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13-0485 (RPL)P.O. BOX 1504 78-495. CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: G�fTI1,Acs=s,,�tt r -- 13-00000485 81333 PEARY PL 767-680-020-58 -330761- POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 80000 T4hf v 440 uu & BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: P& Co►JTK~IIJV• *t bO &A.1AV&11JG 5FD LICENSED CONTRACTOR'S DECLARATION ' I hereby affirm and penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 vision 3 of the Business and Pr fessionals Code, and my License is in full force and effect. License Clas B License No.: 660454 XDate: BIZ Contractor: O ER BUILDER DECLARATION 1 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 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.). (_ 1 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: LQPERMIT �� VOICE (760) 777-7012 '-"'"-" FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/18/13 Owner: 100 EAST CALIFORNIA AVENUE LLC 301 W HUNTINGTON DR ARCADIA, CA 91007 WANCE MDSrELITE GENERAL CONSTR2040 CUMMINGS DRIVE LOS ANGELES; CA 90027(323)873-3800 Lia. No.: 660454 ------------------------------------------ WORKER'S COMPENSATION DECLARATION 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 STATE FUND Policy Number 1336291 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 f rthwith comply with those provisions. (Date: �i—C M"I,Applicant: WARNING: FAILURE TO SECURERS' O�ANDCIVIL OVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI�NALPENALTIEINES 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 Director of Building and Safety 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, indemnity 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 county to enter upon the above-mentioned property for inspect' / rposes. Date: i . Signature (Applicant'or Agent): Application Number . . . . . 13-00000485 Permit BLDG POOL PERMIT Additional desc . Permit Fee . . . . 549.50 Plan Check Fee 357.18 Issue Date . . . . Valuation 80000 Expiration Date 10/15/13 Qty Unit Charge Per Extension BASE FEE 414.50 30.00 4.5000 ---------------------------------------------------------------------------- THOU BLDG 50,001-100,000 135.00 Permit . . MECH POOL Additional desc Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date 10/15/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 -------------------------------------------------7-------------------------- EA MECH FURNACE >100K 11.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation 0 Expiration Date 10/15/13 ` Qty Unit Charge Per Extension-. BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation 0 Expiration Date.. 10/15/13 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.0000 EA PLB. FIXTURE 12.00 1.00 3.0000 EA PLB WATER INST/ALT%REP 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00. ---------------------------------------------------------------------------- Special Notes and Comments POOL W/FIRE BOWL AND SPA AT REAR YARD LQPERMIT LQPERMIT :Application Number . . . . . 13-00000485 ---------------------------------------------------------------------------- Special Notes and Comments [POOL ENGINEERING INC] THIS PERMIT DOES NOT INCLUDE EQUIPMENT WALLS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2010 CALIFORNIA BUILDING CODE. April 18, 2013 3:18:11 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 4.00 Fee summary Charged Paid Credited ---------- Due .------------------------------------- Permit Fee Total 653.50 .00 ---------- .00 653.50 Plan Check Total 383.18 .00 .00 383.18 Other Fee Total 4.00 .00 .00 4.00 Grand Total 1040.68 .00 .00 1040.68. LQPERMIT �� I-�y` a� yr ,i Bin.# Qty ®f Loa QiJl;ftta Building 8T Safety Division Permit # P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application• and Tracking Sheet Project Address:%. M3Owner's Name:. A. P. Number. Address: Legal Description: City, ST, Zip: Contractor. h Telephone: Address:au_CU Project Description: City, ST, Zip: u Prh o V Telephoner State Lic. # : y City Lic. #; Arch , En ., Designer. Address: /J City., ST, Zip: Telephone: Construction Type:. Occupancy: State Lic. #: 6 Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: ri PQSq. Ft.: Telephone # of Contact Pelson: v Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE — ---- -- "'� N Submittal Req'd Recd TRACKING PERMUFEES Plan Sets Plan Check submitted item Amount Structural Calm Reviewed, ready for corrections Pun Check Deposit. . Tess Cates. Called Contact Person Plan Check Balance Tide 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted,' , Mechanical Giading plan 2'! Review, ready for correctionsfissue Electrical Subcoutactor List Called Contact Person Plumbing Grant Deed Plans picked up ViLL H.O.A. Approval Plans resubmitted J Grading IN HOUSE:- ''' Review; ready for eorreetio 0 3 Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees �� I-�y` a� yr IP m Ifl` 11 11 '53 0,000 93 O"WO H1 A ;j,19 1 16-1001 30 .. ........ .. ................ . . . . . . . . . . . .... ----------------------- --------------- .. ........... .......... ........... ... . ......... - - - ----- .... J .............. . . . ....... ............ . 01 Cr . . . . . . . ... Om -N V: t13: ----------- F7 CY) 4 T� L pj T: M w&R OM 61 7�7 Rj 71 mill 11; 111,1110110 z it I m,. 1 R - , } ISG: I MIT f 1, Ln 7. 0 g 10 1 . . I , — 11 Rill 91 .......... ' IfI1011 �5 0 m SETggQK (TO.—I —LiGN 94 8 6 r,9, w.. - po —FF mg 21 0• w oil T"666) > r FIE Hil F9 33rd —(031666) TIMM OR (9'646) (mi S666) A8V.3d 119 z PERRY Materia THE CHANG RESIDENCE ■8 Peary Place The Madison Club La Quinta, California 92253 6�.;s3 A�+,, Awe