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RPL (12-1032)P.O. BOX 1504 ` 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00001032 Property Address: 61805 MESA CT APN: 764-280-999-59 -300237- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 29000 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: CONKEY BRUCE 61805 MESA CT LA QUINTA, CA 92253 (619)857-9727 VOICE (760) 777-7 • FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/07/12 Contractor: U / DESERT OUTDOORS 79405 HIGHWAY , PMB 427 LA QUINTA, CA 2 3 p 0•�� (760)399-9600 LiC . NO.: 964 74 Cfr�, .�.. , LICENSED CONTRACTOR'S DECLARATION • 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.. .�.. , 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 Cl ss: C27-053 License No.: 964474 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is - „��-- _s .. Date:'1 y acintractor: - _ L..UIU31. issued. ,. _ 1 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 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 NORGUARD INS Policy Number DEWC229889 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 t ' 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 r License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code taN-fortt�t 'roh 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Aicant: - - Date: (ppl 1 _ 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 ISec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 ($100,0001. 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 t 1 _ 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 11 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. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City - - of Le 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: 1 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 ' �1 • CONSTRUCTION LENDING AGENCY permit to cancellation. .l hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I 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 my to enter upon the above-mentione or ins n purposes. - Lender's Name: - r G /y/ L - Date: -[ / h L Signature (Applicant or Aa - - ' Application Number . . . . 12-00001032 Permit MECH POOL Additional desc Permit Fee. . . 26.00 Plan Check Fee 6.50 Issue'Date Valuation 0 Expiration Date 3/06/13 Qty Unit Charge Per Extension BASE FEE 15.00 ' 1.00 11.0000 EA MECH FURNACE >100K ---------------------------------------------------------------------------- 11.00 a ' Permit . . BLDG POOL PERMIT Additional desc ' • Permit Fee 278.00 Plan'Check Fee 180.70 Issue Date *. Valuation . . . . 29000 Expiration Date 3/06/13 ` '+ Qty Unit Charge Per Extension + - BASE' FEE 252.00• •4.00 6.5000 THOU BLDG 25,001-50,000 26.00 ., -------------------------------------- ---------------------- •+ -- ------ Permit . . . ELEC POOL'PERMIT-RES Additional desc .. ' < Permit Fee 45.00 Plan Check Fee 11.25 Issue Date . . . Valuation 0 Expiration Date 3/06/13- Qty `Unit Charge Per Extension r 'BASE FEE 15.00-• 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL. .30.00 -- - -- .--- -- - -. -- - - - ----- - - - - -- ------------- - , - ----- t , + ,PermitPLUMBING . '• Additional desc . •- Permit Fee . . . . 33.00, Plan Check Fee 8.25 Issue Date Valuation 0 : Expiration Date 3/06/13 Qty Unit Charge Per r 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 3.0.000. EA PLB GAS -PIPE 1-4 OUTLETS. 3.00 ' ------------------------------------ ----- Special Notes and Comments POOL ALARMS/BARRIERS SHALL BE.IN PLACE UQP„ERMIT Application Number .' 12-00001032 ----------- -------------- ------•--- Special- Notes and Comments - - ' AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSER NOT INCLUDED. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00' Fee summary Charged Paid Credited Due 4 Permit Fee Total 382.00 .00 .00 382.00.. Plan Check Total 206.70 .00 .00 206.70 Other Fee Total 1.00• .00 .00 1.00 ' Grand Total 589.70 .00 .00 589.70.. _ t • LQPERMIT Bina Cie y of La Quiuta Bufft 8L Safety Division P.O Box 1504,-78-495 Cane Tampico 4.Qidnla, CA 92253 -:(760) 777-7012 T Building Permit Application and Tracking Sheet Pew ProjectAdd[rss: Owner's Name:. ' A P. Number Address l Legal Desorption: Contactor. Desert Outdoors -' City, ST, Zip: C telephone .17 Adm: 78-065 Main St. Ste. 205 PmjectDescription: L. City. ST. Zip- La Quinta, Ca. 92253 Telephone` 760-399-9600f " State Lic. # : -c-53 964474 City Lic. Arch. Env., Designer Flying Buttress Address: - 77725•Enfield Ln. Ste.130 Citi, ST, zip: Palm Desert, CA. 92211 T&phone: 760-772-4411 Con*uctionTypw. - Occupancy: State Lia #: 33446 Project type (circle one): New Add'n Alter Repair Demo" Name of Contact Pam: Sq. FL: #Stories # Ute Telephone # of Contact Person .. Estimated Value of Project.? APPLICANT: DO NOT WRITE BELOW THIS UNE a Sobmittel Req'd Reed TBACMNd PERMI`TFEES Pian Sets Play Check submitted- Item Amount Structural Cala. - Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Pian Check Balance. TYSe 24 Cales. Pians picked up Construction Flood plain plan Plans resubmitted•-. Mechaidcal Grading plan Z'` Review, ready for correctionafutrue I Electrical Subcontattor List Called ContaetPerson Plumbing Grant Deed Plans picked up SALL H.O.A. Approval Plans resubmitted Gradtng IN HOUSE:- ''d Review, ready for oorrcedondissne Developer Impact Fee Planning Approval- Called Contact Person Pub. Wks. Appr ' - Date of permit Issue School Fees Total Permit Fees