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08-1740 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4 -ht 4 Xi& Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: ' 08-00001740 . Property Address: 54185 CANANERO CIR APN: 767-320-999-283--32879 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 28000 Applicant: e Q I hereby affirm urider penalty of perjury that Section 70001 of Division 3 of the Business License Class: ,29 C27 C29 �• � //`/ .off /te: ` V ontractor. Architect or Engineer: 'OR'S DECLARATION provisions of Chapter 9 (commencing with )de, and my License is in full force and effect. 91WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I mag 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).: (_ 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 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: GILBERT 54185 CANANERO CIRCLE LA QUINTA, CA 92253 Contractor: D TESERRA P.O. BOX 1280 COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 -VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/21/08 OCT 212000 ryOFLA 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. r I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performan of the rk for which this permit is issued. My workers' compensation insurance carrier and polic ' umber a Carrier SEABRIGHT )icy umber BB1080510 I certify that, in the performance of the for whi h this ermit is issued, I shall not employ any person in any manner so as to become s bl e r ers' compensation laws of California, and agree that, if I should become subje o ' compensation provisions of Section / 700 of t e Labor Code, I shall fort rt se provisions. s Dat pplicant: WARNING: FAILURE TO SECURE WORT �IES ATION COVERAGE IS UNLAWFUL, A D -SHALL SUBJECT AN EMPLOYER TO CRIMINALD 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 issuanrl,4 perm , cessation of wor Ij-da i subject permit to cancellation. I certify that I have read this application and stateboy9.i rma on is gree to comply with all city and county ordinances and state laws relatingcon ttructio d e uthorize representatives of tFya cpuntylo_enter upgn'the above-mentioned s (Applicant or Agent): Application Number . . . . . 08-00001740 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 271.50 Plan Check Fee 176.48 Issue Date . . . . Valuation 28000 Expiration Date 4/19/09 Qty Unit Charge Per Extension BASE FEE 252.00 3.00 6.5000 THOU BLDG 25',001-50,000 19.50 ---------------------------------------------------------------------------- Permit . . . MECH POOL Additional desc . Permit Fee• 26.00 Plan Check Fee 6.50 - Issue Date . . . . Valuation . . . . 0 Expiration Date 4/19/09 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 4/19/09 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 . . 4/19/09 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, WATER FEATURE. ALARMS/BARRIERS LQPERMIT 1 LQPERMIT Application Number . . . . . 08-00001740 ---------------------------------------------------------------------------- Special Notes and Comments SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary ----------------- Charged Paid -------------------- Credited -------------------- Due Permit Fee Total 375.50 .00 .00 375.50 Plan Check Total 202.48 .00 .00 202.48 Grand Total 577.98 .00 .00 577.98 3 Bin # City of. La Quinta 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� V�' �� Project Address: Owner's Name: L T A. P. Number: f;cr/,�v �� 64I ZT3 Address: . � —/g5 - Legal Description: !� Legal City, ST, ZipL ' Contractor: e r r Telephone: Address: b-- Project Description: City, ST, Zip: Telephone: 3?t— StateLic.4: 5 City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: t s Construction Type: Occupancy: State Lic. #: Project type (circle one) New Add'n Alter. Repair Demo Name of Contact Person: Sq. Ft.: S�7 # Stories: # Units: Telephone # of Contact Person: (760) 0-- UZ -9 1 Estimated Value of Project: -- Z K APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG . PERMIT FEES Plan Sets Plan Check submitted Ju ILO Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. « Plans picked up Construction Flood plain 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.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- '`" 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 lf1 9AISE.R S Ar Fib ti.1L1-4 5TOUM [Zoe cp,l "SraLJa A,-Lja R '.7 aal-a,-L LLL AUp STACK Gtr SrDUE -,PI LL1-Wf CITY OF LA QUINTA BUILEYNG & SAFETY DEPT. A Q ED rOR CiONS7 UCTION `ALL UECKJNG L(PANSM JOINTS FOR REPRESENTA71ON ONLY, HELD LAYOUT WILL VARY. 1 I Zi. L !.y ..� l.iTTTT■J� - '=..i�.i�.�.•• S¢ L... J[71 J.P:i�Y •yL�,• �■• ylrrrlr J�l�1r�'2•* ida 'i:ii:',T'.r�,1'M..,a•S. j■■.. i' �_ �� i=,:r:ec"_�r .i'■•YiralFi� i�J. 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