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10-1240 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: J--1-0--00001240----- Property Address: -- 78112- RED 'HAWK LN APN: 623-520-019- - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY.RESIDENTIAL Application valuation: 34000 Applicant: Tiht 4 4 Q" - Architect or Engineer: SIA BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: WOOD RODERICK J & GINA M 78112 -RED HAWK LN LA QUINTA', CA 92253 (760)619-2869 Contractor: FAMILY POOLS CONSTRUCTION P O -BOX 283 LA QUINTA, CA 92247 (760),564-3655 Lid. No.: 658996 ------------ ----- ------------------------- --------------------- --- - - - - r- L EN CONTRACTOR'S DECLARATION I hereby affirm under penafty of perjury tha licensed under provisions of Chapter 9 (commencing with Sectio 00) of Division 3 of the BL nd rofessionals Code, and my License is in full force and effect. LicenM ass: (153 i A License No.: 658996 Date: I onvactor: WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I a xempt 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, alier, 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 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 _ 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 I am exempt under Sec. , BAP.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: P1 k LQPERA11:T VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 I WORKER'S COMPENSATI DECLA�� 1 hereby affirm under penalty of perjury one of the following decla tions: I have and will maintain a certificate of consent to self -ins w�tir�'41§�fpm di . for by Section 3700 of the Labor Code, for the performance'of t sEffID41 ermit is issued. 77 V—I have and will maintain workers' compensation insurance, as required by Section 3700 o bt Code, for the performance of the work for w ' ermit is issued. My workers' compensate insurance carrier and pol' y number a Carrier STATE FUND icy Number 1344032-2009 I certify that, in the perfor a of the work for which this permit is issued, I shall not employ any person in any man s a to become subject to the workers' compensation laws of California, and agree th d ecome subject to the workers' compensation provisions of Section 0 of the Labor I rthwith comply with those provisions. e: rV pplicant: WARNIN : F ILURE TO SECURE WO ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000). IN ADDITION T THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Date: 11/12/10 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, indemnif armless the City of La Quinta, its officers, agents and employees for any act or om' n related to the work being performed under or following issuance of this p it. 2. Any permit issued as a result of this application ---null and void if work is not commenced within 180 days from date of issuance of sucit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state th information is correct. I agree to comply with all city n�county ordinances and state laws retat' g ion, and hereby authorize representatives this! unty lb enter uponlAt? above -menti ned oroo 4'. o ourooses. (Applicant or Agent): Application Number . . . . . 10-00001240 Permit BLDG POOL PERMIT Additional desc . Permit Fee . . . . 310.50 Plan Check Fee 201.83 Issue Date Valuation . . . . 34000 Expiration Date 5/11/11 Qty Unit Charge Per Extension BASE FEE 252.00 9.00 ---------------------------------------------------------------------------- 6.5000 THOU BLDG 25,001-50,000 58.50 Permit MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/11/11 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 5/11/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 ---------------------------------------------------------------------------- 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 . PermitPLUMBING Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation 0 Expiration Date 5/11/11 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 Permit . . . . . WALL/FENCE PERMIT LQPEFNIIT Application Number . . . . . 10-00001240 Permit . . . WALL/FENCE PERMIT Additional desc . . Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 300 Expiration Date 5/11/11 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA, FIREPIT, GAS & ELECTRIC FOR FUTURE BBQ, 12 L.F. 6- EQUIPMENT ENCLOSURE, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE-PLASTER INSPECTION. 2007 CODES. ----------------------------------------------'------------------------------ Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary Charged Paid Credited ----------------------------------------------- ---------- Due Permit Fee Total 429.50 .00 .00 429.50 Plan Check Total 227.83 .00 .00 227.83 Other Fee Total 2.00 .00 .00 2.00 Grand Total 659.33 .00 .00 659.33 LQPEnIfT Waterfall Pad OOG' O • Equipment Wall + 12" +24 , +G' E30 II 01 3' 310 I 5'G"wd 13' 5'-G" I X511 _ 3'G°wd - 121 - II 31 '-G" - G _. 18"wd \ , I I . .-7 C&Trild Y s2b Fire Pit 0 BBQ G/E -7 Mr. M r5 . Wood 781 12 Red Hawk Lane Hldden Canyon-- La Wuinta - CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE 11-1 41 '/U BY /C:fC_. ,0,6F/C L� Construction Poo15 Spas Fountains (7G0)5G4-3655 Lic. #G5899G Permit # 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 Project Address: 1 W� � /410 Owner's Name: e # A. P. Number: Req'd Address: TRA Legal Description: City, ST, Zip:- �,{ ,�Tele N�ot/ . � G1 3Project t�(l/jESZ af hone:Contractor: PAddress: Description: City, ST, Zip: �,( i/u �r�7 �� �GL'll�i Telephone: Q 5_Z �� ' ::; '^•, f�f.s>:Y{% p.. i`,.: Reviewed, ready for corrections # State Lic. #/_ i City Lic. #:... e C Truss Calcs. Arch., Engr., Designer: Called Contact Person Address: Title 24 Calcs. City., ST, Zip: Plans picked up Telephone: N �:: :<,y >`: <�" � � .:,� fix: �,.;;, •: Construction Type: Occupancy: State Lic. #: Project type (circle one): New t Add'n Alter Repan Demo Name of Contact Person: echanical Sq. Ft: # Stori Grading plan, #Units: Telephone # of Contact Person: Q e Estimated Value of Project: 0 0 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRA PERMHT FEES Plan Sets Plan Check submitted em Amount Structural Calcs. Reviewed, ready for corrections # Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted echanical Grading plan, 2pd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person M Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Pians resubmitted Grading INHOUSE- 'rd Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 6 .