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08-1272 (CP)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 c&'ht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/04/08 Application Number: 08-00001272 Owner: Property Address: 53035 MERIWETHER WY EAST OF MADISON LLC APN: 767-200-998-80 -330761- PO.BOX 1482 Application description: POOL - COMMERCIAL LA QUINTA, CA 92247 O Property Zoning: LOW DENSITY RESIDENTIAL n Application valuation: 15000 1►rp`\' Contractor: O ,I 1 2 200 Architect or Engineer: TESERRA pt P.O. BOX 1280 COACHELLA, CA 92236 Pi/y (760)398-9222 G��INANCE ii�� Lic- No.: 656128 ------------------------------------------------------------------------------------------------— LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that.) 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: CS C27 C3_9,License No.: 656128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: I� OStr 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 woikers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier SEABRIGHT Policy Number BB1080510 following reason (Sec. 7031 .5, Business and Professions 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 thec.Ged shall forthwith co with those provisions. that he or she is exempt therefrom and the basis for the alleged.exemption. Any violation of Section 7031.5 bya any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).: ate: l l i ppl' ( 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 WARNINI FAIL RE TO SECURE WORKERS' COMPE N 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 PENALTIES 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 THE 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, INTEREST, 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 (_) I, 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, (_ 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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: LQPERMIT 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 of this county to enter upo the above-ment' or inspection purposes. ` ::::;::; e(1 IZ. C nature (Applicant o e LQFERMIT Application Number . . ... . 08-00001272 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check•Fee 6.50 Issue Date Valuation 0 Expiration Date 5/03/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 ------------- --------------------------------------------------------------- EA MECH FURNACE >100K 11.00 Permit . . . ELEC-MISCELLANEOUS _Additional desc . Permit Fee . . . . 21.00 Plan Check Fee 5.25 Issue Date . . . . -Valuation . . . . 0 Expiration Date 5/03/09 Qty Unit Charge Per Extension BASE FEE 15.00 8.00 .7500 ----------------------------------------------------------------------------- PER ELEC DEVICE/FIXTURE IST 20 6.00 e Permit . . .PLUMBING Additional desc . Permit Fee . . . . 60.00 Plan Check Fee'. 15.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/03/09 Qty Unit Charge Per Extension BASE FEE' 15.00 6.00 6.0000 EA PLB FIXTURE 36.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 2.00 3'.0000 EA PLB GAS PIPE 1-4 OUTLETS 6.00 Permit BLDG POOL PERMIT Additional desc . Permit Fee . . . . 162.00 Plan Check Fee 105.30 - Issue Date . . . . Valuation 15000 Expiration Date 5/03/09 Qty Unit Charge Per Extension BASE FEE 45.00 13.00 9.0000 --------------------- THOU BLDG 2,001-25,000 117.00 ---------------------------------------- Special Notes and Comments 1 SPA & 1 COLD PLUNGE LOCATED'IN MEN'S NLS r t� Bin # _ ity of L-Quinta . a 110� Building 81 Safety Division 0• Box 1504, 78-495;Calle Tampico � A Permit # La Quinta, CA 92253 - (760) 777-7012 '� Flo Building Permit Application and Tracking Sheet" Project Address_ 3 0357 1)jjRf- {j/.e�>yC2 's Name: A. P. Number: ��U � FAddress:�J (� 3 ' Legal Description: T, Zip: r✓(k�� ZZ Contractor: e `i Telephone:, M Project Description:D Address: b_ 'SU City, ST, Zip: ClOac e WX CI '"I L-2 Telephone: F(q2lZ' State Lic. # : 2 City Lic. #: . Arch., Engr.,'Designer: NN Address: City, ST, Zip: r Telephone: Construction Type: Occupancy: State Lic. #: T5_100230 Project type (circle one) New Add'n -,Alter Repair Dem_ o Name of Contact Person: Sq. Ft.: U # Stories: # Units: 7' Telephone # of Contact Person: (760 Q-07--91 1 Estimated Value of Proje ae,,n 9s - 2� !v`' APPLICANT: DO NOT WRITE BELOW THIS LINE ' # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount • r Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance �t Energy Calcs. Plans picked up 8141,08 Construction Flood plain planPlans resubmitted Mechanical v - y Grading plan 2.d Review, ready r correction ssue q Electrical ' Subcontactor List Called Contact Person Plumbing —:___:_:_--_ .-= ..—.—. _.:Grading -Plans resu�miftea = IIO SE - - ___ -- _- -_ :- — t coirertrnasl — - - - - `APProval . aeContacIPerson"— - - Pub. Wks. Appr Date of permit issue . School Fees ' Total Permit Fees NLS r t