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10-1010 (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: /10-00001010 46470 BRADSHAW TR 643-170-99 -54 -31348 - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 18000 Tiht aF:w4" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: GLOBAL INVEE 3470 WILSHIF LOS ANGELES, VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 (? i in Contractor:; —��� INDIO HILLS 0 K-SligLa(C 28800 DESERT C •,rh Date: 9/28/10 DESERT HOT SPRINGS, 'CA 9 4�- (760)393-6720 Lic. No.: 816170 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. Licen a Class: C53 License No.: 816170 ate:AMZV ntractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business 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): 1 _ 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 I, 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 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: ti 1P LQPERMIT 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 STATE FUND Policy Number 0004052-2009 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if 1 should become subject to the workers' compensation provisions of Section "I.IllfSECURE 3700 of the abor Code, I shall B(thwith comply with those pro ions. ate: L(>licant: _ o',VA12 v er WARNNG: WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000): IN ADDITION 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 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 nd county ordinances and state laws relating to building construction, and herauthor representatives o is count'y/'"t�ro'e//;�• upon he above-mentioned property f(o[I inspection purposes. Date:�JEC ` nature (Applicant or Agent): 1 LQPEFN1IT Application Number . . . . . 10-00001010 Permit BLDG POOL PERMIT Additional desc . Permit Fee . . . . 189.00 Plan Check Fee .. 122.85 Issue Date . . . . Valuation . . . . 18000 Expiration Date 3/27/11 Qty Unit Charge Per Extension BASE FEE 45.00 16.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 144.00 Permit . . . MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/27/11 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 3/27/11 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 3/27/11 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 Application Number . . . . . 10-00001010 ---------------------------------------------------------------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. 2007 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary ----------------- Charged ---=---------------- Paid Credited -------------------- Due Permit Fee Total 293.00 .00 .00 293.00 Plan Check Total 148.85 .00 .00 148.85 Other Fee Total 1.00 .00 .00 1.00 Grand Total 442.85 .00 .00 442.85 LQPERMIT U EQUIPMENT <13 * 1- Hayward multi speed pump circulation PUMP *1- 325 cfm Hayward cartridge Filter H *1400,000 btu Hayward heater *1- 400w pool light 1 100w for spa light *I - pro -logic system. * auto fill device *3- 12" sheer descent 0 N POINT HAPPY LOT # 54 46-470 BRADSHAW TRAIL LA QUINTA CA. 92253 INDIO HILLS POOL CONSTRUCTION 28-800 DESERT CHARM RD INDIO HILLS CA. 92241. BUS.PHONE#(760) 342-3246 CELL (760)393-6720 CA.LIC.#816170 C-53 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DAT '�-BY T NEW BLOCK WALLS Bin # Permtt # D 1D -1o1 Project Address: A. P. Number. Contractor. �77""L..1 City of La Quinta Building a Safety Dfldrlon P.O. Box 1504, 78-495 Calle Tampfco [a Qtdnta, CA 92253 - (760) 777-7012 Building Pennit Application and Tracking Sheet Ila w % Owner's Name: 1 Address: -i q 70 City, ST, Zip: -0 Aim, I./ I Teleahone: Address: Affee ,9r A?' v Project Description: City, ST, Zip: Telephone: �Xcl - State Lic. # : Arch., Engr., Designer: Lie. #z..3 7 Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lia #: Name of Contact Person: Pmjed type (circle one): Now Add'n Aher Repair Demo Sq. FL: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 610 APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACIMG PERMITFEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Pian Check Balance Title 24 Coles. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctionsAssue Electrical 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 correctionsfissne Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees