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07-2046 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00002046 Property Address: .78683 COMO CT APN: 609-530-022-22 -28457 - Application description: STRUCTURES OTHER THAN BUI Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 3000 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT B Owner: ` AKIYA RESIDENCE 78-683 COMO CT. ZINGS"�+ r-, ^Op� LA QUINTA, CA 92253' 11 CDiM O. Tp_(....._ i •may e�;L►nr. Contractor: Applicant: Architect or Engineer: VACATION POOLS INC 83900 AVE 45 C INDIO, CA 92201 01 G WA (760) 775-0468 Lic. No.: 856835 LICENSED CONTRACTOR'S DECLARATION I hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profen ' nals Code, and my License is in full force and effect. License Class: //53 ` License No.: 856835 Date: w Contractor: 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.). (_ I 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: LQPERA11T VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/13/07 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. - 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 SIRIUS AMERICA Policy Number 01DKRM21000986 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 should become subject to the workers' compensation provisions of Section ,]f 3700 of the Labor Cooddte�,III shall f thwit ply with those provisions. Date: C! (0 Applicant: ✓ L 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this cou�j(ty to enter upon the above-mentioned proppeerttyj foorrJinspe ion pur ones. Date: Signature (Applicant or Agent): Application Number . . . . . 07-00002046 Permit . . . . . BUILDING PERMIT Additional desc . Permit Fee 54.00 Plan Check Fee 35.10 Issue Date . . . . Valuation . . . . 3000 Expiration Date". 1/09/08 Qty Unit Charge Per Extension BASE FEE 45.00 1.00" 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 .9.00 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 15.75 Plan Check Fee 3.94 Issue Date Valuation . . . . 0 Expiration Date 1/09/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 .7500. ---------------------------------------------------------------------------- PER ELEC DEVICE/FIXTURE 1ST.20 .75 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee 16.50 Plan Check Fee 4.13 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/09/08 Qty Unit Charge Per Extension - BASE FEE 15.00 2.00 .7500 ---------------------------------------------------------------------------- PER ELEC DEVICE/FIXTURE 1ST 20 1.50 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 18.00 Plan Check Fee 4.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/09/08 Qty Unit Charge Per Extension BASE FEE 15.00 1".00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 --------------------------------------------"-------------------------------- Special Notes and Comments BUILT IN BBQ PER APPROVED PLAN ONLY Fee summary Charged Paid Credited Due LQPEINIIT Application Number . . . 07-00002046 ------------- ----------------------- ----------- ---------- Permit Fee Total 104.25 .00 .00 104.25 Plan Check Total 47.67 .00 .00 47.67 Grand Total 151.92 .00 .00 151.92 LQPERMIT 016 - ACA I . .. - , . LS, . , ®.. 0900 Avenin 45 Suite C _ ® ; Indio, CA 9:Z201 760) 775-046 ° .(76®) 775-®469 Fax t n� � C �'c.� -53-856835 GENERALSPECIFICATIONFICA SIZE 2Z X AREA- Z a ,' PERIMETER..-: v` DEPTH 3.. a - ._.. -T1LE'GHOICE' � -r, RBB:. CQPING. ..G' . %lT.,. ' .v. POOL CAPACITY=~ GALS M701 )AHP MOTOR HP. 3 FILTER t n�' ?