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05-4262 (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: 0'5Z0.0004262 54295 AVENIDA RAMIREZ 774-243-014-3 -00000( POOL - RESIDENTIAL COVE RESIDENTIAL 10000 Architect or c&t!t 4 4 Qu k-Av - BUILDING & SAFETY DEPARTMENT BUILDING PERMIT _ LICENSED CONTRACTOR'S:DECLARATION . �I hereby affirm under penalty of.perjury that )-am licensed under provisions of Chapte-ig (commencing with. - Section 7000) of Division -3 of the Businessand.Professionals Code,, and.my License.is in :full force antl effact. License Class: License 'NoG.;.-'�:%t.�e ate:"J ontractV OWNER -BUILDER DECLARATION hereby affirm under penalty.of perjury that'I am exempt frbrn.ihe_ Contractor's State License. Law for the following reason -(Sec. 7031.5, Businessand Professions Code: Any city or`county that requires apermitto . 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 provisiotis.of.the Contractor's State License Law (Chapterr9 (commencing with Section 7000) of Division 3 of the Business and Piofessions Code) or �- that tie or she is exempt_ therefrom and the basis for the alleged -exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil. penalty. of not more than five .hundred dollars ($5001.: w as. oner of:the` property; or my er iploy_ees m with wages: as theio'sole compensation, will do the work, and the structure -isnot intended or offeredforsale (Seer 7044, Business and'Professions Code: The - Contractors' State -.License- Law does not apply to an owner ofd property -who builds orJrnproves thereon, and who does the'work himself or herself.through his or her ownemployees, providedthatthe improvements are not intended.or offered forsale. 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, 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.). ' I—) I am exempt under Sec. , BAP.C. for this reason Date: a 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: LQPERMrT VOICE (760) 777, 7012. FAX (760) 777 -7011 -- INSPECTIONS (760) 777-7153 Date: 9/21/05. Owner: LEATH 54-295 AVENIDA RAMIREZ LA QUINTA, CA 92253 Contractor: DEVINE SWIMMING POOL DESIGN WCC': STATE' FUND WC: •1641733-2005.07./0;1/06: CSLB: 786814 11/30/06 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of. perjury one of the following':declarations: - have and;will maintain a certificateof.consent to self=insure fo_r. workers' compensation, as provided - for:by.Section'3700 of.thelabor;Code;-for the performance of the work for which this permit is. issued. .. -. Ihave endwillmaintain workeis' compensation.msurance, as required by. Section 3700:of the Labor _'Code, forthe performance'of the work for which this permit is-issueilMy workers"compensation insurance carrier and pohcµnumber are: I C Carrier C53 Polrc'y'Number •` 1'l�ls"� I certify that;, in the performance'of..tlie''work for ;which this permit is issued: I shall :not employ any person in any manner so as to tiecome subject tothe workers'. compensation laws of California, "and agree ttiatJf I should becomersubjectto the workers' compensation provisions-of.Section .3700of the Labor Code, I a orthwith comp)y_witt those provisions. l9pplicant:� '�/ WARNING: FAILURE TO SECURE WORKERS' -COMPENSATION COVERAGE .IS UNLAWFUL, AND SHALL SUBJECT ANEMPLOYER TO CRIMINAL PENALTIES ANDCIVIL FINES UP TO ONE HUNDRED THOUSAND . 'DOLLARS.($10o,000). IN ADDITION TO THE COST OFC OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708'01F'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 setforth 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, andtheapplicant, 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 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 property fo i portion purpo D Sanature (Applicant or Aden ): " ` y _ I LQPERMT Application Number . . . . . 05-00004262 Permit . . . BLDG POOL PERMIT Additional desc . r. Permit Fee . . . . 117.00 Plan Check Fee 76.05 Issue Date Valuation . . . . 10000 w•. Expiration Date 3/20/06 ' Qty1 Unit Charge Per Extension BASE FEE ,45.00 >' 8.,00 9.0000 THOU BLDG 2,001-25,000 '72.00 Permit MECH POOL Additional desc Permit Fee 24.00 Plan Check Fee.. .. 6.00. Issue Date . .. Valuation 0 -Expiration Date 3%20/06 Qty_ Unit Charge Per Extension - BASE ;FEE_ 15.00 1.00 9.0000: EA MECH 'FURNACE <=100K .9'.00 " Permit ELEC POOL, PERMIT RES;.: Additional•desc . Permit Fee45.00" Plan Check Fee 11.25 Issue Date Valuation. 0 Expration :Date• 3/20/06 Qty Unit' Charge Per Extension BASE FEE - 15.00 - 1.00" 30.0000 EA ELEC-PR°IVATE SWIMMING POOL 30.00 Permit. PLUMBING' Additional desc . Permit Fee 27'.00 Plan Check Fee ". 6.75 Issue" Date Valuation .. . . . 0 Expiration Date 3/20/06, 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 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 --------------------------------------------------"-------------------------- Special Notes and Comments SPA ONLY. ALARMS/BARRIERS SHALL BE IN LQPERMT LQPERMTT Bin # City of . La - ' i:nta -Building-BZ-Safety•Division--------..___.___..._.. _-------.--_............. P.O.. Box1504 78495 Calle Tampico la'Quinta, CA 92253 - (760).777-7012 it'Application and Tracking Sheet Permit # Project Address: t'!' Z�1 S i4V e . )?A M r t e t: Owner's Name: 6A2Y (6A -n4 A. P. Number. Address: 5 L4 25 S Ae (Z4,,,t r2 z Legal Description: City, ST, Zip: 4-4 C,4 q ZZ�3 Contractor:�c�� V 1 C a TZ-�✓ L S Address: �D� l4L30 vld - . 'Telephone: ,' •' ��_ Project Description: Ne—L-3 I'D� X v� 5PA City, ST, Zip: Telephone: 101 f1>' C1 03 City Lic. #: p e S L( Z✓ t✓ ?i_ State Lic. # : 1 _P> I iv �s y Arch., Engr., Designer: Address: City, ST, Zip: Telephone: t State Lic. #: Name of Contact Person: €v tConstructionTypOccupancy: Project type (circle one): 'New' Add'n Alter Repair Demo Sq. Ft.: % �� #. Stories: # Units: Telephone # of Contact Person: -7 tpU Cj d. Estimated Value of Project: -0,000 ,APPLICANT' -DO NOT WRITE BELOW THIS .LINE . Submittal Req'd Recd ' ':TRACKING. PERMIT FEES '# !� Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Cates. ;Plans picked up Construction Flood plain plan `Plans resubmitted Mechanical Grading, plan 2nd Review, ready for corrections/issue Electrical 6 Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees G-A7E RA 6-� A'j WS 1 K-16" mo/acc CS z,, N I E WA �t— H Z, NLv WALL- (6,1 1z` c-ul,i3� Pocus 4- (-761D Ae5 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR/&OrBY—�—k-- CONSTRUCTION DAT