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08-1458 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: 08-00001458 50620 CYPRESS POINT DR 770-110-048-43 -25389 POOL - RESIDENTIAL MEDIUM DENSITY RES 47000 Tiat 4 4 Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I 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 d Professional Code, and my Licens in full force and effect. License Class: C53 cense No.: 89770 G ate: C actor: OWN R -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 155001: (_ I 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.). 1 _ 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 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: LQPERMIT Owner: ROGER LUNDEEN Contractor: JB POOLS AND SPAS 81955,HIGHWAY 111 INDIO, CA 92201 (760)347-4210 Lic. No.: 897709 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 8/22/08 ----------------------------------------------- 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. 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 EMPT Policy Number EXEMPT IS 1 certify that, in the performance of the work for which this permit is issued, I shall not employ any person -in any mannAa,come subject to the workers' compensation sof California, and agreethat,if I e subject tot workers' compensation pr ,isions of Section 3700 of the Labor orthwith co ly with those provisions. ate: � cantWARNING: FAILURE TO SECUREOMP SATION 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 inforypurses. rect. I agree to comply with all a city and county ordinances and state laws relating to b��ction uceby authorize representatives of oun[y to enter upon the above-mentioned prop Date:' Si cure (Applicant or Agent): Application Number . . . . . 08-00001458 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 395.00 Plan Check Fee 256.75 Issue Date . . . . Valuation . . . . 47000 Expiration Date 2/18/09 Qty Unit Charge Per Extension BASE FEE 252.00 22.00 6.5000 THOU BLDG 25,001-50,000 143.00 ---------------------------------------------------------------------------- Permit . . . MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date 2/18/09 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 . . 2/18/09 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 2/18/09 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, COURTYARD WATER FEATURE ONLY. LQPERMIT Application Number . . . . . 08-00001458 ---------------------------------------------------------------------------- Special Notes and Comments ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 499.00 .00 .00 499.00 Plan Check Total 282.75 .00 .00 282.75 Grand Total 781.75 .00 .00 781.75 r LQPERMIT i Personalized Property Management 68950 Adelina Rd Cathedral City, CA 92234 (760)325-9500 La rota Fa�wa s HOA Qu Y August 13, 2008 Roger and Catherine Lundeen 7160 S.W. 142ND Street Beaverton, OR 97008 Re: 50620 Cypress Point Drive The Attached Architectural application for the following: Pool, Spa, Decking, Landscape and fence has been reviewed and approved by the Architectural Committee as plans submitted. Thanks for your cooperation. For.the Board of Directors, r Rosie Zazueta Assistant ...................... CITY OF LA QUINTA SUB -CONTRACTOR LST JOB ADDRESS ` PERMIT NUMBER OWNER_BUILDER 1k)(9 This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Onl 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. Trade /Classification T Contractor ..:; :::... ::.:...: Stat o e..0 ntractor s. License . ,.:;:. k "r' u Wor e s Com esation lns ranee. ; . i . Business Li nse: C ty s ce Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xxlxx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C-12) .. CONCRETE (C78) - FRAMING (G-5) STRUCT. STEEL (0-51) MASONRY (C-29) PLUMBING (C-36) U4TH, PLASTER (C-35) DRYWALL (C-9) . . HVAC (C-20)..:.:::::..` ELECTRICAL (C=10) ... 77777 ROOFING,fC=39) :: SHEET METAL (C-431 FLOORING (C. -I5) GLAZING (017) INSULATION: (C-2) . SEWAGE DISP (0-42) .: ... PAINTING (C=33) CERAMIC TILE (C-54) CABINETS (C-6) . FENCING (C-13) LANDSCAPING (C -27).' - POOL (C-53) Po l /B 2� "�� Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 20oq t2tte,Owner's Name: n A. P. Number: Address: Contractor: foe_Telephone:( Address: _ .� Project Description: City, ST, Zip: Q.22otn f © C^ Telephoner State Lic. #: 8q 7 7 0 Cl City Lic. #: 9 Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Construction Type: Occupancy: Project type (circle one): ew Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: F# Units: Telephone # of Contact Person: p C1 f Q — 'C> Estimated Value of Project: 0 fl APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMTT FEES Plan Sets Plan Check submitted 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 Flood plain plan Plans resubmitted Mechanical Grading plan Zed Review, ready for corrections/'issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`' 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 Total Permit Fees