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BPOL2017-011978-495 CALLE TAMPICO Ct 0 V LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPOL2017-0119 Property Address: 51960 AVENIDA NAVARRO APN: 773184011 .Application Description: LEWALLEN RESIDENCE / POOL & SPA Property Zoning: Application Valuation: $30,000.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: MARV LEWALLEN 51960 AVENIDA NAVARRO LA QUINTA, CA 92253 Date: 8/8/2017 Applicant: �A\ �. �� Contractor: GARY &SON'S LEAK DETECTORS INC D��!� GARY & SON'S LEAK DETECTORS INC 67621 CACTUS APPLE DRIVE (� 67621 CACTUS APPLE DRIVE DESERT HOT SPRINGS, CA 92241 AUG ®0 2017 DESERT HOT SPRINGS, CA 92241 (760)251-8945 CITY UE LA QUINTA Llc. No.: 866518 DESIGN AND 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.: 86651 Dater '� fContractor. OWNER -BUILDER DEC RATION 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 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.). (1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contra ctors"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: 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 Laboi Code, for the performance of thew k for which this permit is issued. thave 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9137992 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, I shall forthwith comply ith those provisions. late Ap�nt WARNING: FAILURE TO SECURE WORKERS' COMP NSATION 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 f work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the ab a inforions correct. I agree to comply with all city and county ordinances and sta laws re�ang,,t building construction, and hereby authorize representatives ofthi ci toenteon a above - mention d property for inspection purposes. Date:. 1 T -Signature-(Applicant Agent L-= - — Date: 8/8/2017 Application Number: BPOL2017-0119 Owner: Property Address:. 51960 AVENIDA NAVARRO MARV LEWALLEN APN: 773184011 51960 AVENIDA NAVARRO Application Description: LEWALLEN RESIDENCE / POOL & SPA LA QUINTA; CA 92253 Property Zoning: Application Valuation: $30,000.00 Applicant:. Contractor: GARY & SON'S LEAK DETECTORS INC GARY & SON'S LEAK DETECTORS INC. 67621 CACTUS APPLE DRIVE 67621 CACTUS APPLE DRIVE DESERT HOT SPRINGS, CA 92241 DESERT HOT SPRINGS, CA 92241 (760)251-8945 ' ------------------------------------------------- Lic. No.: 866518 --------------------------------- - 'Detail: POOL & SPA AT REAR YARD [DENISE POELTLER ENGINEERING) THIS PERMIT INCLUDES AN EQUIPMENT ENCLOSURE 10 LF CITY STANDARD DETAIL. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE. qp DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $50.67 DESCRIPTION ACCOUNT QTY AMOUNT , WALL/FENCE'- FIRST 100 LF PC 101-0000-42600 0 $63.33 Total Paid for ELOCK WALL: $114.00 DESCRIPTION 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 $190.00 DESCRIPTION ACCOUNT QTY AMOUNT SWIMMING POOL/SPA PC 101-0000-42600 0 $103.36 Total Paid for POOL / SPA: $293.36 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: TOTALS: $5.00 0 Bin # Permit ;' Project Address: .�- c c Qty. of La Qu'iito " Guifdinn 8£ Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Owner's Name: A. P- Number: Address: F Legal Description: City, ST, Zip: ntract Co r 0 C--c V Tele ho nc: P Address:(0AQ1 AMC. Project Description: City, ST, Zip: Telephone: La3 State Lie. # : City Lie. #.- Arch., Engr., Designer: Address: City, ST, Zip: ne: Telephone: ........................ .........:.......... an : Occupancy: Cfracti n Type: P cY State ic. #:one):........... 'ecttyPe �circle Ne w Ad d'n Alter, Repair r Demo Name of Contact Perso Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: (0:2Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE t/ Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check D!posit Truss Cates. Called Contact Person Plan Check BiLlance. Title 24 Cates. Plans picked up Construction " Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. I-I.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks- Appr Date of permit issue School Fees, Total PermitT:ccs : 1 GAS N Elecrical HOUSE 51=960 Avenida Navarro . 1 '• ' i ,. ., yam• i-..'' . =. , .. 1 1 . ."` . , a.•!-t.s..—.._'',i...k.+-a+...,^Y.,,x, _ ,-`...._- r .....—+ 1•. w _ ..- -- - aac: .c. x^r .�... ` • I • .. T'' `-fir• Tiy i, :T"` - . 1 511 1 511 , 1 . o •O 161 411. cm- _ Pool 14 by7 _ - f- ` ' 1i o spa 7 biT� 39 0111, iA/4 " N4p a*ry.