The URL can be used to link to this page

RPL (12-0131)P.O. BOX 1504 78-495.CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: ' 12-00000131 Property Address: 56100 MUIRFIELD VILLAGE APN: 762-400-004- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 15000 TAt�144 • " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: alPe ------------------ 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 Class: B C53 License No.: 185102 ntractor: OWNER -BUILDER DECLARATION 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): (_) 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 _ 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: Iv LQPERD1IT Owner: NANCY FREEZE 56100 MUIRFIELD VILLAGE LA QUINTA, CA 92253 Contractor: CALIFORNIA POOLS Pb BOX 2889 PALM DESERT, CA (760)000-6141 Lic. No.: 185102 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/21/12 92261 ------------------- - ------------------------- -- 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 ARCH INS CO Policy Number WC260048200 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 subject to the workers' compensation provisions of Section �f 3700 of the Labor Code, 1 shall f with comply with those provisions. ate: plicant- WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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, 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 setforth 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 constructiff by authorize representatives of t is%county to enter upon th bove-mentioned property for inspectio 1�eY —/ Si ture (Applicant or Agent): Application Number . . . . . 12-00000131 Permit . . . BLDG POOL PERMIT Additional desc . BASE FEE Permit Fee . . . . 162.00 Plan Check Fee 105.30 Issue Date . . . . Valuation . . . . 15000 Expiration Date 8/19/12 3.0000 EA PLB GAS PIPE 1-4 OUTLETS Qty Unit Charge Per 45.00 Extension 11.25 BASE FEE 45.00 13.00 ----------------------=----------------------------------------------------- 9.0000 THOU BLDG 2,001-25,000 117.00 Permit . . . MECH POOL Unit Charge Per Additional desc . BASE FEE Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/19/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 ---------------------------------------------------------------------------- 11.0000 EA MECH FURNACE >100K 11.00 Permit . . . ELEC POOL PERMIT -RES PLB WATER INST/ALT/REP Additional desc . 3.0000 EA PLB GAS PIPE 1-4 OUTLETS Permit Fee 45.00 Plan Check Fee 11.25 Issue Date NEW SPA Valuation . . . . 0 Expiration Date 8/19/12 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 . . 8/19/12 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 ---------------------------------------------------------------------------- Special Notes and Comments NEW SPA & NEW EQUIPMENT. ALARMS/BARRIERS LQPERMIT Application Number . . . . . 12-00000131 ---------------------------------------------------------------------------- Special Notes and Comments ' SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. 2010 CODES. ----------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid -------------------- Credited -------------------- Due ----------------- Permit Fee Total 260.00 .00 .00 260.00 P1an.Check Total 129.80 .00 .00 129.80 Other Fee Total .1.00 .00 .00 1.00 Grand Total 390.80 .00 .00 390.80 LQPERMIT ;r ,� ., A' ;�� . �� t. '��? 1�f.;, V.r UQ BUM109 &* Safety Divhi6n� P.O. Box 1504,78-495 Calle Tampico Building Pennit -Application'and*. Tracking Sheet Perinit # ProjectAddFew: Owner's Name . 7Address: - Legal Description: Contractor: City ST Zip. Telephone: Address: "a 11 Pr0J ec.t Description: Teliphorie: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo T_ Telephone # of Contact Person: j "7-787q Estimated Value of Project: 4" �: APPLICANT: DO NOT WRITE BELOW THIS LINE Submittal Req'd Reed TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Coles. Reviewed, ready for corrections Plan Chcck Deposit. Truss C21cs. Called Contact Person Plan Check Balance. Tide 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitt.ed.'. Mechafilcal Gi-ading plan Review, ready for correctionslissue Electrical Subcontactor List Called Contact Person Plu bing Grant Deed Plans Olcked up S.M.L H.O.A_ Approval Plans resubmitted Grading IN HOUSE:- Reyiew, ready for correctio'nslissue Developer Impact Fee Planning Approval. Called Contact Person Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees