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BPOL2017-0150
78-495 CALLE.TAMPICO LA QUINTA, CALIFORNIA 92253 `&'�t 4 e(P Q 91kro ". DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPOL2017-0150 Property Address: 53700 AVENIDA OBREGON APN: 774115010 Application Description: OAK PROJECT MANAGEMENT / CHANGE OUT POOL EQUIPMENT Property Zoning: w � Application Valuation: $485.00 Applicant: DESERT QUALITY POOL & SPA OUTSIDE CITY LIMITS 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: _ License No.: _ Dates Contractor: 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 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 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 Add CE (760)7-7125 rIr_-11,760)ff7-7011 NSPECTIONS760)7-7153 a ¢ w ® �?ate:z 44/2017 c�i =) w Owner: �" C! OAK PRCf1ECT MAN�A'cit�IENT� O 32392 SC COAST HyI.QVAY STE 50 wp LAGUNA BEACH, CA 26 1 w w � C1� U � z • z Contractor: w NO STATE LICENSED CONTRACTOR o Llc. No.: 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 Sect5on 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:— 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 subje to the workers' compensation laws of California, and agree that,' I should be me subject to the workers' compensation provisions of Section 37 of the La or Cod , I shgJliQrthwith comply with those p ovisions. (/ Date: I ! Applican WARNING: FAILURE TO SECURE WORKERS' MPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI NAL PENALTIES AND CIVIL FINES UP TO. ONE HUNDRED THOUSAND DOLLARS (S10 00). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APP LICANT'ACKNOWLEDGEMENT IMPORTANT: Application is hereby ma -le to the Building Official for a permit subject to the conditions and restrictions set fortF on this application. 1. Each person upon whose behalfths 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 tFe 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 thi: application becomes null and void if work is not commenced within 180 days from dateof 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 I agree to comply with all city and county ordinances and state ws relating to b construction, and hereby authorize representatives of this cit enter upon the mentioned property for inspection purposes. Date: .' 6 Signature (Appicant or Agen Application Number: BPOL2017-0150 Property Address: "53700 AVENIDA OBREGON APN: 774115010 Application Description: OAK PROJECT MANAGEMENT / CHANGE OUT POOL EQUIPMENT Property Zoning: Application Valuation: $485.00 Dater 9/14/2017 Owner: " OAK PRCJECT MANAGEMENT 32392 SCS COAST HIGHWAY STE 150 LAGUNA BEACH, CA 92651 Applicant: Contractor: DESERT QUALITY POOL & SPA NO STATE LICENSED CONTRACTOR OUTSIDE CITY LIMITS LIC. No.: ------------------------------------------------------------------------------------------------ Detail: CHANGE OUT (2) PUMPS AND (1) FILTER ONLY [APPLICANT IS NOT A LICENSED STATE CONTRACTOR AND STATES THE VALUE OF THE JOB IS $485.00. PER 2016 CALIFORNIA BUILDING CODE. FINANCIAL INFORMATION .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 EQUIPMENT CHANGEOUT ALONE 101-0000742400 0 $25.33 DESCRIPTION ACCOUNT QTY.' AMOUNT EQUIPMENT CHANGEOUT ALONE PC 101-0000-42600 0 $96.27 Total Paid foe POOL / SPA: $121.60 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHAN:EMENT FEE: $5.00 .i z LU 4c 2 Uj _ t /CeZ:50Uj U �- C f) Z C0J Con _ ion is NOT P FITTED he Yolfowing Code H li�eys%r New Year's Day Dr. Martin Luther Ki Jr. Day L,o �r. ` President's Day p° Memorial Day Independence Day �rn130` f a Or ay October ist . t Monday.- Adaay: 7.-0 .m. to 5:30 p.m. Veteran's Da ta�r�. �:o® .m. to 5:00 p.m. �) Thanksgiv" g Day ®. e Christ s Day .G cr cxraent Co :e Helfd�ayst )� e any c¢ -,c 4� rhea- 30th CITY ' ^ 1� 4F4 �. ; �dav: 6:00 a.7h. . 7:00 O.M. Cf1� F �/'1 n <S o :v )./ : 8:00 a.m. t e 5:00 P.M. � QUI i�I¢�;se I "AN ADEQUA Y SIZED DEBRIS CONTA R BUIL NG &SAFETY ,3%t r rP�;ct �a�eIo ' Sys: i�1®ne A REr' I PECTION FEE _ . ' EPT, WILL CHARGED IFTHE PROVED • IS REQUI ON THE JOB SITE DURI ALL �P \/ �. AND 1OB CAR- E -NOT QN PHAS OF CONSTRUCTION ANDJMUST BE OR CON RU TION .i p ED AS NECESSARY. FAILURE TO DO SO HE 'SITE FOR SCHEDULED FPEP� 3 O ' kj e `^� " � � d bre � � . '- `� C,`WSE TI -IE CITY TO HAVE THE CONTAINER ATEGI�I9 L017 g �` ©. INSPTION NO''ED AT THE EXPENSE OF THE OWNER/ Arz ;dTRACTOR." Bin# City of La Quinta Building & Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application. and Tracking Sheet . Permit# Project Address C 3I Y) 0 J A U Q I-V X0 A) V �1 Owner's Name: a i i6 I"Ird ki A.P. Number Addreass: Q ( COL_ $J 1 I 1 W • S- i gJ I� Legal Description: City,'ST, Zip: t�. a tvo e� C, C/�l . X265l Contractor�UJ1N .��hiDti `_1 Telephone I L( , e',0 _ 3_2Z7 , Z'-? ! AddreSs� 0 It); ` 3 ZC- Project Description: �Q G V '� N'tpit►y i City, ST, Zip: �s "a /� VIM S t17 S' a , t o TJ - State Lic. #: Arch, Engr., Designer: a r,\.p O U VAe —Poo l Address: `p 0a' V,A-1\,T City, ST, Zip: (14 lu,( w 71'4 Telephone: State Lic. #: Construction Type: Proj. Type New Add'n Occupancy: Alter Repair Demo Name of Contact:. (,)oSgFt: #Stories # Units: Telephone of Contact: Q� O �� O Estimated Value of Proi : [j ps' ICI ' APPLICANT: DO NOT WRITE BELOW THIS E # Submittal Req'd Rec'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 corrections / Developer Impact Fee Planning Approval Called Contact.Person A.I.P.P. Pub. Wks. Apps Date of permit issue School Fees Total Permit Fees