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07-2325 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00002325 Property Address: 81707 RANCHO SANTANA DR APN: 767-200-999-10 -312021- Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 30000 Applicant: Architect or Engineer: 4 VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 8/17/07 Owner: MOORE RESIDENCE 81-707 RANCHO SANTANA DR®"G�Lc✓ t LA QUINTA, CA 92253 r �—;n 11 -------------------------------------------------- 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 and Professionals Code, and my License is in full force and effect. License Class: C53 License No.: 878400 yaontractor. / 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).: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure isnot 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.). (_) 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 contractors) 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.). Lender's Name: Lender's Address: LQPERMIT ------------------ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 EXEMPT Policy Number EXEMPT 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, I shall forthwith comply with'those provisions. El 12; ' Applicant: ��{ iNLe S ��' ✓u . 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$100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. ' 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. - I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and State laws relating to building construction, and hereby authorize representatives of tthhi�,,olunty to enter upo a above-mentioned propert for i ection urposes. a$ til 7' ' �gnature (Applicant or Agent): - Contractor: ' SKEEN POOL/SPA WATERFEATURE, .J' PO BOX 11349 PALM DESERT, CA 92260 i9 (760)766-5554 0 Lic. No.: 878400' ------------------ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 EXEMPT Policy Number EXEMPT 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, I shall forthwith comply with'those provisions. El 12; ' Applicant: ��{ iNLe S ��' ✓u . 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$100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. ' 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. - I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and State laws relating to building construction, and hereby authorize representatives of tthhi�,,olunty to enter upo a above-mentioned propert for i ection urposes. a$ til 7' ' �gnature (Applicant or Agent): - Application Number . . . . . 07-00002325 Permit BLDG POOL PERMIT Additional desc . -Permit Fee . . . . 284.50 Plan Check Fee 184.93 Issue.Date . . . . Valuation . . . . 30000 Expiration Date 2/13/08 Qty Unit Charge Per Extension BASE FEE 252-.00 5100 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 32.50 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/13/08 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 2/13/08 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 .. 2/13/08 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,& GAS STUB -OUTS FOR FUTURE LQPERAIIT Application Number . . . . . 07-00002325 Special Notes and Comments AND SEPARATELY PERMITTED APPLIANCES. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged Paid Credited Due -- -- ----- -- - ---------- ---------- Permit Fee Total 388.50 .00 :00 388.50 Plan Check Total 210.93 .00 .00 210.93 Grand Total 599.43 .00 .00 599.43 Bink City of La Quinta Building 8L 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:S — j N( Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: 4.. Contractor: — S (^ � t 5 -)A Telephone: Address: g� l� 5 J l:-' dam. Project Description: SPA City, ST, Zip: Telephone: )W_ 716- _ , City Lic. #: f'(J . State Lie. #: rjp Arch., Engr., Designer: Address: �[ City, ST, Zip: Telephone: State Lic. #: Constmetion Type: CdU Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: /A Sq. Ft.: SQA #Stories: # Units: Telephone # of Contact Person: 26 o — 7c, _5 �s Estimated Value of Project: 3Q D O 'D E [� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING . PERMPT FEES. Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Cheek Balance Energy Calcs. Plans picked up Construction Flood plain plan Pians resubmitted Mechanical Gradingplan, 2" Review, ready for corrections/issue Electrical . Subcontactor.List Called Contact Person Plumbing Grant Deed Plans picked up SALL H.O.A. Approval' Plans resubmitted Grading IN HOUSE:- ''' Review, ready for correctionsJissueDeveloper Impact Fee . Planning Approval Called Contact Person A.LP.P. Pub. Wks. ApprDate of permit issue School Fees Total Permit Fees W . b/ LVV5 W V3 FAA f6R 867 U10 ULSLH I RiEE'iti$tMM EX=IT "1" U ARCIMECTURAL BUROVENUM APPLICATION Alm A,C1REENMNT NAIVE (S) STREET A LOCAL PH4NB ` /9� PHONB REQUESTEiD IMPROVEMENT PEN -3 1 az- iq i2 0 - Approval is requested for the above irnprovamsnt according to the plans attached. We have attached two (2) sets ofplans outlining the work to be dune along with s complet, description of the mateaids and colors to be used. If we are using a contractor(s), aPe u enclose copies of the Contractor's License. Attachmaw& 1. Two copies of the Archite mnml Improvement Application 2, Two SM of plans with materials and colors to be used_ Note: one set is for the managemaeM office; the other set to be returned to you as "Approval". 3. Contractor's name and copy of couttactor=s lim me. (Not ra phred if the improvement is =chr 5300.00 or if " Ow= Buie, a. Brochures (Z) and/or color samples of manufactured products to he used. We have read the Atchitectural Committee Rules and GWdelines and have. furnished copies to all contractors to be engaged by us and we agree to comply with those Rules and Guidelines. We also understand that it is our respa n6bility to insure that our Conuwtor(s) comply with said Rules. We acknowledge that Building Permits for home improvements may be required by the City if ludio. The cost of permits, responsibility for obtaining them, and the subsequent inspections will be our responsibility. In all uses we recognize the requirement to be in compliance with applicable building codes incluohng, but not limited to, those adopted wAvequm to the ongwg compleftan and acceptance of our dwelling. AUG 15 2007 ,r Vvi'urtvvv io.vo me rov uo[ t[ lu ULSLKI E'AHAUERLHI 1x00$/906 ARCHITECTURAL COMMIME CERTIFICATE (Exhibit "A" to the Architectural . Improvement Appliadon and Agreement) The Architectural Improvement A pucAfi-orl and Agreement was reviewed by the Architectural Committee on C ti and has been: Approved Conditionally Approved Rejected Subject to the following - Conditions set forth below Returned for Further Information Required Modifications Comments Yes No Recording to be sent by owner to County Recorder's office for roof and/or exterior wall modifications, Deprosit RequnW Deposit Amount Required $ r 1 -, - Date Architectural Committee Arehitec (Sonzmittee Architectuar d Committee Architectural Committee Architectural Committee NOTE: THIS APPROVAL IS VALID FOR 90 DAYS FROM APPROVAL ]DATE pod Are p. ass vpp�y - -- +a rd m• _ — s�4 ,e la �' ILI Al ►� (o` 1 CCU jCITY OF LA QUINTA (� FOR CONSTRUCTION BUILDING & SAFETY DEPT. �� AUG 1 5 2007 i APPROVED 4 �� L--j DATE_ RV cmc