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RPL (08-0006)Tdif 4 4 �P.,BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 - LA QUINTA; .CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 1/03/08 l Application Number: _ 08--00000006 f Owner: Property Address: 61810 MESA CT GAUGGEL RESIDENC .' APN: 764=280-999-62 -300237 61-810 MESA CT Application description: POOL -'RESIDENTIAL LA QUINTA, CA 9 Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 10000 Contractor: Applicant: Architect or Engineer: TESERRA P.O. BOX 1280 k'gMCE. COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 11 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that 1 a 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 an 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 Clss: C8, C27 C29 License No.: 656128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is " r issued. 1 Dater Contractor: _- I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor { i Code,.for the performance of the work for which this permit is issued: My workers' 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 BB1070510 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 b come subject to he 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 becom subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 9000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, shall fo hwith 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).: f Date: i• Applicant: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 1 the strubture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The I WARNING: FAILURE TO SECURE WOR ERS' 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 y 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 ofconditions and restrictions set forth on this application. t 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. , B.&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. I hereby affirm.under penalty of perjury that there is a construction lending agency for the performance of the 1 certify that I have read this application and state that the above i ormation 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 build' const ction, and hereby authorize representatives of IN c unty to enter_u n the above-mentioned pro r i pe ion purposes. , Lender's Name: Date:/ 0 - ignature (Applicant or'Agent): Lender's Address: LQPER ITT Application Number .. . 08-00000006 - .. Permit . . . . BLDG POOL PERMIT Additional desc . Permit Fee _. 117.00 Plan Check Fee 76.05 ' Issue Date. Valuation 10000 " Expiration Date - 7/01/08 Qty Unit Charge Per Extension BASE FEE 45.00 . 8.00' 9.0000 THOU, BLDG 2,001-25,000 72.00 Permit MECH POOL Additional desc . Permit Fee 26.00 Plan,Check• Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date.. 7/01/08 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 iT.25. 'Issue Date . . . . Valuation. . . . . 0 Expiration Date . 7/01/08 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 27.00 Plan Check Fee 6.75 Issue Date Valuation . . . . 0 Expiration Date 7/01/08 Qty Unit Charge Per . Extension , BASE FEE. 15.00 1.00 6.0000 EA PLB FIXTURE• 6.00 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 WATERFEATURE PER APPROVED PLAN ONLY. Application Number 081-00000006 :- Fee summary Charged Paid --------- Credited' Due Permit Fee Total 215:00 .00 --------------------,,. .00 215.00 Plan Check Total 100.55 .00 00 100.55 . Grand Total 315.55 .00 :00 315.55 Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Q^ /-J Project Address: —9/0 Owner's Name: / A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: —T� Telephone: Address: 9�o Project Description: City, ST, Zip:/m, C1AL LLI C! `f ZL toLA e" u / r��, Telephone: ��— r��.�-�- �; �r �h, State Lic. # : �,� , if City Lic. #: Arch., Engr., Designer: ` Address: City, ST, Zip: Telephone: "t Construction Type: Occupancy: State Lic. #: Project type circle one Ne, Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: O p0b APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Ree'd TRACKING _ PERMIT FEES Plan Sets Plan Check submitted ` Item Amount Structural Cales. 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 2nd 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