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10-0068 (RPL)T4,Yl 4 P.O.,BOX'1504 �VOICE 760 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 1/27/10 Application Number: 10-00000068 Owner: Property Address: 81280 -CAMBRIA CT AMBROSE APN: 764-280-999-23 -300236- 81280 CAMBIRA COURT Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 37500 Dn !V - _ Contractor: Applicant: Architect or Engineer: CLASSIC POOLS & SPAS 79461 AVENUE 40TH BERMUDA DUNES, CA 92203 Gi'T`�� L(..uKfA (760)413-4867 Lic. No.: 935936 C 91------------------------------------------------------------------------------------------- RICENSED CON R CTO R'S DECLARATION I hereby affirm under penalty of perjury th I am license un er provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bu a and Profess' nal Code, and my License is in full force and effect. License Class: C13-053 cense No.: 935936 te: EO Cyvlfractor: 0 NfB DER DECLARATION I hereby affirm under penalty of perjury that I a xe from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and P fessCode: 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 1$500).: (_ 1 1, 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: N 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. A 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 is permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NATIONAL INS Policy Number 200090117388 I certify that, in the performan a of the work fo ich this permit is issued, I shall not employ any person in any manner �i��5PPp a to became sub' ct o the workers' compensation laws of California, and agree that, if I sh6ihId come subjec o t e workers' compensation provisions of Section 37 0 of the Labor C Q, I s all forthwit co ly with those provisions. WARNI G: FAfCURE TO SECURE WORKERS' PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJE T AN EMPLOYER TO CRIMINAL PEN IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). IN ADDITION TOT 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 voidr. work is not commenced within 180 days from date of issuance of such permit, or cessation o work for 180 days will subject permit to cancellation. I certify that I have read this application and state th4dnc6nstruction, nformatio is c rect. I agree to comply with all city and county ordinances and state laws relating to nd h reby authorize representatives ��of this u ty to nter upon he above-mentioned prection rpos 0 nature (Applicant or Agent): Application Number . . 10-00000068 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 336.50 Plan Check Fee 218.73 Issue Date Valuation . . . . 37500 Expiration Date 7/26/10 Qty Unit Charge Per Extension BASE FEE 252.00 13.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 84.50 Permit . . . MECH POOL Additional desc Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/26/10 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 7/26/10 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 .. 7/26/10 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 LQPERMIT Application Number . . . . . 10-00000068 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 176 Expiration Date 7/26/10 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA, 10.6 L.F. 4' EQUIPMENT ENCLOSURE, CITY STANDARD & 60 L.F. 3/4" GAS LINE FOR FIREPIT. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. 2007 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary Charged• Paid Credited ----------------------------------------------- ---------- Due Permit Fee Total 455.50 .00 .00 455.50 Plan Check Total 244.73 .00 .00 244.73 Other Fee Total 2.00 .00 .00 2.00 Grand Total 702.23 .00 .00 702.23 L LQPERA11T Bin # City of La Quinta Building 8z 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: o cr?— Owner's Name: e A. P. Number: Address: r� G Legal Description: City, ST, Zip: Contractor: C (,�I j Address: _ I/ LID ry Telephone: Project Description: City, ST, Zip: lU / !P1,ee LJAe / 4 Telephone: 3 State Lic. # : City Lic. #: ' Arch., Engr., Designer. Address: City., ST, Zip: Telephone: �;. Vic' ?vsnls:sss t savS Construction Type: Occupancy: State Lic. #: Project type(circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person:/J-19 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Plan Sets Req'd Rec'd TRACKING Pian Check submitted PERMIT FEES Item Amount Structural Cala. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance Tide 24 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2". Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Pians resubmitted Grading W HOUSE:- Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees iw I U iz iW n w I� IW O c� r r I } I I f_. Le VAy- i-lE ILI"ILT 49% s ab-aal a s mist, _l BO-4�45 CAI BILLO WAY OL�F•1K44 num 5Fkiw5m 1 _ QUINA C& EM f • 7 i i IT` OF LA QUI NTA SULDING & SAFETY DEPT. APPROVED FOR CON CRUCTION # f POOL SAZE POOL S.A. '.. POOL PER. DEPTHS - :- - TO POClL PUMP HEATER FILTER UGHT5 I. CONTROLLER SPA SIZE; SPA PER, SPA S.A. �T. SPA DEPTH :- JETS JET PUMP DECK AREA PATIO AREA W.F. Aj . 1,;f i ul d fL ism 1 o PEEN No 0. tim C bu CD Lu INEE a� Lo CDn CD Go QF DATE. SCALF- D AWN BY' JOB: SHEDS OF SHE EIS