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RPL (07-2972)77920 Little Eagle Ct 07-2972 Application description Property Zoning: Application valuation: X07-=0'0'0_0.2'9.-72= 7 77-92-0—liITTLE EAGLE CT 658-140-999-102 -29436 - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 50000 T4ht 4 4 a" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: JEFF & DEBRA KAY 77920 LITTLE EAGLE COURT LA QUINTA, CA 92253 Contractoe Applicant: Architect or Engineer:` G POOL CONSTRUCTION 68415 PEREZ ROAD,' SUITE C CATHEDRAL CITY, CA 92234 (760)320=9807 Lic. No.: 683901 • LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with 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: 13-053 License No.: 883 901 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I I- - O ontractor: _ 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 _ 0W ER -BUILDER DECLARATION insurance carrier and,policy number are: 1 hereby affirm under penalty of perjury that I am a mpt from the Contractor's State License Law for the Carrier EXEMPT - Policy Number .EXEMPT following reason (Sec. 7031 .5, Business and Profe Bions Code: Any city or county that requires a permit to I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Cod _ I shall forthwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by - any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: II- Ioi-03 plicant: 1—) 1, 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 WARNING: FAILURE TO SECURE W RKERS' MPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an. owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENA TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO TH COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTE EST, AND ATTORNEY'S.FEES. 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.). . APPLICANT ACKNOWLEDGEMENT (_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the . 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under.or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. 8.&P.C. for this reason - - 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. Date: Owner. 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 CONSTRUCTION LENDING AGENCY permit to cancellation. , hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that 1 have read this application and state that the above information is correct- I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authorize representatives • • - of this co ty to enter upon t above-mentioned property for inspection purposes. Lender's Name: e: I I q o•} S' ature (Applicant or Agent): Lender's Address: VOICE (760) 777-7012 FAX (760) 777-7011, INSPECTIONS (760) 777-7153 Date: 11/19/07 LQPERAIIT LQPERMIT 4. . Application Number, 07-00002972 Permit BLDG POOL PERMIT Additional desc ;. Permit 'Fee*. 414.50 Plan Check Fee 269.43 Issue -Date . . Valuation 50000 Expiration Date.. 5/17/08 Qty Unit Charge Per Extension BASE FEE 252.00 25.00 6.5000 THOU BLDG 25,001-50,000 162.50 Permit ... . MECH POOL Additional desc . Permit Fee. 26.00 Plan Check Fee 6.50 Issue Date Valuation 0 Expiration Date 5/17/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 i Permit, . . . . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee 45.00 Plan Check Fee 11.25 Issue Date Valuation 0 Expiration Date 5/17/08 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 5/17/08 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, GAS LINE FOR FUTURE, LQPERMIT Application Number . . _ . . 07-00002972 INTA 1010 0 V ' "'I " A IN 10 A a I V VO AM, WAM I N Va 1 0, M 0, IV, 4 � A V.- ro. r--1 _ 4�7F -- ��U UK��-�� UU�� l[ - CITY ' _' -- ' --_-- -� � - - - ~ ^ KB��' J��B��DDRcS This form shall be post�d on the job with t - he Building Inspection Card at all times in a cons Icuous place. C)n| 'pensonoappoaring on this list. ortheir employees, are authorized to work on this job. Any changes to this list must baapprovedtby he BuildingDivision'prior ' to'commencement of.vvork` Failure ` tocomply will result inastoppage of. work and/or the voidance. of building permit. For each applicable below Cornpariy Name Classification License Number Exp. Date Carrier Name. - CR kt N. 4-01 R. QV LA 0, Bin # ' City -of La Quinta Building U Safety Division , P.O.. Box 1504,.78-495 Calle Tampico . ' La Quinta, CA 92253 - (760). 777-7012 Building Permit Application and Tracking Sheet Permit Project Address: R�— Z.® b e i Owner's Name: elE t'b60r-u i61 A. P. Number: I -A- 0, U i ti o' G ! Address: 7.7 92 O l:J41 eZi -La C� / Legal Description:City, ST, Zip: L I f in Contractor: C� U C Telephone -7`7 - 33- X31 »� Project Description: Address: (� L a e Z RC� C �' City, ST, Zip: M(a1 ' Cq q?_ Z3 q t?w 6 01 _ i L; .. . Telephone: % 60 3 Z `l 3-56 0 City, Lic. #: � . � �• State Lic. # : O 0 1 Arch., Engr., Designer: 1 ( t' Eel: - Address: 5 QA I- f LCA VI City, ST, Zip: '' e ,ir✓11 i Aa bones !'I ZZo 3 Telephone: 2:12-q C, j (o State Lic: #: , Name of Contact Person: Joaj A Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.:. # Stories` # Units: Telephone # of Contact Person:Project- P -- Estimated Value of Project: •. �=5.`'.a.;.� . y iJ•- APPLICANT: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACKING . PERMIT FEES Plan Sets . Plan Check submitted 1 Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance L Energy Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" 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