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BPOL2018-001678-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: . APN: Application Description: Property Zoning: Application Valuation: 4 tP Q91Kro DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT POOL/WATER FEATURE BPOL2018-0016 61830 MESA CT CT 764550065 HICKMAN / WATER FEATURE AT REAR YARD $6,000.00 Applicant: TRIDON POOL AND SPA CONSTRUCTION INC •48869 PARADISE AVENUE MORONGO VALLEY, CA 92256 A FE,B 14 2018 ary of LA QUINT_H 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.: 837648 1/n Date: Z �Z/� Contractor: OWNER -BUILDER DECLARATION Thereby 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).: (_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.). (J 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 Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/14/2018 Owner: JAQUE HICKMAN LA QUINTA, CA 92253 Contractor: TRIDON POOL AND SPA CONSTRUCTION INC 48869 PARADISE AVENUE - MORONGO VALLEY, CA 92256 (760)363-7900 Lic. No.: 837648 WORKER'S COMPENSATION DECLARATION I 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 the work 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: EXEMPT Policy Number: _ 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 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, t shall forthwith . comply with those provisions. Date: ,Z��y_ / , Applicant: 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 FOR 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 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- mentioned property for inspection purposes.. Date: '�-I 4 -Signature (Applicant or Agent): Date: 2/14/2018 Application Number: BPOL2018-0016 Owner. Property`•A`ddrew: ' ` '" •"61830 MESA CT CT JAQUE HICKMAN APN: 764550065 Application Description: HICKMAN / WATER FEATURE AT REAR YARD LA QUINTA, CA 92253 Property Zoning: " Application Valuation: $6,000.00 Applicant: Contractor: TRIDON POOL AND SPA CONSTRUCTION INC TRIDON 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: 6' HIGH BY 10' WIDE CMU WATER FEATURE AT REAR YARD [ENGINEERED/CITY STANDARD) THIS PERMIT DOES NOT INCLUDE �1 a° DESCRIPTION WALL/FENCE - FIRST 100 LF. DESCRIPTION WALL/FENCE - FIRST 100 LF PC DESCRIPTION BSAS SB1473 FEE DESCRIPTION DEVICES, FIRST 20 DESCRIPTION DEVICES, FIRST 20 PC DESCRIPTION WATER SYSTEM INST/ALT/REP DESCRIPTION WATER SYSTEM INST/ALT/REP PC DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 101-0000-42404 0 $52.01 ACCOUNT QTY AMOUNT 101-0000-42600 0 $65.02 Total Paid for BLOCK WALL: $117.03 ACCOUNT QTY AMOUNT 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 ACCOUNT QTY AMOUNT 101-0000-42403 0 $26.01 ACCOUNT QTY AMOUNT 101-0000-42600 0 $26.00 Total Paid for ELECTRICAL: $52.01 ACCOUNT QTY AMOUNT 101-0000-42401 0 $13.00 ACCOUNT QTY AMOUNT 101-0000-42600 0 $13.00 Total Paid for PLUMBING FEES: $26.00 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: $5.00 04 STEED. 7'0 ISPILLWAY ` ga CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE Y PILLWA 4STEE RETURN PLUMBIN 4'6 I 2;$ 6'0 DIRT LEVEL ! 1'6 - --- - ----- - ---- -- --- --------- -- -L-- 0'10 12'X3' FOOTING 12'0 i !`1'$-' i 12'X3' FOOTING r- 3'0--i SCALE• 1 /4" = 1' 1.0asn ► A APA cl Bfn. # QtY Of LQ Quin Building 8T Safety Dil Won P.O. Box 1SO4, *76-495 Calle Tampico la.Quinta, CA 92253 -:(760) 777-7012 Building Pennit •Application' and Tracking Sheet Permit # Q fja2Q1 g / ProjectAddr=:U/Oc3O MICSCA CfOwner's Name:J(k l ('�'l(,tIL A. P. Number. Adder: / _I 3O M�� Legal Description: City,, ST, Zip:� Q 0 fr(.,J.0, Contractor. f OO 5 t Telephone: Project Description: FEZ t Address: City, ST, 'Lip: of • ! L 2S-1.0 MOLE 66 - SEC Telephone- Rid GS -3 y State Lic. #: 83'1 toll City Lic. #, Arch., Eng., Designer Address: City., ST, Zip: Telephone: Construction Type:. Occupancy: State Lic. #: M Project type (circle one) Add'n Alter Repair Demo Name of Contact Person. Sq. Ft.: # Stories: T# Units; Telephone # of Contact Person: Estimated Value of Project. APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Reed TRACKING PERPUT FEES Pian Sets Pian Cheek submitted Item Amount Structural Coles. Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calci. Plans picked up Construction NOW plain plan Plans resubmin.W . Mechanical Ginding plea 2'! Review, ready for correctionsfissue Electrical Subtontactor Ust Called Contact Person Plumbing Grant Deed Pians picked up S A4 L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 7id Review,' ready for correctionsflssue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees