07-2243 (RPL)Yj
u
P.Q. BOX 1504*. - VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760)777-7011
LA QUINTA,, CALIFORNIA 92253 BUILDING & SAFETY -DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/06/07
�pplication�Numbec:! 07-00002243 Owner:
Property Address: 57839 SALIDA DEL SOL- PASATIEMPO MODEL
APN: 762-240-014-41 -34243 - 57-839 SALIDA DEL SOL
Application description: POOL - RESIDENTIAL o G LA QUINTA, CA 92253
Property Zoning: RL AG/EQ OVERLAY
Application valuation: 15200
Contractor:
Applicant: Architect or Engineer C1 PICASSO POOLS INC
78078 COUNTRY CLUB DR, #206
BERMUDA DUNES, CA 92203
(760)345-4600
Lic. No.: 810111
LICENSED. CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION -
I. hereby affirm under penalty;f.pp!jury 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: B- C27 C53 ansa No.: .810111 for by Section 3700 of the Labor Code, for the performanceofthe work for which this permit is
7issued:
Date. -� '� / Con[rac[or:�. w _ 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 isissued..My workers' compensation
- OWNER:BUILDER DECLARATION. insurance carrier and policy number are: -
�I fierebyaffirm under penalty of perjury that I arri exempt'from the Contractor's State License Law for the Carrier STATE.*FUND• Policy Number 2 90-0 0 017 9 0
.::following reason (Sec:. 7031 .5, Business and Professions Code: Any city or,county that "requires a permit to I certify that, in theperformanceof 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; -
"peimit to:file a signed statement that he or 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 (Chapter 9:.Icommencjng .with Section 7000),of: Division.3 of the Business,and Professions Code) or .. 3700 of -the Labor Cod kall forthwith'c ly"with'those provisions.
that,he or she is exempt therefrom-andthe basis for the alleged exemption. Any violation of Se6tion 7031.5 by
any applicant for a'permit subjects the applicant to a civil penalty, of not more than five hundred dollars 1$500).: 1 DateX ?' % Applicant:
): I; as owner of the property; or m'y employees:with wages'as their sole compensation, will do the work, and 1�—���"
-the structure is not intended or offered for sale.ISec. 7044, Business and Professions'Code: The, WARNING:' FAILURE TO SECURE WORKERS' COMPENSATION. COVERAGE IS UNLAWFUL„AND SHALL
Contractors' State'License Law does got *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 through his or her own employees, provided that the DOLLARS ($106,000). 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 thepurpose of_sale.). APPLICANT ACKNOWLEDGEMENT
1—) 1, as.owner of the.property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the.Director of Building and Safety for a permitsubject to the
7044, Business and Professions Coder The Contractors' State Licensetaw does not:apply to an owner of conditions and restrictions set forth on this application.
.. ., _ property whobuilds orimpioves, thereon, -.and who contracts for the projects with a contractor(s) licensed - I 'Each person"upon whose'behalf this application is made, each person at whose request and for
pursuant to the Contractors" State License Caw.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 lam exempt under Sec. - , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
_ Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there, is a construction lendingagency for the,performance of the
work for which this permit is issued (Sec: 3097, Civ. C.). -
Lender's Name:
Lender's Address:
LQPERMIT
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 180daysfrom 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 h reby authorize representatives
of„this county to enter upon the above-mentioned property,fernfspection p ase
0
LQPERIMIT
Application Number .
. . . . 07-00002243
Permit . . . . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
171.00 Plan Check
Fee
111.15
Issue Date
Valuation
15168
Expiration Date
2/02/08
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
2/02/08
Qty. Unit Charge
.-Per.
Extension
BASE 'FEE
15.00.
1:0'0" 11.0000
EA MECH"FURNACE >100K
11.00-1
Permit. . .
ELEC POOL PERMIT -RES
Addiaional.de.sc .
.Permit Fee,'.
45.00 -Plan Check
Fee
11.25
Issue Date
Valuation
. . .
. 0
Expiration Date ..
2/02/08 .
Qty-' Unit Charge
Peri
Extension
BASE,FEE
- `15..00
1.00 30.0000
EA ELEC PRIVATE SWIMMING
---------------------------
POOL
30.00
Permit....PLUMBING
l
Additional' desc .
Permit Fee
33.00 Plan Check
8.25
Issue.Date
Valuation
_Fee
0.
Expiration Date
2/02/.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
Permit . . . . . .
WALL/FENCE PERMIT
A
LQPERMIT
Application Number
Permit . .
Additional desc . .
Permit Fee . . .
Issue Date . . . .
Expiration Date . .
Qty Unit Charge
. . . . 07-00002243
WALL/FENCE PERMIT
15.00 P1
Va
2/02/08
Per
an Check Fee . . .00
luation . . . . 32
Extension
BASE FEE 15.00
------------------------------------------------------------------=---------
Special Notes and Comments
POOL/SPA, 4 L.F. 2' EQUIPMENT WALL,
CITY STANDARD. ALARMS/BARRIERS SHALL BE
IN PLACE AT PRE -PLASTER INSPECTION.
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 290.00 .00 .00 290.00
Plan Check Total 137.15 .00 .00 137.15
Grand Total 427.15 .00 .00 427.15
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APPLICANT. DO,NOT WRITE'BELOW THISUNE
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