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08-1989 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: _ Application valuation: 08-00001989 X8383-2—RU8TIC CANYON DR 764-280-999-76 -300237- POOL - RESIDENTIAL MEDIUM HIGH DENSITY .RES - 17000 T&t BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: 0 IPr LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury tha I am licensed un er provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busines and Professio 1 Code, and my License is in full force and effect. License Class: C53 Li ense No.: 866518 ate:ntrac r. ll 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 (5500).: (_) 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.). (_) 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. 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: MACNAB 81832 RUSTIC CANYON LA QUINTA, .CA 92253 Contractor: GARY & SONS 67621 CACTUS APPLE DESERT HOT SPRINGS, (760)251-8945 LiC. No.: 866518 VOICE (760) 777-7012- FAX 77-7012FAX (760) 77777011 INSPECTIONS (760) 777-7153 12/31/08 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. Vi 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 DELOS INS CO Policy Number 02DKRM220010101 _ I certify that, in the performance of the work for which t is permit is issued, I shall not employ any person in any manner so s o become subject to th workers' compensation laws of California, and agree that, if I sho come subject to th � rkers' compensation provisions of Section 7C0�0 of the Labor Co all forthwith 11 Iy ith those provisions. Bate: Q ( plicant: WAR ING. FAILURE TO S E WORKERS' MP SATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO HE 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 i not commenced within 180 days from date of issuance of such permit, or cessation of word r 180 days will subject permit to cancellation. I certify that I have read this application and state that the above ' formation is cor c I agree to comply with all City ands my rdinances and state laws relating to buildin o truction, and re authorize representatives of this.¢ my enter upon the above-mentioned property r i pection pure as i -Dater SO4ture (Applicant or A i Application Number 08-00001989, Permit . . . BLDG POOL PERMIT Additional-desc . Permit Fee 180.00 Plan Check Fee.. 117.00 Issue Date Valuation . . . . 17000 Expiration Date 6/29/09 Qty Unit Charge Per Extension BASE FEE 45.00 i5 nn q nnnn TunTT BLDG 2,001-25,000 _ 135.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date .'. Valuation 0 Expiration Date 6/29/09 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 6/29/09 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 . . . . 27.00 Plan Check Fee 6.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/29/09 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 SPA ONLY. ALARMS/BARRIERS SHALL BE IN LQPERMff . Application Number . . . 08-00001989 Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. - Fee summary Charged Paid Credited Due Permit Fee Total 2.78.00 .00 .00 278.00 Plan Check Total 141.50 .00 .00 141:50 rrRnd Tztal.. 119:50' .00 -- .00 419.50 w w� w .amu +Ib°, 12' X TSOa With Stone V ---.A .gni, lisp 1 ­fq o h� EE 0: ulp-mni CITY OF LA QUINTA' t BUILDING & SAFETY DEPT. APPROVEDz Ncw' Nat �ai,i�I, 7.. i FOR CONSTRUCTiOTJ y1 tt Broom�Inleh 'Goncrote�\`�� t y ml BY - DATE MAG NA5 RE510ENGE a, :a 51-552 RU5T1 G GANYON f Q LA QUINTA,: GA Q2255 y •TRILOGY DATE: ''12/18/08 ' Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Cl c6 Project Address: Owner's Name: A. P. Number. Address: 1 G Legal Description: City, ST, Zip: Contractor:x" Telephone: 1114''-v�: Address:( 'D imle Project Description: City, ST, Zip: ` S Telephone: b " ZS S's State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: P °' - Construction Type: /L) Occupancy: State Lic. #: Project type (circle one):. ew dd'n Alter Repair Demo Name of Contact Person: Sq. Ft.:7�( #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: 17 QC APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Ree'd r TRACKING PERMIT FEES Plan Sets Plan Check submitted 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 2nd Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3rd 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