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08-1111 (RPL)P.O: BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: • 08-00001111 Property Address: 81888 RANCHO SANTANA DR APN: 767-200-999-8 -312023- Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 25000 Applicant: Architect or Engineer: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONN ACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am license der provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business an Nofes o als Code, and my License is in full force and effect. Lice lass: C53 License No.: 614611 Date: 7—t_a�C9 ractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of peu 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 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 (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: I,QPFRMIT Owner: HENDRICKS 81888 RANCHO LA QUINTA, CA (760)777-9920 SANTANA nPTVR 922 Contractor: MCINTYRE POOLS & 83695 AVENUE 45 INDIO, CA 92201 (760)342-3612 LiC. No.: 614611 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/27/08 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. r I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor it 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 OIDKRM12001870 I certify that, in the performance of the work for hich this permit is issued, I shall not employ any person in any manner so as to be me subi to the workers' compensation laws of California, and agree that, if 1 should beco subject he workers' compensation provisions of Section 377000 of a Labor Code, I shall forthwit mply with those provisions. te: �Q O pplicant: WARNING: FA URE TO SECURE W RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 abov informa o is correct. I agree to comply with all city a county ordinances and state laws relating to building nstruct' and hereby authorize representatives of s county to e ,,, upon t •above-mentioned property f ins purposes. Oate:�6 ' nature (Applicant or Agent): Application Number . . . . . 08-00001111 Permit . . . . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 252.00 Plan Check Fee 163.80 Issue Date Valuation . . . . 25000 Expiration Date 12/24/08 Qty Unit Charge Per• Extension BASE FEE 45.00 23.00 9.0000 ------------------------------------- THOU BLDG 2,001-25,000 -------------------------------------- 207.00• - Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date 12/24/08 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 12/24/08 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 12/24/08 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 LQPERI%IIT Application Number . . . . . 08-00001111 - ---------------------------------------------------------------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMET ENCLOSURE NOT INCLUDED. Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- ---------- 356.00 .00 ---- - --------------- .00 356.00 Plan Check Total 189.80 .00 .00 189.80 Grand Total 545.80 .00 .00 545.80 LQPERMIT s g 4 p001. PE516N 2 .3%'_¢r i k I � o , � N -J n ~ 7' VIA + 18" t AI5EP 5PA F -5 11,17 6, lam' 2' - �� •f ` ��a. Yi` •` ` a t a• x 1d i N S t r" REVISIONS BY `As POOL & SPA SPECS, CP; 1 CL { roa rip 95 FT REVISIONS BY POOL & SPA SPECS, POOL Sim 5�?' X 19'-6'' rO0t 5,A 414 5Q FT roa rip 95 FT MM5 �' -b" TO 5' roc)I Pint/, 15 HF HMP, 400000rru PIMI CCI' 420 1-100 V,ATT LICK5 2-400IhATT CONTROLLER 5PA 51--� 7' PIA 5PA PFp 22 F -T 5PA 5 A h8 50 FT, 5FA MPTH 421' JF1`5 5 J�TYUft,� T 0 Hr CONC r -q 578 50 FT WF 321 C\ � U v � � DATE 06111108 SCALE DRAWN BY ) , JOB HFKrP\lg SHEET OF SHEETS Bin # City of La. Quinta . Building u SafetyDivision P.O. Box 1504, 78-495 Calle Tampico La Quilita, CA 92253 - (740) 777-7012 Building Permit Application and Tracking Sheet Permit # \ Project Address;. . 8U ' r" Owner's Name:WerlAr, L 5. A. P. Number: Legal Descriptioti:. Address:. 81_8'8f3 U r, City, ST, Zip: C . , L Contractor: / S Telephone: Project Description:. Address: -8,)_-,69.5-V City, ST, Zip:. Telephone: 3 4 Z _ State Lic. # : City Lic. Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: C 3 61 4'G11 Construction Type: Occupancy: Project type (circle one): New Add'n ' Alter Repair Demo Name of Contact Person: �P�r Sq. Ft.: # Stories: # Units: Telephone # of Contact -Person: '950. 6 2 Estimated Value.of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE . # Submittal Req'd , Rec'd TRACKING. PERNW 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 Hood plain plan, Pians resubmitted Mechanical Grading. plan . r Review, ready for correctionsfissue Electrical Subcontactor. List Called'Contact Person Plumbing Grant Deed Plans, picked up S.M.I. H.O.A. Approval Plans resubmitted Grading. IN HOUSE:- 7nd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person AXP.P. Pub. Wks. Appr Date of permit issue School Fees LL Total Permit Fees