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07-2605 (RPL)I P.O. BOX 1504 ^� 78-495 CALLE TAMPICO LA QUI'NTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application_Numbe.r. 0 7- 0 0 0 0 2-6-0-5— Property Address: 81865 RUSTIC CANYON DR APN: 764-280-999-50 -300237- Application description: POOL - RESIDENTIAL Property Zoninq: MEDIUM HIGH DENSITY RES Application valuation: 15000 Applicant: Architect or Engineer: 0/1k ------------------ 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 rofessionals Code, and my License is in full force and effect. License Class: C8 C27 C29 License No.: 656128 DaterContractor: � _r lli�NER-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 155001.: (_ 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 _ 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.). 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 there is a construction lending agency for the performance of the work for. which this permit is issued (Sec. 3097, Civ. C.I. Lender's Name: Lender's Address: LQPERMIT Owner: GRAHAM RESIDENCE 81-865 RUSTIC CANYON DR. LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/26/07 Contractor: TESERRA �r P.O. BOX 1280 COACHELLA, CA 92236 q� \ (760)398-9222 >�`•``� �..•' tea... Lic. No.: 656128 d ------------------------------ ------------- WORKER'S COMPENSATION DECLARATION 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' compaesation, 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 SEABRIGHT Policy Number BB1070510 _ 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 Ishould come subject to the workeis' compensation provisions of Section 3700 of the Labor de, I all forthwith comply with those provisions. Date: 6 17 Applicants/ i Z412 WARNING: FAILURE TO SECURE )ORK7QOlvPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). 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 actor 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 in rmation is correct. I agree to comply with all city and county ordinances and state laws relating to building const ction, and hereby authorize representatives of this icounty Dtoo enter upon the above-mentioned property inspe tion purposes. ate: /Q/ll/I +Signature (Applicant or Agent): ' Application Number 07-00002605 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 162.00 Plan Check Fee 105.30 Issue Date" Valuation . . 14680 Expiration Date 3/24/08 . Qty Unit Charge Per Extension BASE FEE 45.00 13.00 9:0000 THOU BLDG 2,001-25,000• ------------------------------------------------------------------ '11_7.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check'Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date 3/24/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >10.OK 11.00 Permit ELEC POOL PERMIT -.RES Additional desc . Permit Fee 45:00 Plan Check Fee 11.25 Issue Date . . Valuation . . . . 0 Expiration Date : 3/24/08 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 3/24/08 Qty Unit. ChargePer 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 - - Appl;cation.Number 07-00002605 Permit . . . WALL/FENCE.PERMIT Additional desc.. Permit Fee., 15.00,• Plan Check Fee .00 Issue Date Valuation 320 Expiration.Date 3/24/08 Qty Unit Charge .Per Extension BASE FEE 15.00 Special Notes and Comments --- SPOOL, ALARMS/BARRIERS•SHALL BE IN." PLACE AT PRE -PLASTER INSPECTION. 42" X 20' L.F EQUIPMENT WALL CITY STANDARD. 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 City, ST, Zip: Telephone: Construction Type: Cocupancy: State Lic. #: Project type (circle one): New Add'.i Alter Repair Demo _s Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: lj o0o APPLICANT: DO HOT Wr21rG PCI n%ai -•uuic a mw # Submittal Plan Sets Req'd Recd TRACKING PERI1[II FEES Plan Check submitted Item Amount i Reviewed, ready for corrections Bin # C� ®f La inta Truss Cafes. Called Contact PersonPlan Building a Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico Plans picked up Construction La Quinta, CA 92253 - (760) 777-7012 -(J Building Permit Application and Tracking Sheet Project Address:' Sl ^ G� Owner's Name: oej De Grading plan y for corrections/issueElectrical A. P. Number: Subcontactor List Address: erson ffReview, Legal Description: City, ST, Zip: Grant Deed Contractor: �-keA Telephone:?�� R.O.A. Approval Plans resubmitted Address: I,z-:s Project Description: City, ST, Zip: U — �� l� 51 OU ` % A -q '.t ZD % Telephone: �� >� . � S State Lic. # : A.I.p P City Lic. #: - Arch., Engr., Designer: 4�2 Address: School Fees City, ST, Zip: Telephone: Construction Type: Cocupancy: State Lic. #: Project type (circle one): New Add'.i Alter Repair Demo _s Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: lj o0o APPLICANT: DO HOT Wr21rG PCI n%ai -•uuic a mw # Submittal Plan Sets Req'd Recd TRACKING PERI1[II FEES Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check -'Deposit Truss Cafes. Called Contact PersonPlan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan y for corrections/issueElectrical Subcontactor List erson ffReview, Plumbing Grant Deed S.M.I. R.O.A. Approval Plans resubmitted Grading. IN ROUSE:- Jrd 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