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10-0001 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 1'0-00000001 Property Address: = --.- 81457 RUSTIC CANYON DR APN:. 764-280-999-48 -300236- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 25000 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ---------------------- ------------- --------------- -UCENSED 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. - LicenseClass: C53 -C27 /1" /J LicenseNo.: 8230/17 ate:-�C� Contractor: �/vt �d�%r2^ t%CV OWNER -BUILDER DECLARATION I 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 (55001.: (_ 1 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, amexclusively. 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 contractors) 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: SCOTT MCDONALD 81457 RUSTIC CANYON DRI LA QUINTA,'CA 92253 Contractor: MCRAE POOL & SPAS 79105 DESERT STREAM DR LA QUINTA, CA 92253 (760)772-2440 Lic. No.: 823017 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 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. 1 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 EXYMPT Policy Number EXEMPT 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 3700 of the Labor Cod/e,, II shall forthwith comply with those ovisions. ate. P(o Ap 'ant: —'"'� WARNING: FAILUR TURE WORKERS' COMPENSATI N COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001.' 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 have read this application and state that the above infor orrect. I agree to comply with all city and county ordinances and state laws relating to buil ' struction, an ereby authorize representatives of this zounty to enter upon the above-mentioned pro oses. at�: � Signature pplicant or Agent): .0 Application Number . . . . . 10 -00000001 - Permit BLDG POOL PERMIT Additional desc . Permit Fee. 252.00 Plan Check Fee 163.80 Issue Date Valuation . . . . 25000 Expiration Date 7/04/10 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 26.0.0 Plan Check Fee 6.50 Issue.Date Valuation 0 Expiration Date 7/04/10 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 7/07/10 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 . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/04/10 Qty Unit Charge Per Extension BASE FEE 15.00, 2.00 6.0000 EA PLB FIXTURE 12.00 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 . . . . 10-00000001 Permit WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check -Fee .00 Issue Date Valuation . . . . •240 Expiration Date 7/04/10. Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------- Special Notes and Comments POOL/SPA, FI-REPIT & 15 L.r. v DQUIPME T ENCLOSURE, 'CITY STANDARD.ALARMS/BARRIERS SHALL BE IN PLACE_ AT PRE -PLASTER INSPECTION. 2007 CODES. --------------------------------------------------------- Other Fees . . . . . . BLDG STDS ADMIN (SB1473) ------------------- 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 371.00 .00 .00 371.00 Plan Check Total 189.80 .00 .00 189.80 Other Fee Total 1.00 .00 .00 1.00 <, Grand Total 561.80 .00 .00 -561.80 LQPERMIT - - - Bin # ___-s • City of La Quiff Building 8T Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #1 O tv Project Address:- L�' VS 7'I'C : Owner's Name: G C / S A. P. Number: Address: S' 11.9 t C Legal Description: City, ST, Zip: LA 1#414 3 Contractor: .4 �s' Telephone: Address: 9 _ AIC Project Description: City, ST, Zip:4 VU I� �' f ,� Ch PL Telephone: 7 )- - Y T w :»> »> :> < >:i•::•:.::;t:;•:ii; ::;;::;• _ State Lic. # :. Z 3.017 City Lie. Arch., Engr., Designer: Address: City., ST, Zip: Telephoner :<.;4�?, .:._.;::-A:;e:,.£f. iii:+':V \.\v'L::`%ti'nJ:;:j::w•:i: i��.j:;i :}i:i�:, ..: } � o`.%ii<! jk't,:t:::ki: iis:;::kh;.;::i`.'; �{3.zr£Y•. -----Li-: .>:j'i t i :: >:;:: Construction Type: Occupancy. State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: 13 12 -F /V) CA4 C Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Q - -2q- 6 3 Lf 3 Estimated Value of Project: 0 0 -� APPLICANT: DO NOT WRITE BELOW THIS LINE H Submittal Req'd Rec'd tiri rm F, PERMIT FEES Plan Sets Plan LG lcs. Reviewed, Tir for 0"tii-s'� 2010 Plan Check Deposit Truss Calcs. Called Con ct Person Plan Check Ba_ance Tide 24 Cal cs. Plans pick Construction = Flood plain plan Pians 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:- ''d Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue i School Fees Total Permit Sees CITY- OF LA QUINT\ SUB -CONTRACTOR LIST e—PAF- QI�_ JOB ADDRESS S)"152- y-C+'i`( C.4NPER NUMB'M " . OWNER 7,77G L) n>1/i41_0,_ ' BUILDER =e -PAF - e. Only persons appearing on this list or their employees are au ozed to worl This form shall be posted on the job with the Building InspectionCard at all times in a conspicuous placn Th on this job. Any -changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidanc( of building ermit. For each applicable trade, all information requested below must be completed by a licant. "On File" is not an acceptable response. Trade Classification Tr / :' ::;. ::.,; Contractor ..,:....:..: :....: S :.::°:,:;::;:.:'::.;:;:. .tat:ContralctcN Lkef►su.. >..:.: :::.:<. .:. �... � .::..;;� - �:.W4rke�s�.. �. � mat%n�:Itiswan�a:��.:�:::..:�;>:::;:.:.<::.:.. : .:�� .Cit :. Bus�e�s -N P-iAIRVa Company Name Classification License Number Exp. Date Carrier Name Policy Number Exp. Date License Number Exp, Date (e.g. A. B, C-8) (xxxxxx) (xx/xxlxx) (e.g. State Fund, CalComp) (Format Varies) (xx/xx/xx) (xxxx) (xxlxxlxx) �L EARTHWORK (C-12)7 1 FENCING (C-13) 3 - �„( © POOL (C-53)'.. 3 2,1 -tQ r ` CONCRETE (C-8) a FRAMING :4C-5) STRUCT: "STEEL ICt5�1 S M 630- w 1 '73 22 RZS - - D 97/7 1-3/-/D MASONRY -(C-29) PLUMBING (C-36) LATH; PLASTER DRYWALL (C-9) `.::. : HVAC. (e -20r ELECTRICAL. (C=10)' ...: 6� 1`1000I14G'IC=391:::.:.:` ; SHEET.METAL FLO RING I0>:15):. > `• <<;:. ,` ^ -N P-iAIRVa GLAZING 1C-171:.. INSULATION.: C-2): SEWAGE DISP- (C-421' • '' PAINTING (C-'33) CERAMIC TILE (C-54) CABINETS IC -6) FENCING (C-13) LANDSCAPING (C=27) POOL (C-53)'.. �' / n rI l.�i�l LA oc r ` =30 -II r Mo i rr LU Z -000 Uj v ...lN P- m UL.C,d Z UL. oKa-^M Z) ® �®LL �. Uji J W4rxwmLPawn7ASr NO.986A-1®X2461975 _ - I � I - REVISIONS BY Yrrr rrrrrirrrrrrrrwrr+..r.... DRA1 pWN CHECKED DATE 'P SCALE rf JOB NO. SHEET OF SHEETS a _ Q W4rxwmLPawn7ASr NO.986A-1®X2461975 _ - I � I - REVISIONS BY Yrrr rrrrrirrrrrrrrwrr+..r.... DRA1 pWN CHECKED DATE 'P SCALE rf JOB NO. SHEET OF SHEETS a _