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08-0912 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00000912 Property Address: 57720 BALLYBUNION APN: 762-360-005- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 6000 Ti -ht 4 4 Q" Applicant: Architect or Engineer: Cr ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjuryArX I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bu iness nd Prof e ionals Code, and my License is in full force and effect. License Pass. C53 License No.: 598681 �Bate5 L ontractor: / WNER-BUILDER DECLARATION I hereby affirm under penalty of perju t t I exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Busines 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 ($500).: / (_) 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.). Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/20/08 Owner: KARIMA 57720 BALLYBUNION LA QUINTff,-)2Mr %2253 Contract %%�� {{// AINSW T POOL�COR,�?TwON 77848 WOLF PALM ERT �F (760) zoo -2 gNCF�/NTq Lic. No.: 598681 FPT ------------------ 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 I certify that, in the perform of the work for which this permit is issued, I shall not employ any person in any manner as to ecome subject to the workers' compensation laws of California, and agree that, if I sh uld beco e ' ct to the workers' compensation provisions of Section /('[0/o�bor C de, I shall hw' omp ith those provisions. Date: p, a Y plicant: WARNING: FAILURE TO SECURE WOE ' COM ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. IN ADDITION 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 of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this applicatio and state th the ab a infor 'on is correct. I gree to comply with all city an unty ordinances and st laws relating t building ns ctio and hereby thorize representatives of t c 1 my t enter upon t above-mentioned pr erty for n e rposes. Date ` Q p Si ture (Applicant or Agent): Application Number . . . . . 08-00000912 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 81.00 Plan Check Fee 52.65 Issue Date . . . . Valuation . . . . 6000 Expiration Date 11/16/08 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 11/16/08 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 11/16/08 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 ENTRY FOUNTAIN 18" DEEP. EQUIPMENT LOCATED IN SAME LOCATION AS POOL EQUIPMENT. 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 ��E�51 ENGE-l' FINISH FLOOFiI= (ASSUME D) RTI/1A * ftl I'I►! 101 "A.1"Ja ! ■■■■■■■■■■■�■■■���■■g ■[ %emr 7■.- OF I ■��■��r■��o���■■��■�O■■!■ ■! :.il 1111 r1 ll;,d A 11 1 W. I � 4' i r7i" _.�': _�i+111 01 May 20 08 12:37P 760 200-0040 P • 1 � ooiiooi City of La Quinta Building aL Safety Division. P.O. Boa 1504, 78-495 Cade Tatltpko La Quilita, CA 92253 - (760) 777-7012 ' Building Permit Application and Tracking •Sheet Ptdtrtit,# 0- Project Address Lt �.! ; VT u� Owner's Name • 1 �} 'A. P. NumberAyddress: 51-12 0 Legal Descnphoa: Contact a "4 44 � i1w D �. Addrew.- �� Y. ST. Zip: Lpf lg N" %i � 1r T eltphoae Prosect Desuiptioa f (-0U?11-,4 'Al ° finYnr l CRY, ST. Zip All LO C-4, . Tcicpha=: ti j !) Lt_ State Lit- if : City Lic, 4: Aid., EnV , Demptr. ' Address: City. ST, Zip: Telepi CoasRvction7ype: Occupancy State Lic. C Eiojxttype (chle ager New AMn Alter Repair Dcmo m-- man Name of Contact Person:. S4 Ft: ii Storiex p Units: Trlegisone 0 of correct Pers=- � � � l S � Esiimaw Value of Pmjeclr . APPUCANT; DO NOT WRITE BEtOVIf THIS LIKE / submittal Wd '• RWd IVACMG . PBAttZr Plan sets Flan Chale submitted J Item Amoatt Strudwml lata.. Qevimed, ready far anzedlou Yka CIuckDtposit Tran Cates. Called Cauimet Person - Plu Chick Data= . Fhtru Catck Pions fgcked up CDndevet4om�- Flood platm plan. Pt:as rssubmttted Mee>taaiall CradinGptaus • r Revieli ready for cerrec60iDa%we Elettlital- Subcontsetor flat (itUed Contactperson Plembiag - Graut Deed Platy picked rep E O.A. Approval Plans resubmitted - 6r+dine IN Hopm.- Re*w, ready For aorre onemm De*doper impact Fee Planatng Approval Cased Contact Perm Pcb. Wky. Appr ' Date of W -,h issue &io01 Hca Total Ptrinit7m