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BPOL2019-003678-495 CALLE TAMPICO T-iht D Zr Quilt& LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: POOL/PRIVATE Application Number: BPOL2019-0036 Property Address: 52654 VIA DONA APN: 777410003 Application Description: COOK / [2] WATER FEATURES Property Zoning: Application Valuation: $11,600.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: SCOTT & SHANNON COOK 2404 199TH AVE CT E LAKE TAPPS, WA 98391 Date: 3/4/2019 Applicant: + Contractor: DESERT MIRAGE POOLS & SPASD A IL DESERT MIRAGE POOLS & SPAS P O BOX 10050 - 7 P O BOX 10050 INDIO, CA 92202 DD MAR 0 4 2C i INDIO, CA 92202 l , j (760)702-9222 ( C�f1�fAf111Ip1Tft y Llc. No.:999928 --------------------------- --v-��ty�^_„_61�r�LfOA�WA�UA��VI�h S�iatA7------------------------------------ �-- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provi a s of Chapter 9 {commencing with Section 7000) of Division 3 of the Busines and Pr fe ions Code, and my License is in full force and effect. License Class: C53 License No.: 999928 Date: _ Contractor: I hereby affirm under penalty of perjury that am exa pt from the Contractor's State License Law for the following reason (Sec. 70 1.5, 8 siness and Professions Code: Any city or county that requires a permit to constr, Iter, 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 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: 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 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: Car Ter Policy Number: 6��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 be me su t to the workers' compensation laws of California, and agree that; if I s uld c e subject to the workers' compensation provisions of Section 3700 of In L Code, I shall forthwith comply with those provisions. Date: 3 — C Applicant: WARNING: FAILURE TO SECURE WOR RS' C MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER T CR INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS( 0,000), 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 info atio s correct. I agree to comply with all city and county ordinances and state laws lati t uilding construction, and hereby authorize representatives of this city to ter v e above - mentioned property for inspection purposes. Date: Signature (Applicant or Agent) Date: 3/4/2019 Application Number: BPOL2019-0036 Property Address: 52654 VIA DONA APN: 777410003 Application Description: COOK / [2] WATER FEATURES Property Zoning: Application Valuation: $11,600.00 Applicant: DESERT MIRAGE POOLS & SPAS P 0 BOX 10050 INDIO, CA 92202 Owner: SCOTT & SHANNON COOK 2404 199TH AVE CT E LAKE TAPPS, WA 98391 Contractor: DESERT MIRAGE POOLS & SPAS P 0 BOX 10050 I N DI O, CA 92202 (760)702-9222 Llc. No.: 999928 Detail: [2] WATER FEATURES FRONT YARD [JOHN HENRY HACKER 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 CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT SWIMMING POOL/SPA 101-0000-42404 0 $200.12 DESCRIPTION ACCOUNT CITY AMOUNT SWIMMING POOL/SPA PC 101-0000-42600 0 $108.87 Total Paid for POOL / SPA: $308.99 DESCRIPTION ACCOUNT CITY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 Project Address: gZ ' C, k APN #: Applicant Name: Address: (j 5o City, ST, Zip: '7;i rll-n 2 oz Telephone: Email: de_ A Contractor Name: J 'G Address: City, St, Zip YJ Telephone: Email - State Lic: �qq?Zg City Bus Lic: Arch/Eng Name: Address: City, St, Zip F lephone: mail: State Lic: City Bus Lic: k perty Owner's Name: I . orik dress: --�r, ST, Zip ephone: Email: PERMIT # ��[lrl - n�►,� PLAN LOCATION: Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech ��riirr�fo=�►�� _I I I -- — / L.. ,. Io Valuation of Project $� �" New SFD Construction: Conditioned Space SF Garage SF Patio/Porch SF Fire Sprinklers SF Construction Type: Occupancy: Grading: Bedrooms: Stories: # Units: New Commercial / Tenant Improvements: Total Building SF Construction Type: Occupancy: 78495 CALLE TAMPICO LA QU I NTA, CA 92253 760-777-7000 fi