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07-2761 (RPL)
kir V , P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 07-00002761 43086 CORTE DEL ORO 609-380-997-14 -293233- POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 43000 T4ht 4 4 Q" Architect or Engineer: 0 l BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under visions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and essionals de, and my License is in full force and effect. Ex-t Licensee Cllass: C53 No.: 898835 ate, T 1 F'd /V 7 ntractor: OWNER -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 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 _ 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 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 1 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: LQPEPMIT Owner: CONTRERAS RESIDENCE 43-086 CORTE DEL ORO LA QUINTA, CA 92253 Contractor: DESERT VALLEY POOLS 82'680 SHOWCASE PAR BERMUDA DUNES, CA (760)342-2247 Lic. No.: 898835 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 SyCT 19100 1 F/u rLAatu..� Date: 10/16/07 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 for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier EXEMPT Policy Number EXEMPT 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 sub' to the workers' compensation laws of California, and agree that, if I should a subje the the ' pensation provisions of Section 3700 of the L bor Code s forth comply wi ose isions. )�efe�Y�6 U plicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO 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 above infor tion is correct. 1 agree to comply with all city and county ordinances and state laws relating to buildin nstr on, and here -representatives of this c nt ,tvo )enter upon the Bove -mentioned propert ins on purpose t'. V I Si ture (Applicant or Agent): QA Application Number . . . . . 07-00002761 Permit . . . BLDG POOL PERMIT INV FEE Additional desc-. Permit Fee . . . . 738.00 Plan Check Fee 239.85 Issue Date . . . . Valuation . . . 43000 Expiration Date 4/13/08 Qty Unit Charge Per Extension BASE FEE 504.00 18.00 13.0000 THOU BLDG 25,001-50,000 234.00 i-•--------------------------------------------------------------------------- i Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 --Expiration Date 4/12/08 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 4/12/08 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 4/12/08. 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/BARRIER SHALL -BE IN LQPERMIT l M LQPERAIXT Application Number . . .. . 07-00002761 ---------------------------------------------------------------------------- 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 842.00 .00 .00 842.00 Plan Check Total 265.85 .00 .00 265.85 Grand Total 1107.85 .00 .00 1107.85 Pool Contractor: Desert Valley Pools, Inc. Address: 82680 Showcase Parkway, Suite 1 Indio, CA 92203 _ r (760) 342-2247 C53 898835 l 10' -p=0.2 . � / per/ (�`J • .•� . Ei Homeowner: Tony & Jennifer Contreras Address: 43086 Corte.Del Oro La Quinta; CA 92253 (760) 578-4380 LOOT Z 11J0 u Bin # City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit-Application and Tracking. Sheet g P rmi Project Address: 34566 co,4_ ge) 0j O%vner's Name:Tod d-•nn iL✓ cc 4;"'� A. P. Number: Address: • (� d�j �e 0re, Legal Description: City, ST, Zip: ©vL��t CC QZZS Contractor: �� Lr IvO©� 5 Telephone: &K Address: Y i -Project Description: City, ST, Zip: I cx24 , Telephone:. Z ZZ State Lic. #A 8 City Lic. #: Arch., Engr., Designer: t1oe Address: City, ST, Zip: Telephone: State Lic. #: 3 46 `' Name of Contact Person: Construction Type: PO a Occupancy: Project type (circle one): Ne Add'n Alter Repair Demo Sq. Ft.:4'53 ___1_#Stories: 79'Units: Telephone # of Contact Person: Ac) Z-o. C Estimated Value of P'oJect'I'13 o0o APPLICANT: DO NOT WRITE BELOW THIS LINE. # Submittal Req'd Recd TRACHING , PERMIT FEES Plan Sets Plan Check submitted I Item Amount Structural Cales. 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 correctionsrssue 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 Oct 18 07 02:39p Jill Fussner �LL�Y PC) tNG. D656RT v wcw'� surTEi a26so sr+OwcasE INDtO, CA 92203 97603422247. p.1 Phone Number5644 3347 Fax Phu Ema+�•iussnerl@ms".com X Rom' t `� ,l•t.� j�`� Dated Name: Numbei of Page, Phone: Fax'. —1 'I �j " � D i. � ti _... ,.. ,_... .:._:—,:,. _ •. ly,essage: .6 4- . � h 0LvQ, 1.a LL C1 0 r-_ 0 Co 0 CITY OF LA QUINTA SUB -CONTRACTOR N �,ACTOR LIST _b_il_ . 9k, SiA-4r,-_ R JOB ADDRESS !t3 OBC Orc) G- a? PERMIT NUMBER OWNER C�)6_ BUILDER DfSre'r_ ti t C� his g C�4 Lis to authorized Lm -ection Card at all times in p-gonspicuous place. Only persons appearing on this list or their employees whorized to work _*bajLb_q_posted on job with Buildm Insp on this lob. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "on File" is not an acceptable response. ............. 'D Company Name Classification (e.g. A, B, C-81 'License Number lxxxxxx) UP. Date lxxlxx/xxl Cartier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xxixx/xx) License Number (xxxxY Up. Date (xx/xx/xx) &C.�114, -1JN A C - 1.7- Q0005 Loe r,,,e C., 41T-7 31(?dor- -4, (2 CT� T -%Z) -k 13,A-9 S4afe �