>r � . S tai : i. QQ��� Iv �A,,_ -G� �:�,. .HEATEF i. t -T .. RETIJR� �.. I .MME ...... ...� CHECK . i J � 1 BTU' o. SIZ L -S: t .. X' T � t:# a. L t r : } .. .. .. .:. ::...:.:: : f n.... :.. ::. ........ _: :T.R... '1 1 C 1-W ^ O F LAQ U I Nl`A BUILDING &SAFETY DEPT. APPROVED.. FOR CONSTRUCTION DATE t/_/ O 1 BY.61,r .SIZE LITE . JETS - - �A LAS LEG BACK LS EATS DUAL LEVE DAMWALL: j- - DAMWALL TOP - SPILLWAY SIZE X- � WIDE , .SPILLWAY ATE CONTRACTOR cannot assume responsibility for -1- .3 damage to curbs, sidewalks, driveways, cement slabs, sev��ers, latirrns9 trees, fences.,_ retaining walls sprinklers. wires, valves, telephone or NAME: shrubs. When access is made through a neighbor's ADDRESS v 3 60 M0 Com. I property it is understood that you, the owner, have that neighbor's permission and assume full CITY: Lra 62,\_)0KT. Gam- tri rc responsibility. TRACT: LOT: PHASE: DATE SIGNATURE I , ._::.....:.......:.:: i J. vti..-m N�bm,v,=u i ..: .....:..... . ..: I . ...... :............ : ..:..: -. .: . ....:.:...:..:-.1 4 .::..._.:. : i.: . 9 -.:Ji��J, i ,A i:. 016 - ACA I . .. - , . LS, . , ®.. 0900 Avenin 45 Suite C _ ® ; Indio, CA 9:Z201 760) 775-046 ° .(76®) 775-®469 Fax t n� � C �'c.� -53-856835 GENERALSPECIFICATIONFICA SIZE 2Z X AREA- Z a ,' PERIMETER..-: v` DEPTH 3.. a - ._.. -T1LE'GHOICE' � -r, RBB:. CQPING. ..G' . %lT.,. ' .v. POOL CAPACITY=~ GALS M701 )AHP MOTOR HP. 3 FILTER t n�' ?>r � . S tai : i. QQ��� Iv �A,,_ -G� �:�,. .HEATEF i. t -T .. RETIJR� �.. I .MME ...... ...� CHECK . i J � 1 BTU' o. SIZ L -S: t .. X' T � t:# a. L t r : } .. .. .. .:. ::...:.:: : f n.... :.. ::. ........ _: :T.R... '1 1 C 1-W ^ O F LAQ U I Nl`A BUILDING &SAFETY DEPT. APPROVED.. FOR CONSTRUCTION DATE t/_/ O 1 BY.61,r .SIZE LITE . JETS - - �A LAS LEG BACK LS EATS DUAL LEVE DAMWALL: j- - DAMWALL TOP - SPILLWAY SIZE X- � WIDE , .SPILLWAY ATE CONTRACTOR cannot assume responsibility for -1- .3 damage to curbs, sidewalks, driveways, cement slabs, sev��ers, latirrns9 trees, fences.,_ retaining walls sprinklers. wires, valves, telephone or NAME: shrubs. When access is made through a neighbor's ADDRESS v 3 60 M0 Com. I property it is understood that you, the owner, have that neighbor's permission and assume full CITY: Lra 62,\_)0KT. Gam- tri rc responsibility. TRACT: LOT: PHASE: DATE SIGNATURE I STAINLESS 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 Permit # •�l(`,� ''I[v Project Address:(095 e�ol,t- D Owner's Name: A. P. Number: Jv Address: ,�vC,m Legal Description: Contractor: JJ7�/--�4-7—/ Ca/ City, ST, Zip: Telephone: Address: q3,qoo C Project Description:Lz�e-o'— t c-� 1 � �� City, ST, Zip:�� 2 Telephon 7 7!�-- State Lic. #: City Lic. #: . Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 3 SoG ' APPLICANT: DO NOT WRITE BELOW THIS LINE ti Submittal Req 'd Rec'd TRACKING. PERMIT FEES Plan Sets Plan Check submitted 7( q Item Amount Structural Calcs. Reviewed', ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs.. Plans picked up Construction 6 Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for corrections/issue Electrical Cis Subcontactor List Called Contact Person Plumbing mac, t—q 0J7(6ZJ Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d 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 QI A11TA 11 Y Y r ILA %A%.# at V Y s. w I i DEPT. \/ F Total Permit Fees LFOR CONSTRUCTION DATE BY�-----