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10-0727 (RPL).:'P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00000727 Property Address: 57570 ROSEWOOD CT APN: 762-240-011-28 -32279 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application *valuation: 35000 V Applicant: Architect or. En eer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: ROBERT KNAAK 57-570 ROSEWOOD COURT LA QUINTA, CA 92253_ ( - Contractor: CLASSIC POOLS & SPAS . 79461 AVENUE 40TH BERMUDA DUNES, CA 92203 (760)413-4867 Lic. No.: 935936 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/13/10 A1'�a 1-7 Nio Lu ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION. DECLARATION (.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: C1,3-053 License No.: 935936 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: Contractor: /(// / (� (,�� - 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 MNFTR INS Policy Number 20090101178872 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 Labor Code, I shall forthwith 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 �'//,, any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: 7��-`�-`-'� Applicant���GL 1 _ 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 ProfessionsCode: 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 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 contractorls) licensed pursuant to the Contractors' State License Law.). I— 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.. 3697, Civ. C.). Lender's Name: Lender's Address: LQPERMIT WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). 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.. Eachperson 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 pr pe y for inspection purposes. Dater /1 Signature (Applicant or Agent): V &iC�e- ��if�lsi�// �i o(oo t�oal�r�u�� Application Number . . . . 10-00000727 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/09/11 Qty Unit Charge Per Extension BASE FEE 15.00 -1.00 11.0000 ---------------------------------------------------------------------------- EA MECH FURNACE >100K 11.00 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 317.00 Plan Check Fee 206.05 Issue Date . . . . Valuation . . . . 35000 Expiration Date 2/09/11 Qty Unit Charge Per Extension BASE FEE 252.00 10.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 65.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . Valuation . . .. 0 Expiration Date 2/09/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.000'0 ---------------------------------------------------------------------------- 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 2/09/11 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.0000 EA.- PLB FIXTURE 12.00 - 1.00 3.0000 .EA PLB WAT'i'?, 3.UU 1.00 3.0000 ---------------------------------------------------------------------------- EA PLB GAS PIPE 1-4 OUTLETS. 3.00 Permit .. . . . . . WALL/FENCE PERMIT LQPERMIT Application Number . . . . . 10-00000727 Permit WALL/FENCE PERMIT Additional desc . Permit Fee 19.00 Plan Check Fee 00 Issue Date . . . . Valuation . . . 625 Expiration Date 2/0.9/11 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 2.0000 HND BLDG 50172,000 4.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA, BBQ (INCLUDES 15 L.F. 3/4" GAS LINE & NO SINK, SOME ELECTRICAL), FIREPIT (INCLUDES 40 L.F. 3/4" GAS LINE), ENGINEERED BRIDGE AND 25 L.F. 6' EQUIPMENT WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. 2007 CODES. --------------=------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 440.00 .00 .00 440.00 Plan Check Total 232.05 .00 .00 232.05 Other Fee Total 2.00 .00 .00 2.00 Grand Total 674.05 .00 .00 674.05 LQPERMIT .f .1 1 fli Bm .City of LaQ uinta Btdfdfng a Safety Dtvlsion P.O. Box 1504, 78-49S CdQe Tampko La Qmbta, CA 922S3 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit Project Add=: 5-10 Zc>S e W • • C+ Owner'sNeme: �oaQr� nQ4 A. P. Number C+ Legal Description: wSR Contractor: S f„ �' f city, sP, zip: Ck Qw ^ it, (4 q 27-53 Tclephone Address: _79441 + &c q L) Project Description: u tA 1 f (a' city.sT.zir: Thdio (A gZ10 F 131o4 Tclephone(--76o) -N5, - 303- 1 C State Lic. #: 6 S 3 q 3 SR 3 City Lia #; Arch.. Engr.,Dmigaer z4D L. -C 3/4 �' jo �P. Address: o �p 96 io1Ps lob., ger City., ST. Zip: Telephone: State Lic. #: Name of Contact Person: 6—vl� +�� Construction Typc: Occupancy: Project type (eircle one) 2ECw Add'n Alter Repair Demo Sq. Ft: q 00 # Stories: # Units: /�t Telephone # of Contact Person: 6 O) —i (01- -71-34 Estimated Value of Project: o D o APPLICANT: DO NOT WRITE BELOW THIS UNE IF Submittal Req'd Reed [gA PERMIT FEES Pian Sets Plan Cheek submitted Item Amount Straetoral Cala Reviewed, ready for corrections $11,1 Check Dqposk Tans Cala Called Contact Person Plan Check Balance Titic 24 Cala. Plans picked up BY:MIR etioaFlood plain p� Pians resubmitted ical Grading plan 2" Review, ready for correctiontfissael Sobooatai bor List Called Contact Person g Grant Deed Plans picked op S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- - - - - 2" Review, ready for correctionslissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. 'Pub. Wks Appy Date of permit issue School Feer Total Permit Fees s/,5 ;1-9� ---9 OAS