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BPOL2017-01747.8-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: POOL/PRIVATE qty' 4,�u'aln�w DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPOL2017-0174 Property Address: 77705 CALLE TEMECULA APN: . 774284001 Application Description: MORR RESIDENCE / NEW POOL Property Zoning: Application Valuation: ' $18,000.00 Applicant: KANCUN POOLS AND SPAS INC 80-554 WILLOW LN INDIO, CA 92201 I p�T 2 2017 SIJ CITY OF LA QUINTA _J COMMUNITY DEVELOPMENT LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 1commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: 78 C53 License No.: 987978] ate 26 / V - I aniractgs.; Fl6J0L()A .f7liylS/1n���COLt�I/1� 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, after, 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).: U 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 Na Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/26/2017 Owner: KATHLEEN MORR 77705 CALLE TEMECULA LA QUINTA, CA 92253 Contractor: KANCUN POOLS AND SPAS INC 80-554 WILLOW LN INDIO, CA 92201 (760)397-7699 Llc. No.: 987978 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 oft a work for which this permit is issued. ? 1 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: EXEMPT 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 Code, I shall forthwith comply with those provisions. Dia e' �D' Li7 �I T Applicant:U� 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 property for inspection purposes. Dare: -Jb Signature (Applicant, Aggp 4^1Date: r 10/26/2017 Application Number: BPOL2017-0174 Owner: Property'Address: 77705 CALLE TEMECULA KATHLEEN MORR APN: 774284001 77705 CALLE T EMECULA Application Description: MORR RESIDENCE / NEW POOL LA QUINTA, 0192253 Property Zoning: Application Valuation: $18,000.00 Applicant: Contractor: KANCUN POOLS AND SPAS INC KANCUN POOS AND SPAS INC 80-554 WILLOW LN 80-554 WILLOW LN INDIO, CA 92201 INDIO, CA 92201 (760)397-7699 i Llc. No.: 9879?8 Detail: POOL ONLY [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. PER 2016 CALIFORNIA BUILDING CODE. FINANCIAL •' + • DESCRIPTION . ACCOUNT QTY AMOUNT . y BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION 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 502-0000743611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 B ig Bin# City of La Quinta Building & Safety Division (f 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit# PO Project Address: lrl O 5 1 Owner's Name: ry— A.P. Number Address: 'I � Legal Description: City, ST, Zip: J Contractor: O j (31 VIA Telephone: 4 Address: 1 Project Description: lV City, ST, Zip: f t 1L l X, 7U% Telephone: -- _. State Lie. #: C 5,3 City Lie #: Arch, Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: `. Occupancy: State Lie. #: Proj. Type Ne Add'n Alter Repair Demo Name of Contact:U I.- l r K)06V� SgFt: #Stories # Units: Telephone of Contact: AO Estimated Value of Project: 11.7 -- .7 --APPLICANT: APPLICANT: DO NOT WRITE BELOW THIS LINE #• 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 Calcs Plans Picked Up Construction: Flood Plain Plan Plans Resubmitted Mechanical: Grading Plan 2nd Rev, Ready for corrections / Electrical: Subcontractor List Called Contact Person Plumbing: r 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 CITY OF LA QUI TA BUILDING & SAFETY DEPT. APPROVE FOR CONSTRUCTION DATE 1b �i BY "AN ADEQUATELY SIZED DEBIS THE OB SITE DUORI GALL 6 REQUIRED 0 Q FJASES OF CONSTRUCTION AND M ST BE %NIPTiED AS NECESSARY. FAILURE T DO SO v 5AY CAUSE THE CITY TO HVE THE COI ITAINER w zUMp;:D AT THE EXPENSE OF THEOWNER/ O.ONTRAr% OR. Q z aaa®� :s�ng��® ap®3 I a�ean�a�c�� U Q au0m :, puns —' 008 :fop -Innes S - Is I �f�yll 0 a�a� :s, gii!ad a��� a�a o a�re� puns •au•d ()C.; any :Lu-", 00:L : pfl yapa0w Nl.3�.9.1�Y�� ,aminA RAMIREZ r Cons ruction is Hll a on th following Codi i�� N w Year's Day >_ 1y emorial Day Cm dependence& M Z M W z LO ateran's Day O W � p Q J U 0 O z O D a (J ti Q _z F— J RE -INSPECTION FEE- 'r LL BE CHARGED IF r, Hi: -ANS AND JOB CAA W aE SITE FOR M ,aminA RAMIREZ r Cons ruction is Hll a on th following Codi i�� N w Year's Day . Martin Luti1?r King esident's Da< 1y emorial Day dependence& M ibor Day LLJ LO ateran's Day N hanksgiving � hristmas D Q J U U z Lo D O (J ti Q ti J RE -INSPECTION FEE- 'r LL BE CHARGED IF r, Hi: -ANS AND JOB CAA SL �t T` aE SITE FOR NO EXCEPTIONS! _I M w r 0 I ED T_ W Z W z w a O ce a O a a w 0 W M 2 T CA p o iS 4010M ON w c 0 N01133dSNI awnpas V 803 311S 3H1 ION 38 38V0 80f ONb SNVId 08ddb Hl 31030NVHD 30111M : 30 333 N01133dSNI-38 d 4 cn O C Cn Z D r Dr C) m D --j CD m r\) 2WISIM IV W APO 'T.;!2s�Uieyl �(UMIR PIIO angel SPO 83>puadapul APO IeiaowaW Re0 s,ivapisaad ea 'if 2ui� jagjnj ui� e jN A APO s,jeah WN SAepploH @POO 8uin�olio1 ayj uo Z �1.Q1�+�N3d ION S1 uoi1anaIsuo0 Z318IWda vu114=11 ,, N 0 0 r O 0 z w r = CONS a• October I st - Anr: 3t. Monday - fisricia; Saturday: 8: 11�9•x Sunday: None 0 Government Cocj jrc jida ygr:r.., u .' , 4-1e may Ist - Septew- er 30,11 o Monday - Friday: 6:00 ' to i:0�? �.an. SundaySaturd: 8 o a.m. to 5:00 P. n. Y Mine Government Code Holidays: bone „'8010K811dO� M3NMO 3H130 3SN3dX3 3H11V 83NIV1N00 11 01 A110 3Hl 3Siib'0 A;I OS 00 01 3W 11V3 'MVSS303N SV 03I JOB 38 MIN ON NOI1DOMNO0 30 S3SVHd 11V Mao IIS 80f 3H1 NO 0381ii038 SI 83NIViN00 AM 03ZIS ,1131VMOV NV,, 8 ) .jZ 3140 N IloflSsNOO UOd C'3)JddV ld3 Ai3JVS V Maine dIN no bel jo Aiio r O n r z 0 55 z M X z D M X U) z G) D M CITY OF LA QUANTA SUB-CONTiRM.TOR, LIST f JOB ADDRESS_._ PERMIT NUMBER OWNER Q�'._. ,BUILDER a ` e "oi) with the Buildiri Ins )ection Card at all time in conspict,oLis place. Only persons appearing on this list or their employees ar authorized to work This fiorm shall be_postect on ih t g r. s on this job. Any changes to this list must be approved by. the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance