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RPL (07-0090)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 `Application Number: 07-00000090 1 Property Address: 58440 MIJAS APN: 764-200-999-62 -316812- Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 25000 Applicant: I I hereby affirm under penalty of pe Section 7000) of Division 3 of the License Class: C8 C27 C29 Date:Ht7-04—,contractor. Architect or Engineer: 01P( BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ------------------------------ fQ CONTRACTOR'S DECLARATION lice)-4ed under provisions of Chapter 9 (commencing with ^rofes 'ovals Code, and my License is in full force and effect. License No.: 656128 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business an Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair ny structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or sh is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Se 'on 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis or the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to civil penalty of not more than five hundred dollars (5500).: (_) 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.). (_) 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: G-6der's Address: LQPERMIT Owner: LINDSAY RESIDENCE 58-440 MIJAS LA QUINTA, CA 53 Contractor: I TESEE P.O. BOX'1280 COACHELLA, CA 92 (760)398-9222 Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 UI JAN 112001 L OF LA QUINTA Date: 1/10/07 ----------------------------------------------- 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' pensation insurance, as required by Section 3700 of the Labor Code, for the performance oft ork for which this permit is issued. My workers' compensation insurance carrier and policy nu be are: - Carrier SEABRIGHT Number BB1060510 I certify that, in the perf( person in any manner and agree that, if I sh 3700 of the Labor C Date: d--d-�plicant: w k for which this permit is issued, I shall not employ any ne s ject to the workers' compensation laws of California, ibject the workers' compensation provisions of Section iwith c mply with those provisions. WARNING: FAILURE TO SECURE WO COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TOT E COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INT REST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to he Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this pplication. 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 theapplicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and ployees for any act or omission related to the work being performed under or following issuanc is permit. 2. Any permit issued as a result of thi p'cati becomes null and void if work is not commenced within 180 days from date of is an f such ermit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application an st h the abo a information is correct. I agree to comply with all city and county ordinances and state laws elat o uilding c nstruction, and hereby authorize representatives of this cou ty to enS pon the above -me tione r erty for i pection purposes. Date: ion (Applicant Agent ' Application Number . . . . . 07-00000090 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 252.00 Plan Check Fee 163.80 Issue Date . . . . Valuation . . . . 25000 Expiration Date 7/09/07 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 7/09/07 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 7/09/07 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 . . . 51.00 Plan Check Fee 12.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/09/07 Qty Unit Charge Per Extension BASE FEE 15.00 5.00 6.0000 EA PLB FIXTURE 30.00 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 POOL, SPA, ALARMS/BARRIERS SHALL BE IN LQPERMIT Application Number . . . . . 07-00000090 ------------------------------ ------------------------------------ Special Notes and'Comments PLACE AT PRE -PLASTER INSPECTION. (3) WATERFEATURES PER APPROVED PLAN. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged. Paid Credited Due Permit Fee Total 374.00 .00 .00 374.00 Plan Check Total 194.30 .00 .00 194.30 Grand Total 568.30 .00 .00 568.30 r r LQPERMIT s Bin # City of. La Quinta Building u Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico -110 La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address:$ (-I Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: LIy N C a.— Contractor: ( F_: 5Telephone: Address: • l2 Project Description: —zs City, ST, Zip:e og, � Telephone:.!S CI ZZ 2— State Lic. # : t'p S�D ,�, City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: i Construction Type: Occupancy: State Lic. #: I Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: � C_k 0 Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 7 - APPLICANT: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec•'d TRACING PERMIT FEES Plan Sets Plan•Check submitted i —7— 1 Item Amount Structural Calcs. i Reviewed; ready for corrections Plan Check Deposit Truss Calcs. I Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted ` Mechanical Grading. plan' 20° Review, ready for correctionsrissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- t '�" Review, ready for corrections/issue Developer Impact Fee Planning Approval ' Called Contact Person A.I.P.P. Pub. Wks. Appr Date I of permit' u School Fees I I oily t A A A�9 � N lig `OY Wim. Y,s �n IC i otal P rmit Fees DATE BY� E i i 50' t Ci E- t -j F- � I 0 v El —rl LIE t Npr F-rF'a, c -Pm IMM Sieii IX Haf.iiin opo F .. ......... F07 NO N ANDY --Z u P-0,84- f4 ir", Or-, RAJ I CPS. JaNe'. -mow 'Gr I -7zle rlt_ -ro —z;wA&T AC yZOWT7, FJ 'ROST EN Q4ARz,TS SCALE DATE CHEC BY DRAWN BY SOLD BY 09-27-06. �y GG, NJ, Jim B1. TT j7 Lj L J013# H 3 I1T SIONS , °s REQ/A, T E: U '�-lodlt �le Alt:P r-olLJ'lW'l'T;6o-1 0 Cl"Voa lbe I CONSTRUCTION AUTHORIZATION SALES RELD DIG PRE-GUNffE UNDERGROUND MASONRY DECK LLJ 2 Op- A- ,raft C.Lb-oko'w 17,A"*Jr -to OW-Nazir - 7 3 �,D u� 41 11 1 C-1 ry 51 SELECTIONS STONE cn G TILE < NFr BOULDERS DECK COLIDR: JANDY 1z5 -Io PEBB,/PLAS I SIGNATURE LLJ LJ -J cu �,D u� 11 1 C-1 ry cn < zfz:4