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07-3063 (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: 07--000.03063 81774 COUPLES CT 764-060-045- - - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 40000 Architect or Engineer: PIA_ BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION 1, hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3' of ,the Business and Professionals Code,and' my License' is in full force and effect. License Cl : C53 C27 License No.: 823017 ate:1 mractor OW NER-SUILDEW DECLARATION I hereby affirm under penalty of perjury that I ani exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and ProfessionsCode: Anycityor county that requires a permit to construct, after, improve, demolish', or repair anystructure, prior to its issuance, also requires the applicant for the :permit to file a signed statemenf 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 sheds exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031:5 by .any applicant for a permit subjects the•applicantr"to a civil penalty of:notmore than five hundred.dollars ($500).: I _) I, as:owner of the property, or my employees with wages as their sole compensation, will do the work, and 010 the structure isnot intended or offered for sale (Sec. 7044; Business andProfessions�Code: The Contractors' State License Lew does not apply town. 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 sele.l. 1 _ l 1, as,owner of thepropeny, am exclusively -contracting with licensed contractors to constructthe.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'contracts4or the projects -with a,contractor(s) licensed pursuant to the Contractors' State License Lew.). (_) I am exempt under Sec. , B:bP:C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY' I hereby affirm under penalty of perjury that there is aconstruction 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 Owner: CRIS MICHAELS 81774 COUPLES COURT LA QUINTA, CA 92253 Contractor: MCRAE POOL & SPAS 79105 DESERT STREAM DR LA QUINTA, CA 92253 (760)772,-2440 LiC. No.: 823017 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 WORKER'S COMPENSATION DECLARA Date: 11/30/07 I herebyaffirm under penalty,of perjury one of thefollowing 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 performanoe,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 nofemploy any person in any manner so as to becomesubject to the workers' compensation laws of California, and agreethat, if I.should become subject to the workers' compensation provisions of Section 3700 -of the Labor Code, Lphall forthwith comply with those provisions. O icant 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 andfor 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 Le Quinta, its officers, agents and employees for any actor omission related to the work being performed underor- following:issuanceof 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 thatl 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 county Yo enter upon t above mentioned property for �gspection purposes. ate: 0 nature,(Applicarn or Agent), Application Number . . . . 07-0000306.3 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 349,.50 Plan Check Fee 227.18 Issue Date Valuation. 40000 Expiration Date 5/28/08 Qty Unit Charge Per Extension BASE FEE 252.00 15.00 6.5000 THOU BLDG 25,001-50,000 97.50 Permit MECH POOL Additional desc . -Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/28/08 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 5/28/08 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 5/28/08 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/BARRIERS SHALL BE IN LQPERMrr Application Number . . . . . 07-00003:063 ------------------------------------------------------------------ Special Notes and Comments PLACE AT.PRE-PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited. Due ------------------ ---------- ---------- ---------- ---------- Permit Fee Total 453.50 .00 .00 4.53.50 Plan Check Total 253.18 ..OA .00 253.18 Grand Total 706.68 .00 .00 7.06.68 LQPERMrr Bin # City of .La Quinta . Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quanta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet PwWL f Projed Address: Owner's Name: A. P. Number: Address: g' _ - L%9 Description: C,ontradoc: Address.., City, ST, Zip: Telephone: Project Desc ripdon city. ST, zip: 2 . .3 .. Tdep . 6 State Lic. #: .. City Lie. #: Arch.. EW, Address: City, ST, Zip: Telephone: State LIC. #: Constnxxion Type: Occ%Mcy: Projed.type (circle ane): New - Add'n Alter Repair Demo Name of Contact Person: Sq. Ft: 9 Stories: # Units: Telephone # of contact Pelson: 7, q— 3.. 3 Famed Value of Projew APPLICANT: DO NOT WRITE BELOW THIS LINE d Submittal Req'd Recd TRACIMG . PERAQT FRES Plan Sets Plan Cheek ft"I ed Item Amomt Stratton{ Cab. Revkvred, ready for corree&M M=<%*& Depoait Trans Cake. Celled Contact Paaoa Plea Cbedc Balance Energy .wm Places Pelted up Comtracdbn Flood piatu plan Plans r+eaabmitted Meehsatcal Grading plan' Y' Review, ready for eorreetionsAssaa FJeetrical- Sabeontaetor List Coned Contact rams Plaatbbrg Grant Deed Mn pid" cep SM.L H.O.A. Approval Plans resubmitted . Grading IN HOUSE:- ''''.Review, ready for cmvedonsrmae Developer impact Feb - PUnnigg Approval QUed Coataet Person Pnb. VVks. Appr Date of permit Lwe School Few Total Permit:Few i -7-74 CITY OF LA QUINTA SUB -CONTRACTOR, LIST JOB ADDRESS S I - couptCS CT PERMIT NUMBER OWNERI ,M aHgEL q ;,BUILDER MQBE Dem S —c - This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous glace. Only persons appearing 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. �.....Tra a. . 1 ss,Picat�on...................................... .. ... d .{. C.a............. . o�trac c...................................................... ..1.... �........... W ..._ .. ,.... -.S t .. tra r.s.l.9cen e........ L .......... .¢.Con... cto ..... ..... s...........................L..... ............................................1llf rkers:.Com� .. ... .................Q .............. er�sation.ansurencs.,.;;:;::»::<,;:«::.:;:>:»:<>:;>:::::::: p .. ......................... L::.::.:::.......1c .. ......L+.....h...+�..........i Company Name Classification License Number Exp; Date Carrier Name Poc YNumber Exp.. Date. License Number Exp.Date LJ e .. A B ( C-8 1 9 xxx xxx 1 1 xx xx xx / / 1 1 a n" CaIC . State Fund, om [ e. t 1 9 P F a ane s orm t V ( ) xx xx xx / 1 / ) xxxx ( ) xx " x xx x / / 1 R RTHt1Q:RK. fix;><::: >::»:>: - S D -30 �O •1- D g_ t� 1 _ - aN��rr<.....::::............:: C E 1 �. I _74 > to, 0 mmrxwAL PROWFAMgr NO. ISSA-IOX2401975 wi-aiiii 4f i-I 1MI �III��I��ll�nll�l�l��llll�lllllll�lll��iiuiiiiuiiiiii�iiii�iiiiii�iiiu��n�� REVISIONS BY fE DRAWN t1l. 1077