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07-2211 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: r07-000022.11 -i Property Address: 81709 RUSTIC CANYON DR APN: 764-280-999-37 -300237- Application description: POOL - RESIDENTIAL _Property Zoning: _ MEDIUM HIGH- DENSITY RES Application valuation: 29800 Applicant: Architect or Eng WA Titv/ 4.4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: MARK TACKCS 81709 RUSTIC CANYON DRIVE LA QUINTA, CA 92253 Contractor: MC CALLUM POOLS . 46576 VIA CELESTE INDIO, CA 92201 (760)275-6403 Lic- No.: 818835 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/31/07 -------------------------------------------------------------------------------'----------- LICENSED CONTRACTOR'S DECLARATION' -------- WORKER'S COMPENSATION DECLARATION ° ' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, 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 License Class: C53 L' nse No 188 5 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is i- � �Q issued. ate: ontractor: ,. _ 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 OWNER -BUILDER DECLARATION - insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EXEMPT Policy Number EXEMPT following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the La r ode, hall fort ith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by. V�� - ' any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: te: pplicant: (_ ) 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 WARNING: AILUIRE TO SECUE WORKE COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRI ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN ' improvements are not.intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). - APPLICANT ACKNOWLEDGEMENT ( -) I; as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of'Building and Safety for a permit subject to the R -7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s)licensed 1 . ,Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. - , B.&P.C. for this reason 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 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 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 ands to laws relati vi(9l construc '6n, and hereby authorize representatives of this unty to enter upon above -menti ed property fo 'nspecY n purposes. r �.D ,filite: —G`'O gnature (Applicant or ge Application Number. . . . . . 07-00002211 Permit BLDG POOL PERMIT " Additional-desc . Permit Fee 284.50 Plan Check Fee 184.93 Issue. Date . . . Valuation 29640 Expiration Date 1/27/08 Qty Unit Charge Per Extension BASE FEE 252.00 " 5.00 Fi , C;OnO TH(1TT Rr,nr ?s nni,_sn nnn 33:50 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . Valuation- 0 Expiration Date 1/27/08, 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 1/27/08 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 33.00. "Plan Check Fee 8.25 Issue Date -Valuation . . 0 Expiration Date 1/27/08 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 07-00002211 Permit WALL/FENCE PERMIT Additional desc • Permit Fee . . . . 15.00 Plan Check Fee Issue Date . . Valuation 160 Expiration.Date 1/27/08 �'. Qty Unit Charge .Per- Extension. BASE FEE 15.00 Special Notes and Comments ------------ POOL/SPA, 10 L.F. 4' EQUIPMENT WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION'. Fee summary Charged Paid 'Credited Due Permit Fee Total 403.50 .00 .00 403.50 1 Plan Check Total 210.93 .00 .00 210:93 Grand Total' 614.43 .00 .00 6.14•.43 ' -LQPERMIT - ' Jul 26 07 02:38p Joseph McCallum } 7607755685 p.1 y Bin# City of La Quinta Building and Safety Division P.O. Box 1504 .78-495 Calle Tampico La Quinta, CA 92253 Building Permit and Application Tracking Sheet Permit# `` Project Address: 81-709 RUSTIC CANYON DR Owners Name:' MARK TACKCS ... A. P. Number: Address: 817709 RUSTIC CANYON Legal Description: Cit Zi 'La City, ST p: Quinta, CA'92253 Contractor: MCCALLUM POOLS . Telephone: Address: 46-576 VIA CELESTE Project Description: City, ST.,.Zi : INDIO, CA 92201 Pool and Spa Tele hone: 775-5685 State Lic. # 818835 City Lic.# 6537 Arch., Engr., Desi ner: Address: City, ST. Zi : OF Telephone: Construction T Occupancy: State Lic. #: Project Type: New Add'n Alter Repair Demo Contact Person: JOE Sq. ft. "' # Stories: # Units: Telephone of Contact: 275-6403 Estimated Value: $29,800.00 CITY OF LA QUINTA SUB-CONTRACTOR LISW � � �, JOB"-ADDRESS— . -i. � ' C; 10 \JA� ►� S� PERMIT NUMBER OWNER �� S � d^ -, - BUILDER /} This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work 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 voidance of building permit. IFor each applicable trade, all information requeste.d below must be completed by applicant. "OnFile" is not an acceptable response. ....:.......::..:.:: ..:.,..,•..:...:- :::... �..:., . .:::...:.; Cit .Bus ne55 .. :.: : ;.:•:::::::.> :::::;:;::::>:::::;::..:::::: acto .s Ucense . ::...: :Workecs.Com ertsat,on:tnsuran�:'::>:.:..":;>::`:, ::..:. Y Trade / Classification Contractor:....::::.:::..:.:::.Stat�..Contr . r ....:.: Company Name Classification License Number Exp. Date Carrier Name Policy Number Exp. Date License.Number Exp. Date (e.g. A, B, C•81 (xzxxxx) (xx/xxlxx) (e.g. State- Fund, CalComp) (Format varies) (xx/xx/xx) (xxxx) (xxlxx/xx) EARTHWORK (P-!.12). .• ... en,rz� ` E. t �C3J�L� 3 3i a9 G.. ©�Ln3Ci (�._(_0� CONCRETE (C-8) .:.:.. C �o v� H 1, ` : (1 (7�i G 1 l Y�; _ U, io ow �• . C :. FRAMING ;(C-5) IJ STRLI. T_ :STEEL:•(C-5.a1 MASONRY: (C-29f PLUMBING (C-36) 2 S. IATN; PLASTER (C=35), 5 t e.1:, ^ ✓� I .�� „�:k 0 3 JJ G' `1 lc C C �.:3 Q u , 31 -c:; 1 _ / S i-e ' �� �-1 • 1\_7W �o © 3i� _ 1 .1 - j U C C yc� o l,� 31.0 o DRYWALL HVAC. (C-20). `?">? J ELECTRICAL. (C=1 Q) :::.: a U ( t G� `{ v. rf 3.5({u `1 G 00 I S 3 C�`. - I CUX r . �. erC� SHEET METAL (C-43) FI:.00RING GLAZING (C-17)`.' INSULATION (G-2) SEWAGE DISP.: (6-42)' PAINTING (C=33) CERAMIC TILE (C-54) .CABINETS (C-61 FENCING (0.13). LANDSCAPING F LEECL�.(>� NSV G POOL (C-53) C C .C.