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07-1806 (RPL)P.O. BOX 1504. 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00001806 Property Address: 81881 RANCHO SANTANA DR APN: 767-200-999-23 -312023- Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application Valuation: 21500 Applicant: V Architect or Engineer: tk 11 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I herebyaffirm 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 lass: 53 License No.: 802919 1 Dat ContractoJ t OWNER- ILDER 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 ($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 ISec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, End 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 _ 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: HERBERT RESIDENCE 81-881 RANCHO SANTANA DR. LA QUINTA, CA 92253. Contractor: AZURE POOLS AND P.O. BOX ,10641 PALM DESERT, CA (760)322-7665 Lic. No.: 802919 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/20/07 I 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 SIRIUS/DELOS Policy Number 01DKRM11000814 I certify that, 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 37 0op he Labor Code, all forthwith comply with those provisions. .Dat(: 1 ;icant:I WARNING: FAILURE TO SECURE WORKERS' COMPEN SAT VERAGE 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 above information is correct. I agree to comply with all city and county ordinances and state laws relating t ildi construction, and hereby authorize representatives ' of thi co t to nt p he above-mentione op r[ for a urpo S. Dateia (Applicant or Agent -J Application Number . . . . . 07-00001806 41 Permit . . . . . BLDG POOL PERMIT Additional desc . Permit Fee 225.00 Plan Check Fee 146.25 Issue Date Valuation 21340 Expiration Date 12/17/07 Qty Unit Charge Per Extension BASE FEE 45.00 20.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 180.00... Permit MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date Valuation 0 Expiration Date 12/17/07 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 12/17/07 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 . . . . 33.00 Plan.Check Fee 8.25 Issue Date Valuation . . . . 0 Expiration Date 12/17/07 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 LQPERA11T Application Number . . . . . 07-00001806 Permit WALL/FENCE PERMIT Additional.desc . Permit Fee 15.00` Plan Check Fee .00 Issue Date Valuation . . . 160 Expiration Date 12/17/07 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL, SPA, ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INPSECTION. 10' LONG 4- HIGH EQUIPMENT WALL. Fee summary Charged Paid Credited Due Permit Fee Total 344.00 .00 .00 344.00 Plan Check Total 172.25 .00 .00 172.25 - Grand Total 516'.25 .00 .00.. 516.25 LQPERAIIT l LIC#.G53, 802919 POOL 'SPECS POOL SIZE: '13,'X 28' POOL AREA: 349.SF. POOL PER: 82 FT. - POOL DEPTH: SPA SPECS SPA SIZE: 7' SPX AREA: '49 SF SPA PER: 28 SFT: ,EQUIPMENT 'PUMP: FILTER: HEATER: POOL LIGHT: SPA LIGHT: :FINISHES DECK AREA: 900 PLASTER: TILE:, i"=8' SCALE HERB ERT. :RESIDENCE ADDRESS: CITY: .LOT #: Azure Pools & Spas; Inv �Pa1m Dere t, CA 9 2 IY)atAk lb' bt },W M lel 0 ck_ Wa I 'i"o Pbbl F—Gtki V P/E: r . w x •. 0 } SPA + 18" : ry WITH- STACKED ALL PROPERTY LINES' T HAVE EXISTING 5' BLOCKWALL,S Bin # City of La Quinta Building at Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # q, Project Address: o I . �� hj I fA_ Owner's Name:. v� 'A. P. Number: Address: Legal Description: City, ST, Zip: v l Z�S> Contractor: , •�6� (S 4 Telephone: Address: d eoz I l) (y Project Description: City, ST, Zip: 4&I C Z? I Al M V Telephone: zZ • 7 Lk U C - L State Lic. # : Q20 t City Lic. #: i4reh., Engr., Designees i 'W A 1 L ft9 V t. Z' Address: Z i' V L S ij h Aw City, ST, Zip:�� Et-7 Telephone: State Lic. #: Name of Contact Person:. kVj e N e Construction. Type: Occupancy: Project type (circle on : Ne Add'n Alter Repair Demo Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: ?i'7 Estimated Value of Project: ?ii i sm- APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING. PERMIT FEES. Plan Sets Plan Check submitted 6 Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Cales. Plans picked up Construction Flood plain plan. Plans resubmitted Mechanical Grading.plan tad 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: ''d Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Co EAQU NTA Pub. Wks. Appr School Fees UILD11 10 & SAFM DEP• ISTRUEMOP Rla� Total Permit Fees 160