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08-1222 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:08 f0-00-0-1-222 Property Address: 81613 RUSTIC CANYON DR APN: 764-280-999-59 -300236-- Application description: POOL - RESIDENTIAL Property. Zoning: MEDIUM HIGH DENSITY RES Application valuation: 25000 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SMITH 81613 RUSTIC CAN) LA QUINTA, CA 92� VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Dated 7/21/08 Contractor: Applicant: Architect or Engineer: TESERRA Hq 80 COACHELLA12 CA 92236 (760)398-9222 •1� Lic. No.: 656128 -----------------------------------------------------------------------------------------=------- LICENSED CON CTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION , I hereby affirm under penalty of perju y �a5es d d rovisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Bu ' n ,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 LicenseClass: C8 C27 C29' ense No.: 656128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is _ issued, ate: ractor: �. 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 WNER-BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perju that I exempt from the Contractor's State License Law for the - Carrier SEABRIGHT - _-VMiM'Idumber BB1080510 following reason (Sec. 7031.5, Business a Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or r it 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 70001 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).: 1 _) 1, 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 1, 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 _ I certify that, in the performanc of the workfor "this this permit is issued, I shall not employ any person in any manner so as t become sub's t e workers' compensation laws of California, and agree that, if I should belVie sub' to ers' compensation provisions of,Section 370J�of the Loor Code, I shall wit o y nh those provisions. WARNING: FAILURE TO SECURE WORK 'co NSA IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN EN SAND CIVIL FINES UP TO NDRED THOUSAND DOLLARS IS 100,0001. IN ADDITIO 0 COST OF COMPENSATION, DAMAGES OVIDED FOR IN SECTION 3706 OF THE LABOR CO , TEREST, 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 act or omission related to the work being performed under or following issuance of ttiis permit. 2. Any permit issued as a result of this application become ull and void if work is not commenced within 180 days from date of issuance of such permit, o ssation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above infor or rrect. I agree to comply with all city and county ordinances and state laws relating to building constr eby.auth ize representatives of this �p.grf�eriaft'!? above-mentioned property for in - oses. ate: jS'vature (Applicant or Agent): t Application Number . . . . . 08-00001222 Permit . . . BLDG POOL PERMIT . Additional desc . Permit Fee 252.00 Plan Check Fee 163.80 Issue Date . . . . Valuation . . 24536 Expiration Date 1/17/09 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 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . 0 Expiration Date•. .1/17/09 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 1/17/09 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 1/17/09_ 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 LQPERMTT Application Number . . . 08-00001222 Permit . . . WALL/FENCE PERMIT Additional desc . Permit.Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 464 Expiration Date 1/17/09 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Notes and Comments _Speckaj POOL SPA, GAS.& ELECTRIC STUB OUT•FOR FUTURE AND SEPARATELY PERMITTED BBQ. 4 L.F. 4' SCREEN WALL & 25 L.F. 40" COURTYARD WALL, BOTH CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PR� STER_INS.PECTION. Fee summary Charged Paid ------------------------------------- Credited -------------------- Due Permit Fee Total 371.00 .00 .00 371.00 Plan Check Total .189.80 .00 .00 189.80 Grand Total 560.80 .00 .00 560.80 LQPERMIT Bin # City of. La Quinta Building u 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:�G �; IUMAI G7 Owner's Name: I A. P. Number: t �JU4�� 1,0 O Address: 4/5 I GT Legal Description: City, ST, Zip: 1 - Contractor: S� Telephone: �%%� Address: Project Description: 06L S Cd 96 City, ST, Zip: POAUIE"C � .�7 / G G�j• 6 NT2 uG Telephone: ?jg �ZZ[_}�'iov _ AW / t Eel State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: �? �';y.- .R' Construction Type: L Occupancy: State Lic. #: Project type (circle one): ew Add'n Alter Repair Demo Name of Contact Person: ck• e Sq. Ft.: Zllr # Stories: #Units: % Telephone 4 of Contact Person: (7(2�, 'U U7_ Estimated Value of Project: Z CJ — Z S K APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Ree'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit TrussCalcs. Called Contact Person Plan Check Balance Energy Cates. Plans picked up Construction Floodplain plan Plans resubmitted Mechanical Grading plan 2nd 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 ROUSE:- ''d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A,I,P.P, Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees aso o 2�531,o 6 • .I 1 �o �C N Mm DIE o �- C] D MC) cnm mj Om7o 4y. c -n 3 m 0> n �n 't M C 4 F. Z O F, �^ 1 C7 n n -� � c j C] �. 1 T a m d Z po Z.Wim( � cl)n < J0w" O $:. I _A m Cyouz: T N 74 D fn D � g0 0 Fn O�U1�iWN �� �s Q o T�� O O T a 11�jggng .39 l_If A O pLi ink RyA CgZ gg Ei �i 3 r� ^e2f�X �g� Rg�9� (JJ II I I a I a _I r l I m jig M m �� I = U $ 2790 I 1 m m� f eg ' IIEn Z Eo �m 6 H z a I� 1 I a ( 1( o 11 Z m \t jS%Vl/TH aG� RUST/C [A ➢ g 1 � �.i I I I 1 1 55 .3 100 AVE. 54 COACHELLA CA 92F36 ■PN: (760) 398-9222 FAX: (760) 3,98-9255 Iii CA LICENSE No. 656126% Builders t� Exceptional_ 0lndoor:Living