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08-1713 (RPL).J • . r1 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00001713 Property Address: 50600 BREVA APN: 776-190-999-10 -32068 Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 10000 Ti&t 4 4 Q" Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- 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. License Class: B Lice o.: 873958 Date: •L0.I✓ ontractor: 01 NER-BUILD R DECLARATION I hereby affirm under penalty of perj y that m empt from t e Contractor's State License Law for the following reason (Sec. 7031.51 Busin d'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).: 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 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—) 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/15/08 Owner: TMC COMPANY, INC. 23382 MADERO, STE. F MISSION VIEJO, CA 926 (949)600-7020 Contractor: TMC COMPANY INC kl.ilv 23382 MADERO STREE MISSION VIEJO, CA 9 (949) 600-7020 OQ 12-32 Lic. No.: 873958 2 v ------------------------ \ - I- — — — — — — --- — WORKER'S COMPENS 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. 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 insurance carrier and policy number are: Carrier STATE FUND Policy Number 0000904-2007 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 I should become subject to the worke'compensation provisions of Section 3700 of the Labor de, I s I forthwi co ly wit ose provisions. Date:I� �' 0 Applicant: i WARNING: FAILURE TO SECURE WRKERS' 0 PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN LTI S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE CO T 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 and unty ordinances and state laws relating to building construction, and hereby authorize representatives of th' coun�tly�to enter upon eabove-mentioned proper or ins a�;tion p� ate: © W'� ' nature (Applicant or Agent): LQPERMIT ication Number . . . . . 08-00001713 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 117.00 Plan Check Fee 76.05 Issue Date Valuation . . . . 9567 Expiration Date 4/13/09 Qty 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 . . . . 26.00 Plan Check Fee 6.5.0 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/13/09 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 4/13/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 ------------7-----------------------7---------------------------------------- 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 4/13/09 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 Permit . . . . . _ WALL/FENCE PERMIT Application Number . . . . . 08-00001713 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee . Issue Date . . . . Valuation . . . . Expiration Date 4/13/09 .00 433 Qty Unit Charge Per Extension BASE FEE .15.00 ----------------------------------------------- ---------------------------- Special Notes and Comments POOL/SPA, 20 L.F. 5' EQUIPMENT ENCLOSURE, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 236.00 .00 .00 236.00 Plan Check Total 102.05 .00 .00 102.05 Grand Total 338.05 .00 .00 338.05 LQPERMIT NR j L. Lacher�.P.E- 67 Pool Engine ng Inc- to/0310a M5 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DAT its BY Y 5 --T -1 M MMIA, =i V .............. ........ ........ _.........._.......i . ... . ... . ................. . .......................... ........... . .......... ......... . . Doc NO: 37940 10/712008 Name'. The Gold Reserve at the Citrus Course Lot 10 Address: La Quinta Mandarina & Breva Streets Lot 10 La Quints, CA .,Cont., Premier Pools - Valencia II C� Co 08 M w M F3 44- 0 wV! A 6 2 0 .1 M MMIA, =i V .............. ........ ........ _.........._.......i . ... . ... . ................. . .......................... ........... . .......... ......... . . Doc NO: 37940 10/712008 Name'. The Gold Reserve at the Citrus Course Lot 10 Address: La Quinta Mandarina & Breva Streets Lot 10 La Quints, CA .,Cont., Premier Pools - Valencia II C� Co 08 M w M F3 44- 0 wV! A 6 2 Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address:Q BRe_ / LC')r )'D Owner's Name: C, Ct7",, 'T— A. P. Number: Address: 23362, IW 4der0 V- S-11---F Legal Description: City, ST, Zip: OA C's S i wl— 0 io-. O C 2 C4 l' Contractor: C c_-lT 1�- �yJ Y VW 6 . Telephone: cly • �p oo Q Address:0 r) 3 3'6 2 MA-,, U) 5// {, Project Description: Poo l i SPS e [Jl City, ST, Zip: %/SS/6A. ,9j-v 6+ *4 w / ew-/ m ey4sr^ !✓ A ( Telephone: &00 . ?D 2p S State Lic. # : '2S--R I CityLic. #: Arch., Engr., Designer: /4 d <� n � L Address: 1,2.(Jn h f/ US � _ ' Q, City, ST, Zip: �f N & A -e, �%-, �%� �Z pC� Telephone: -7/ . 6 Construction Type: Occupancy: Project type (circle one): env Add'n Alter Repair Demo State Lic. #: S — Name of Contact Person: /`CTN Sq. Ft.:# Stories: # Units: Telephone # of Contact Person: —714- Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING _ PERMTT 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 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for correctionsfiissue 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 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