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BLCK (07-2959)
P.O. BOX 1504 78-4.95 CALLE TAMPICO LA. QUINTA, CALIFORNIA 92253 Application Number:07 0-0,00-2.95:9 �. Property Address: '8 071 MIRAMONTE LN APN: 772-250-018-22 -31349 - Application description: WALL/FENCE Property Zoning: LOW DENSITY.RESIDENTIAL Application valuation:.. 928 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 ' Date:- 11/19/07 Owner. JIM COLLISTER 80071 MIRAMONTE LANE LA QUINTA, CA 92253 Contractor: i PICASSO POOLS IrC � 7 8 0 7 8 COUNTRY OI UB' DR•�, 2 0(6 1 2007 ') BERMUDA DUNES, �CA62.2-03_ /t (760) 345-4600 44'7. g LA.QU1NiA- L i c : No.: 8101E ' kAC� DEP1 - 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 Class: B C27 C53 LicenseNo.: 810111 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is . `D(! �dfe: ntracto . issued. ' I\ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor t / 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 STATE FUND Policy Number 290 - 0.0 01790 - 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 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 License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Co hall fo ith comply withthose 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).: Date/�rf7 _ / plicant: (_) 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 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 ($100,000). 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 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 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.underpenalty 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 county to enter upon the above-mentioned prop e Ptspection poses. ' _ Lender's Name: ' Daignatu Applicant or Agent): Lender's Address: LQPERMIT Application Number . . . . 07-00002959 Permit WALL/FENCE PERMIT Additional desc . Permit Fee` 25.00 Plan Check Fee .00 Issue Date Valuation.928 Expiration Date 5/12/08 .. Qty Unit Charge Per- ' • Extension BASE FEE 15.00 ,5-.00 2.0000 HND BLDG 501-2,000 10.00 -- - Special.Notes and Comments ----------------- 58 L.F. 41 -GARDEN WALL & EQ. WALL, CITY STANDARD _ Fee summary Charged Paid Credited Due - --- --- - -------- - ------------- Permit Fee Total 25.00.. .00 ---------- .00 25.00 Plan Check Total 00 00 00 -00 _ Grand Total 25.00 .00 .00 25.00 LQPERMIT - - Bk,Cf b Quint,'g ' Building. S Safety Derision P.O. Box .1 504, 78 : -9S. Calle Tampico . Permit is Qtlinra, CA 92253 - (760) 777-7012 Building Perth Application and Tracking Sh?E:. .'i; gQ,Orl I . YYIL('(, mnA Lane mer's tame: lJm W� Pro'ea �ddr-_ss*:'. - A, P. Numb= Addre -_ Lzgz1 Descripdon: Cin•. ST. Zip: l �lXt t..�. (3-2-.9 Cotnractnrleas C) 1 ciephone: 1 Off► 3' g 2' •?e Address- �aO l . 