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06-3826 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00003826 Property Address: 81858 COUPLES CT APN: 764-060-051- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 9000 Ta�/ 4 4 Q" Applicant: Architect or Engineer: WPP' BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ----------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty ofperjury that I am licensed Under provisions of Chapter 9 (commencing with Section 7000) fDivision 3 of the :Business and Professionals Code, and my License is In f force and effect. License Class- CS -C27 License No.: 823017 Date* C actor: . s�/�% OWNER -BUILDER C, ARATION I hereby affirm under penalty of "penury that Lam exempt from the Contractor'sState License Law for the following reason,(Sec, 7031.5, Business,and Professions Cade: 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 LioenseLaw (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 applicantfor a permit subjects the applicant to a civil penalty of not more.than five, hundred dollars ($500).: 1 _ 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'en 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, 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 contractors) licensed pursuant to the Contractors' State License.Law.).. (_) 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 performance of the work for which this permit is issued (Sec: 3097, Civ. C:). Lender's Name: Lender's Address: i,QPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/25/06 Owner: TOM LOSS 818'58 COUPLES'COURT LA QUINTA, CA 92253 D a Contractor: >t1� 012006 MCRAE POOL & SPAS 79105 DESERT STREAM R LA QUINTA, CA 92253 �� FQl�iliath (760) 772-2440 Lic. No.: 823017 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 set f -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 �E 4PT Policy Number EXEMPT I certifythin, 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 3790 of the Labor Code, 1 shell forthwith comply with those provisions. /Date: W / 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 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application -is hereby made to the Director of Building and,Sdfety for a permit subject to the conditions and restrictions,setfonh 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 undei'or pursuant, to any permit issued as a result 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 result of this application becomes null.and void if work is not commenced within 180 days from;date of^issuance.of such permit, or cassation of work for 180 days will subject permit to cancellation. I certify thatl have read this application and state that the above information:is correct. I agree to comply with all City and sou ordinances and statelaws relating: tobuilding construction,and hereby authorize representatives of this t//y////tr//��..��nter upon thea e -mentioned prop! . :inspection purposes. e:.49� Si r.(Applicant or Agen - Application Number . . . . . 06-00003826 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 108.00 Plan Check Fee 70.20 Issue Date . . . . Valuation . . . . 9000 Expiration Date . . 4/23/07 ► Qty Unit Charge Per Extension BASE FEE 45.00 7.00 9.0000 THOU BLDG 21001-25,000 6.3.00 Permit . . . MECH POOL Additional desc . . Permit Fee . . . . 2.6.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/23/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.0`0 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 . . 4/23/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0:0000 EA ELEC PRIVATE SWIMMING POOL 30.00 Permit PLUMBING Additional desc . . Permit Fee . . . . 27.0.0 Plan Check.Fee 6.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/23/07 Qty Unit Charge Per Extension BASE FEE 15.00 1..00 6.0000 EA PLB FIXTURE 6.00 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 ------------ SPA. ALARMS/BARRIERS SHALL BE IN PLACE 1T1jwNM .r Application Number . . . . . 06-00003826 •` ---------------------------------------------------------------------------- Special Notes and Comments AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due -------------------- ----- ---- ---------- ---------- ---------- Permit Fee Total 206.00 .00 .OA 206.00 Plan Check Total 94.70 .00 .00 94.70 Grand Total 300.70 .00 .00 300.70 LQmRmff CITY OF LA UU1N 1 A Uti-CUN I KAU 1 UK LIb t JOB ADDRESS RPI - �JLcS "Ct' ..CLQ PERMIT NUMBER _ OWNER T�M.LOS,Sr�- _ - JILDER�� This shat a Rotted e o h ob w't Bui d' 1 s Cad .a 1 s a 'b s `c s ac .Only persons appedlring on this list or their employees are authorized to work on -this job.. 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. TrClassifi aw T / t n :. Contractor~ :- = >.r::>:;:'.>;.x••.::>:.. ;. :;<,.,.;:..Statlrontre�ctor's Uceltse..'Wptkti-.Com ensation:#risurancq':°.` City, Busit}es License Company Name, • Classification Wo- A, 13, C-8) License Number (xxxxxx) Exp.Date Iz?clxx/xxl Carrier Name (e.g. State Fund. CalComp) Policy•Number . (Format Varies) xprrUl (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK iC-12) _ -- Q( MAYE 4-1-0) 717 - MASONRY -J02.9) PLUMBING` (C-36).atm `r .3 (;ATH: PLASSTER (0;351 V DRYWALL (C-9). '..: HVAC..IE-201'':.:;;;.:.:: ELECTRICAL (C 10)' v* .�. d3 {.` >;xHET~METAL.1f=43i FLQORINGy GLAZING INULATION:(C-2) S rSEWAGE plSp;- 10-42) <' PAINTING (C43,)' CERAMIC TILE` (C-54) CABINETS (C-6) FENCING (C43) i LANDSCAPING (C-27.) POOL (C-53) ' jy) •, �2 % J Bin 9 City of La Quinta Building a Safety Division Permit P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Add Owner's Nairie: A.P.Number -Address: Z Legal Description- Y-) r) City, ST, Zip: Contractor MC_ 'fl() CAa Telephone: Addaw:77 - fo CNS 2 /—I f)j� Project Description: '14 City, ST, Zip: LA j Cof Telephone: SPA AArplr State Lie. # : K2 City Lia AML, FAW., Designer. E!UkAM LnMR(AV_ Add=: 4. City, ST, Zip: k_— Telephone: Construction Type: Occupancy; State Lic. P�vject type (circle one). Now Add'n Alter Repair Demo -Name of Contact Person. 1.,S FL: Telephone # of . Contact person: Estmatod Value of Proj APPUPANT: DO NOT WRITE BELOW THIS IJNE_-�� 0 Submittal Req'd.: Reed TRACKING ; PERMIT FEES Plan Sets Plan Check sbutifted Item Amount Straefural Cafes. Reviewtdiready foreerrections Plan Cbeck Deposit Truss Cates. Called-ContactPerson CheekkBalance- Balance - Energy Gla. Plans Plans JAcked up . C onstruction NOW plain plan Plans resubmifted Me&anleal. Grading plan, 2" Review, ready for correctionsfissue Electrical Subcoutsetor Ust. Called Coutactferso, - Plumbing umbing Grant Deed Plans picked up FLOA. Approval Plans resubmitted,. Grading IN HOUSE:- Reviewready for correctionewua Developer Impact Feet Planning Approval Cslled Contact'Person A.ILP..P. Pub. Wks. Appr Date of permit Issue, School Fees -Total P es Permit Fe U I