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09-0348 (RPL)P.O. BOX- 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: ,- —0-9=000. 8—� Property Address: 54820 SECRETARIAT DR APN: 767-320-999-242 -32879 Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 35000 Applicant: T4ht 4 4 Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SILVESTRI 54820 SECRETARIAT LA QUINTA, CA 92253 Contractor: TESERRA VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/17/09 D) -A -_ �R 2 0 z9 I j P.O. BOX 1280 sl /j /COACHELLA, CA 92236 G1TYv^F�/� t 1" ! ! ' Lic . No.: 656128 �Q � --------.---------------------.-------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury tha lVd,11der provisions o apte7'9 (cam om encing with I hereby affirm under penalty of perjury one of the following declarations: Section 70001 of Division 3 of the Bu ss and ProfeC��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 Licen Class: 27, 2 r0 No.: 656128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ontractor:, 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 R -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury tha a pt from the Contractor's State License Law for the Carrier SEABRIGHT Policy Number BB1080510 following reason (Sec. 7031 .5, Business and ssions 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 t e sub ct 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 be, a sub o the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or _ �3j90,Ag6he Labor Code, I shall o h c ply 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 155001.: (_ 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.). (_) 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: A Lender's Address: ! � LQPERMIT ,Pa f� / /. Ap nt: WARNING: FAILURE TO SECURE WORKE '/ IPE COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL S UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. IN ADDITION TO THE COST OF COMPENSA N, DAMAGES AS PROVIDED FOR IN 'SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S F S. 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 issuanc ch Qrmit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and stat e.above information is correct. I agree to comply with all city and ounty ordinances and state laws relatin bw tion, and hereby authorize representatives of this u y , to pon the above-mentione pro rty for inspection pu ate: nature (Applicant Wt N, , LQPERMIT Application Number . . 09-00000348 Permit . . .• BLDG POOL PERMIT Additional desc , Permit Fee . . . . 317.00_ _ Plan -Check Fee 206.05 -. Issue Date . . .'. Valuation . . . . 34675 Expiration Date 10/14/09 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 10/14/09 Qty Unit Chargee 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 10/14/09 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 10/14/09 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 4 Application Number . . . 09-00000348 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date Valuation 325 Expiration Date 10/14/09 Qty Unit Charge Per Extension BASE FEE 15.00 ----------------------------------------------------------------------------- Special Notes and Comments POOL/SPA, BBQ (ANSI Z223.1), FIREPIT (INCLUDES 150 L.F. OF 1/1/2" GAS RUN & 15 L.F. 5- EQUIPMENT ENCLOSURE. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. Other Fees . . . .— . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 436.00 .00 .00 436.00 Plan Check Total 232.05 .00 .00 .232.05 Other Fee Total 2.00 .00 .00 2.00 Grand Total 670.05 .00 .00 670.05 LQPERMIT '.1.0 Gais.R6quireriieinitt: 11' Gas type; Natural Gas 'Gas -Pressure: Nominal: 7" we Maximum: 14" we N-6fe: Ifipressure is greater that 14" Wd, a gas regulator Will, be required for.this system. Gas flow tem:' 60-80 cfh ow: 1 Burner Sys Note: Check with your gas supplier ' :to verify gas. flows and pressures available at the location bf.ydUr;install*atioh.,- I.n mahy.cases uti.lity.companies will install larger meters at no charge to - accodim 6date Iatger flows.. -:2.,0, Installation. -. Warning: This unit- is for outdoor use only 2.1 Do not install near any combustibles such as wood structures, fuels, clothing, fabrics dry or vegetation. 2.2 Never: use any fuel other than natural. gas. 2.4. Installation shall be performed by a licensed contractor. All aspects of installation. must conform. to -local codes, or in the absence of codes, with National Fuel Gas Code ANZI. Z223.1...;. An, approved 'gas valve shall be installed upstreahl of the unit and located in an accessible area that is within 5ft from the Grand Effects Unit. 2 8 Maintain good piping practice by keeping pipe length and elbows to a minimum to eliminate "unnecessary pressure drops. (Do not. use any flexible gas line) 2`.9Install the -Grand Effects ..Unit as shown in Fig. T. 3 4PPReNED '.AS ,MIJT—orF VALVE (LOCATED 5 FT OR IMOSEP. TO 111117) ,r1:'I V ��,. ^• •+ • I f , j + A•.a - , i j'\ ( "' - ^"' _r. _• ` C, ., •- \� M ♦ 1' 1' ,y i' 'I I EIPEErb-1L i tW-.I t,-- IV e iJT•5. (RIr�I it All kli �TI'(L-1 YA`I-- `' ,^ r (� /, y [ �f.,GI/l(.ty�.P I :✓•T�yi i Bin # City of. La Quinn. Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #� ok Project Address:. `i� Owner's Name: A. P. Number: Address:dlatk- ( S �C Legal Description: City, ST, Zip: Contractor: er raTelephone: Address: b-- S`"/ Project Description: Put S Cwgb -1 City, ST, Zip:�-2 Telephone: �'42�Z `� State Lic. # : City Lic. #: Z!/ 0 9 ./V Arch., Engr., Designer: - C d (E a 1,1 lis ' Address: / *� A17 -� ,Z27 City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: (eJeCJC5-n Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: ��� # Stories: # Units: Telephone # of Contact Person: ( Estimated Value of Project: S K APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted 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 HOUSE:- ''" 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 35000 314 6,75