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BPOL2019-006078-495 CALLE TAMPICO DLi[1GII LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: POOL/PRIVATE Application Number: BPOL2019-0060 Property Address: 78746 AVE NIDA TEJUNGA APN: 770092014 Application Description: PATERNOSTER / POOL IN REAR YARD Property Zoning: Application Valuation: $38,000.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: NICK PATERNOSTER 78746 AVENIDA TUJUNGA LA QUINTA, CA 92253 Date: 4/8/2019 Applicant: Contractor: SCOTT POOLS - SCOTT MARTIND/y \ SCOTT POOLS 79-290 COOL REFLECTION DL./ �� 79-290 COOL REFLECTION LA QUINTA, CA 92253 LA QUINTA, CA 92253 APR 0 8 2019 P 0 (760)275-7626 CITY OF LA QUINTA Llc. No.: 644723 DESIGN & 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 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: D35, C53 License No.: 644723y� Dater '�l *2 Contractor: JCO? i IOLC 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).: (_) 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 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' ,o 'On. as provided for' YSection 3700 of the Labor Code, for the performance o e w k far whi[h thls permit Is issued. I have and will maintain workers' compensation insurance, as required by S o 700 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: C ier: ' P 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. 13 Gate: Applicant: Z_ �� 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 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 relating to building construction, and hereby authorize representatives of this city to enter upon the above- mentioned property for inspection purposes. Date F/ ignature (Applicant or Agent) Date: 4/;8/2019 Application Number: BPOL2019-0060 Owner: Property Address: 78746 AVENIDA TEJUNGA NICK PATERNOSTER APN: 770092014 78746 AVENIDA TUJUNGA Application Description: PATERNOSTER / POOL IN REAR YARD LA QUINTA, CA 92253 Property Zoning: Application Valuation: $38,000.00 Applicant: Contractor: SCOTT POOLS - SCOTT MARTIN SCOTT POOLS 79-290 COOL REFLECTION 79-290 COOL REFLECTION LA QUINTA, CA 92253 LA QUI NTA, CA 92253 (760)275-7626 Llc. No.: 644723 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i 1 Detail: POOL AT REAR YARD (DENISE POELTLER ENGINEERIbG]iTHIS PERMIT DOCS NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016JCALI�ORNIA BUDDING CbDlf. Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 DESCRIPTION ACCOUNT QTY 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 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 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 -o 2 S (a 15PLatol q - 0040 140E pi lt^ T vTuo C^ 3% — zoo, r� V cttY -1i VN 1 RECEIVED MAR 2 6 2019 CITY OF LA QUINTA COMMUNITY DEVELOPMENT ,0ITY OF LA QUINT, BUILDING DIVISION REVIEWED FOR CODE COMPLIANCE DATE DATE ` BY ls� CALIFORNIA PERMIT # POL PLAN LOCATION: Project Address: '78 74 N\�Ea� Project Description: APN #: City, St, Zip a� Garage SF Applicant Name: sc.o 7 HigVZ--n N� Patio/Porch SF Address: 19Z.g0 Cool p_ZFL_;=c� (-00 C� City, ST, Zip: L4 cy- 92,25'3 State Lic: �, Z/�4 Telephone: Email: Valuation of Project $ ��Gp Contractor Name:- Uo New SFD Construction: Address: City, St, Zip Conditioned Space SF City, St, Zip a� Garage SF Telephone: 7�^a7S _ _ Patio/Porch SF Email S,-,- C� Fire Sprinklers SF State Lic: �, Z/�4 City Bus Lice Architect/Engineer Name: Construction Occupancy: Address: Grading: City, St, Zip Construction Type: Occupancy: Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: !e 7d f RA New Commercial / Tenant Improvements: Address: 7L ZZZ kL21,q7 Total Building SF City, ST, Zip Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY .._..... # Submittal I Plan Sets Structural Calcs Truss Calcs Title 24 Calcs ............ Required .......... Received Soils Report Grading Plan (PM10) Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan Planning approval i. Public Works approval Fire approval City Business License