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08-1891 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00.00.1891 Property Address:81:916 RANCHO=SANTANA'�DR� APN: 200-999-10 Application description: description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 24000 Tity/ 4 4 Q" Applicant: Architect or Engineer: I ------------q------- LICENSED C.dNTRACTOtr'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am lic d under ovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr sional de, and my License is in full force and effect. Licepse Class: C53 nse No.: 614611 L Date: �.OZ ontractor: 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 ISec. 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 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. 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 1 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: DYER 81916 RANCHO SANTANA DRIVE LA QUINTA, CA 92253 ( VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/25/08 ------------------ WORKER'S COMPENSATION DECLARATION 1 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. pL I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor T Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier DELOS INS CO Policy Number 01DKRM12001870 I certify that, in the performance of the/te h this permit is issued, I shall not employ any person in any manner so as to beco he workers' compensation laws of California, and agree that, if I should becom uorkers' compensation provisions of Section 3700 of the Labor Code, 1 shall rthwith those provisions. /:IZ{2-O C11 plicant: WARNING: FAILURE TO SECURE ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. 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 cessat' of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the abov informat is correct. I agree to comply with all city and county ordinances and state laws relating to building nstructi and hereby authorize representatives of this county to enter upon the above-mentioned property f inspe purposes. te: t r. r nature (Applicant or A'Oent . r D " Contractor: u MCINTYRE POOLS & SPAS, INC 83695 AVENUE 45 DEC .02 2006 INDIO, CA 92201 (760)342-3612I CIryOFL Lic. No.: 614611 oullIr„ ------------------ WORKER'S COMPENSATION DECLARATION 1 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. pL I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor T Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier DELOS INS CO Policy Number 01DKRM12001870 I certify that, in the performance of the/te h this permit is issued, I shall not employ any person in any manner so as to beco he workers' compensation laws of California, and agree that, if I should becom uorkers' compensation provisions of Section 3700 of the Labor Code, 1 shall rthwith those provisions. /:IZ{2-O C11 plicant: WARNING: FAILURE TO SECURE ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. 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 cessat' of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the abov informat is correct. I agree to comply with all city and county ordinances and state laws relating to building nstructi and hereby authorize representatives of this county to enter upon the above-mentioned property f inspe purposes. te: t r. r nature (Applicant or A'Oent . r r Application Number . . . . . 08-00001891 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 243.00 Plan Check Fee 157.95 Issue Date . . . . Valuation . . . .. 23760 Expiration Date 5/24/09 Qty Unit Charge Per Extension BASE FEE 45.00 22.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 198.00 Permit .. . MECH POOL Additional desc-. Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/24/09 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 5/24/09 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 5/24/09 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 Permit . . . . . . WALL/FENCE PERMIT LQPERMIT r - 'Application Number . . . . . 08-00001891 Permit. . . WALL/FENCE PERMIT ... Additional esc . . Permit Fee . . . . 15.00 Plan Check Fee - -00 Issue Date - . . . Valuation . . . . 240 Expiration Date - 5/24/09. Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special.Notes and Comments POOL/SPA, 15 L.F. 4' EQUIPMENT WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. Fee summary Charged Paid Credited Due Permit Fee Total 362.00 .00 00 362.00 Plan Check Total 183.95 .00' .00 183.95 . Grand Total 545.95 .00 .00 545.95 LQPERA41T ------- - -- -- -- ----- ' - ` ------- -- ` -- ---` -- ----- ----- -- ----' / . | � ,______________________ ________ � _________ / | T / I' PIA 16 11 PA5�12 FM L3po � ' . . | ' | ' ` ` ' . > | ' � ` ! ' 12VIFT' ` (* | ��| /, k�k1 ! /��|''��]�� l�J\|/ Y~l� / `_l/�|\[P/�|\]/� i/t� � `_°. ~, ,`, ,~, ° ��' ~~, ~~, " `,, ° ~~ ` ~_ ,~ | - . � ` . i ( / . | ! ) / { REVISIONS BY POOL & SPA SPECS, POOL5A �558 5Q FT POOL Mp" 86 rr W116 TO 15' POOL PUMP 15 H F, FILIMI CT 420 -100 CONTROLLER 5PA5A 50 r T, 5r� PEP rH 4211 WF DATE 0-7121108 SCALE DRAWN BY JOB W1 SHEET OF SHEETS Bin # t City of La.'Quinta..' Building at Safety- Division P.O. Box 1504, 78-495 Calle Tampico U Quifita, CA 92253' - -(760) 771-7012' Building Permit -Application and Tracking Sheet' Permit # C, �b Project Address;' 916 01 - ILL SCI./? Owner's Name: A- P. Number: Address:. Legal Description':, Ci , ty, ST, Zip: C, - Contractor a.- )-�n t) )---, �A A 1, rip S,2 3 Ttlep hone: Address: - r . .. 9.3-425- A Project Description - -. I S �M .. city, S T, Zip: 0 ze Ar 'Y 4 eo . Telephone: State Lic. #: C. A tW6 CRY Lic. �Lic Arch., Engr., Desigrter: Address: City, ST, Zip: Telephone: State Lit. #: Construction Type: Occupancy: Project type (circle.one): New Ad&n 'Alter Repair Demo Name of Contact Person. ' Fa,,n e r -�z Sq. Ft: # St�ries: Units: T Tel ph elephone of Contact -Person: 2 S-0 0 6. Estimated Value of Project APPUCANT:.DO NOT WRITE BELOW THIS LINE. # Submittal Req1d RWd TRACIMG PERMT FEES Plan -Sets PI in Cbeck'submitted -Item - Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss CaIcs. Called Contact Person Plan Check Balance Energy Calcs. Plans Picked up 'Construction Flood plain plan, Plans resubmitted Mechanical Grading.plan" 2"' Review, ready for'correctiofisAssue Electrical Subcontactor.List Called*Contact Person Plumbing Grant'Deed Plans picked up UYLL ILO.A. Approval Plans resubmitted Grading. IN HOUSE:- 3rd Review, ready for correctio*nsrissue Developer Impact Fee Plafinin .gApproval Called Contact Person A.I.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees a qCC0 . * :;? 0 2,