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07-0399 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QVINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: ,a V 07-00000399 79300 BROOKVILLE 772-040-017- - - POOL.- RESIDENTIAL LOW DENSITY RESIDENTIAL 45000 T4ht °f 4 Q" Architect or Engineer: W ik BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENS CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I sed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine and fes 'onals Code, and my License is in full force and effect. License Class: C.8 C27 C29 License No.: 656128 � -WNER-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 Pro essions 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'censed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Sectio 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis fo the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a ivil penalty of not more than five hundred dollars ($500).: (_ I 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.). (_ 1 I am exempt under Sec. , B.&P.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 Owner: THE ESTANCIAS 79-300 BROOKVILLE LA QUINTA, CA 92253 Contractor: TESERRA P.O. BOX 1280 COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/05/07 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 f r which this permit is issued. My workers' compensation insurance carrier and policy number ar Carrier SEABRIGHT Policy mber BB1070510 _ I certify that, in the performance of t k for which this permit is issued, I shall not employ any person in any manner so as to co a 'ect to the workers' compensation laws of California, and agree that, if I should bec a bje t to a workers' compensation provisions of Section /3700 of the Labor Code, I sh w' h comp with those provisions. Date: !i Applicant: WARNING: FAILURE TO SECURE WORKERS'PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENTEST, ES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTE AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made t the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this pplication. 1 . Each person upon whose behalf this application is mad whose benefit work is performed under or pursuant to the owner, and the applicant, each agrees to, and shal - of La Quinta, its officers, agents and employees for an performed under or following issuance of this permit. 2. Any permit issued as a result of this application beco within 180 days from date of issuance of such pe permit to cancellation. I certify that I have read this application and state that the ab ve i city and county ordinances and state laws relating to buildin of this cou y to enter upon the above-mentioned property f i s Date: Signature (Applicant or Agent): ch person at whose request and for permit issued as a result of this application, ;nd, indemnify and hold harmless the City or omission related to the work being void if work is not commenced on of work for 180 days will subject correct. I agree to comply with all hereby authorize representatives Application Number . . . . . 07-00000399 Permit . . . BLDG POOL PERMIT Additional desc . Permit.Fee . . . . 382.00 Plan Check Fee 248.30 Issue Date . . . . Valuation . . . 45000 Expiration Date 8/04/07 Qty Unit Charge Per Extension BASE FEE 252.00 20.00 .6.5000 THOU BLDG 25,001-50,000 130.00 ---------------------------------------------------------------------------- Permit . . . MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee -6.50 Issue Date . . . . Valuation . . . 0 Expiration Date 8/04/07 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 8/04/07 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 8/04/07 .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 n LQPERMIT Application Number . . . . . 07.-000003.99 Special Notes and Comments PLACE AT'PRE-PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged Paid Credited Due ------------------------------------- Permit Fee Total 486.00 .00 -------------------- .00 486.00 Plan Check Total 274.30 .00 .00 274.30 Grand Total 760.30 .00 .00 760.30 LQPERMIT k_; -,Q .k Q - -W �, C _� t a V- -; ?_ - — # Bin It City of. La Quinta Req'd Building U Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinti, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet ` Item Amount Project Address:C��U�� `/ 1 (, (�1!5-- Owner's Name: Structural Cates. Reviewed; ready for corrections A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: `J� �� Imo— Telephone:F '✓ Plan Check Balance Address: iProject Description: \ Energy Cates. City, ST, Zip:e_0l-,C E-: U CJZ23 CP Plans picked up Telephone: 1!>9 19- ! ZZ Z Flood plain plan State Lic. # : �p S(p ,�, City Lic. #: Plans resubmitted Arch., Engr., Designer: Address: City, ST, Zip: Electrical Telephone: Construction Type: Occupancy: Subcontactor List State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Called Contact Person Name of Contact Person: (7c_�o Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: �SQ— Z Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING . PERMIT FEES Plan Sets Plan Check submitted ` Item Amount Structural Cates. 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 2e° Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval ans resubmitted Grading IN HOUSE:- , ,' VG r�e ' re for correctionsJissue Developer Impact Fee PlanningAppro'at � � 9 •o t^c so A.LP.P. Pub. Wks. Apgr 1V Dae vi mit X-/ School Fees C71177 Total Permit Fees