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10-0178 (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: 10-00000178 81.731 CHARISMATIC WY - 767 -6410-015- Y767-64'0-015- - - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 23000 Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: DESERT CHEYENNE 78401 HIGHWAY 1: LA QUINTA, CA 9: (760)777-9920 Contractor: MCINTYRE POOLS r 83695 AVENUE 45 INDIO., CA '92201 (760)342-3612 Lic. No.: 61461: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/09/10 LICENSED'CONTRA R'S DECLARATION WORKER'S COMPENSATION DECU►iiAT10N 1 hereby affirm under penalty of peJ and rovisions,of Chapter 9 (commencing with 1 hereby affirm under penalty of perjury one.of the#allowing declarations: Section 7000) of Division 3 of the;ssional e, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure -for workers' compensation, as provided License Class: C53 nse No.: 614611 for by Section 3700 of the Labor Code, forthe performance of the work for which this permit is - - - issued. mate: t I [�- ID� rmactor: - 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 ER BUILDFA DECLARATION Insurance Cartier andpolicy number _are: I herebyaffirm under penalty of pempt from the. Comractor's.State License.Law forthe Carrier GOLDEN INS PolicyNu r 2010010139097Z following reason (Sec. 7031.5, Buons Code: Any city or county that requires a permit to _ I certify that, in the performance the -won which this permit is issued, I shall not employ any construct, atter, improve, demolish, or repair any structure, prior to its issuanoe, also requires the:applicant for the person in any manner. so as t orae ' ct to the workers' compensation laws of California, permit to file a signed statementthathe or she is licensed pursuant to the provisions.of the Contractor's State and agree that, if I should- ome su to the workers' compensation provisions of Section License .Law (Chapter 9 (commencing with Section,.7000) of Division:3 of the Business and Professions Code) or / 3700 of the:LabarCode,,l all fo i comply with those provisions. that he or she is exempt therefrom and the basis forthe alleged exemption. Any violation of Section'7031:6 by any applicant for apermit subjects the applicant to a civil penalty of not more than five hundred dollars ($600).: (_) 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.Ucense 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 improvemeriware 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, as,ownerof the property, am exclusively contracting with'lioensed contractors to construct the project (Sec. 7044, Business and Professions Cade: 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 pursuanttothe Contractors' State License Law.). (_ 1 1'.am exempt under. Sec. B.&P.C. for -this, reason Date: Owner: CONSTRUCTION LENDING AGENCY 1 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 WARNING: FAILURETO SECU E W KERS"COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CFA MI AL.PENALTIES AND,CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (8100,000). 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;.restrictionsset forth on this applicetion. 1. Each person upon whose behalf this application is made, each persomat whose.request and for whose benefit work is performed under or pursuantto.any permit issued as a resuk of this application, the owner, and the.applicent, each agrees to, and shall defend, indemnify and hold harmless the City 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.resuk of'this°applicatiyomesnullpondnd ff work isnot commenced within 180 days from date of. issuance of sus f work.for 180 days will subject permit to cancellation. I certify that I have read this application and state that then correct. I agree to comply with all city and county ordinances and state laws.relating to buildnd hereby authorize representativesof this county to enter upon the above-mentioned properturposes. ate: 3 r( /06 ture (Applicant or Agent . Application Number . . . . . 10.700000178 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 234.00 Plan Check Fee 152.10 Issue Date . . . . Valuation 23000 Expiration Date ,. . 9/05/10 Qty Unit Charge Per Extension BASE FEE 45.00 21.00 9.0000 THOU BLDG 2,001-25,000 189:00 Permit MECH POOL Additional desc " Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . Valuation . . . . 0 Expiration Date 9/0,5/10 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11:00A0 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 . . 9/05/10 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.. . 9/05/10 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.:0000 EA PLB FIXTURE 12.00 1.00 3.0000 Ek PLB WATER INST/ALT/REP 3.00 1.00 .3.00.00 EA PLB GAS PIPE 1-4 OUTLETS 3.00 -------- ----------------------- ----------- -- Special Notes and Comments POOL/SPA,135 L.F. 1,, GAS LINE & LQPERWT Application Number ' ' ' ' ' I0 -00000I78 -------------------------------------------------------- iaI Notes and Comments -^__----___----_ ELECTRICAL FOR FUTURE APPROVED APPLIANCE. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE-PLA§�ER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. 2'087 CODES' --------------- ----------------------------------------------------------- Other Fees ' ' ' ' ' ' ' ' ' BLDG STOS ADMIN (SBI473) I^00 Fee summary Charged ----------------- ---------- ---------- Paid Credited ---------- ---------- Due Permit Fee Total 338,00 'OV 'VO ]]8'00 Plan Check Total '- 178'10 'OO '00 178.16 Other Fee Total 1'80 'OV .00 1'0D Grand Total 5I7'10 'VV .00 517.I0 uQPEmrf Bin # .City of La Quinta BulkUng at SafetyDhi►slon P.O. Box 1504, 78-495 Calle Tampico 'La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #^ ' .I t Project Address: — r` p Owner's Name:. A.. P. Number: Address: r ; � City, •ST, Zip: Q U .� e Legal Description: 5 Contractor:AL. 14 Telephone: Project-Description:Poo 5 i'Xl Address:6 J City, ST, Zip: ° Q. 7, Z2a Telephone: (760 342 - 3612, �L )7 } r0 06& State Laic. 4: C5-3 - 468 City Lie. #:IRA: - 104 Arch.,,Engr., Designer: Address: City,, ST, Zip: Telephone; . State Lie. #: ConstructionType: Occupancy: Project•type (circle one): New' Add'n Alter Repair Demo Name of Contact.Person: Sq. PL: # Stories: #'Units: ,Telephone :# ofContact Person: % 5,—U -- Z Estimated' Value of Project: 2 00 co APPLICANT:'DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKNG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calla. Reviewed, ready, for corrections Plan Check Deposit Truss Calls. Called Contact Person Plan Check Balance 111de.UCales. Plans picked:ap Construction Fiood.plaiu plan Plans resubmitted Mechanical, Grading plan 2-! Review, ready for correctiou0nue 'Electrical Subcostactor Rist Called Contact Person Plumbing Grant Deed 'Plans picked up S.M,I. MOA. Approval Plantresubmitted Grading .IN HOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called'Contact Person A.LPY. Pub, Wks. Appr Date of permit issue School Fees Total Permit Fees Imy,"��, I'm " �f fh � r ,w� `� �Id(� j' 4h l 1I1C�0�� 111 1 �11, 14 Hill E �i r I