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05-4583 (RPL)(f CC 4.o d P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: X05-000.045831 78040 RED HAWK LN 658-140-999-84 -29436 POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 30000 Architect or Tavl-4.40" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- . LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of' ur that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the B iness and Profes Is Code, and my Lic a is in full farce and effect. License Class: L� enseNo.: pate: Contracto . �� OWNER -BUILDER DECLA TI 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 Codel 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 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.). 1 _) 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/12/05 Owner: KLOSE 78-040 RED HAWK DR LA QUINTA, CA 92253 Contractor: VICTORIA LANDSCAPES/WATERFALL WCC: EVEREST NTNL WC: 380002849 08/26/06 CSLB: 801813 12/31/05 ----------------------------------------------- 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. tj issued. ll I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor 7- Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier C27 C53 Policy Number - - - - - - - - - - - - - -- I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner o as to become suN to the workers' compensation laws of California, and agree that, if I s ul ecome subject t th workers' compensation provisions of Section 3700 of the Labor Co e, I hall fo with ply ith those provision . Datc!t"plica WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS N WFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO 0 E UNDRED THOUSAND DOLLARS ($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 e a ove information ' co ct. I agree to comply wi all city and county ordinances and state laws relating t bu din onstruction, a d here authorize representati s of this�;gnatu,e on the above-mentioned �p pe for inspeq` D ses. Date: (Applicant or Agent)`V. Application Number . . . . . 05-00004583 Permit BLDG POOL PERMIT Additional desc . Permit Fee . . . . 284.50 Plan Check Fee 184.93 Issue Date . . . . Valuation . . . . 30000 Expiration Date 4/10/06 Qty Unit Charge Per Extension BASE FEE 252.00 5.00 6.5000 -------------------.--------------------------------------------------------- THOU BLDG 25,001-50,000 32.50 S Permit MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/10/06 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 �r Issue Date Valuation . . . . 0 Expiration Date 4/10/06 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 4/10%06 c� 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 ONLY. ALARMS/BARRIERS SHALL LQPERMIT Application Number . . . . . 05-00004583 Special Notes and Comments BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- --- - ------ Permit Fee Total 388.50 .00 .00 388.50- Plan 88.50Plan Check Total 210.93 .00 .00 210.93 Grand Total 599.43 .00 .00 599.43 0 C► LQPERDIIT P/L - •r .j m o 0 3 c J M .4 L 0 +.) U existing pavers 5' Pool 3. 0 paver ribbons tan shelf ::. umbrella Sl existing pavers avers ROOM se, RESIDENCE 78-040 REDHAWK DR. KITCHEN * ---------- Q . lawn CITY OF LA QUINA ==- BUILDING & SAFETY DEf? `.: •; . ` APPROVED FOR CONSTRUCTION gy existing pavers Victoria Landscapes & Waterfalls 82-365 Hivy.111, Suite 104 Indio, Ca 92201 Contractors Lic 4801813 X x I JX X Oct 12 05 03:05p Victoria L&W 17607750449 p.1 Bi"" Permit City of La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, C4 92253 - (760) 777.7012 Building Permit Application and Tracking Sheet Project Address: / �C{�`��' /l ��l1!'��G•� :�` l� Owner's Name A. P. Number Address: 7 L��c Legal Dcscriptipn: City. ST. Zip: L( y' Contractor. Address: %j� G .;'V �' 1 i� i �1 I lephonc: Project Description: V '��% f <�(� ! `j1 ✓ CZ-- City, ST, Zip: 11 • �;r ? C ry ACity kta State Lie. 0 : �;•C S F;1 � Lic. >I: 7 t Arch, Engr., Designer. Address: City, ST. Zip: Telephone:'�s`�' State Lic. !!: ?.' ;s. : = ;: _ Construction Type: Occupancy: Project type (circle one): New Add'n Aha Repair Demo Name of Contact Pelson: �(• t1ci f i 'i'� f�'� f �' "i 't� Sq. Ft : * Stories: R Unite Telephone It of Contact Person: t l , cd Value of Project: ., APPLICANT: DO NOT WRITE BELOW THIS UNE tt Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Item Amount Plan Cbeck submittedq2' Structural Calcs:' : ; 'Rivitii cd, reaAj fol corrections Plan Check Deposit y _ _ __.._._ _...- _--• _ Truss Cates. Called Contact Person Plan Cheek Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan V Revivw, ready for eorrectioas/asue Electrical Subeoutaetor List Called Contact Person Plumbing Grant Decd Plans picked up SAt.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE: - ''' Review, ready for eorrectiossuc Developer Impact Fee as/r Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees