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07-1714 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 c&ht 4 4v Q" Application Number: _07-00001714 Property Address: 54-976 AVEN3DA OBREGON APN: 774-294-025-12 -000000- Application description: POOL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 18000 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: MARK & JEAN GRIMES 54976 AVENIDA OBREGON -LA QUINTA, CA 92253 --------------------------------- Contractor: Owner wl; Date: 6/13/07 ---------------- ------/° ,N27zoo� lD ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I. I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: _ _ License No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Date: 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 ISec. 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).: (_ 1 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.). 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 am exempt under Sec. B.&P.C. for this reason 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: LQPERMIT 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 cariier and policy number are:. Carrier 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 �f 3700 of the Labor Code, I shall forthwith comply with those provisions. pelMe 1-1 b A an 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 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 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 ofthis countyy1t enter upon the abov -mentioned property for inspection purposes. Di nt or Agent): T Application Number 07-00001714 Permit . . . . . . BLDG POOL PERMIT. Additional desc Permit Fee . . . . 189.00 Plan Check Fee 122.85 -- Issue Date Valuation . . . . 18000 Expiration Date .12/10/07 Qty Unit Charge Per Extension BASE FEE 45.00 16.00 9.0000 ----------------------- ------------------------------------------------------ THOU BLDG 2,001-25,000 144.00 Permit . . . . . . MECH POOL Additional desc Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/10/07 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 -12/10/07 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 12/10/07 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 Bin'# • Gty of La Quanta z [` .. .i' - J . i la td 1 '1 Building a Safety Division ,,..s,.. P.O. Box 1504, 78-495 Calle Tampico �`',,; La Quints, cA 92253 - (760) 777-7012 rt Building Permit Application and Trackingg Sheet, Permit .# , p Project Address:' V3*q1 lo AJ�� ObC. . 1w\ Owner's Name: A. P. Number: Address: Legal Description: City; ST, Zip:, Contractor: Telephone: e Address: Project Description: ' City, ST, Zip: _1 Telephone: titZ State Lic. # : City Lic. #: �Q 'Arch., Engr., Designer: Address: City, ST, Zip: JIV Telephone: State Lic. #: -,z3q \A19 Name of Contact Person: vq,,� r Construction Type: Occupancy: Project type (circle one): ' e Add'n Alter Repair Demo Sq. Ft.: # Stories: #'Units: Telephone # of Contact Person: 11190 10a. 511 Estimated Value of Project: `d Opp APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING. PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. ` Called Contact Person Plan Check Balance Energy Calcs. '� Plans picked up Construction Flood plain.plan Plans resubmitted Mechanical {. Grading, plan 2°d Review, ready for corrections/issue Electrical Subcontactor List, Called Contact Person Plumbing 'Grant Deed Plans picked up, S:M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE: ''" Review, ready for corrections/issue • 'Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Date: May 17, 2006 To: City of La Quinta, Building & Safety Department. Re: Delegation of Authority for construction at 54-975 Ave. Obregon, La Quinta, CA 92253 I hereby authorize Doug Bogren to act in my behalf for all matters related to the construction at 54-975 Ave. Obregon, La Quinta, CA 92253. Best regards, Mark Grimes 