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BPOL2018-001178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT POOL/PRIVATE BPOL2018-0011 54700 AVENIDA RAMIREZ 774281011 ROBERTS / NEW POOL . Applicant: BELLA GENERAL CONTRACTOR OUTSIDE.CITY LIMITS JAN 2.4 218 CITY OF LA QUINTA 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: _ rLLiicense No.: :LIC -765466 Date: 1 b 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 requiresthe 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 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: 1/24/2018 Owner: NETTIE BREWER ROBERTS 92253 Contractor: BELLA GENERAL CONTRACTOR OUTSIDE CITY LIMITS (760)324-3194 Llc. No.: :LIC -765466 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 for which this permit is issued. have and will maintain workers' compensation insurance, as required by W Section 3900 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 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 CQde, I shall forthwith comply with those rovisions. Date: 1 L 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 rope ty for inspection purposes. Date:' I— Signature (Applicant or Agent): i Application Number: BPOL2018-0011 Property -Address: 54700 AVENIDA RAMIREZ APN: 774281011 Application Description: ROBERTS / NEW POOL Property Zoning: Application Valuation: Owner: NETTIE BREWER ROBERTS 92253 Date: 1/24/2018 Applicant: Contractor: BELLA GENERAL CONTRACTOR BELLA GENERAL CONTRACTOR OUTSIDE CITY LIMITS OUTSIDE CITY LIMITS (760)324-3194 Llc. No.: :LIC -765466 Detail: POOL, IN FRONT YARD [DENISE POELTER ENGINEERING) THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE. FINANCIAL DESCRIPTION . INFORMATION ACCOUNT QTY AMOUNT SWIMMING POOL/SPA 101-0000-42404 0 $195.05 DESCRIPTION ACCOUNT QTY AMOUNT SWIMMING POOL/SPA PC 101-0000-42600 0 $106:11 Total Paid for POOL / SPA: $301.16 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 , 0 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: $316.1 airr.# CItj/ Of La Qillhtd Building ar Safety Division P.Q. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: , Ja Owner's Name:. A. P. Number. Address:-5y-�� Legal Description: Contractor: 'lrjeria-rotL/ ,(S IAC City, ST, Zip: Qf10 CA a,as 3 Telephone: Address: 1P. 0 P - (�aS Project Description: City, ST, Zip: rb( l i Telephone: 1 C1 , �: .s, State Lic. #: C- I a,) City Lie.. #.: Arch., Engr., Designer: _ Address: S — 130 City., ST, Zip: n1 ®e <CA Telephone: -)(C_-)'-7 �_41� i `Sw State Lic. #: 4 ' Name of Contact Person:rim �t l 6(S Construction Type:. (��� I Occupancy: Project type (circle one): ew Add'n Alter Repair Demo Sq. Ft.: a a # Stories: #Unita: Telephone # of Contact Person: _7I00 _.=� q Estimated Value of Project: a� APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted. • Mechartical Giading plan 2°a Review, ready for correctionslissue Electrical Subcontactor List Called ContactPerson Plumbing Grant Deed Plans picked up SALL H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 7rd Review', ready for correctionslissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees j NEW POOL - CITY OF LA QUINTA COMMUNITY DEVELOPMENT ....fe, 0 GENERAL CONTRACTORS, INC. Bella General Contractors Inc. P.O. Box 1625 Cathedral City, CA 92235 760-324-3194 License B C-53 1010522 Nettie Ro 54700 Avenida La Quinta, C WU16: bop/0 ,erts RAmirez 92253 6' of vff),&'�' eD(i6- Oe cg-,A(� s Ht ftv— bP1 q0- a PPi He—o C w[,/V,, pt -40, Pool Equipment 1 Pentair Variable Speed Pump 1 Clean and Clear 320 sq ft Filter 1 Pentair Electric Ultra temp 70 Heat Pump 1 amerilite 30OW 120V white pool light 60' plumbing 2" pipes 60' electrical 3/4"