2.v Ptrojwt DeseriDvoti:. t -b Cm'. ST. Zips -b T -J jz State Lie : : Pe of l Ards_ Enzr_ 1;_simc I Cin Lic- t:02) ' Addr 0M ST_. Zip: - - - - - _= = -- - - Construction T�. OCa€�-: Telephtme y,:' _ - .'Pe' F . _ ' ;_.'Y"divufi�'.-::.�_�.:"iC- a.::.:r.•-L--r_LTi:S.::': StT: - ... -. -. - - ,- Project n•pe (circie one): N -%v Add'n .�jt_r Rep-zir. Demo ats Lie. 79 ' Name?of-Conrn -Person: 'Sq. FL: r Stories: � � L'ri= Tel=hone t of Contact Person: - C+ kj®® rstintated Valve of Prole= d� APPLICANT: DO NOT WR c BELOW, THIS LINE R Submir*.al I Req'd , Rs'd TR:kCTiING PERF.:TT FEES I PIan.Sets , I Plan Check submitted Item I Amauni Struc:w-21 Caics I I Reviewed. reads for corrections I Plan Check Dc{:es3 Truss C21y I' Called Contact Pcrson. P12o Check flaianct .Ttle 24 Cai s. Plans picked up I Construction I `r?.bod plain plan 1 Plans resubmirted I Alecnanical -Gradin-, pian I I 'ed Retae.c. wadi• for corrrctionsicssue I Electrical Subcontaetor List ' I Called Contact Person I Pfumbin� 'Grata Deed . I Plans picked up SM -1. 'H:O'--..Approval I "P42n5 rtsubmined IGradin-, '^N HJUSE - I '" Review. read}' for correctiottsitssue Developer Impaci Fee •Planuing Approval ': I Called Contact Person I.Pitb. Wks .4ppr School*.F'tes Date of permit issue I Total.Ptxtnit=Fus 77711fl IDARD WALLS 'IDE, PAINT WE SIZ ARE, PERIMETE DEPTI LIGHT SpA —S U. r-. -.4 Co W j 0 — 0 0 SIZE: Cr - 0 w z SpA —S U. r-. -.4 Co W j 0 — 0 0 SIZE: 0 0 AREA: z CL M 0 w 0 RAISED @: ww fn (D CL < SPILL TYPE in "r # OF JETS� Cn CL Ujz � 2 L LIGHTS: -I LL 0 u) 0 FACE FINISH: SPILLWAY TYPE: EXTERIOR FINISH := Co Lu Z DIWIMEL z 2 uj da 0 BENCH: p: < Lu X >- TANNING LEDGE 0Z a. pi ui RAMP < w �- 0 z STEPS I CL0 0— Lu uj 3: PWMBINQ :i CL t5 o e 2 -j o e, FILTER: POOL PUMP HEATER: POOL CONTROL: RETURN INLETS: SKIMMER AUTO FILL: CASCADES: SPRAY HEADS STUB OUTS: 5 6::; 0 Co 0 U. u 0 -j CL 0 uj U 0"o j uj _j �- (L M -j , ::) u. CY) to LL Co '5 o CL �-wzom a R X SPILLWAY TYPE: z BENCH: z a yj U( STEPS -1 w0 c6 T0 ©A (D M z Gjj N Um W w 0 w(6 :3 c6 q) POOL: U) 0 0 >- r> U)Zwo-<w BENCH: p Inm F Cr.p WFr STEPS: t0 - U . w 0 > W <xm TANNING LEDGE: <wo < X _3 co:E 0 �- < -ou SPA: �-wzom a R X SPILLWAY TYPE: W rn,-% < w z L-" >. -j 0 i z < 0 2 a < i� 00 BENCH: z a yj U( STEPS -1 --0z© .� 2 < TILE TYPE w WATERLINE: TILE TRIM: W CL DECto QG X 0 O SQ FT: J 6- P Co CL COLOR: Co UJ0 W FINISH: Z -WJ 0 WALK WAY: SQ FT: 0- w < >- (0 CL COLOR: —U) W -© 2 0 u - W Z 0 FINISH: W < UJ w �- CANTILEVE w � a 0 POOL: 01-10 SPA: DRAINAGE TYPE MANOY R w > P/L EXT WALLS PLANTER WALLS RETNG WALLS: 0 W F- P/E WALLS] j z < --- BBQ 0 (n SIZE BBQ MODE TOP FINISf FACE FINIS SIDE BURNEF PEN LIGH' PLUG OUTLE' O zLli a. O.0 CK w P LU Uj & 3: > (5 �- 000 < '5© 50= ELMM PLASTER COLOR: o 'u'j z< PEBBLE COLOR: OTHER COLLISTER RESIDENCE ADDRESS: LOT# gzviv— I REVISIONS: (1) DATE: (2) DAIE: (3) DAIL;- (4) DATE: (5) DAM Date Printed 11:06 AM 11/ 19/07 1/8"No.1' Scale