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08-0662 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 08-00000662 $ 57720 BALLYBUNION 762-360-005- - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 6000 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engin( ---------------41, ------------------------------ SED CONTRACTOR'S DECLARATION I hereby affirm under penalty of peIic sed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Pr ionaIs Code,and my License is in full force and effect. LicenseClass: 53 censeNo.: 598681 Date:1 Contractor:OWNER-BUILDER DECLARATION I hereby affirm under penalty of peexempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Bufessions 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 ($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 _ 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. BAP.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 r c Owner: KIRIMA 57720 BALLYBUNION LA QUINTA, CA 92253 Contractor: AINSWORTH POOL CONSTR, ROBERT 40900 GLENMORE DRIVE PALM DESERT, CA 92260 (760)200-2800 Lic. No.: 598681 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/25/08 ----------------------------------------------- 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. 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 CALIF INS Policy Number 460030110103 _ 1 certify that, in the perfor nce of the work for which this permit is issued, I shall not employ any person in any manner so s to become subject to the workers' compensation laws of California, and agree that, if I s oul become subject to the workers' compensation provisions of Section � 0 of the Labor C de, I shall rthwith comply with those provisions. Date: Applicant: WARNING: FAILURE TO SECURE O KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. IN ADDITIO 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 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 ofI t, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state th thnformation is correct. I agree to comply with all city and county ordinances and state laws relating t buitruc 'on, and hereby authorize representatives - of thi co tyy t enter upon the above-mentioned pr parec urposes. •Dater 1�u" Signature (Applicant or Agent): Application Number . . . . . 08-00000662 Permit . . . BLDG POOL PERMIT Additional desc . . ' Permit Fee . . . . 81.00 Plan Check Fee 52.65 Issue Date . . . . Valuation . . . . 6000 Expiration Date 10/22/08 Qty Unit Charge Per Extension - - BASE FEE - 45.00 4.00 9.0000 -----------------•----------------------------------------------------------- THOU BLDG 2,001-25,000 36.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date Valuation . . . . 0 Expiration Date 10/22/08 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 . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/22/08 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 ---------------------------------------------------------------------------- Special Notes and Comments FOUNTAIN AND EQUIPMENT ONLY. Fee summary Charged Paid Credited Due --------------------------- Permit Fee Total ---------- 150.00 ---------- .00 ---------- .00 150.00 Plan Check Total 69.90 .00 .00 69.90 Grand Total 219.90 .00 .00• 219.90 LQPERMIT IL Apr 22 08 02:55p 760 200-0040 P.1 �uviivvi Bel City of La Quinta Building BE Safety Division P.O. Box 1504, 78445 CaOe Tampico " La Quitlta, CA 92253 - (760) 777-7012 -Building Permit Application and Tracking -Sheet Permit f Ate.. -- _ ��- .. U rn urJ owneesNamm ... W P. Numbw: Address: `7 -� Z 0 Legal Descriptionx sT. zip: nrIn! Addtcs&- Q(L" l4 Op L Telephone' -ProieaDesctdou: fF-OuNTMAI °rn41Vi City, ST, 6LOLk .TCUPUCM Statc Lie. # : Areh.. Engr, Designer. E city Lia #: , Address " City. ST. Zap: Telephone Lia #: Name of Coamt t Petsoo: " stindionTypr .Occupancy:State � type (drde one): New Affn Atom Rapdr Demo .. FL: is sm un :Saq Telcp6oae # Of Con=Pamm. 5 � � S � • timated Valae of Pto� . b o o— r AMUCANT. oo rraT wt e>rtow nHEs.un N Sub adto I R,�y�d = ]Wd MRACtMIG . PERNHT FEES Plan Sets Plan Cheek submitted [tw "Gaut simctanl Calls. wviowtk tsar iYr ea�ons Pba Check Deposit Tracy Cates. Cstled C4zfttt )Person . Plan Chick Bdsnee . FAW" Cake Fb= etched ap Ceastractson F1OodpWaplu. P�resabmitted . M«bankat Grading pbm' - T'` Kerlix, ready far tars ee4osud�te Fdeehiwl. Srbcontscoer East Caliod CanladPersoa Plamhing C.raet Doed Plans &kcd ap S.M.L t.O.A. Appm -d Phu resubmitted Gead� IN HOUSEl- 30 Rcykw, ra4y far correcdomr%ne Devd"w [mpact Ret Ptannlog Approtal Cdkd CAntadPtrmoa A.iPB. FAL Whs. Appr ' Daleorpermit issue Sth901 Tees 16 Total Permit Fes