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07-0201 (RPL)4 P.O. BOX 1504 795 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 07-00000201 61255 PORTULACA DR 764=280-999-161 -300235- POOL - RESIDENTIAL MEDIUM HIGH DENSITY RES 16000 Architect or Engineer: plk ----------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with Section 3,000) of Division 3 of the Business a mfessionals Code, and my License is in full force and effect. Lice Clas�r: C53 License No.: 866518 Date: 0� I, ontractor: IF 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 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.). (_) 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 am exempt under Sec. ' , 8.&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: LQPERDIIT Owner: JOE SENN 61255 PORTULACA DRIVE LA QUINTA, CA 92253 Contractor: B ]AN 2 2 2001 GARY & SONS i i� 67657 CLUBHOUSE DRIVE DESERT HOT SPRINGS, C 5224VTY®FLA"'NT' (760)251-8945 FINAMCF- 0P Lic. No.: 866518 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/19/07 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 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 STATE FUND Policy Number 1837911-06 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 be a subject to the workers' compensation provisions of Section 3700 of tha L bor Code, I f orthwit f thorthwitply with those provisions. e; 6 plicant: - WARNING: FAILURE TO SECURE ORKERS' C MPENSATION 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 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 truction, and hereby authorize representatives X.te:01A�ignature ounty to enter up the above-mentioned property fo i pectionp poses. (Applicant or Agent): - Application Number . . . . . 07-00000201 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 171.00 Plan Check Fee 111.15 Issue Date . . . . Valuation_ . . . . 16000 Expiration Date 7/18/07 Qty Unit Charge Per Extension BASE FEE 45.00 14.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25;000 126.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration_ Date 7/18/07 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 7/18/07 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 27.00 Plan Check Fee'. 6.75 Issue Date Valuation 0 Expiration Date 7/18/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 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 SPA.ALARMS/BARRIERS SHALL LQPERAIIT LQPERMIT Application Number . . . . 07-00000201 Special Notes and Comments BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due Permit Fee Total 269.00 .00 .00 269.00 Plan Check Total 135.65 .00 .00 135.65 Grand Total 404.65 .00 .00 404.65 Bin # City of La Quinta ' Building u Safety Division ? P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address:' Owner's Name: r.. A. P. Number: Address: rL� Legal Description: Contractor: �� y-� City, ST, Zip: L Telephone: Address:42 G Project Description: S PA City, ST, Zip: ` Telephone: C State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Construction Type: Occupancy: P cY: Project type (circle one): New. Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: .v it Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd:. Reed TRA CIQNG PERMTT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for `iiectio .. � Plan Check Deposit Truss Calca.Called Contact Person Plan Check Balance Energy Cates. Pians Picked up Construction Flood plain plan Plans resubmitted Mechanical Grading. pliin 2" Review, ready for correctionstissue Electrical Subcontactor List. Called Contact Person Plumbing Grant Deed Plans picked up' S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for. corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees V SPA N JEQUiPMENT OK 040 (16 O. O O , f i . .. ® _ � mss. r-• -:. � '.-r...w�. f �. r �. - u.'.....r. - • - _ .• VIS • • " • i S • t • Chuck Cooper Environmental Planning + Design 81720 Daniel Drive La Quinta CA 92253 LANDSCAPE PLAN + DESIGN e JOE AND FUMI SENN 61255 PORTALUCA TRILOGY LOT 161 7023846 fie. C_ • ocnw. op�, a wro m Iw " Iroioa knl^cs: - eP o^t - Iutlrgroem �6e� ml I d:uPep,-,A°' . 7e!iun:S++''°;pin n°°_atyntii nai Odiipbeueeq,. . 'alunpeC aojilgyr� MnG_I yruimoj,minnv ' White- a7wttnan nnc eei.!nu+gm tPr u'�wlllen CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR (CONSTRUCTION DA � k lal BY. ` A RE -INSPECTION FEE OF $30 WILL BE CHARGED IFTHE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A .SCHEDULED INSPECTION. NO EXCEPTIONS!