22021 Newpo t�Circle Huntington Beach, CA 92646 714-801-5134 (Loilvd� %WIT* `CSf-116`-i, TELEPHONE (760) 777-7012 FAX (760) 777-7011 OWNERBUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are -,aware. -of { these matters. The building permit will not be issueduntil the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: (760) 777-77011 1 1 2-6 OWNER'S SWNATURE/NATE PROPERTY ADDRESS r7l9 PERMIT NUMBER(S) CITY OF LA QUINTA- SUB -CONTRACTOR LIST -JOB ADDRESS PERMIT NUMBER OWNER VVI- e- Gry 'c— BUILDER 8 This -form -shall be posted on the job with the Bu ding Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job-.. Any changes to this• list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance - of building permit. For each applicable trade, all information requested below must be completed. by applicant. "On File" is not an acceptable response. - io Trade / C) t .n Contractor :. ::.:...:,: .:....,>:...:.:.:.". :. ::;;> :.:.:•: ; C :.,:.:...:::...:.::. Stat�..Contractor s. Ucet�se... :. ,,:<: :.: :::::< :.:.W.orkecs.Gon1nsaLon:lnslrraobe: ;::•, •..::::::.: ><`::..:.. ..' ....Cit .Bus e s License .Y t1 .;� Company Name Classification (e.g. A, B, C-8) Li6ense Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name le.g. State. Fund, CalCompl Policy Number 'Exp. (Format Varies) Date (xx/xx/xx) License Number (xxxx). Exp. Date (xx/xx/xx) EARTHWORK (G-12).:• FRAMING ;IC -51 • •�..;� :. ;... � - STRU.CT:�STEEL•IG-5a1 `• awe---� . MASONRY (C•291 ' "� � � - PLUMBINt3 (C-361•• �'• �• �� ©'1�^--a-� :. LATH: PLASTER ..0,:351 :. . DRYWALL HVAC. (C.20T:.:: ELECTRICAL. (C=10)' .6 . U METAL (x-43) Fl:OORING (0 GLAZING Sl_1fVAGt pl$?t: (0-42) ..<; PAINTING (C=31)'-:: CERAMIC TILE• (0-54) .CABINETS (0-6) d FENCING (C713). LANDSCAPING (C=271_.-` POOL (C-53) .l.-%^^ .: 1A'0 2-\ l���Q O� � �`� Z�i� 3.Z 1 �� -,'o l 6ccl .D HM, ORPAWAY APPROACH FEOI9REe A SEPARATE F4R4f AM P45FEC710N FROM COT CP LA CURIA FIBLC IIIOFM DFPAR PENF EXIT, CURB 4 GUTTER 12'-10" 10' MIN. SETBACK 6& LI Al ACM TNR - - 33W DDIAMEIM 4' NIGH MASCNRt' WALL —6' HIGH MAS01,W Wil 11LENITM FLAS. FIR TO MATCH RES. PLAS. FIX TO MATCH RES. 31•3• NEYiR w w= DN Lela wrK IOOpira' 1e GR4LEL i1� �e A7—� 9 �A• V1444 MASONRY WALL FUSS. F01 TO MATCH RE PALO VERDE) THE 11R101-011MR IS RESPONSISLE FOR THE VERIFICATION L OF (3) 24' BOX ACACIA STENOPHLIA EXISTING CURB LOCATION (OR EDGE OF STREET (SHOESTRMG ACACIA) PAVING IF NO CURB EXISTS) FROM PROPERTY LME(S) WITH THE PUBLIC WORKS DEPARTMENT EXIT. CURB 4 GUTTER ■C SOUTH WEST CONCEPTS . PROGRESSNE DESIGN CONCEPTS • A.Ut cb.al Doal p, ' Re•ldenBal and CommercW ' PWWng wrw Developnem 78.120 Call& Esmd&• Ste. 206 Le Qulnta, CA 92253 OIBCO (760)594-4707 Fax (760) W"953 www.swconcepb.com PROJECT TITLE Proposed Residence for Mark Grimes & Jean Watson 549710-aida Obregon La Qainta, Cafifomb 92253 APN:774.294-025 a DaON Doaerlpd&n Numbar 1Q /01100 is Pili CNK CONRECTWNS Q ON1L082&d P'LU cmL CDRRECTroas Drawn By APPrwed By Prgoct BanaW I . Date: 3/4/2007 1 Vis•- �� � � �� �1-' r :1 - I 110 NEW i III - - - ;�...._ I�ttl♦ 1.11 ►./► - Al � P _ I �• ' I r I I. I �. I V� V1444 MASONRY WALL FUSS. F01 TO MATCH RE PALO VERDE) THE 11R101-011MR IS RESPONSISLE FOR THE VERIFICATION L OF (3) 24' BOX ACACIA STENOPHLIA EXISTING CURB LOCATION (OR EDGE OF STREET (SHOESTRMG ACACIA) PAVING IF NO CURB EXISTS) FROM PROPERTY LME(S) WITH THE PUBLIC WORKS DEPARTMENT EXIT. CURB 4 GUTTER ■C SOUTH WEST CONCEPTS . PROGRESSNE DESIGN CONCEPTS • A.Ut cb.al Doal p, ' Re•ldenBal and CommercW ' PWWng wrw Developnem 78.120 Call& Esmd&• Ste. 206 Le Qulnta, CA 92253 OIBCO (760)594-4707 Fax (760) W"953 www.swconcepb.com PROJECT TITLE Proposed Residence for Mark Grimes & Jean Watson 549710-aida Obregon La Qainta, Cafifomb 92253 APN:774.294-025 a DaON Doaerlpd&n Numbar 1Q /01100 is Pili CNK CONRECTWNS Q ON1L082&d P'LU cmL CDRRECTroas Drawn By APPrwed By Prgoct BanaW I . Date: 3/4/2007 1