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BPOL2020-001078-495 CALLE TAMPICO C& 0 D e4P Qu4a VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 1/29/2020 Permit Type/Subtype: POOL/PRIVATE Owner: Application Number: BPOL2020-0010 MODERN STRUCTURES LLC Property Address: 79540 TOM FAZIO LN N PO BOX 1573 APN: 766031018 RANCHO MIRAGE, CA 92270 Application Description: MODERN STRUCTURES / POOL,SPA,GAS, AND GARDEN WALLS Property Zoning: Application Valuation: $15,000.00 Applicant: `�.� Contractor: ALBERT CAMARENA / RED'S CONSTRUCTION LANDSCAPE INC D A 00760)702-6286 ED'S CONSTRUCTION LANDSCAPE INC 84150 LEYTE AVENUE 4150 LEYTE AVENUE INDIO, CA 92201 JAN 2 9 2020NO10, CA 92201 CITYOFLAQUINTA Llc. No.: 874052 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. 7 License Class: C27 License No.: 874052 J/ Date:- 1, 1241 2 G Zo ► Contractor: -- 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 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 o k 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: EVEREST PREMIER INSURANCE COMPANY Policy Number: 760002015191 1 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 th workers' compensation provisions of Section 3700 of he Labor ode, I sh rthwith comply with those provisions. Date: tr 1 7G'� G Applicant: �/ 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 b ding construction, and hereby authorize representatives of this city to ante i on t above -mentioned property for inspection purposes. �Date:_` Signature (Applicant or Ag eni):. r _ ��1 Date: 1/29/2020 Application Number: BPOL2020-0010 Property Address: 79540 TOM FAZIO LN N APN: 766031018 Application Description: MODERN STRUCTURES / POOL,SPA,GAS, AND GARDEN WALLS Property Zoning: Application Valuation: $15,000.00 Applicant: ALBERT CAMARENA / RED'S CONSTRUCTION LANDSCAPE INC 84150 LEYTE AVENUE INDIO, CA 92201 Owner: MODERN STRUCTURES LLC PO BOX 1573 RANCHO MIRAGE, CA 92270 Contractor: RED'S CONSTRUCTION LANDSCAPE INC 84150 LEYTE AVENUE INDIO, CA 92201 (760)702-6286 Llc. No.: 874052 Detail: POOL AND SPA AT FRONT YARD [DENISE POELTLER ENGINEERING.] [3] GAS OUTLETS, AND 151LF OF 4.5'-6' HIGH GARDEN WALLS THROUGHOUT PROPERTY. [CITY STANDARD] NEW EQUIPMENT MUST BE LOCATED IN AN APPROVED LOCATION EITHER WITHIN THE REAR YARD SETBACK OR 5' MINIMUM FROM THE SIDE P/L--FIELD VERIFY. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. SPECIAL INSPECTION REPORT REQUIRED AT PRE PLASTER. 2019 CALIFORNIA BUILDING CODE FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT WALL/FENCE - EA ADDITIONAL 50LF 101-0000-42404 0 $32.20 DESCRIPTION ACCOUNT CITY AMOUNT WALL/FENCE - FIRST 100LF 101-0000-42404 0 $53.67 DESCRIPTION ACCOUNT CITY AMOUNT WALL/FENCE - FIRST 100LF PC 101-0000-42600 0 $67.08 Total Paid for BLOCK WALL 2019: $152.95 DESCRIPTION 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 DEVICES, FIRST 20 101-0000-42403 0 $26.83 DESCRIPTION ACCOUNT CITY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $26.83 Total Paid for ELECTRICAL 2019: $53.66 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $13.42 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $26.83 Total Paid for PLUMBING 2019: 540.25 DESCRIPTION ACCOUNT CITY AMOUNT SWIMMING POOL/SPA 101-0000-42404 0 $201.25 DESCRIPTION ACCOUNT CITY AMOUNT SWIMMING POOL/SPA PC 101-0000-42600 0 $109.48 Total Paid for POOL / SPA 2019: $310.73 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 Zia0 r && — GEM Jd,, nrSF [ �— PERMIT #LEa • QQ PLAN LOCATION: I'ro,icct Address: '%C SVo —7o- f," jc:�4 z, o Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: 6 6- 0 3 l- O /� S [ I) e r rWu f -C- Applicant Name: Ll er Cq �� C Address: o q 15o 60,14 146-C City, ST, Zip: —7—A W ro Ovq g22v Telephone: 7 6 D— 7o Z— 6 Z (j Email: Z'A �a - G e /0� <I - Valuation of Project $ Yr V2 .5-Y Contractor Name: 14 A co'? SIr(.,Cl � �� New SFD Construction: Address: ov �U Conditioned Space SF City, St, Zip h p�l �, a 0 Garage SF Telephone:-7.'�D z r 6 Patio/Porch SF Email: �� An�4 ,�� ,C�"' Fire Sprinklers SF State Lie: P,7 Yo 57 City Bus Lic: Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lie: City Bus Lie: Property Owner's Name: New Commercial / Tenant Improvements: Address: S '� �, Q , Glx�' Total Building SF City, ST, Zip G h G ,.m rB 9e- , rA Construction Type: Occupancy: Telephone: 7& G _ 7,7-f ( � Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 .S GENERAL NOTES i WkLL j .- a - q. 5 .i¢,a� ry X f j l CD v h n iFc� Fiaa FE,*T✓,2r i�a v c - s 19,4 ern/L/Ni;r-S I yc �GL� I i po o L It f) p1q PL /1-)v 5 THE QUARRY POR. LOT 5 & LOT 6 TR 28189 MB 256/28-29 PORTION OF THE N-1/2 OF SECTION 29, T.6S., R.7E., SBBM a ,a 40 (Z GRAPHIC SCALE i1 SO V F.F.38.95 /Y&ck�xusmw IY lalm. IMIL AL PLANTER AREA 38.0 FG 731F4 �• BSL- I .c.. ..c ..c. �LiE c c ['. . RAISED P L A NttII i • Y .4 �. T 1 � RY = 34.20 POOL �=337AS$I N ruc 15 It %X v 11 V I/ 1 B REVIEWED �2 VIEWED FOR , CODE CO PLIANC DATE BY P�L 15Po, ow l�wrt.�rS G" ► FCnow wl'++y f.'� b�11C]1N. CAI I I before you dig. V 119 'm '(LD WL F.F. 3289 O- I PLANTER AREA 38.0 FG FF=34.30 PE=33.8 b 0L APPROVED FOR PERMITTING: PLANNING AND ZONING COMPLIANCE: BURT HANADA DATE GABRIEL PEREZ DATE BUILDIN 0 GLA OUI TA AND SAFETY DIRECTOR CCIOnM,MUUFI Y LA �rELLOPMENT DIRECTOR CIT IMIL NO SCALE'^ REVISIONS: � I L S PA ��11" ,, j jQ��je f= -- APPRDVfO Br: - 79540 TOM FAZIO LANE NORTH AS pU71 GAS[' O1 ,4 SHOWN ENO H °MD w K'^ri �•� I�a'q LOT 5,6 OF TRACT NO. 28189 ntvcaer m n ,,�ewrw rc trnr ml Ala ra +s y� �,,, y x�rcc nntir�e Hur yrr' pmrmm m y"aw cwn A P. N. 766-031 B lawn u mr noaranl v .nsl rNawx nc uur OW11Mi 9Yt fd,H. a ro am w sla pa.+ai wrwc w�c nnpr leap W.0.1 H0904 FOR: SR09G•F-815E 1 OF 1 SHI FILE NO, _