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07-2698 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00002698 Property Address: 61188 CACTUS SPRING DR APN: 764-280-999-21 -300235- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application Valuation: 45000 Applicant: c� T-iht 4 4a Q" 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 nd Pr ssio s Code, and my License is in full force and effect. License Class: C53 cense No.: 890670 Date: Qt.0 'V Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of pe ' t t I am exempt from the Contractor's State License Law for the following reason ISec. 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 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 contractorls) licensed pursuant to the Contractors' State License Law.). ' (_ I 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: LOUIS SPIVAK 61188 CACTUS LA'QUINTA, CA VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/23/07 SPRING DRIVE 92253 Contractor: PLATINUM POOLS & 77564 COUNTRY CI PALM DESERT, CA (760)772-4274 Lic. No.: 890670 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 1863573-07 _ 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 shoutecome bject to the workers' compensation provisions of Section 3700 of the Labor Code, s all f wit mply with those provisions. Date: 1%'22>0, Applicant: WARNING: FAILURE TO SEC RE WORK S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO C INA ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITI 0 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 ab ' for tion is correct. I agree to comply with all city and county ordinances and state laws relating to buildin co tru n, and reby authorize representatives of this county to enter upon the above-mentioned property f Vs pec n purp es. Date: ��Signature (Applicant or Agent): Application Number . . . . . 07-00002698 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/01/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 ---------------------------------------------------------------------------- Permit . . . BLDG POOL PERMIT INV FEE Additional-desc . Permit Fee . . . . 764.00 Plan Check Fee 248.30 Issue Date . . . . Valuation . . . . .45000 Expiration Date 4/20/08 Qty Unit Charge Per Extension BASE FEE 504.00 20.00 13.0000 THOU BLDG 25,001-50,000 260.00 ---------------------------------------------------------------------------- Permit . . . . ELEC POOL PERMIT -RES Additional desc Permit Fee . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/01/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 --------------------------------------------- ---------- . . . PLUMBING Additional desc . Permit Fee 33.00 Plan Check Fee 8.25 Issue Date. Valuation . . . . 0 Expiration Date 4/01/08 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 LQPERAIIT LQPERMIT Application Number 07-00002698 ----------------------------------------- ---------------------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. INVESTIGATION FEE ASSESSED PER 1997 UNIFORM ADMINISTRATIVE CODE §304.5.FOR WORK BEGUN WITHOUT BUILDING PERMIT. Fee summary Charged Paid Credited Due Permit Fee Total 868.00 .00 .00 868.00 Plan Check Total 274.30 .00' .00 274.30 Grand Total 1142.30 .00 .00 1142.30 LQPERMIT Oct 04 07 01:58p 10 O pz ��SS 3 ■ tu lit W w O pz ��SS 3 ■ tu W w O / a I .v .y O ��SS 3 ■ .v �`Jl7 O ��SS 3 ■ Oct 04 07 01:58p Din #CILy Of La Quints Builft 8t Safety Division P.O. Box 1504, 78-495 Caffe Tampico La QLdnta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: , U C'�US K u�(n Owner's Name: LjW 1'> ✓Ar, A. P. Number. Address Legal Description: City. ST, Zip:LA , w1 i Y4 O • '922s Contractor t -Ag- xtAU oot.S Telephone: IBM Project Description: Address: 'Z•75b'1 ou t Clatt;�Q IeB City, ST, zip: pc,M ! Sevier 0A 22 l 4-► I o L- •StatcLic.#: e9cc�p-7c�, City Li, #; Arch., Engr., Designer. Address's i�$� '8. w►ti�fbf� City, ST, Zip: I— Telephone: > wn ,.. obi ..y .. Slate Lic. #: ��t�";Y-� ,, "''.>;^„:�> Name of Contact Pelson: � � .. A"AeA Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repan Demo Sq. FL: #Stories: #Units Telephone # of Contact Person:�(pp• y�7Gj • ']�jrj Estimated Value of Project APPLICANT: DO. NOT WRITE SOW THIS LINE # Submittal Req'd Rec'd TRACIMG PERbUTFEES Plan Sets Plan Cheek submitted item Amount Structural Cala.. Reviewed, ready for Corrections Plan Check Deposit Truss Calm Called Contact Person Plan Check Balance. Title 24 Coles. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan r Review, ready for eorreetionstissue Electrical Subcontaetor Ust Called Contact Person Plumbing Grant Deed Plans picked up S.MJL H.O.A. Approval Plans resubmitted Grading IN HOUSE:- "' Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person AJ.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Feta