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RPL (08-1807)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:' 08-00001807 Property Address: 61775 MESQUITE CT APN: 764-280-999-64 -300236- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 25000. Tiu4t 4 4 Q" Applicant: Architect or Engineer: V U, SED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury I am licensed under provisions of Chapter 9 (commencing with Section 7 0) Dig sion 3 of the ine d Professionals Code, and my License is in full force and effect. Li cans C ss License No.: 658996 /S Dat 9( ontrarxor: OWNER -BUILDER DECLARATION I here y affirm under penalty of perjury t at I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business end 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.). (_) 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.). 1 1 I am exempt under Sec. , B.&P.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: P1 11 LQPERAIIT Owner: JUM & DONNA MABBOTT 61775 MESQUITE COUR' LA QUINTA, CA 92253 Contractor: FAMILY POOLS CONSTRUCTION P O BOX 283 LA QUINTA, CA 92247 (760)564-3655 Lic. No.: 658996 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 1:Z- -Date.- 11/04/08 4 1000 fl ----------------------------------------------- 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. XI 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 _. I certify that, in the perform anc' person in any manner so as ec *G:FAILURE agree that, if Isho eohe Labor Code, s I Dateplicant: WARNTO SECURE WOR RS C�0 SUBJECT AN EMPLOYER TO CRIMINAL PENA TI DOLLARS ($100,000). IN ADDITION TO THE 0 SECTION 3706 OF THE LABOR CODE, INTEREST wITumber 1344032-8 work for which this permit is issued, I shall not employ any ie subject to the workers' compensation laws of California, nbj to the workers' compensation provisions of Section qh omply with those provisions. IPENSATION COVERAGE IS UNLAWFUL, AND SHALL S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND �T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN 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 t is permit,-- 2. ermit! 2. Any permit issued as a result of this ap ica(io .ecomes null and void if work is not commenced within 180 days from date of issuance such permit, or cessation of work for 180 days will subject permit to cancellation. I certify hat I have read this application and s to th th bove information is correct. I agree to comply with all city and ou y inances and state laws relating ng construction, and hereby authorize representatives Of thi nter upon the ove-mentioned r coon purposes. ate Sig re (Applicant or Age U: Application Number . . . . . 08-00001807 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 252.00 Plan Check Fee 163.80 Issue Date . . . . Valuation . . . . 25000 Expiration Date 4/29/09 Qty Unit Charge Per Extension BASE FEE 45.00 23.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 207.00 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date 4/29/09 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 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/29/09 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 4/29/09 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 LQPERMTT Application Number . . . . . 08-00001807 Permit . . . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date Valuation . . . . 217 Expiration Date 5/03/09 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA,10 L.F. 416" EQUIPMENT WALL, CITY STANDARD, 150 L.F. 3/4" GAS LINE FOR FUTURE APPROVED APPLIANCE, ELECTRIC STUB OUT FOR FUTURE APPLIANCE. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged ----------------- ---------- Permit Fee Total 371.00 Plan Check Total 189.80 Grand Total 560.80 LQPERMIT Paid Credited Due ---------- ---------- ---------- .00 .00 371.00 00 .00 189.80 .00 .00 560.80• Bin # City of La Qu►nta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 1� Project Addres Owner's Name: ' /I�/�, �>/j�6� f A. P. Number: Address: Legal Description: City, ST, Zip: Z-1-1�- s� Contractor: / Ceryl v'�Telephone:";<'<` <i?;: ?;?;?:>:<:>::»"»;>:'•:>:z Address: , �. p`Z g Project Description: City, ST, Zip: Telephone: SG L ii:;4`$f.\` •iii\•1:;:: f; %:?{::C.i?:L'l^ �!? State Lie. # :D�f City Lie. Arch., Engr., Designer: Address: City, ST, Zip: Telephone: '>{<<':' >:''s ::: ` 4 ' ""'`' >''`'"""''"""''"""` State Lie. #: �::<��;:+:t»::::;>:::s:��:::;::..}.:..: •?'�;>< Name of Contact Person: Construction Type: Occupancy: Project a circle one): New Add'n Alter Repair Demo J type Sq. Ft.:#Stories: # Units: Telephone # of Contact Person: — J Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted �� 3I Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance. Title 24 Cates. 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: Jnd 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