ _ —Purple `'CP BougoInvillec; Bush �•1 [W�M—Exlstlng Vine to remain ABG • ABG ABG Ex.!sting Hedge . to remain ABG Lawn 11=___� - , New Stacked Stone 5PIllw0y Existing Pool x 52' Ex!st!ng Concrete to Remain MORSE REST DENGE Existing Ficus Nltida Tree to remain — Citrus - Mexican Lime - 24" Box ICY • — Washingtonla filfera Existing Mediterranean Fan Palm to remain 6" Artificial Turf Bands, typ. +15" Fire Pit with Stone Veneer I Step Stone 5ldewalk VACATION POOLS, INC. P.O. Box 10940 Indio, CA 92202 Ph. (760) 775-0468, Fax(760) 775-0469 License # C-53-856835 Y2" Arizona River Rock Gravel — i f—Annual Color i i ABG — 51a" Apache Brown Gravel z f- Alllance BL -200 Uplight �L i responsibility for damage to curbs, sidewalks, driveways, cement slabs, sewers, lawns, trees, fences, retaining walls, sprinklers, wires, valves, telephone or shrubs. - When access i5 made through a neighbor's property it is understood that you, the owner, have that neighbor's permission and assume full responsibility. 101 3 11 u V'_-- D TE 516NATURE NAME: MORSE RESIDENCE ADDRE55: 81-260 KINGSTON HE40RIVE CITY: LA QUINTA, CALIFORNIA 412255 TRACT: LOT: PHASE: Scale: ABG Lawn Pot Col -lection with River Rock NOTE: Landscape elements (Trees, `'CP 5hrub5, Vines and Lawn) and Patio Furniture shown for illustration only. ABG ABG Unless by separate bid. Y2" Arizona River Rock Gravel — i f—Annual Color i i ABG — 51a" Apache Brown Gravel z f- Alllance BL -200 Uplight �L i responsibility for damage to curbs, sidewalks, driveways, cement slabs, sewers, lawns, trees, fences, retaining walls, sprinklers, wires, valves, telephone or shrubs. - When access i5 made through a neighbor's property it is understood that you, the owner, have that neighbor's permission and assume full responsibility. 101 3 11 u V'_-- D TE 516NATURE NAME: MORSE RESIDENCE ADDRE55: 81-260 KINGSTON HE40RIVE CITY: LA QUINTA, CALIFORNIA 412255 TRACT: LOT: PHASE: Scale: Bin # City of La QUin tQ Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # `. Project Address: / — C ��I A�SCh, aA 61 Owner's Name: Q J A. P. Number: Address: XC Legal Description: City, ST, Zip: Contractor: Telephone: Address: 17 9G-6? Description: Project � P G 7;/c City, ST, Zip: C t✓ � & Telephone: % -6 •���,,,.,;�;.::•..;.::..;,:. �� /. State Lic. # : _53— (1J6 R f City Lic. Arch., Engr.,' Designer: Address: City, ST, Zip: Telephone: Construction Type. Occupancy: . State Lic. Project rfpe (circle one): New Add'n Alter Repair Demo Name of Contact Person: GIIJ Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Emanated Value of Project: CC/ APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Pian Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Caned Contact Person Plan Check Balance Title 24 Calcs. Plans picked nP Construction Flood plain plan Plans resubmitted Mechanical -Grading plan 2' Review, ready for correctionslissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading - IN HOUSE:- "d Review, ready for corrections/issue Devdoper Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Ai