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08-0557 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00000557 Property Address: 50857 CEREZA APN: 776-190-024-26 -32751 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 26000 Applicant: Architect or Engineer: BUILDING & `SAFETY DEPARTMENT BUILDING PERMIT --------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licen d u provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a Pro s io Is ode, and my License is in full force and effect. LicenW-� ss: C53 Li ense No.: 890670 ntractor OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of erjury tha I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, siness a d Professions Code: Any city or county that requires a permit to construct, alter, improve, demolis or re it any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement tha 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, 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 _ 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: CITRUS EL DORADO LLC 1157 N RED GUM ST ANAHEIM, CA 92806 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/03/08 Contractor: V v PLATINUM POOLS & SPAS 77564 COUNTRY CLUB DRIV 410 PALM DESERT, CA 92211 r^�� qo (760) 772-4274 A, Lic. No.: 890670 9A, --------------------------------------�-/----- 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 STATE FUND Policy Number 1863573-2008 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 a become subject to the workers' compensation laws of California, and agree that, if I should ec me ject t t e workers' compensation provisions of Section uu 3700 of the Labor Code, I h f ith c ly with those provisions. ,�15ate scan WARNING: FAIL RE TO SE URE WORD RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO RIMINA PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN AD 10 0 THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR C E, 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 abov form ' i rrect. I agree to comply with all city and county ordinances and state laws relating to building n ruc ' n, d ereby authorize representatives of thi umy to enter upon th above-mentioned property fo i pec on p ses. ate -a�i ture (Applicant or t Application Number . . . . . 08-00000557 Permit . . . . . BLDG POOL PERMIT Additional desc . Permit Fee' 258.50 Plan Check Fee 168.03 Issue Date . . . . Valuation 26000 Expiration Date 9/30/08 Qty Unit Charge Per Extension BASE FEE 252.00 1.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 6.50 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/30/08 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 '. 9/30/08 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 9/30/08 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 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN LQPERAIIT { LQPERMIT Application Number . . . 0.8-00000557 Special Notes and Comments PLACE AT PRE -PLASTER INSPCETION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 362.50 .00 .00 362.50 Plan Check Total 194.03 .00 .00 194.03 Grand Total 556'.53 .00 .00 556.53 LQPERMIT Application Number . . . 0.8-00000557 Special Notes and Comments PLACE AT PRE -PLASTER INSPCETION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 362.50 .00 .00 362.50 Plan Check Total 194.03 .00 .00 194.03 Grand Total 556'.53 .00 .00 556.53 Apr 03 08 OG:5Gp 13 p.1 Bin # City of La Quinta Building 8L Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # l Project Address: 'ESOIa•- 7 Owner's Name: �rS A. P. Number. Address: Legal Description: LC51- City, ST, Zip. Contractor: Address: X77 U� `H i Project Description: City. ST, Zip: _ • AL4"ttom�`` �101.� ��L- Telephone: 6�� rJ',T 5 % ::`r 3I 4 Stats Lic. # : �CjU(p V City Li,. #: j _ �-� ijj � f S Arch., Engr., Designer: Address: City, ST, Zip: Telephone: s..r .,...c.>s;.� z.. .1 �i n midi State Lic #• Name of Contact Person:�--7Q� Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq: Ft: # Stories. # Units: Telephone # of Contact Person: /UD Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Reed TRACING PERMIT FEES Plan Sets Pian Cheek submitted All 3 Item Amount Structural Cates. Reviewed, ready fqj corrections IT1,3 Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance. Title 24 Calcs. Pians picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan Zed Review, ready for correcdonslissue Electrical Subeoutactor Ust Called Contact Person Plumbing Grant Deed Plaits picked up SMI. H.OA. Approval Plans resubmitted Grading IN HOUSE: Reyiew, ready for eorrectionsrMue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees