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07-2771 (SOTB)M P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00002771 Property Address: 78048 SAN TIMOTEO ST APN: 646-160-028- - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 10000 Applicant: Architect or Engineer: A4 ----------------- LICENSED CONTRACTOR'S DECLARAI ION 4 BUILDING & SAFETY DEPARTMENT' BUILDING PERMIT I hereby affirm under penalty of perjury that I am licensed uWer provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bu ' ss a Profe 'o o e, a my License is in full force and effect. License Class:,193 6383 Date: /D #7Contrac r: ' / r // O7icensed ILD1tR70ECLARATION I hereby affirm under penalty perjury h I antom a Contractor's State License Law for the following reason (Sec. 7031 .5�s and Profode: Any city or county that requires a permit to construct, alter, improve, demolish, or repair ariyprior to its issuance, also requires the applicant for the permit to file a signed statement that he or she isursuant 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 fora 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 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: HOSP 'MOE 78-048 SAN TIMOTEO LA QUINTA, CA 92253 Contractor: STEWART POOLS & SPAS P.O. BOX 961 PALM DESERT, CA 922611 (760)217-7777 Lic. No.: 856383 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 O ,O D 11 O 10 O Date: 10/16/07 ----------------- - - - - -- ---- L—� WORKER'S COM 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. 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 EXEMPT Policy Number EXEMPT 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 as to.become subject to the workers' compensation laws of California, and agree that, if I should become suOCPEhNa, worke ' compensation provisions of Section 3 00/fof the ort t Iit those provisions. Date: n V ' ApplicWARNI G: ILURE TO SE NVERAGEIS UNLAWFUL, AND SHALL SUBJE T AN EMPLOYER TrrI S AND CI INES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). -IN ADDITION TO TH ��� ST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTER T, 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 ation of work for 180 days will subject permit to cancellation. I certify that I hav read this application and s to that the ab v ' rm rrect. I agree to comply with all city and cou y o inances and state law. Blatin o buil , a hereb authorize representatives of this coun Ito upon the above- enti ed pe in io Date: l Signature (Appli ant or g7 0. - Application Number . . . . . 07-0000,2771 Permit . . BUILDING PERMIT Additional desc Permit Fee 117.00 Plan Check Fee 76.05 Issue Date Valuation. 10000 Expiration Date 4/13/08 Qty Unit Charge Per. Extension BASE FEE 45.00". 8.00" 9.'0000 THOU BLDG 2,.001-25,000 72.00 Permit ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 18.00 Plan Check Fee 4.50 Issue Date . . . . Valuation 0 Expiration Date 4/13/08 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 7500 PER ELEC DEVICE/FIXTURE 1ST 20 3.00 - -Permit -PLUMBING INV FEE Additional desc Permit Fee . ... 36.00 Plan Check Fee 4.50 Issue.Date Valuation 0 Expiration Date .4/13/08 Qty Unit Charge Per Extension BASE FEE 30.00 1.00 6.0000 EA PLB GAS PIPE 1-4 OUTLETS 6.00 ----------------------------------------------------------------------------- Special Notes and Comments BBQ OUTDOOR KITCHEN4 FIXTURES PLUMBING / GAS 1-4 OUTLETS PER APPROVED PLANSNVESTIGATION FEE ASSESSED •PER 1997 UNIFORM ADMINISTRATIVE CODE §304.5 FOR WORK BEGUN WITHOUT BUILDING PERMIT. ---------------------------------------------------------------------------- Other Fees . . . . . . . . ENERGY REVIEW FEE 7.61 Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total ------------------------------ 171.00 .00 .00 171.00 Plan Check Total 85.05 .00 .00 85.05 Other Fee Total '7.61 .00 .00 7.61 Grand Total 263.66 .00 .00 263.66. LQPERMIT Bin # City' of La Quinta Building u Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # v Project Address: —0 S ner's Name: M p c 00tP A. P. Number: Address: ? 8 404/e /iflOT�d Legal Description: Contractor: /�,¢,S , City, ST, Zip: /f #V 1-4 COO- Telephone: Address: ,0 )34X Q,41 Project Description: City, ST, Zip: �Ila-iwl !7 C�7~� �� ©vTixs,IQ Telephone: A / — State Lic. # :95-6393 City Lic. #: Arch., Engr., Designer: %~6 1p;/W f3✓ rT wL ss lf,, ,N Address: .�. City, ST, Zip: Telephone: '' Construction Type: Occupancy: State Lic. #: 3.3 yy Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: V?—&jW Q,*2%- Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: / % —7777 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING _ PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up tans r����yy d Construction B Flood plain p1l. Mechanical Grading plan 2"" Reviee; tad for corrections/issue Electrical F Subcontacto List 5 ' 1'1 SNC1 ontact erson Plumbing S OT 8tS Grant Deed 1d IC3C '��la�picked u S.M.I. t3� H.O.A. Ap rovdlLP j in `V I iPlat�shu�m' ted Grading IN HOUSE:- '" evi r dy 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' J OCT 15 2007 76 o - o2l 7--777; r 1'7RAi� ILg�fALt. sr ��,NooKao . _ Isseflie L. ted CITY OF LA QUINTA BUILDING & SAFErY DEPT APPROVED FOR CONSTRUCTION r .. Lt ' -tT � �2 ✓-� Cr�r � .. _ :_ .... .. ' DATE 0 �J O BY 7 1 0 C= 2 i -' �r 1 , no a� e i -' CITY OF LA -_ - ' - -BI- CONlCTOLIST' _ . JOB ADDRESS PERMIT NUMBER On— ?--1_1 I OWNER BUILDER This form shall be posted on the job with the Building Inspection Card'at all times in a conspicuo I us place. Only persons appearing ~'' this ^list - their— ---'-- are authorized on this job. Any changes tothis xot'rnuofbeapproved. bvthe. Building Division prior t000rn .anoe~entofwork. Failure tocomply will result inostoppage mfwork and/or the voidance. of building permit. For each applicable trade, 611 information requested below niust be completed by-app!icant. "On File" is not an acceptable respon.se-. on .. ........ Company Name Classification License Number Exp. Dati Carrier Name -Policy Number Exp. Date License Number Exp. D (xxxxxx) (xx/xx/xx) Je.g. State Fund, CalComp) (Format Varies)' (xx/xx/xx) X. Rx NDSCAPI 1, 7.