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11-0454 (RPL)P:O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:11-00000454 Property Address: 57600—ROSEWOOD—CT APN: 762-240-011-27 -32279 Application description: . POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL -Application valuation: 31000 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: jI D MAY 09 2011 / CPO UINTq E" --------------------------------------------- I hereby affirm under penalty of pe Section 7000) of Division 3 of the License CI s: 53 ate: �t%o.tr.ctor: 1 OWNER -BUILDER DECLARATION I hereby affirm, under penalty of perjury that 1 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 repa"ny 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 7631.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_ 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 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.). 1 _ 1 I am exempt under Sec. , B.&P.C. for this reason USED CONTRACTOR'S DECLARATION that I licensed under provisions of Chapter 9 (commencing with Less an Professionals Code, and my License is in full force and effect. �y License No.: 954374 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: NC LQPERMIT Owner: RON,LINDEMANN 57600 ROSEWOOD COURT LA QUINTA, CA 9225.3 ( Contractor: MELO POOLS' INC 74991 JONI DRIVE PALM DESERT, CA 92260 (760)834-5885 Lic. No.: 954374 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/09/11 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 EXEMPT Policy Number EXEMPT certify that, in the p formance f the work for which this permit is issued, I shall not employ any person in any man er so as to ecome subject to the workers' compensation laws of California, and agree that, if I ould beco a subject to the workers' compensation provisions of Section. 37 0 of the Labor ode, I shall rthwith comply with those provisions. D 0 11 �A ant: I J WARNING: FAILURE TO SECURE W RKE 'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L P NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION 0 HE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, TEREST, 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 beueflt 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 applic tion becomes null and void if work is not commenced within 180 days from date of issuance of uch per 't, or cessation of work for 180 days will -subject permit to cancellation. I certify that I have read this application and state that t e above i ormation is correct. I agree to comply with all city and county ordinances and state laws relating to bui din8888aa const ction, and hereby authorize representatives of this c�onnnuntt tnntoC�QeIIIIIIpppte( upon the above-mentioned prope r inspe tion purposes. uase- 'Signa (Applicant or Agent): J ` Application Number . . . . . 11-00000454 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 291.00 Plan Check Fee 189.15 Issue Date . . Valuation . . . 31000 Expiration Date 11/05/11 Qty Unit Charge Per Extension BASE FEE 252.00 6.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 39.00 Permit MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation 0 Expiration Date'. 11/05/11 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 I"ssue Date . . . . Valuation 0 Expiration Date 11/05/11 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 11/05/11. Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 1.QQ 3.0000 EA PTR WATER TNGT/ATT/RFP 3.00 - 1.00 3.0000 ---------------------------------------------------------------------------- EA PLB GAS PIPE 1-4 OUTLETS 3.00 Permit -WALL/FENCE PERMIT LQPERMIT Application Number 11-00000454 Permit WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 368 Expiration Date 11/05/11 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments POOL/SPA, 23 L.F. 4' EQUIPMENT ENCLOSURE, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE=PLASTER INSPECTION. 2010'CODES. -----------------_-_-------------------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 410.00 .00 .00 410.00 Plan Check Total 215.15 00 .00 215:15 Other Fee Total 2.00. .00 .00. 2.00 Grand Total 627.15 .00 .00 627.15 LQPERMIT CITY OF LA QUINTA SUB-CONTRACTOR. LIST S (2e25;-9JOB ADDRESS -609 9 �( - PERMIT NUMBER- OWNER I t_ � OY6W `11�0' „BUILDER < </�/ Q �) PS C 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. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. Trade / Class�ficaU on .. Contractor _ : State .Gonttact t s: Lcense...: _.... P..... Workers Com ensaLon;tnsurance ... '; ._... ........ .....p........ C�.:: Busrnss.. license. - .:... Company. Name Classification (e.g. A, B, C-8) License Number (xxxxxx' ) Exp. Date (xxtxx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) . License Number (xxxx) Exp. Date (xx/xx/xx) EARTH!:V .UR)C lC 12) � �tJl v n � i (? e ' S � p ! 96 q7 `l 3 ) 3( (I T'V 0`�/ tid�l� f} (,ve ���Y3i2. 0l ZY lZ Z CO. NCRETE (C 8! (%l�// %e6j� 19,wV1(x&I &4W7 �' - �Q� �'Z (� 31 1( ��V (/0/'1Pl S�✓ Ul1J(ilCZ03��f� FRAMING STRucT sTEEL is 5 t .. Coo Coo -tit c . G' S 3 g 1 q 31 7 3 I ( ,Bs 7`/ c Z b o 70b36o 0(/V(// (� 2 g 8 b O C - 5 ©S PLUMB[NG: Lo LATH; PLASTER (C<35).. HVAC (C=20)::': ELECTRICAL_(C 101.:. keLo (?OO 1 CeIc ROOFING IC=39}?: SHE€T :METAL (:C . . FLOORING (C-1.51::; GLAZING (C7,17j tNSt1LAT10.N:�(C�2:)'' SEWAGl= DISP{Ck2) PAINTING (C:!.—! CERAMIC T(LE;:(C.-54) .. _ 4 CABINETS IC=61.. . 1. FENCING :(C-.1..3)... LANDSCAPING (C-27.) ........ . . POOL (C753) : . . V Bin # City of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Qulnta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 11.464 Project Address: Owner's Name: '�_w6 ( A. P. Number: Address: & 7 Legal Description: City, ST, Zip: ✓/ / i4 Contractor: P� Telephone:'� vr Address: q( q�Q,f�t' Project/Description: /014 ,, /? City, ST, Zip: o Gf'1 ��' ' _ q �� B 40c_ �!/ y �C x . Telephone: �.�/�/ - j�]% X77 . �jnj p .11 F! V � � N/�� ;.::;:::::<;>::>.::€>s'>^':<»'. �% ::;a::•`::::'<:; .;%:::G:: ::::::%:::::i:::<: • I d .2 3 I •F � G.J �V� O ' . v . State Lic. # : C-6-3 . 37 City Lic. #: Arch., Engi•., Designer: C L Address: City., ST, Zip: Telephone: :dt:v State Lic. #::.:•;;;;:: l.;:.;.<.:;;;,«..:•::;; ......................... Name of Contact Person:e r� Construction Type: Occupancy: Project type (circle one): New Add'n filter Repair Demo Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: 0 r �� Estimated Value of Project: c3 APPLICANT: DO NOT WRITE BELOW THIS LINE # Req'd Recd TRACKING PERMIT FEES 7Sets Plan Check submitted Item Amount Reviewed, ready for corrections Plan Check Dep-tsit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 20' Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impa•:t Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees