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07-3089 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00003089 Property—Address: 81712 RUSTIC CANYON .DR Li APN: 764-280-999-130 -300237- ' Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 15000 Applicant: T-i&t " - - BUILDING & SAFETY DEPARTMENT. Architect or Engineer: BUILDING PERMIT 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: C53 License No.: 800680 Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under pen altyperjury that I am exempt from the Contractor's State License Law for the following reason ISec. 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 155001: (_) 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 ISec. 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.). 1 _ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that tfiere is a construction lending agency for the performance of the work for which this permit is issued ISec. 3097, Civ. C.I. . Lender's Name: _ Lender's Address: LQPERMIT Owner: MEZA RESIDENCE Al712 RUSTIC CANYON r( LA QUINTA, CA 92253 �' Contractor: REMBRANDT POOLS & S P,.O. BOX 6411 LA QUINTA; CA 92253 (760)771-2121 Lic. No.: 800680 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/05/07 DEC QZ0Qj �?j �UWA 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 EXEMPTPolicy Number EXEMPT 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 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: /� WARNING: FAILURE TO SECU WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,0001. 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 1 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 construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. ►/� '- �� Date: ure (Applicant or Ager I: Application Number 07-00003089 Permit BLDG POOL PERMIT Additional desc Permit.Fee 162.00 Plan Check Fee 105.30 Issue Date Valuation . . . . 14740 Expiration Date 6/02/08 Qty Unit Charge Per Extension BASE ,FEE 45.00 13.00 9.0000 ----------------------------------------------------------------------------- THOU BLDG 2,001-25,000 117.00 Permit MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee .6.50 Issue Date . . . . Valuation 0• Expiration Date 6/02/08 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 6/02/08 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 6/02/08 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 7 ------------------------ ------------------ 3.00'- Permit . . . WALL/FENCE PERMIT LQPERNIIT .. Application Number .. . . . . 07-00003089 Permit WALL/FENCE PERMIT. " Additional desc . Permit Fee 15.00 Plan Check Fee .00 Issue -Date . . . . Valuation 260 Expiration Date 6/02/08 Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------------------------------------ Special Notes and Comments POUL, SLA, ALARMS/BARRIER SHALL BE iN • PLACE AT PRE -PLASTER INSPECTION. 5' X 12 L.F CITY STANDARD EQUIPMENT WALL. Fee summary Charged Paid Credited Due Permit Fee Total 281.00 .00 ..00 281.00 Plan Check Total 131.30 .00 .00 131.30. Grand Total 412.30 .00 .00 412.30 Bin # . City of.b Quints 5 Building Bi Safety .Division , P.O. Boz,1504, 78-495 Calle' Tampico .. . L La Quints; .CA 92253"- (760) 777.--7012 - Building Permit Application, and 'Tracking Sheet :. Per is ' #T Project Address: «7 �% =( o Owner's Name: Gc2/ r Cw f A. P. Number: Address: _ 71 L.54-rC 4A. r Legal Description: rY City, ST, Zip: .L�o,L. Contractor: �1L/tiyrw-w edit : Telephone: . h L� • Address`. 77.9L( •'CO�r +r t b P�ojectDescription: '. U�)( x City; ST, Zip: Ga Tele hone:. StateLica# : -. 60 6 tD City Lic. #` �iU1 t I Arch., Engr., Designer. .. Address:. r �` City; ST, Zip: Y Telephoner Construction Type: ! ' ,Gccupancy� . State Lic.-.i Project type (circle one): ew Add' ' 'Alter Repair 'Demo Name of Contact Person: . ' Sq. Ft.: .` # Stories`.. # Units:, Telephone # of Contact' Person: Estimated Value of Project '040 ' APPLICANT: -DO NOT WRITE BELOW THIS. LINE *` # Submittal Req'd Recd TRACIMG . PERMIT FEES ^ Plan Sets. Plan Check submitted _ l 3� Item Amount Structural Calcs. Reviewed, ready for corrections, Plan Check Deposit. Truss Calcs. - Called Contact Person Plan Check Balance r Energy Calcs. 1 Plans picked up Constructicn Flood plain.plan Plans.resubmitted Mechanical Grading plan v i 2nd Review, ready for corrections/issue Electrical' a , Subcontaetor List 1 Called Contact Person Plumbing Grant Deed T Plans icked up p• ! , H.O.A. Approval+ Plans resubmitted r Gr=ading IN HOUSE:- ''d Review, ready for corrections/issue 'Developer=`.mpact Fee Planning Approval ' Called Contact Person A.I.P.P. Pub. Wks. Appr' Date of permit issue School Fees t ' a Total Perna Fees