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07-2546 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA,. CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: Coe 07.=00002'54"6 53135 AVENIDA OBREGON 774-044-019-7 -000000- POOL - RESIDENTIAL COVE RESIDENTIAL 17000 Architect or. Engineer: » LICENSED,CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury, that I,am lj6ensed unde_r:provision.s rof"Chapter 9 (commencing with Section? 00)bf Divisiom3-of t an ro es" - "d an m'y License is in full force and effect. Lice a ass-_A.]B-C4 rr6 .7 23 at ontractor. x OWNER- U ERb C � 4 TION hereby affirm and ?.penalty erj at I am exempt from _ a Contractor's State License Law _ he following reason Ise I, .5, Business and Professions Code: Any city or county that requires aperni i to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed`statenierit 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 (5500).: (_ I 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.). - 1 _ 1 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 performanceof the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: Y� LQPERMIT Owner: STEVE CORTEZ 53135 AVENIDA LA QUINTA, C4 CORTEZ $2253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777=7153 Contractor: GILBERT, 43,501 TOF INDIO,,,,CT (760-) 835,- Lic. No.: Date: 9/19/07 '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',6ompensation;!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: Carrier.ZEMPT Policy Number EXEMPT I certify that, in the performance of the work for whichthispermit is issued, I, shall not employ any person inany manner. s to become subject to the workers' compensation laws of California, and agree 'LL be su workers' compensation provisions of Section WARNING:,, �FAILUR CUR W ERS NSATION CO IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI AL PENALTIES,AND CI %flNES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000): AN 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 Director of Building and Safety 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'cessat-, of work for 180 days will subject :permit to cancellation. I certify that I have read this application and sta ve information is co ect. I agree to comply with all city and county ordinances and state law sting t uild' g onstr authoriz represe/nJ��+v¢Is of this c90my lb enter upon the abov entioned r p f e i6n� G� � / / i Application Number . . . . . 07-00002546 Permit . . . . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 180.00 Plan Check Fee 117.00 Issue Date . . . . Valuation . . . . 17000 Expiration Date 3/17/08 Qty Unit Charge Per Extension BASE FEE 45.00 15.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 135.00 Permit . . MECH POOL Additional desc . Permit Fee . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/17/08 Qty Unit Charge Per Extension. BASE FEE 15..00 1.00 11.0000 ------------------------------------- EA ' MECH FURNACE >100K --------------------------------------- 11.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date Valuation 0 Expiration Date 3/17/08 Qty Unit Charge Per Extension BASE FEE, 15.00 1.00 30.0000 ---------------------------------------------------------------------------- EA ELEC PRIVATE SWIMMING POOL 30.00 Permit . . . PLUMBING Additional desc . Permit Fee 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation 0 Expiration Date .. 3/17/08 Qty 'Unit Charge Per Extension BASE FEE 15.00 .2.00 6.0000 EA PLB FIXTURE 12.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN LQPERMIT Application Number . . . . . 07-00002546 ---------------------------------------------------------------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT. ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due -------- -- ---------- ---------- Permit Fee Total 284.00 .00 :00 284.00 Plan Check Total 143.00 .00 .00 143.00 Grand Total 427.00 .00 .00 427.00 LQPERMIT al=as 2o1 i:. SEP 1 7 2007 )F LA QUINTA G & SAFETY DEPT. PROVED '-ONSTRUCTION 7 -o? By Clrl G 6'Atc *?- SOS 61W-0�(7,00l.; d Bin # City -of La: -Quinta.. Building u'.Safety Division P.O.`Box 1.504, 78: 495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit .# .1 Project Address: ,' Owner's Name: Address:: A. P. Number: Legal Description: City,. ST, Zip: � Contractor: Telephone: Address: balu Project Description: L City, ST, Zip: Telephone:. State Lic. # : 3. City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: ` Telephone: State Lic. #: Name of Contact Person: l �: Constitictton Type:. Occupancy: P c3': Project type. (circle oneNew Add'n Alter Repair Demo. Sq';Ft: #Stories: #Units: . Telephone # of Contact Person: � Estimated Value -of Project: m( 9 . APPLICANT:,DO.NOT WRITE BELOW THIS LINE. q Submittal -Req'd Recd TRACMG , PERMIT PEES Plan Sets Plan Check submitted Item Amount Structural Calcs Reviewed, ready -for correctionsPlan Check Deposit Truss Cults. Called ContactTerson Plan Cheek Balance" Energy Ca les.. Pians.picked,up Constriction Flood plain plan. Plans resubmitted_' Mechaaicah Grading. plan 2'"Review, ready for correctionsft°sue Electrical Subcontactor List Called Contaet Person Plumbing Grant Deed. Plans picked up S:M.I II.O.A. Approval Plans resubmitted Grading . IN HOUSE:- '' Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P:P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees �� , - CITY - -`� ��` ' . PERMITJOB ADDRESS NUMBER OWNtR.�BUILDER This form sh6ll be posted on.the job with the* Building Inspection Card at all times Only a appearing on this. list or their employees are authorized to work.n6e�toth�'xotro`/`b�aodrbva ' ` he Bui[di�oIliviaion ' or to^oo� °�.c�nnentmfvvork. ai|v[etonorn . vviUr��ubinaatn/p�g�ofvvorkand/or the voidance . of building permit. For e6chapplicable teadej all information requested below must be completed by applicant. "On'File" is not an acceptable.response-. Company Name Classification Exp., Carrier Name Policy Number' Exp. Date License Number Exp. Pate xx) (xx/kx/xx) (Format Varies) H. WORKTox -7131 4.