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BPOL2018-0174 Revision 1--- Project Address: '72 APN #: L� Applicant Name: Address: C City, ST, Zip: CA Telephone: Email: Contractor Name: Address: l City, St, Zip ' 61 Telephone; �7 G , J. Email: '!' State Lie: 77 a City Bus Lie: Arch/Eng Name: Address: City, St, Zip Telephone: E-mail: State Lie: City Bus Lice: Property Owner's Name: Address: City, ST; Zip Telephone: Email: 1� `%51bN PERMIT _ AL PLAN LOCATION;��t Project Description: Pool, Remodel, Description: Pool, Remodel, Add't, Elect, Plumb, Mech}Elect, Plumb, Mech r� 09 r Valuation of Project $ New SF+D Construction: Conditioned Space Garage Patio/Porch Fire Sprinklers Construction Type: Grading: Bedrooms: Stories: 1 SF SF SF SF Occupancy: # Units: New Commercial / Tenant Improvements: Total Building SF Construction Type: Occupancy: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY ,,L ced�v 64P QU 0— 78-495 CALLE TAMPICO D� VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 9/28/2018 Permit Type/Subtype: POOL/PRIVATE Owner: Application Number: BPOL2018-0174 JVLM INVESTMENTS INC Property Address: 78631 DEACON DR E APN: 770230003 Application Description: JVLM / POOL,SPA AND [2]GAS OUTLETS AT REAR YARD Property Zoning: Application Valuation: $32,000.00 Applicant: / Contractor: MARK A TEMPLE CONSTRUCTION INC V [-7---� MARK A TEMPLE CONSTRUCTION INC 699 INDIAN TRAIL D699 INDIAN TRAIL PALM SPRINGS, CA 92264 SEP 2 8 2018 PALM SPRINGS, CA 92264 CITY OF LA QUINTA 0 (760)323-5310 DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 430358 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B License YNo.: 430358 Date: �� Contractor OWNER -BUILDER DECLA 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 ofthe 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 Lender's Address: 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 the r which this permit is issued. I have and will maintain workers' compensation insurance, as required by !el 00 of the Labor Code, for the performance of the work for which this permit is issue . y workers' compensation insurance carrier and policy number are: Carrier:CALIFORNIA Policy Number:4600563503 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 bor Code, I shall forthwith comply with those p rovis ions. Date- ��i�Applicant: WARNING: FAILURE TO SECURE WORKERS' CO PENSATI COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI IES 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 ofthis 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 relatln building construction, and hereby authorize representatives of this city to en r h ove- mentioned property for ins ection purposes. 6ate.5 ' �� Signature (Applicant or Agent . Application Number: BPOL2018-0174 Property Address: 78631 DEACON DR E APN: 770230003 Application Description: JVLM / POOL ,SPA AND [2]GAS OUTLETS AT REAR YARD Property Zoning: Application Valuation: $32,000.00 Applicant: MARK A TEMPLE CONSTRUCTION INC 699 INDIAN TRAIL PALM SPRINGS, CA 92264 Date: 9/.28,0'-'18 Owner: JVLM INVESTMENTS INC Contractor: MARK A TEMPLE CONSTRUCTION INC 699 INDIAN TRAIL PALM SPRINGS, CA 92264 (760)323-5310 Llc. No..430359 Detail: POOL, SPA, AND [2] GAS OUTLETS AT REAR YARD [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE. s DESCRIPTION BSAS SB1473 FEE DESCRIPTION Credit Card Fee DESCRIPTION Credit Card Fee DESCRIPTION DEVICES, FIRST 20 DESCRIPTION DEVICES, FIRST 20 PC DESCRIPTION GAS SYSTEM, 1-4 OUTLETS DESCRIPTION GAS SYSTEM, 1-4 OUTLETS PC DESCRIPTION SWIMMING POOL/SPA DESCRIPTION SWIMMING POOL/SPA PC DESCRIPTION RECORDS MANAGEMENT FEE DESCRIPTION TECHNOLOGY ENHANCEMENT FEE ACCOUNT QTY 101-0000-20306 0 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: ACCOUNT 101-0000-43505 ACCOUNT 101-0000-43505 AMOUNT $ 2.00 $2.00 QTY AMOUNT 0 $0.94 QTY AMOUNT 0 $6.43 total Paid for Credit Card Fee: $7.37 ACCOUNT 101-0000-42403 ACCOUNT 101-0000-42600 QTY AMOUNT 0 $26.01 CITY AMOUNT 0 $26.01 Total Paid for ELECTRICAL: $52.02 ACCOUNT 101-0000-42401 ACCOUNT 101-0000-42600 QTY AMOUNT 0 $13.00 QTY AMOUNT 0 $26.01 I otal Paid for PLUMBING FEES: $39.01 ACCOUNT 101-0000-42404 ACCOUNT 101-0000-42600 QTY AMOUNT 0 $195.05 QTY AMOUNT 0 $106.11 Total Paid for POOL / SPA: ACCOUNT QTY 101-0000-42416 0 Total Paid for RECORDS MANAGEMENT FEE: ACCOUNT QTY 502-0000-43611 0 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $301.16 AMOUNT $10.00 $10.00 AMOUNT $5.00 $5.00 -air CA Lu M S%O �I D PIPE LE6END 6LHEDULE 40 METALIG PIPE POLYEHYLENE PLASTIC PIPE LINE1 LINE] 1 BTWN CHART GAS DRYER SSAW 7WOL HE1ATER 060.M U WATERHEATER100,000BTU 6/5 FIREPIT E0,007 BTU RMRFArEk 100,000 STU 6A5 FIREPIT SO,OW BTU GAS= IREFIA4 E•G,000 BTU 6A5 FIREPIT B0,000 BTU BBG 40.000 BTU x¢reulu BBQ 00 40,0BTU rmAssmTan� AL f.7 FIRE �I E0,6:0 BTU W_HPATB >7crrq Bru .,RE rr D solo BTU / AOA00 BTJ \ J"lf7' 0 2" 0 1117�D \ \