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07-2069 (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: 07-00002069 45150 BIRCHCREST CIR 604-4127012-21 -23995 - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 40500 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: GONZALEZ DANIEL 45-150 BIRCHCREST CIR LA QUINTA, CA 92253 Contractor: INTERNATIONAL GUNITE INC 75153 MERLE DRIVE, SUITE B PALM DESERT, CA 92211 (760)779-1503 Lic. No.: 875547 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/17/07 ------------------ IJCENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury that' am l.cen d under provisions of Chapter 9 (commencing with +I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Businesa and Profe sionaIs Code, and my License is in full force and effect. _ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: 53 License No.: 875547 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: �r7 ' / 07 Contractor: / _ 1 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 ///OW ER -BUILDER DECLARATION I hereby affirm under penalty of perjury th t I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Busin s and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, o 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 (55001.: (_ 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, 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 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: LQPER_N11T insurance carrier and policy dumber re: Carrier STATE FUND / Poli y Number 229-0033730 I certify that, in the perform person in any manner so and agree that, if I shouli Q37 0 of the Labor Codef Date: �-7 / D7Applicant:. e of th work for which this permit is issued, I shall not employ any to bec a subject to the workers' compensation laws of California, ;come ubject to the workers' compensation provisions of Section hall for hwith comply with those provisions. J W WARNING: FAILURE TO SECURE YVORS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI IN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDIT&Al 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 purs[}ant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall def d, indemnify and hold harmless the City of La Quinta, its officers, agents and employee for any ac or omission related to the work being performed under or following issuance of this ermit. 2. Any permit issued as a result of this applicatio becomes n I and void if work is not commenced within 180 days from date of issuance of su h 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 a infor tion is correct. I agree to comply with all city and cou [y rdinances and state laws relating to bui�d'�nstructt n, and hereby authorize representatives of this cou y t enter upon the above-mentioned grope y nspecti purposes. l //M/ % / TDate: 1" " / �� Signature fApplicant or Agent): Application Number . . . . . 07-00002069 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 356.00 Plan Check Fee 231.40 Issue Date Valuation . . . . 40500 Expiration Date 1/13/08 Qty Unit Charge Per Extension BASE FEE 252.00 16.00 6.5000 ---------- =------------------------------------------------------------------- THOU BLDG 25,001-50,000 104.00 Permit . . . •MECH POOL .Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date 1/13/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 -7--------------------------------------------------------------------------- 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 1/13/08 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 1/13/08 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 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 POOL, SPA, ALARMS/BARRIERS SHALL BE IN LQPERMIT Application Number . . . . . 07-00002069 - ------------------------ 7 -------------------.-------------------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged Paid Credited Due ----------------- ----- - ---- ---------- ---------- ---------- Permit Fee Total 460.00 .00 .00 460.00 Plan Check Total 257.40 .00 .00 257.40 Grand Total 717.40 .00 .00 717.40 LQPERMIT 1 SIV A t� N L* (o i LA lz� 0. • t� c �� y�' :SpA ?- Jr.-T-5 2 STcal� I �1 POOL- 6,0 �S y P—A S lX' ATb v y� + T •f-I53" yrr�G►� s-1-�+f lop h A, 1 P NT > i oN� CnU NTEYTo� w 1'T� 30" F�V-71 �� BHT ��D �gC , ��-� r 12o v � . � 1 •,t ' .r f 2- 12, Fs i D ~j '-15 - 15 0 B i a- C H c s' Bob GhT CirtLC f:A QuiWrA C 13' 7 -: 0 I a-A -s . I � JUL 21 2007 By Bin # 'City of La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico n n� La Quinta, CA 92.253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # - Project Address: l S {f %Zch c, r'e.7— Owner's Name: (goo 77 A: P. Number: Address: Legal Description: City, ST, Zip: Contractor: –7-a(/709C Telephone: Address: �� , � � 3 Me.-f;Pe C& . -?4)iD3 Project Description: i O(p City, ST, Zip:dvo Q — �4. gZ24 1 Telephone: ? 0 7-7'9 (K-0-5 ,'. r I State Lic. # City Lic. Arch., Engr., Designer: Address: City, ST, Zip: Telephone: , " State Lic. #:n A l'1 Ale Name of Contact Person: kvct e[0 Construction Type: Occupancy: Project type'(circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories:. # Units: Telephone # of Contact Person: XsS g 5 Estimated Value of Project: - PE'd IMAL APPLICANT: DO NOT WRITE BELOW THIS LINE �$Q # Submittal Req'd Rec'd TRACKING. PERMIT FEES Plan Sets Plan Check submitted 1 ` �I 1 Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°' Review, ready for corrections/issue Electrical u Q fJ 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 Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees