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14-0501 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 f. T-v4t 4 4QurKrw Application Number: 14-000.00501 Property Address: 53281 ROSS AVE APN: 767-200-998-29 -330761- Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 120000 Applicant: Architect or Rgineer: �X/ I"Ick I BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- 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 Professionals Code, and my License is in full force and effect. icense Class: C27 C53 license No.: 635896 ate: :��C`—� Contractor: l J �— J Lv— 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).: (_ 1 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 1, 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 I am exempt under Sec. , BAP.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: LQPER1111T L VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/05/14 Owner: LEOMAR HOLDINGS LLC 750 N RUSH ST APT 603 CHICAGO, IL 60611 Contractor: U DUNN'S DESERT LANDS SRVC PALM6DESERT, CALENNON �922 0 SU ��� 05 �Q��i (760)773-9923 C�OF Lic. No.: 635896 ....._- �ir NTA ----------------------------------------- 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 I insurance carrier and policy number are: Carrier BENCHMARK INS Policy Number CST5004087 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 - C 3700 of the Labor Co shall forthwith comply with those provisions. —Date: � J �1 q-pplicant: �� 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 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, 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 county to enter upon the above-mentioned property f spection purposes. Date:L� �C Signature (Applicant or Agent): /���� Application Number . . . . . 14-00000501 Permit . . . POOL 2013 Additional desc .. . Permit Fee . . . . 178.75 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/01/14 Qty Unit Charge Per Extension 1.00 178.7500 EA MISC POOL/SPA 178.75 ---------------------------------------------------------------------------- Special Notes and Comments POOL AND SPA AT REAR YARD [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. May 5, 2014 8:41:50 AM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 5:00 PLAN CHECK, POOL 97.24 Fee summary Charged Paid Credited --------------------------- Due ------------------------------ Permit Fee Total 178.75 .00 .00 178.75 Plan Check Total .00 .00 .00 .00 Other Fee Total 102.24 .00 .00 102.24 Grand Total 280.99 .00 .00 280.99 LQPERMIT yin.# City Of %a QUinta BtdOng 8r Safety Divisiott P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 -:(760) 7777012 Building Permit Application and Tracking Sheet Permit # Project Address: — ( Owner's Name: . A. P. Number. Address: . Legal Description: Contractor City, ST, Zqs. ` 5 Telephone:--e---- Address: L Project Description: 0 SQ City. ST, Zip: 1 Q Telepi ne: 7 7 " q! 7 7 State Lic. #: CityLia #; Aran., Engr., Designer. ' Address: City., ST. Zip: Telephone: a State Lia #: Name of Contact Person: eAA { L Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: —Z& d —`94Y Estimated Value of Project: 20 p f APPLICANT: DO NOT WHITE BELOW TMS UNE !� Submittal Req'd Reed TRACMG PERMff FEES Pian Sets Pian Check submitted Item Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit_ . 'muss C210. Called Contact Person Plan Check Balance. Titre 24 Calls. Plans picked up Construction Flood plain plan Pians resubmitted.'. Mechanical Grading plan 2'a Review, ready for eorrectionsf me Electrical Subcontattor List Called Contact Person Plumbing Grant Detd Pians picked up S.M.I. KO.A. Approval Plans resubmitted Grading IN ROUSE:- ''d Review; ready for correetionsfissae Developer Impact Fee Planning Approval. Called Contact Person A.T.P.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees ........... ........... 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Y ........... ------------ -Y4 ...... .. . ......................... ... ............. ................. ................. ......................................... . ....................................... " —_i- -r 7187G7P7M7�� ................... .................... . ................ 3/ 3/4 3 7— Y4 lr� • WOO" A25 CONTROLLER: VERIFY ACTUAL LOCATION 1 AND POWER SOURCE BEFORE INSTALLATION. 3 I POOL ORAGE QUIPMENT ST0-04 3 ........................ . ............ ............ .. . . ..... . .................. ........... ................ ........... Y4 3 4 Y4 8 GPM A19s;`. .... . .... .......... . . ..... .......... Afidcxan Suryie. .. .............. ................................. ................... _'Pus 1v M ,La f—AfficanSu .................... ..............................