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RPL (10-0601)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T-it!t 4.4 Q" Application Number: 1 0 00601 Property Address: 61825 MESA CT APN: 764-280-999-60. -300237- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 46000 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION • - - I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Cla s: C13 -053 License No.: 935936 ate: Gntraaor: 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 (Sec. 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.). (_ 1 I, 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.). (_ I I am exempt under Sec. , BAP.C. for this reason 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 Owner: WHITAKER 61-825 MESA COURT LA QUINTA, CA 92253 Contractor: CLASSIC POOLS & SPAS 79461 AVENUE 40TH BERMUDA DUNES, CA 92201 (760)413-4867 Lic. No.: 935936 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/06/10 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one*of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is 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 carrier and policy number are: Carrier NATIONAL INS Policy Number 200090117388 _ 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 subjec the workers' compensation provisions of Section 3700 of the Labor Code, I hall fort) comply with those provisions. te: f Plicant: WARNING: FAILURE TO SECU RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000). INA ITION 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, andherebyauthorize representatives P's co my to enter upon the abo e= mentioned property for ins ection Dater Signat (APPlicant or Agentl: Application Number . . . . . 10-00000601 Permit . . . BLDG POOL PERMIT Additional desc . - Permit Fee . . . . 388.50 Plan Check Fee 252.53 Issue Date Valuation . . . . 46000 Expiration Date 1/02/11 Qty Unit Charge Per Extension BASE FEE 252.00 21.00 6.5000 ---------------------------------------- THOU BLDG 25,001-50,000 =----------------------------------- 136.50 PermitMECH POOL --- -- - ---------Additional--desc : --- Permit.Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/02/11 Qty Unit Charge- Per Extension BASE FEE 15.00 :._ 1.00 11.0000 ---------------------------------------------------------------------------- EA MECH FURNACE >100K 11.00 j Permit ELEC POOL PERMIT -RES Additional desc . Permit Fee 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/02/11 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 1/02/11 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 Permit . . . . . . WALL/FENCE PERMIT LQPERAIIT LQPERMIT Application Number . . . . . 10-00000601 Permit . . . WALL/FENCE PERMIT Additional desc . . Permit Fee• 15.00 Plan Check Fee .00 Issue Date .. Valuation 256 Expiration Date 1/02/11 Qty Unit Charge Per Extension BASE FEE 15.00, -7-------------------------------------------7------------------------------ Special Notes and Comments POOL/SPA, FIREPIT BBQ & 16 L.F. 4' EQUIPMENT WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT -'-'---PRE-PLASTER-INSPECT ION.` 2007 -CODES--' --- -� _..._... -_.--.. _._.........__...... .. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2..00 Fee summary Charged Paid Credited Due PermitiFee Total 507.50 .00 .00 507.50 Plan Check Total -. 278.53 .00 .00 278.53 Other Fee Total 2.00 .00 .00 2.00 Grand Total 788.03 .00 .00 788.03 Y City of La QuInta Buffft a Wety DMIdon . • ; .a . • 12 BLdIdIng PermitApplication and Traddng Sheet 1 :f}-.-.•. ..:'i .}y/., `i4;7 '^iiY.':}J?':6-::jy:.�`?j�iii' Zia t i;:�.j4��.71i<: >L«;j?o-;:xj%�,�,i+�:•ii%` . � i • .rn� : i f':4'�„f �:;: ;?in�}Jk•!ij 4 %+W}yss v<' 1 `sea �<u < EaF'f^`;;amu. 1.�•y#Yy?.�Ya�a # Submith,l Req+d Plan Sets Structural Cales. Truss Calm 711de 24 Calm Flood plain plan Grading plan Subeoataetor IAst Grant Deed H.O.A. Approval IN HOUSE.- - -- Planning Approval Pub. Wks. Appr School Fees Total Permit Fees APPLICANT; DO NOT WRITE BELOW THIS.UNE Ree'd TRACKMG - PERb frFEES Plan Check submitted I6em Amount Reviewed, ready for corrections Plan Chat[ Deposit Called Contact Person Pian Cbeck Balance Pians picked up Construction Plans resubmitted Mechanical 2'! Review, ready for corrections/issue Electrical Called Contact Person Plumbing Pleas picked cap SALL Plans resubmitted Grading Review, ready for correction erne Developer Impact Fee Called Contact Person A.LP.P. Date of permit issue Total Permit Fees