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08-0248 (RPL)P.O. BOX 1504 �78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CO 'PTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am lice/ed under provisions of Chapter 91commencing with Section 7000) of Division 3 of the Business and rof'ssionals Code, and my License is in full force and effect. LicenseClass: A -C -C8 License No.: 840210 ate: : I G,' ontraaor: f i OWNER -BUILDER DECLARATION thereby 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 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. , BAP.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: LQPERMLT Owner: WILLIAM & RONDA ANDERSON 81705 HIDDEN LINKS DRIVE LA QUINTA, CA 92253 ( Contractor: CROCODILE CONSTRUCTION 53080 AVENIDA JUAREZ LA QUINTA, CA 92253 (760)570-6357 Lic. No.: 840210 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/01/08 D ° FEB 0 5 2008 CITY OF !A QUINTA FINANCE DEFT. WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 STATE FUND Policy Number 1828832 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 sho_qld-beco me.ssubject to the workers' compensation provisions of Section 3700 of the Labor d , I shall forthwith cyrply-with those provisions. Plicant: WARNING: FAILURE TO SECURE VAR- S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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 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 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 h e read this application and state that the above information is correct. I agree to comply with all city and co ordinances and state laws relating to building construction, and hereby authorize representatives of this,, /4ty�t enter upon th above-mentioned property for in p ction purposes. e: / / C1�/ /LCfL/%��— Si ture (Applicant or Agent): Application Number . . . . . 08-00000248 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . 207.00 Plan Check Fee 134.55 Issue Date . . . . Valuation . . . . 20000 Expiration Date 7/30/08 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 Fee26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/30/08 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 7/30/08 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 . . , . Plan Check Fee 6.75 Issue Date . . . . 127.00 Valuation . . . 0 Expiration Date 7/30/0; 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 POOL. ALARMS/BARRIERS SHALL BE IN PLACE ` LQPERAIIT Application Number . . . . . 08-000002.48 ----------------------------------------------------------------------_------ Special Notes and Comments AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due _--------------------------------------------------------- Permit Fee Total 305.00 .00 .00 305.00 Plan Check Total 159.05 .00 .00 159.05 Grand Total 464.05 .00 .00 464.05 LQPERAlIT D r3 PA CITY OF LA BUILDING & SAF APPRO FOR CpO, NSTF A AY Dv --. PA VA PA 4 rpt ti°. nrsr cur MA9Fx� (;UJwod 9eP. c. ll�,gvn Fin:rM1 9'6 Cli PA ANDERSON RESIDENCE Bill Noble Celt: 760 2:.>0 4290 .._ I�"ZIi-.('I7 S 1)" �AM►9 Ibis drawing is copy wnflen to Las palmar "Outs for arnsuitatiatt with clients only. remains the property of l as Palmas pool "Outs and may not be reproduced, circulated, of distributed witbrxrt express written permission. The landscaping and lawn furniture depicted are for illustrative purposes only and are not included in the proposed bid. Las Palmas Pools eau provide complete landscaping services upon request. MINTA TY DEPT. LA- �v;`''F►a L`� 'ED CTION j _1L_____— 4f L end: OU Umbrella Socket o Skimmer d .Aub -fill Q v Vacuum Port ; ,y PooU spa Light Uptight P/L Property Line PA Planter area Scale in Feet 0 1 2 3 4 5 6 P, 1� 7)cu 71� rw i 11 PA Ibis drawing is copy wnflen to Las palmar "Outs for arnsuitatiatt with clients only. remains the property of l as Palmas pool "Outs and may not be reproduced, circulated, of distributed witbrxrt express written permission. The landscaping and lawn furniture depicted are for illustrative purposes only and are not included in the proposed bid. Las Palmas Pools eau provide complete landscaping services upon request. MINTA TY DEPT. LA- �v;`''F►a L`� 'ED CTION j _1L_____— 4f L end: OU Umbrella Socket o Skimmer d .Aub -fill Q v Vacuum Port ; ,y PooU spa Light Uptight P/L Property Line PA Planter area Scale in Feet 0 1 2 3 4 5 6 P, 1� 7)cu 71� rw i 11 Jan 30 2008 2:44PM DESERT MANAGEMENT 7608621210 P.1 .:an em w 1 i vue Mac Anderson 760.398-7629 Jan 25 2009 4:31PM DESERT MRMRGEMEMT 7608621210 Fl P.2 Q (dS- 3L) 3 a L!XifIAIT �1� ARCW=CTpiRAL IMPROVEMENT APPLICATION AND ACREEMSNT DATE JQh. 2-6, 900A NAMED) W; Warn`:&Le" and `Rhonda AhdersQLl STREET ADDRESS $1`1i?5 L-InWS briVe. La. Qurota.. LOCAL PHONE ", OTHER mOm REQUESTEDIMPROVEMSNT_ -it1StQll joxAO IR Our Approval is requested !nr the above impaovetnent according to the place attached We Umm 0~1'+eeL� ImMT R'11 mNn nS..l2na n..�l:wiw.r si.s amn.L s.. b.e .l.. wt.. ®�sd wl.<_ description of the materials and colors to be used. cif we we using a eontraetcr(s). we enclose copies ofthe Contractor's License. Anachments: I. Two copies of the Architectural lmprovemazA Application 2. Two sem of plow with matcdalsaod colow to be used. NOW. One ad is for the maaft=ent ot2iaq the other set to be returned to you as "Approved". 3. Contractor's aamc sad copy of contractor's license. (Not squired if the inquovernent is under 5300.00 or if "Owner-Bralder"). �. aivw�.o �i�j atiarv� �vwi aacupi�s vi mnruiiacwctxi proauize m.pe ucen. . We crave read the Arcbitecturai Cotnnuttee Rules and Guidelines and have finished conics to all contractors to be emmaed by vers and rove agree to ewmly vAIh thorn Rules and Guidelhim. We also understand that it is oar msgotuabiiity to inswe that our Contractor(s) comply with said Rules. We acknowledge that Buiidiag Permits for home imprever nests may be required by the City if Indio. The cost of permits, responsibility iiw� wiNeiw:w�. ►L.w.w e...i /L.. w.ivr...r.� :�s..s.�:wrs a.r:11 tu...s.�.�..w�w w:L.i7:e.. Tr e1T �� we recognize the "quirement to be in compliance with applicable building codes - --- including, but not lia*adL toq those adopted subsequent to the odghud completion and acceptance of our dwelling. —fidl�D� It 1"� Bin # City of La Quinta. Building at Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit .# Project Address:' . bs14f iided Ll ICS qbf- Owner's Name: , ° `� w� f � �-�[R�-7 sow A. P. Number: Address: �f _ 7�5 / lC ��/ C� iuts Legal Description:` ,f Contractor: �1 ('� til C�YLS ` Address:" 54-��((((/(�Q.(� S City, ST, Zip: � GC it CA I Telephone: Project Description: City, ST, Zip: Q ir/�l� lm Roo , a4 FT Telephone: q00+) -7s 7 -g40 City Lic. # O r State Lic. # : OND " O Arch., Engr., Designer: Address: City," ST, Zip: Telephone:. s ' State Lic. #: Name of Contact Person: Construction Type: IP(DC(`• Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: 1 #Stories: # Units: Telephone # of Contact Person: ` Estimaied Value of Project: Q APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets . Plan Check submitted 1 Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. 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:- ''" Review, ready for corrections/issue Developer Impact Fee Planning ApprovalCalled Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees