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05-1976 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number,: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 05-00001976 81699 CHARISMATIC WY 767-200-999-54 -312021- POOL - RESIDENTIAL LOW DENSITY.RESIDENTIAL 20000 T4ht 4 4 Qu&z Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-70.12 FAX (760) 777-7011 INSPECTIONS (760) 777-7153- Owner: 77-7153 Owner: DESERT CHEYENNE., INC. 78401 HIGHWAY 111, SUITE G LA QUINTA, CA 92253 (760)777-9920 Contractor: MCIN_TYRE POOLS & SPAS., INC. WCC: STATE FUND WC: 1769111 01/01/0.6 CSLB.: 614611 09../30/05 Date: 5/23/0.5 ------------------------------------------------- .LICENSED CONTRACTOR'S DECLARATION -- ----------------------------------------------— WORKER'S COMPENSATION DECLARATION I hereby affirm'under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with. I hereby affirm under penahy.of perjury one of the following declarations: ction 7000) of ivisi the Business and Professionals Code,.e y i n I and effect: License Class: L7 G" - License' / _ I have and will maintain a certificate of consent to seH4nsure for workers!, compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is - Z�- :RsC-thacror j e S J/gy issued. - p 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 following reason (Sec. 7031.6, Business and Professions Code: Any city or county that requires a permit to _ I conifythat, in the performance of thwwork for which this permit Is'issued, 'I shall, not;employ, any construct, cher, improve, demolish, or repair any structure, prior to its issuance, also requires the applicent:for the person in any manner so as to become subject to'the workers' compensation laws of California, permit to file s signed statement thaviie or she is licensed pursuant to the proyisiorwof the Contractor's State and agree that; if 1 should become subject to the worker `c mp motion provisions of Section License Law (Chapter 9 (commencing with Section 7001)) of"Division 3 cf the Business arta Professions Code) or 3700 of the Labor Code •shall fort hwi omply with a pro '' ons. that he or she is exempt therefrorim 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 ($600).: --2-OSApplicafrc:- (_ 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 WARNING: FAILURE TO SECURE WORK SCOMPENSAT N.COVERAGEIS UNLAWFUL, AND SHALL Contractors' State1icense Law does not:apply to an•ownerof property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL.PENALTIES AND.CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS (4100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS•PROVIDED FOR IN Improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706,01"THE LABOR CODE, INTEREST, AND ATTORNEY'S, FEES. one year of completion, the owner -builder will have the burden of°proving that he or.shedid not build or improve for the purposeof sale.). APPLICANT ACKNOWLEDGEMENT (_ ! 1, as owner ofthe property, am exclusively contracting with licensed "contractors to Construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Lew does not apply to•an owner of conditions and'.restrictions set forth on this. application. property who builds or improves'thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made; each person at.whose•request and for pursuani to the Contractors' State License Law.). whose -benefit work is performedunder or pursuant to any permit issued:as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason the owner,and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there• s: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 of La Quints, 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 Isnot 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 l have read this application and,state that•the above information is correct. I agree to comply with all city and county.ordinences and state laws relating to buildi nstruction, and hereby autho '7represeives of this co to enter upon the above-mentioned' props orcti purposes. Da Signature l 4pplicent or Agerttl:�— Application Number . . . 05-00001976 Permit . . . BLDG POOL PERMIT Additional desc . . Permit. Fee 207.00 Plan Check Fee 134.55' Issue Date . . . Valuation . . . . 20000 Expiration.Date . . 11/19/05 Qty Unit Charge Per Extension BASE FEE 45.00 18.00 9.0000 THOU BLDG 2,001-25,000 162.00 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration, Date . . 11/19/05 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 11/19/05 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 . . . . 3.3.00 PlanCheck Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/19/05 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 ONLY. ALARMS/BARRIERS SHALL LQrERUr Application Number . . . . . 05-00001976 ------------------ Special Notes and Comments r BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due Permit Fee Total 311.00 .00 .00 311.00 Plan Check Total 160.55 .60 .00 16.0..55 Grand. Total 471.55 .00 :00 471.55 LIQPEReflx I� Bin # ' Clly-Of, , a. Qulnb : . Building 8t Safety Dilnsion . P.O. Box, 1504, 78-495 G((e Tampico . La Quinta, G4 92253 - (760) 777701,2 Building Permit Application and Tracking Sheet. Pefmit, Project Address: � - � Owner's Name: A., P. Number. 'Address. '. Legal Description: City,; ST, Zip: Contractor. Telephone: ` Address: �- Project Description: City, ST; Zip: a Telephone: A.f�•.':`C`."+:'?:..'�J:iV :� " �3f'w� t' y h'?.` -iii::: -r- i.:i::;f:,`. .•{'}..'w°'.�.'i-'X'/.-v:' State Lic. # : City Lica#: l r Arch., Eno Designer Address: City, ST, -Zip: " .. ,..• �.. _� '- -h4` - -ro' yr � : ::d: Telephone: _.:.,;; .r< ,: .. State Lic. #:Project . '7r.H,•;`r.'•::riY.^�:: `r+hY.-+r'4•,:.}i'2•T±Sx _• Construction Type; Occupancy: rcle one ' type Add'n Alter Repair-, Demo' Name of Contact Person: Sq. Ft: # Stories: # Units:. Telephone # of Contact Pers Estimated Value of Project 4 - APPLICANT: DO. NOT WRITE BELOW THIS LINE !1 Submittal Req'd Recd TRACRING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check• Deposii TiumCales. :Called Contact Person Plaa Check Balance Title 24, Calca. Plans picked lup Construction Flood plaiit•plan - Plans°resubmitted Mechanical Gmding plan 2'' Review, ready for correetionslissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans. resubmitted Grading IN 11 OUSE:- '''Review. i eady 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 Fres 8 I �o IV I a i RANCHO SANTANA LOT 54 ► MODEL PLAN 3 I-ACCA STELAE TILE, BOULDERS, DECK COLOR CENTRELLER PEBBLE PLASTER DAM WALL EQ WALL ni��mn� � ....��� i iaPr�oi uii�ii,iiiui�i4riii,iii,iiumi.i�n�irumi,u.inum�miimiiiiiiioiiiii�muriimummimiimiimmiultluliiillililhidiihumhmliioldiihuililillltlllilillilduldulmililillililllhilllllillllllllll