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07-2439 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: r07 -0D002439 f Property Address: 57625 ROSEWOOD 'CT APN:" 762-240-011-5 -32279 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 30000 Applicant: Architect or Engineer: pla • �W BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: -8/31/07 Owner: WORKER'S COMPENSATION DECLARATION ' I hereby affirm under penalty of perjury t ensed under provisions of Chapter 9 (commencing with STANDARD PACIFIC COACHELLA VLY 15326 ALTON PKWY License CI s: C8 C27 C2 License No.: 656128 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ' IRVINE, CA 92618 issued. I have and will maintain workers' compensation insurance, as required by.Section 3700 of the Labor . (949)789-1600rContractor: a 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 TESERRA Carrier SEA ARIGHT PoI' y Number BB1070510 2007 P.O. BOX 1280 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 bec me subject to the workers' compensation laws of California, COACHELLA, CA 92236QUINT and agree that, if I should become to the workers' compensation provisions of Section (760)398-9222 700 of the Labor Co sh with comply with those provisions. DEPT. Lic. No.: 656128 . ai any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001.: ------------------------------------------------------------------------------------------------- ' LIC NSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION ' I hereby affirm under penalty of perjury t ensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarati6ns: section 70001 of Division 3 of the s nr P ofessionals 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 CI s: C8 C27 C2 License No.: 656128 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ' ? ate: 7 4" C ractor: 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 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 SEA ARIGHT PoI' y Number BB1070510 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ 1 certify that, in the performance of work for which this permit is issued, I shall not employ any work 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 bec me 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 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 700 of the Labor Co sh with 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 . ai any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001.: O� te: J/ scant: ' 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 WARNING: FAILURE TO SECURE W ENSATION, COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND _ and who does the work himself or herself through his or her own employees, provided that the ' DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). 'APPLICANT ACKNOWLEDGEMENT 1—) I, as owner of. the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT' Application is hereby made to the Director of Building and Safety for a permit subject to the ' - 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. _ Prppgrty —ho uvi!da yr irnpro.-ma tharaan, m+d vrho 40f1661tl f- Lill NiujcvlJ 11411 r, --U ­3(t) Il—naed i. cavi peisun upun wnuse ua0all inls appllaatlan is mace, eaen person at WnaSe T04Ud9t Aria t6f pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of -this application, (_) I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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 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 nui and void if work is not commenced 'within 180 days from date of issuance of such permit, or essation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above infor ation is correct. I agree to comply with all city and county ordinances and state laws relating to buil ' g nstru tion, and hereby authorize representatives of this coynty to/bnter upon the above-mentioned prop y fo urposes. (Applicant or Agent): Application Number . . . . 07-00002439 - Permit BLDG POOL PERMIT Additional desc . " Permit Fee 284.50 Plan Check Fee 184.93 Issue Date . . . . Valuation . . . . 29440 - Expiration Date.. 2/27/08 Qty Unit Charge Per Extension BASE FEE 252.00 5.00 6.5000 ---------------------------------- THOU BLDG'25,001-50,000 ---------------------------------------------- 32.50 Permit . ... MECH•POOL ..Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date 2/27/08 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 2/27/08 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 2/27/08 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.000Q EA Fb$ FIXTURE 12.00 1.60 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 Application Number 07-00002439 Permit WALL/FENCE PERMIT -Additional desc .. Permit Fee 17.00 Plan Check Fee : .00 Issue Date . . . . Valuation 560 Expiration Date 2/27/08 Qty Unit Charge. Per Extension BASE,FEE _ 15.00 1.-00 2.0000 HND BLDG 501-2,000. 2.00 - Special Notes and Comments POOL/SPA, 15 L.F. 4' EQUIPMENT WALL & 20 L.F. 4' A/C SCREEN WALL. AND GFI.GAS STUB -OUT FOR FURTURE SEPARATELY APPROVED AND PERMITTED APPLIANCE. ALARMS/BARRIERS SHALL. BE IN PLACE AT �. PRE -PLASTER INSPECTION. J Fee summary Charged Paid Credited Due Permit Fee Total 405.50 .00 .00 405.50 Plan Check Total 210.93 00 .00 210.93 Grand Total 616.43 .00 .00 616.43 Bin # Permit# /�4�� U� ..L Project Address: Ste -S A. P. Number: Contractor: Address: �- O Box City, ST, Zip: g)QLJLh e tj Telephone: State Lie. # 6 Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: Name of Contact Person: 1 Telephone # of Contact Person: # Submittal Re Plan Sets Structural Cafes. Truss Calcs. Energy Cates. Flood plain plan Grading.plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees Z-3 City ®f La Quints Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760)'777-70'12 Building Permit Application and Tracking Sheet , rlwoc o Owner's Name: Address: City, ST, Zip: Project Description: Lie. #: Z®. — ZI-17— tiFWwA r Construction Type: Occupancy: Project type (eircle.one): 'A - ' I Total Permit Fees 30000 Esti mated.Value of Project: .;0odC7 APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACKING. PEM111T FEES Plan Check submitted C 1 Item Amount Reviewed, ready for corrections Plan Check Deposit Called Contact Person Plan Check Balance Construction Plans picked up Plans resubmitted Mechanical Electrical 2' Review, ready for corrections/issue Called Contact PersonPlumbing Plans picked up S.M.I. Plans resubmitted Grading. '"' Review, ready for corrections/issue Developer Impact Fee Called Contact Person A.I.P.P. Date of permit issue ' I Total Permit Fees 30000