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HomeMy WebLinkAbout05-4165 (RPL)Pah. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 05-00004165 5-8553 QUARRY RANCH RD 766-060-999-4 -30651 - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 30000 Architect or Engin --=------------- �al LICENSED CO T TOR' 1 I hereby affirm and penalty of perjury that I am licens u er visio Section 70 0) of D ision 3 of the Business and fe on s e, a n License Cl ss: e _ ate: (7y. -tractor: Tit�/ 4 4 Qu&& BUILDING & SAFETY DEPARTMENT BUILDING PERMIT flse -----9Ico mencing with is in f force and effect. OWNER -BUILDER DECLARATION I hereby �ffirm undei'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 isexempttherefrom 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).:' (_ 1 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 theprojects witha contractor(s) licensed pursuant to the Contractors' State License Law.). I—) 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: QUARRY RANCH 41865 BOARDWALK NO 214 PALM DESERT, CA 92211 Contractor: OUTDOOR SOLUTIONS INC WCC: EXEMPT WC: EXEMPT CSLB: 853887 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 05/31/06 02'/28/07 Date:. 9/16/05 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 issued. I� 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 C53 Policy Number - ---------------- _ I certify that, in the performance of the work for ich this ermit is issued, I shall not employ any person in any manner so as t b comes o the rkers' compensation laws of California, and ree that, if I should b c e sect t he wor come" compensation provisions of Section 3710 of the Labor Code, ith omply ' h those provisions. Dat 2 J A�pplicarf[: 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. Eachperson 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 war eing performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes ull and void if w is not om enced within 180 days from date of issuance of such p mi r cessation rk r 1 ys will'subject permit to cancellation. I certify that I have read this application and state that t e rma . n is c e . I r to comply t all city and �co ty ord' ances and state laws relating to bu g nstruc ' n, and r y au rize represe tives of ttlhisVou ty to e f terrupon the above-mentioned prop r inspe on pu o s. tD5 e: OSAgnature (Applicant or Ag Application Number . . . 05-00004165 Permit BLDG POOL PERMIT Additional desc . Permit Fee. 284.50 Plan Check Fee 184.93 Issue Date . . . . Valuation . . . . 30000 Expiration Date 3/15/06 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/•15/06 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 15.00 Plan Check Fee 3.75 Issue Date . . . . Valuation 0 Expiration Date 3/15/06 Qty Unit Charge Per Extension BASE FEE 15.00 -----------=---------------------------------------------------------------- " Permit . . . PLUMBING Additional desc'. Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . Valuation 0 Expiration Date 3/15/06 Qty .Unit Charge. Per Extension BASE FEE .15".00 2.00 "'6.0000 EA PLB FIXTURE 12.00 1.0.0 3.0000 EA PLB WATER INST/ALT/REP 3.00 • 1.00 3.0000 EA PLS GAS PIPE 1-4 OUTLETS J. UU -- -------------------------------------------------- Special Notes and Comments ------ -------------- POOL & SPA ONLY. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER LQPERMIT .. . LQPERMIT Application Number 05-00004165 -- Special Special Notes and Comments ----------------------------------------- - ------------ INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due Permit Fee Total 358.50 .00 .00 358.50 Plan Check Total 203..43 .00 .00 203.43 Grand Total 561.93 .00 .00 4 561.93 CITY OF LA QUINTA1SUB-CONTRACTOR LIST ,off c JOB ADDRESS J g✓�S3 � I "'Q"'c"` �4Z _ PERMIT NUMBER OWNER. QQA'M �tm � BUILDER 0 _fd'�`— �"�`�n�'� , I.^iC. This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work 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 voidance .-__ ___� ___:__► i ....a,. ,n :..c,...,,�+�.,., rariviactarl holnw miict he nmmnleteri by annlicant_ "On File" is not an acceptable response. OT DUIIaing permit. For Cath dhNnt,duic uauc, an ..1I.,1...u1.,,....., Trade /Classification Contractor :; ;:; ::::;::::::::State:-Contractoc.s. License... ;:; :.:... Workers.Com ensation lrisurance: City Business License::::.::: Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name le.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xk/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C712) QrzcNti � a 'f�Cch,� r►�r-S I. 8N6t � A' i _ 8 O 21 o 7 C/66 STWM F wo 0o I os►8-- ° s 1 ' e(. '-I d' 3 3 3 fdl . CONCRETE (C-8) FRAMING'IC-5) STRUCT. `STEEL (C-51) MASONRY is -291 S it %arJ*cr.,an Q J C_ 29 G? g l I/?./o, 5.r_A�. VU49 0q4, 6V If - 2 o0 5 r cse 1 5.3 -7 930 • b (PLUMBING (C-. LATH PLASTER (C=35) C� Hr,l,��—Plot. ��1k (wc_ W&TC*,_L- t'GAIS1iG'Ct-)Ci C1j3 �e-�l0 G ' $ S �b �OD91 �0�0� STikv� �v�+0 I pi O�`fnb-03 B (2 / e 1 o e ( 1p � �6 DRYWALL (C-9) HVAC. (C-20) . ELECTRICAL. (C-9 0) ROOFING- (C=39) .::;`> SHEET METAL (C=43) FLOORING (015): GLAZING (C-17)... INSULATION' (C-2).: SEWAGE LISP- .(C.-42) PAINTING (C-33) CERAMIC TILE (C-54) CABINETS (C -B) FENCING (C-13) 11-ANDSCAP.1NG (C %7). , POOL (C-53) - _� , . tel, -e---- C 5 3 � ��3 � � a� o� ; s�-� .�� 0Ool Owf805 o� A Zy 121— 4 SKte;�,< Rq rdw-cAP -i 2 o,% "zfl I �' �.�-ors � `tro .vti►'t�j �, L f -�$ (9 w- lK►�,r I �t.aNit fe SCALE 1/89=1'—o" GRAPHIC SCALE ED 24' le, 0 CITY OF [-A QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRU�CTIONJ DATEgIfi/os By