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Home My WebLink AboutBPOL2017-0084 Contractor Change4 VOICE (760) 777-7125 78-495:.CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 4/18/2018 Permit Type/Subtype: Application Number: POOL/PRIVATE BPOL2017-0084 Owner: t7 JODYJONESymi Property Address: 48720 SAN LUCAS 48720 SAN LUCAS a5 Z APN: 646130028, LA QUINTA, CA 92253 Application Description: JONES / POOL AND SPA AT FRONT YARDG n Property Zoning: 3> Application Valuation: $21,700.00 M O �7 Applicant: Contractor: rJ Oo DESERT MIRAGE POOLS & SPAS PREMIER OUTDOOR INC O P 0 BOX 10050 42575 MELANIE PLACE ST C a oo INDIO, CA 92202 STE F PALM DESERT, CA 92211 (760)200-3673 rT Llc. No.: 963116 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury I am licensed under provisions, of Chapter 9 (commencing with Section 70001 of Di,( of the Business and Professions Code, and my License is in full force and effect License Class: C53 // License No.: 963116 Date Contractor: OWNER-BU ILD f R jDEMRATION I hereby affirm under penalty of perjury th l am exempt from the Contractor's State License Law for the following reason (Sec. 31.5, 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).: LJ 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.). (__J 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 contractors) licensed pursuant to the Contractors' State License Law.). ' LJ 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 th ork for which this permit is issued. I have and will maintain workers' compensation insurance, as required by. Section 00 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: CALIFORNIA INSURANCE COMPANY Policy Number: 4600301105 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 agre at, if I should become subject to the workers' compensation provisions of 5e on 700 of the Labor Code, I shall forthwith complywith those provisions. ' Date GI/ ( I Applicant: WARNING: FAILURE TO SECURE WORKER COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO C IMINAL 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.l have read this application and state that t ove information is correct. I agree to comply with all city and county ordinances nd sta a laws relating to building construction, and hereby authorize representatives o this ci to enter upon the above-ment'oned r(opperty for inspection purposes. Date: LI I6 Signature (Applicant or Agent Date: 4/18/2018 Application Number: BPOL2017-0084 Owner: Property Address: �8720 SAN LUCAS JODY 10NES APN: 646130028 48720 SAN LUCAS Application Description: JONES / POOL AND SPA AT FRONT YARD LA QUINTA, CA 92253 Property Zoning: Application Valuation: $21,700.00 Applicant: Contractor: DESERT MIRAGE POOLS & SPAS PREMIER OUTDOOR INC P 0 BOX 10050 42575 MELANIE PLACE ST C INDIO, CA 92202 STE F' PALM DESERT, CA 92211 (760)200-3673 Llc. No.: 963116 Detail: POOL AND SPA AT FRONT 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. FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT CHANGE OF CONTR/ARCH/OWNER PROCESSING 101-0000-42600 0 $104.55 Total Paid for ADMINISTRATIVE: $104.55 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:' $1.00 DESCRIPTION ACCOUNT CITY AMOUNT Credit Card Fee 101-0000-43505 0 $5.39 Total Paid for Credit Card Fee: $5.39 DESCRIPTION ACCOUNT QTY AMOUNT SWIMMING POOL/SPA 101-0000-42404• 0 $190.00 DESCRIPTION ACCOUNT QTY AMOUNT SWIMMING POOL/SPA PC 101-0000-42600 0 . $103.36 Total Paid for POOL / SPA: $293.36 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 ' 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS:40•