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RPL (07-0575)r' P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T-iht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 07-00000575 Property Address: 81545 MONARCH CT APN: 764-280-999-5 -300237- Application description: POOL RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 20000 Applicant: -------------- - - - --- I hereby affirm under penalty of perjury that I Section 7000) of Division 3 of the Business - LicenseClas : C8 C27 C29 ate: _ ntractor: Architect or Engineer: PIP ----------------------------- CONTRACTOR'S DECLARATION sed under provisions of Chapter 9 (commencing with fes nals Code, and my License is in full force and effect. License No.: 656128 O NER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am 4 emptfrom the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Prof_ .ions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any st cture, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is lice ed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 700 ) 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).: (_) 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 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: LQPERMIT Owner: WEIR 81545 MONARCH COURT' LA QUINTA, CA 92253 Contractor: TESERRA P.O. BOX 1280 COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 VOICE (760) 777-7612 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Dater 2/21/07 ----------------------------------------------- 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' 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 SEA 3RIGHT Policy Number BB1070510 1 certify that, in the performance the work for which this permit is issued, I shall not employ any person in any manner so as to a subject to the workers' compensation laws of California, and agree that, if I should b su ct to the workers' compensation provisions of Section i 3700 of the Labor Code, ha f hwit comply with those provisions. WARNING ° FAILURE TO SECURE WORKE ' C PENSATION COVERAGE IS UNLAWFUL„AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTER ST, AND ATTORNEY'S FEES. APRLICANT 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 per 2. Any permit issued as a result of this application be o null and void if work is not commenced within 180 days from date of issuance of such mi , o essation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that t abo i ormati n is correct. I agree to comply with all city and 'county ordinances and state laws relating to bu' n uction, nd hereby authorize representatives of this t to Ate on th above-mentionedprop. roe for i s ur oses. /e. � P P Y P P (Applicant or Agent): Application Number . . . 07-00000575 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . 207.00 Plan Check Fee 134.55 Issue Date Valuation 19360 Expiration Date 8/20/07 Qty. Unit Charge Per Extension BASE FEE 45.00 18.00 9.0000 -------------------------------------------------------------------------=-- THOU BLDG 2,001-25,000 162.00 Permit . . . .MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date Valuation 0 Expiration Date 8/20/07 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 8/20/0.7 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 8/20/07 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 Permit . . . . . WALL/FENCE PERMIT LQPERMIT Application Number . . . . . 07-00000575 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 19.00 Plan Check Fee .00 Issue Date . . . . Valuation 640 Expiration Date 8/20/07 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 2.0000 HND BLDG 501-2,000 .4.00 ---------------------------------------------------------------------------- Special Notes and Comments SPA, 30 L.F. 4' EQUIPMENT ENCLOSURE & 10 L.F. 42" A/C BLIND WALL, BOTH CITY STANDARD ALARMS/BARRIERS SHALL BE IN PLACE AT.PRE-PLASTER INSPECTION. Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 324.00 .00 .00 324.00 Plan Check Total 159.05 .00 .00 159.05 Grand Total 483.05 .00 .00 483.05 LQPERMIT Bin # Req'd Recd City of. La Quinta Building u Safety Division Permit # . ^ � P.O. Box 1504, 78-495 Calle Tampico 5 ` La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address-V–SVS Owner's Name: A. P. Number: Address: �k- 5 ��S KI t� - C Legal Description: i City, ST, Zip: Contractor: Telephone: Address: L2 Project Description: City, ST, Zip:e—,091-G L U U'1 Cly �j7Z3 Telephone: !:)Cl C.1 ZZ Z v State Lic. # : �p �� z, City Lic. #: ' . Arch., Engr., Designer: U C L C IT-< SZ � • Address: Plumbing CZ City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: ,Z Estimat d Val ZD # Submittal Plan Sets Structural Calcs. Truss Calcs. Energy Calcs. Flood plain plan Grading.plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE:- Planning Approval Pub. Wks. Appr School Fees e ueofPrglect. 1000 APPLICANT: DO NOT WRITE BELOW THIS LINE Req'd Recd TRACKING PERMIT FEES Plan.Check submitted Reviewed; ready for corrections Called Contact Person Plans picked up Item Amount Plan Check Deposit Plan Check Balance Constructiou Plans resubmitted 2"" Review, ready for correctionsrissue Called Contact Person Mechanical Electrical Plumbing Plans picked up S.M.I. Plans resubmitted ''" Review, ready for corrections/issue Grading Developer Impact Fee Called Contact Person A.I.P.P. Date of permit issue Total Permit Fees MOR TMHOP CHU1414AJV / O L-� ► N �'�) �J1/11�11` �r �� l 75 my r�t7ZiLD&Y A -r 4,A- Qu iA,1rlA xS)Aj� rLs �yg p�tr� `ro 1 i Ti4p,)AV - M" P -VA T *S TO MY O-r4rz�z A/OPL� cprvSTxnt c lo iV 6451:i7,0 ani ThiC brC G1rvgL. T S I2Y�9 )*pe2 llzl7 �Fr ,aM 7' LOPn1►cj�rVA. /mow pj�ry �D ��.t-1 L� l� �OaL k./t P A 1300� 51A -X- 4 .-ril/ 4'2� �D�LS ' SA3 , -t wn� A�PZFclArr� ,T I Yok, c�t)A/ca r_0 Tl! S.E /2/2 4 A At h I T MV -0 1 SSm 6i% T 14, c