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08-1936 (RPL)Iv -1,1— , "s P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: 08-00001936 46041 ROADRUNNER LN 649-040-007-2 -31816 - POOL - RESIDENTIAL MEDIUM DENSITY RES 35000 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: ROBERT BARONE' 46041 ROADRUNPE LAZC z47888LA QUINTA, CA Date: 12/09/08 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 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 - 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 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 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 construction, and hereby authorize representatives of this county to enter upon the above-mentioned property f insp c �.rposas. te: 41 -IX-&' nature (Applicant or Agent): Contractor: Applicant: Architect or Engineer: SKEEN POOL/SPA WATERFEATURE, J PO BOX 11349 PALM DESERT, CA 92255 (760)766-5554 PIP Lic. No.: 878400 ---------------------------------'---------------- .LICENSED CONTRACTOR'S DECLARATION ------------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C53 License No.: 878400 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is i :1 issued.ate:/ �cto,: _ 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EXEMPT Policy Number EXEMPT following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to . I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State - and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the bor Code, I shall forthwith comply with those provisions. 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).: te:��� • �7 plicant: ��—n:� �(�` `— (_) 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself throughhisor her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 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 - 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 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 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 construction, and hereby authorize representatives of this county to enter upon the above-mentioned property f insp c �.rposas. te: 41 -IX-&' nature (Applicant or Agent): LQPERMIT Application Number . . . . . 08-00001936 Permit BLDG POOL PERMIT Additional desc . Permit Fee 317.00 Plan Check Fee-. 206.05 Issue Date . . . Valuation . . . . 34567 Expiration Date 6/06/09 Qty Unit Charge Per Extension BASE FEE 252.00 10.00 6.5000 ------------------------------------------------------------------------------ THOU BLDG 25,001-50,000 65,00, Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date 6/06/09 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 6/06/09 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 6/06/09 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 Permit . . . . . . WALL/FENCE PERMIT Application Number . . . . . 08-00001936 • Permit WALL/FENCE PERMIT Additional desc . Permit Fee- 15.00 Plan Check Fee .00 Issue Date Valuation 433 Expiration Date 6/06/09 QtyUnit Charge 'Per Extension"_ BASE FEE 15.00 ----- - - - - -- - -- -- - - -7 -- ------------ Special Notes and Comments ------ --------------- PUUL/SPA, VIRRPIT ( 25 L..F.'111 GAS LINE) & 20 L.F. 5EQUIPMENT WALL, CITY• STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. Fee summary Charged Paid Credited Due Permit Fee Total 436.00 .00.- .00 436.00 Plan Check Total 232.05 .00 .00 232.05 Grand Total 668.05 .00 .00 668.05 f--- 75- ' -a CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE�a• �OPJ gy l 1.A1 A T U L /AL U11M 1 A b-Ut5-(;CENTRA OF3 LIST JOE; ADDRESS -q;," -0 t 12o Aid ►2�,Nn3 e_✓PERMIT NUMBER OWNEIR •t8d BUILDER Only persons apipearing` on this lice or their employees are authorized to wore ®fv this job. Any changes 8o tiles list nx.ase be approved by the 13ui1c16ng Division prior to comm encerneret of vvorlc.� FailureBo Comply. will .result in a stoppage f of buildin ertnit. For each a licable trade, all Information requested below must be complete Ib a cant. to File'ivvc�rlc and/or the voideni t Cis+salfico a� C�nBaaat :�'. �f�a;.: ; ,;;:.... •.: :Conti etdr . U 6 86 '� �' •�:, se f . n a not an acGe table r( :::, ;, :. ... X1,7 � '� •; ' v Baur' • Company Noone Classification License Number Ercp: Date Carrier Nome Pi ' Wo. A. 0, C-8) gxxxxxxl {xx/xxCxxl nc Nu (e.g. State Fund, CalCorn % artier S►@ i;R'oometie Varies) EARTHWORK (P-12 ®t.� ��o na.��es+,c yes'. co . �caav�o.36�6oa ,.,1�l3 4 N" " Rv.{casi+► `I.� o r� i r`• �M�al � G� 1,�.I'i�ilr l� 1 � . (� $h� Com%-►�"� . �t.� ` _� /qJ /Ay 1 — DRYWAii IC•i?r r . lla� JI�•x0l � k'�'� �, `i ;gii131''ME' 'I►1.' h INSU 1; RPS � 4 •� I PAINTIMo I03) -CiERAMOC-TIW Vp-348 — k•e ._ p©o 1—S —,5 OPSINETS JC -6) FENCING (0-13I LAN $C:Ai ING; IC',27D - . Upon—=le-� GlDk�^7 P oIC -53I &f O 9 ,i i +--e �mll� Brn# City of LaQ uinta Building EX Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 " Building Permit Application and Tracldng Sheet Permit"# la Project Address: 0 A-1 /L7 42_A� Owner's Name: A. P. Number. Address: Legal Description: _5PA - , t-. �j L cLc �• �acc- Contractor: T— S eIe0 " City, ST, Zip: - v Telephone: Address: g 1� �Y�s : ,.� 5 � ti? i� ;� _ Project Description: City, ST, Zip: CA" "/ - Telephone:"%ice- - _ �-5- City Lic. #: ,(kq �' State Lie. # LI 00 Arch., Engr., Designer. " Address: City, ST, Zip: Telephone: State Lie. #: Construction T ` YPe' Occupancy: Project type (circle one): New Add'a Alta Repair Demo Name of Contact Person:A 115 S �E' �v Sl• Ft: Ap S�Q #Stories: #Units: Telephone # of Contact Person:— 7 -SSS om Estimated -Value o�Projert: 3 ;> � 0— APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd •: Ree'd TRACIMG . PERhHT FEES. Plan Sets Plan Check submitted Item Amount Structural CRIcs. Reviewed, ready for wrreetions Pian Check Deposit Truss Calcs. Called Contact Persoa Pian Check Balance Energy Cales. Plans picked up " Constrndion Flood plain pian Pians resubmitted Mechanical Gradingplan P° Review, ready for-correctionyiauc Fdectrw " Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M L H.O.A. Approval' Plans resubmitted Grading IN HOUSE:- I Et ''' Review, ready for correetionsfssue. . Developer Impact Fee - Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr "Date of permit issue School Fees Total Permit Fees �t�OU 4 33 9T5 �67