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07-0884 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4t�t 4 4 a" Application Number: 1.07-00000684 ti Property Address: 81550 RICOCHET WY APN: 767-200-999-55 -312022- Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 32000 Applicant: Architect or Engineer: PIA ----------------- LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: C53 License No.: 878400 ate: 3- 3D- % ntractor: S.Yo o.� �Qot Cai�4 f 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'sState 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 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.). ( 11, 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 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 Owner: CARLOS HERRADOR 81550 RICOCHET WAY LA QUINTA, CA 92253 (760)777-9920 Contractor: J-SKEEN POOLS SPA WATER P.O. BOX 11349 BERMUDA DUNES, CA 92203 (760)766-5554 Lic. No.: 878400 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/26/07 ',TURICITY OF LA QUINTA I ----------------------------------------------- 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 EXEMPT Policy Number EXEMPT C ertify 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. 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 ($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 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 pe'rmit 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 buildi construction, and hereby authorize representatives of t/hisr��wnty to enter upon the above-mentioned propert �r initio1purposes. at e: J� Si ure (Applicant or Agent): Application Number . . . . . 07-00000884 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . 297.50 Plan Check Fee 193.38 Issue Date Valuation. 32000 Expiration Date 9/22/07 Qty Unit Charge Per Extension BASE FEE 252.00 7.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 45.50 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation 0 Expiration Date 9/22/07 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 . . 9/22/07 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 9/22/07 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 ------------------------------------ 7 ---------°------------------------------ Special Notes and Comments POOL/SPA & PRE -PLUMBED GAS LINE FOR LQPFY.NU r Application Number . . . . . 07-00000884 Special Notes and'. Comments FUTURE APPROVED & PERMITTED.BBQ. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited. Due -----------------------------------------------------_--- Permit Fee Total 401.50 .00 .00 401.50 Plan Check Total 219.38 .00 .00 219.38 Grand Total 620.88 .00 .00 620.88 LQPERMIT CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB ADDRESS K1-6SD eLetac he_4- c.--),4 PERMIT NUMBER OWNER C✓1c,Lo.S err.+4C_40P � • � BUILDER 1P5Kee.� Thfs form shall be posted on the job with the Building Inspection Card at all times in a conspicuous p ace. .Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approvedby the Building Division prior to commencement of work. Failure to comply will .result in a stoppage of work and/or the voidance of hiniriinn nPrmit Fnr oaarh nnnlirrahla trnd a all infnrmatinn ranllactari hAlnW mrmt ha r-mmnlMarl by annli.-ant un^ ICi1s11 ;� __+ Trade C srf ca / las i n t� rac b Cont t r ;; Company Name > :_>:.:".:,:::°:::::Sta e:.Contr ctas s Lice s0 R . �► C. R ;.. ..•...<: Classification License Number Exp. Date (e.g. A. 13, C-8) (xxxxxx) Ixxlxx/xx) .: .; . :::;.'. '..: "'' ' ::Vl/pNkecs.C.o'm ei°ation:jnsu�enne ':•; :.•. Carrier Name Policy Number Exp. pate (e.g. State Fund, CalComp) (Format Varies) (xx/xx/xx) GitV:Business. License% . License Number " Exp. Date (xxxx) (xx/xxlxx) EARTHWORK IC -12} CONCRETE (C-81 -3®^ FRAMING (0-5) STRUCT.-:S EELJ6,51) " M43oNRY.(C•29) C.' `3 %` �fic� u d C>qG PLUMBING (C-36) .' Wit PLASTER 16-35) " DRYWALL (C-9). z 3-� kg1 fhCi S 5 A 'z L- ✓ C� 00 J"3 �. - - - �- .3 E CTRICAL. is=! of ' U ,a Pna - P - 1 - l �..x c� !� -30 . SHEET METAL* (,C 43) FL00RING (Q4:15): GLAZI14G (C-17)"':<: INSULATIO14•'.(C-2) . SEWAG;tpI r (C-421, ` PAINTING (C=33) - CERAMIC•TWE IC -541 CABINETS 10-6) .:1 J i 5 ' S(5,q �` 3 (� J`� 3i ` e x C -p kn PT!D FENCING (C-13) (C=27)' , POOL (C-53) `t � 30 -C o l,kLANDSCAP{NG 3 SU 0 L41e - ©©1 � - -� � y Y'n (YI ell 1,4 ;r UN w J Jb IN r OD to- T P_LVCI ID WulomUiSNOO Hoj C13AOHddV Q *_Ld3G kL3jVS V SNimine :kE v( v L L :S� I dO d8V N % 0� 0 0 If, 01-Lrj L 0 w. 3A L : -iine E-Ld3 3 s v SN imine _ V L I Ao i10 INin7o vi jo t 0 - v A I p 'I. C_ r :f- 0 *46, Bin # City of LaQ uinta Building f Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit.# �cbLk Project Address: _ 5`1 WA yOwner's Name: C A. P. Number: Address:'© 2` Lt1 Legal Description: R, L City, ST, Zip: ' Contractor: �- S �� �+� Pt° C,_ 5pA Telephone: - Address: y g { S �? k' Project Description: ._ City, ST, Zip: CA . )L^ 3 Telephone: ��_ . _ S- iQ � l �5 State Lie. # : RM_Lfoo City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: A 1ti s S k:ee ,.) Construction Type: C�� t Occupancy: Project type (circle one) Ne Add'n Alter Repair Demo Sq. Ft.: ,?ZD JFJ # Stories: # Units: Telephone # of Contact Person: 7 - 7c, C,-5 SS Estimated. Value of Project: o or,> 00 APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd - Rec'd TRACEING . 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 Energy Calcs. Plans picked up Constriction Floodplain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical ' Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L R.O.A. Approval' Plans resubmitted Grading IN ROUSE:- '"' Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A Lp.p. Pub. Wks. ApprDate of permit issue School Fees Total Permit Fees