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10-1260 (SOTB)°r' • P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTI.LIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: t10�0000.126Q� 81818 RANCHO SANTANA DR c&ty/ °f �Q�w 767-200-999-3 -312023- STRUCTURES OTHER THAN BUILDINGS LOW DENSITY RESIDENTIAL 10000 Architect or Engineer: a/P ------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT' BUILDING PERMIT D t E2010 CfTY OF !.A 4UINTA FWA I CE DEPT. 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 and Professionals Code, and my License is in full force and effect. License Class: A C8 Lice o.: 310985 e: f /— omractor: 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 (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.). (_) 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:1. Lender's Name: �l Lender's Address: 1_ LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/17/10 Owner: NOLA DYAL 81-818 RANCHO LA QUINTA; CA (760)777-9920 SANTANA DRIVE 92253 Contractor: CANYON SPECIALTIES 77590 MOUNTAIN VIEW PALM DESERT, CA 92211 (760)345-8200 Lic. No.: 310985 ------------------ 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 STATE FUND Policy Number 238412709 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 3700 of the Labor Code, 1j, all forthwith comp) w!,toAhose provisions. PPlicant:-/��C— 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 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 to building c ction, and hereby authorizer resentatives of county to enter upon the above-mentioned prope pection purposes. DateJ//—/e—/'),.gn r0 (Applicant or Agent): r Application Number . . . . . 10-00001260 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 117.00 Plan Check Fee 76.05 Issue Date . . . . Valuation . . . . 10000 Expiration Date 5/16/11 Qty Unit Charge Per Extension BASE FEE 45.00 8.00 9.0000 THOU BLDG 2,001-25,000 ----=----------------------------------------------------------------------- 72.00 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee 22.50 Plan Check -Fee 5.63 Issue Date . . . Valuation 0 Expiration Date 5/16/11' Qty Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 EA ELEC PWR APP >1 TO <=10 7.50 ---------------------------------------------------------------------------- Special Notes and Comments ADD WATER FEATURE TO EXISTING SPA. REPLACE EXISTING WITH LARGER VARIABLE, SPEED PUMP. 2007 CODES. ---------------------------------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00' ENERGY REVIEW FEE 7.61 Fee summary Charged Paid .Credited ----------------- ---------- ---------- ---------- --- Due ------- Permit Fee Total 139.50 .00 .00 139.50 Plan Check Total 81.68 .00 .00 81.68 Other Fee Total 8.61 .00 00 8.61 Grand Total 229.79 .00 .00 229.79 LQPERMIT IL44 fp Z bqo 4 4. SITE PLAN REVIEWED subject to std. Pool Plan notes. Todd L. Lacher R.C.E. 67656 Pool Engineering, Inc. 11- Its -to 7c &AY6N1 766 -3 J010 Doc No: 52681 11/16/2010 Name'. Dyal Address: 81818 Rancho Santana Dr La Quinta, CA 92253-9097 Cont: Canyon Pools Din # City Of LalQ uint'a Building 8T Safety Dlvlslon Permit # a(0� P.O. Box 1504, 78-495 Calle Tampico ,y . La Quinta, CA 92253. - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: Owner's Name: A- P. Number. Address: els Q Leeal Description: a ._/ % / ♦ / � ?i:;S.iKS?.�,?;;�'n``�/;at}tc"hsrv.:t',�i1 Plans resubmitted Mechanical 111 Grading plan 2`! Review, ready for correctionvissue ., Electrical dr% ♦ r/tQS < Subeontactor 11st Called Contact Person Plumbing Grant.Deed Plans picked up '11 S.M.I. MO.& Approval I Pians resubmitted Grading $• ��>��.y'l.:�i''J•ln��::��/':d�{�,r� :}�(!: j 11 1 I I �' V 1 1 7n° Review, ready for correctionslissue 11. 1 ContactPerson: �' '(/��g�f Jf�F+fi�J �•��l•�ff.y�p�'�. , I ' 1 1 1 1 w1 : 1 ' 11 1 Planning Approval ' 1 n Called Contact Person Telephone1 ContactPerson:Estimated A.LP.P. ValueIProject:a/ Pub. Wks. Appr APPLICANT: DO NOT WRITE BELOW ■ ®- ®moi! ■ ■■■■, ready for corrections ■ ■■■■ :Reviewed, Meg _ ::, ■■� ■M.■■ School Fees 1 Total Permit Fees r11'"' pain ptan Plans resubmitted Mechanical Grading plan 2`! Review, ready for correctionvissue Electrical dr% ••MoOF. Subeontactor 11st Called Contact Person Plumbing Grant.Deed Plans picked up S.M.I. MO.& Approval Pians resubmitted Grading IN HOUSE:- 7n° Review, ready for correctionslissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees 1 Total Permit Fees Gy V1 of7-9 L Z- lov . U QA- v -V JS qua �sa� 17t2 A 19 0 I AON 9�/ 19Y . >\ II LAj(e% , I 11