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07-2514 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T-iht 4 1'wa" Application Number: 07-00002514 Property Address: 81694 RICOCHET WY APN: 767-200-999-19 -312021- . Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 30000 Applicant: Architect or Engineer: ----------------- 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 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: C53 /�r License No.: 878400 Dateyf- / 3-? Contractor: l /Kew t 4__5 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's State License Law (Chapter 9 (commencing with Section 70001 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.). 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.). ( 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 Owner: DOVING RESIDENCE 81-694 RICOCHET WAY LA QUINTA, CA 92253 Contractor: SKEEN POOL/ PO BOX 1134 PALM DESERT (760)766-55 Lic. No.: 8' VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/11/07 - ------------------------- - - - --- ---J ----- 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. _ 1 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 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 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. • , Date9`1 ? --? Applicant:-✓VL�.Q_ t7 �"�Gc� 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 0100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT.ACKNO W LEDGEMENT 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 Ouinta, 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. 1 agree to comply with all city and county ordinances and state laws relating to buildin cons uction, and hereby authorize representatives of this county to enter upon the above-mentioned property f r ins tion pu oses. Date:9—/J — / Signature (Applicant or Agent): ��— Application Number . . . . . 07-00002514 Permit . . . BLDG POOL•PERMIT Additional desc . Permit Fee . . . . 284.50 Plan Check Fee 184.93 Issue Date . . . . Valuation 29848 Expiration Date 3/09/08 Qty Unit Charge Per Extension BASE FEE 252:00 5.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 32.50 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/09/08 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 3/09/08 Qty Unit Charge Per Extension BASE FEE 15.00 .1.00 30.0000 7 ----------------------------------------------------------------------- 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 3/09/08 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 LQPERMIT Application Number . . . . .. 07-00002514 Permit WALL/FENCE PERMIT ' Additional desc . Permit Fee. . . . . 15.00 Plan Check Fee 00 Issue Date Valuation . . . . 152 Expiration Date 3/09/08 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL, SPA, ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. GAS STUB FOR FUTURE APPLIANCES. EQUIPMENT WALL 7 L.F., X 5- HIGH (ORCO DETAIL) Fee summary Charged Paid Credited Due ------------------------------------- Permit Fee Total 403.50 ---------- .00' ---------- .00 403.50 Plan Check Total 210.93 .00 .00 210.93 Grand.Total 614.43 .00 .00 614.43 LQPERMIT 1 ��I� 6l/ yr r r yr L-P%.�avn• a " a7vu-v%JIV a F-VAke 1 VK LIJ 1 ADDRESS U -�o l IC�� N�� �- 4 PERMIT NUMBER OWNEs, r C BUILDER S KAl This form shall be posted on the' b with the Building Inspection Card at all times in a conspicuous —'�— l9 9 nsD p ce. .Only persons appearing on this list or their employees are authorized to wo on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will .result in a stoppage of work and/or the voidanc of building permit. For each applicable trade, all information requested below must be completed by applicant. 'On File* is not an BrcPnt.k1k. Trade I Classifica{ioo ' Contractor ontrgctor.oUcaji§e ' W jice�s.Coi Company Name Classilication (e.g. A. B, C-8) License Number Ixxxxxx) Exp: Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalCornp) EARTHWORK (C-121 CONCRETE (C-6) STRUCT-`ST MA50NRY.{C•29) PLUMBING (C-36) DRYWALL (C-9) . HVAti (5:•20) EL ;$HEFT METAL ( 4) FLOORING (tj '6):v` GL•kZING (-- ' INSULATION'.(C-2) SEWJ QE p)SI?; (G. 42) PAINT114G IG 33) CERAMIC-TILEIC-64)^] [:-SVQ j 3 f- a, . X ce.t1 7' CABINETS IC -61 FENCING (C-13) ' LANDSCAPING (C-27)., •;. �Lr Com- (� E; G.-�'7 J --3'I �3 ? 6'3 6-3a _ C _ �`_ •. S� .moi I +I /� ♦ J n op'' j; ✓� ii p�'L7)R[1Q1� r • -` ter• R$�Y j ! � ' AOt�7,1t I ROAM ; i DAYM� I) IS% LA is V(.%IU f WOW — =?— A Iis fi b t i o - o o &SAFE AP ON-fRUCTION FO . . i Bin #� City of LaQ uinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit.# (%j< \" \ Project Address: JQ LC o c.l-1J- C-1-1-A-V Owner's Name: fZ,-d- Zr ,u,44 DC7 Vz'4J A. P. Number:Address: Legal Description: Pp� U- S _ Contractor. T—.5 j< i,) Pc cS PA Address: g I'� : 5 City, ST, Zip: LA w Telephone: Project Description: City, ST, Zip: - Telephone: - �-s- State Lie. # : City Lic. #: Arch., Engr., Designer: i� /Y 'dor /3 R EFO 1 P W-A LL Address:L- City, ST, Zip: Telephone: State Lic. #: Construction Type: Com° U Occupancy: Project type (circle one): New A_dd'n Alter Repan Demo Name of Contact Person: :� AMEke-e S. Ft:, #Units:or Telephone # of Contact Person: 260-2J --6 Estimated Value of Project APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd - Reed TRACMG . PERMU FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading.plan' V Review, ready forcorrectiouslissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval' Plans resubmitted Grading IN HOUSE:- Review, ready for correctionslrssne Developer Impact Fee Planning ApprovalCalled Contact Person Ayp p Pub. Wks. Appr -Date of permit issue School Fees Total Permit Fees iy2