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11-0644 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:11�00000_644� Property Address: e,49925 -PATTI CT APN: 602-390-022- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: - - 34.788 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: JOAN & RICHARD 49925 PATTI CT LA QUINTA, CA VOICE (760) 777 -7012 - FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: .6/14/11 MCLAIN O92253 11 !13l2011 Applicant: Architect or Engineer: Contractor: BUBBLE SPRINGS CI (Y AF l.A�U�NTA P.O. BOX 1046 FINANCE0EPT. RANCHO MIRAGE; CA 92270 (760)341-2336 Lic. No.': 728796 r ------------------7------------------------------------------------------------------------------ LICENSED CONTRACTO 'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under 'ons of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business ro ssion d my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C53 D35 nse o.: 728796 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is /issued. ''i� ontractor: — 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 OWNE ILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am ex from the Contractor's State License Law for the Carrier EVEREST NATL PolicyNumber 760001635111 following reason (Sec.7031.5,.Business and Prof ions Code: Any city or county that requires apermit to_ 1 certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or'repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, . permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should bec su )ect orkers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or . • 3700 of the Labor Cod all wit . np1 with those provisions. 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).: / y,L� ate:l�.�� ficant: (_ 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 WARNING: FAIL E TO SECURE W10 KERSCO SATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENH AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,0001. IN ADDITION TO TH OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ' 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.l., APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors'. State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contrector(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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: P LQPERMIT . 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 in ormation is c e agree to comply with all city and county ordinances and state laws relating to buildin r tion, an er y a thorize representatives of thiscounty to r upon th above-mentioned prope ori ion o (� L�Si ature (Applicant or Agentl: / ' LQPERMIT Application Number . . . . . 11-00000644 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . 317.00 Plan Check Fee •206.05 Issue Date . . . . Valuation 34788 Expiration Date 12/11/11 Qty Unit Charge Per Extension BASE FEE 252.00 10.00 6.5000 THOU BLDG 25,001-50,000 ------------------------------------------------------------- 65.00 Permit . . . MECH POOL Additional-desc . Permit Fee . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation 0 Expiration Date 12/11/11 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 12/11/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.06 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 12/11/11 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, INCLUDES 165 L.F. 2" GAS LINE. LQPERMIT . Application Number 11-00000644 --------------------------------------------------- --- ------------- -- -- - Special Notes and Comments Special ---- --------------- ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. 2010 CODES. ---------------------------------------- ----------------------------------- Other Fees . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary Charged Paid Credited Due Permit Foe Total 131.00 :00 .00 421.00 Plan Check Total 232.05 .00 .00 232.05 Other Fee Total 2..00 .00 .00 2.00 Grand Total 655.05 .00 .00 655.05 Bin # • . • • . .. City of LaQ uinta - Building 8T Safety Duron P:O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking sheet Permit # Project Address:/ Owner's.Name: A. P. Number: Address•-� dCS • ��1 Legal Description: City, ST, Zip: Contractor: Telephone: : "�• Address:,7/.5W it: sU • 0 Project Description: City, ST, Zip: i�OAG/` Telephone: State Lic. # : 7 7 City Lic. Arch., Engr., Designer. v :t.D /7-104e," &144o4 .. Address: City, ST, Zip: Telephone: .:.., >•... ' : Construction Type: Occupancy: State Li . #: ": Name of Contact Person: J& Pro ect type(circle one): New Add'n Alter Repair r Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: %� — %S �`�� Estimated Value•of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKDVG PERMIT FEES Plan Sets Pian Check submitted Item Amount Structural Cala Reviewed, ready for corrections Plan Check'Deposit Truss Cala. Called Contact Person Plan Check Balance Tule 24 Cala. Plans picked up Coustruetio-a Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading M HOUSE:- ''� Review, ready for correctionstissue Developer ? mpact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue . School Fees Total Permit Fees