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10-1006 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: C—'10-,00001006— Property Address: 46590 BRADSHAW TR APN: 643-170-999-59 -31348 Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 18000 Applicant: U/ c&ht 4 4 Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: GLOBAL INVESTMENTS 3470 WILSHIRE BLVD. #1020 LOS ANGELES, CA 90010 Contractor: INDIO HILLS POOL CC 28800 DESERT CHARM DESERT HOT SPRINGS, (760)393-6720 Lic. No.: 816170 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/28/10 >� L 2241 9 o r -r n 1 2010 ' r 'P, ,_-. mac`• r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - LICENSED CONTRACTOR'S DECLARATION - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - — WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed 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 Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C53 License o.: 816170 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ontractor: '-A,^---I ssued. 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 OWNER -BUILDER DECLARATION -insurance carrier and policy number are: I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 0004052-2009 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the bor Code, I shall forthwith comply with those prov' ns. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by el any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500).: ate: plicant: (_ 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 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.). (_ 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: IA - Lender's Address: LQPERMIT 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 and county ordinances and state laws relating to building construction, and hereby authorize representatives of t � /cou y to entAerupo the above-mentioned propertnyr inspection purposes. Date: 1 V nature (Applicant or Agent): p rt Application Number . . . . . 10-00001006 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 LQPERMIT Application Number . . . . . 10-00001006 ---------------------------------------- ----------------------------------- 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 POINT HAPPY LOT # 59 46-590 BRADSHAW TRAIL LA QUINTA CA. 92253 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE q-90 BY. INDIO HILLS POOL CONSTRUCTION 6 ft. 61. 28-800 DESERT CHARM RD INDIO HILLS CA. 92241. BUS.PHONE#(760) 342-3246 CELL (760)393-6720 -` CA. LIC.#816170 C-53 EXISTING CONCRETE o. 4 8�x Z�+„ NEW BLOC 0 EQUIPMENT j * 1- Hayward multi speed pump circulation IAL H PUMP * 1- 325 cfrn Hayward cartridge Filter *1-400,000 btu Hayward heater * 1- 400w pool light 1 100w for spa light *I - pro -logic system. * auto fill device *3- 12" sheer descent POINT HAPPY LOT # 59 46-590 BRADSHAW TRAIL LA QUINTA CA. 92253 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE q-90 BY. INDIO HILLS POOL CONSTRUCTION 6 ft. 61. 28-800 DESERT CHARM RD INDIO HILLS CA. 92241. BUS.PHONE#(760) 342-3246 CELL (760)393-6720 -` CA. LIC.#816170 C-53 EXISTING CONCRETE o. 4 8�x Z�+„ NEW BLOC 0 a.►► # City Of %d Quint Building a Safety Division P.O. Box 1504, 78-495 Cafe Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Q (� (� ProjectAddress: —rj %� /^Gj �ijQGj ' r A. P. Number: Owner's Name: Address:11 (� t J 6WDI 'I L Legal Description: Contractor. ��� C f7`C /( cs ���� City, ST, Zip: 1,6 SA- Telephone: Address: a� (r �SzfI4 04V y7t Project Description: City, ST, Zip: —r (o �l �S Telephone: lid r j 3 —(�-TP State Lic. # CKI�l 7D City Lia C.3 7 jv Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lia #: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. FL: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project Q APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'•d TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cama. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Calca. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 21* Review, ready for correctionsiissoe Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'rJ Review, ready for correctionWissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees W+