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10-1019 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: d'0r0' 00-0-170"1119 Property Address: 78633 PEERLESS PL APN:., 770-310-022-- 70-310-022=Application Applicationdescription: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: . 45000 Tiht 4 4 Q, "- BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applic�a(: Architect or Engineer. a: ----------------------------------------- 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 ense No.: 833313 Dater�ti. 2d. J Contractor.: _ . OWNER -BUILDER DECLARATION S 1 hereby affirm under penalty of'pett�aamezempt'from the Contractor's State License Lawfor 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.IChapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that fie 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 _ 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 tfie improvements are not intended or,offered, for sale' If, however, the building or improvement is sold within 'one year of completion, the owner-, uilderwill,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 contractorls) licensed pursuant to'the Contractors' State License Law.). _ I—) I am exempt under Sec. B.AP.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: LQPER1111T VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/26/10 Owner: IRWIN 78-633 PEERLESS PLACE LA QUINTA, CA 92253 Contractor: LINDLY'S POOLS OF CALIFORNI r.^' Z• 1l �) 30805 DESERT PALM DRIVE THOUSAND PALMS, CA 92276 (760) 343-0600 Cify('F� A.tiSi�f`if� Lic. No.: 833313 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 DEL09 INS CO Policy Number 0009172010-02 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 subjectlito the workers' compensation provisions of Section 3700 of the Labor Cade, I shall font ith c ply with those provisions. . D`jG/2�/U Applicant: I ` WARNING: 'FAILURE TO SECU ORKERS' COMPENSATION COVERAGE IS UNLAWFUL,'AND SHALL SUBJECT AN. EMPLOYER TO,INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS is 100,0001., IN AD TION 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 this county to enter upon the above-mentioned property for inspe tion urposes. Date: (0 24//0 SignatureLlApplicant•or-Agent r r LQPERMIT Application Number . . . . . 10-00001019 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date 4/24/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 ----------------------------------------------7----------------------------- EA MECH FURNACE >100K 11.00 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 382.00 Plan Check Fee 248.30 Issue Date Valuation . . 45000 Expiration Date 4/24/11 Qty Unit Charge Per Extension BASE FEE 252.00 20.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 130.00 Permit- ..ELEC POOL PERMIT -RES Additional desc . Permit Fee 45.00 Plan Check Fee 11.25 Issue Date Valuation . . . . 0 .Expiration Date 4/24/11 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 4/24/11 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 Permit . . . . . . WALL/FENCE PERMIT t r Application Number . . . . . 10-00001019 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 23.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 832 Expiration Date 4/24/11 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 2.0000 'HND BLDG 501-2,000 8.00 ------------------------------------------ Special Notes and Comments 'POOL/SPA, INCLUDES-182.L.F..GAS LINE TO •-POOL • EQUIPMENT •&. BBQ. ,MAS©NRY,.BBQ INCLUDES 52 L.F. 4' WALL, CITY.:STANDARD & 3 OUTLETS.ALARMS/BARRIERS SHALL BE IN PLACE AT::PRE-PLASTER INSPECTION. . EQUIPMENT.ENCLOSURE•NOT INCLUDED. 2007 CODES.. ----------------------------------------------------- Other Fees BLDG STDS.ADMIN (SB1473) ----- 2.00 Fee summary -Charged Paid Credited: Due -- - - -- - - ------ - - - - - - ---------- Permit Fee Total' 509.00 .00 00...., 509 .0.0 Plan Check Total 274.30 .00' .00 274::30. Other Fee .;Total 2`.QO 00 00. 2.00 Grand .Total 1.85.:30• .00 00>;; . 785..30 LQPERMIT Bin # ' of ' City of La Quinta, Buildrilg 8T Safety Division P.O Box 1504, 78-495 Calle Tampico La Qlrinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: • I$ �p�j Peeg," QL Owner's Name: �fj,W(cJ (C (� 101E )tjr A. P. Number: Address: -03 Lf,S j PL, Legal Description: Contractor1 UPM'i • ��V S �i��-S �F �r(Jj �Mll� � City, ST,'ZiP Qv 1 (A ZZ�3 Telephone:.v:�f. Address: rl Vu 5� DJ �W Cgli�) (�� �' ?�L ISP,q -Project Desciiption: City, ST, Zip: f1jaA NO PAUh5 CA &A 5 (/146 18.2 .C.F GAS Telephone. V �> )- Ob W,. ? >};::>: ': ;:: .... ,.;: . »f> :: F%.�:vvv it/l.,Y�$::%f % � j!' %n'< :'l� f+%l Az State Lic. # : �3�J3 ` City Lia #: i� BBa w.l.TWh: 3 E' rG, filrTd�2�5 . Arch., Engr., Designer. De"S e � �,�,� Address: 2l' Dj�)O JD p� X City., ST, Zip: eQ,r 411t Telephone: •vk'r y�`}/:.:'r fE,^�L ����,'•:%�FFL•,�iii: �i�:}-' State Lie. #:��LEA LO_yf:;s :!-r;„:: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): Add'n Alter Repair Demo Sq. Ft: # Stories: # units: Telephone # of Contact Person: Estimated Value of Project: ' 1! Q O APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT 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 Title 24 Calcs. Plans picked up Contraction Flood plain plan Plans resubmitted Mechanical Grading plan 2vd Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Z Grant Deed Plans picked up S.M I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 7rd Review, ready for correctionslissue Developer Impact Fee Planning Approval Called"Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 111 _� 3 , , -�- _-: _� - - - - - - - - - - - - - - 'f7 7,69 1 .1 -1