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09-0092 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4bt 4 4a Q" Application Number: 09-00000092 Property Address: 61780 SAPPHIRE LN APN: 764-280-999-66-300236- Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 4000 Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of 7,Busi ass and Professionals Code, and my License is in full force and effect. License Class: C53 License No.: 841585 ate: I tractor. OW QERILER DECLARATION I hereby affirm under penalty of perjury that I am exfrom the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he 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 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: Lender's Address: 0 jr VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/09/09 Owner: HOMER 61780 SAPPHIRE LANE LA QUINTA, CA 92253 Contractor: AZUL POOLS 48934 BUENA VISTA DR MORONGO VALLEY, CA 9 (760)363-6340 Lic. No.: 841585 ------------------ 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 DELOS INS CO Policy Number OIDKRM22004701 _ 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 sh d ecome iect to the workers' compensation provisions of Section 3700 of t/he Labor�hallith coy(pl with those provisions. pplicant: WARNING: FAILURE TO SECURE WORKERS'COMPENS I CO E AGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND I IL FIN UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, 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 above information is correct. I agree to comply with all city and county ordinances an state laws relating tot2r and eby authorize representatives of this county to enter upohe above -mentioned grand es. /11�ate: ©4 gnature (Applicant or Agent): LQPERMIT Application Number . . . . 09-00000092 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee 40.95 Issue Date . . . . Valuation . . . 4000 Expiration Date. 9/08/09 Qty Unit Charge Per Extension BASE FEE 45.00 2.00 9.0000 THOU BLDG 2,001-25,000 18.00 ---------------------------------------------------------------------------- Permit . . . ELEC-MISCELLANEOUS Additional desc . . Permit Fee . . . . 17.25 Plan Check Fee 4.31 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/08/09 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 2.25 ---------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 27.00 Plan Check Fee 4.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/08/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 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 MASONRY BBQ INCLUDING 72 L.F. GAS LINE, AND SINK ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 4.10 Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 107.25 .00 .00 107.25 Plan Check Total 49.76 .00 .00 49.76 Other Fee Total 5.10 .00 .00 5.10 Grand Total 162.11 .00 .00 162.11 LQPERMIT Feb 06 09 12:04p AZUL POOLS 7603637847 p.1 Bin # riC City Of La Quinta Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quanta, CA 92253 • (760) 777-7012 Building Permit Application and Tracking Sheer Permit # 1 Project Address: 1 b' . Owner'sName. L�4 r' A. P. Number: Legal Description: Contractor: ZIP L L%GI L,j Address: n `� 7 L ^ ^ 4;.'-C J. City, ST, Zip: Telephone: »": <4gv0''z�z Address: Li 09 j t. r� 41611)r1 V ; � lC City, ST, Zip: �.i; A%L L• /"yL4l2 Lf% Telephone:C7 Project Description: i? �� ! S �7tir S ,� s State Lic. # : ^ p SLI ,� U City Lic #; Arch., Engr„Resigner. � f S i .7 - ,. . Address: City, ST, Zip: S; iJA�I� CA) c j laci2 s;Jc' L� n p�j Telephoner as State Lia #: ” Name of Contact Person: fi !� • L ConstructionType: r5lo Occu ancy: Ptnject type (circle one): New Add'a Alter Repair Demo Sq. FC: if Stones: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # .. Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit Truax Calcs. Called Contact Person Plan Check Balance Tide 74 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°' Review, ready far eorrections/isme Electrical Subcontactor 1A at Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. A.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for eorrectionalissae Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Feeg Total Permit Fees Feb 06 09 12:05p AZUL POOLS 7603637847 p.3 e -u U'J-UL-Uz) IO;.JO ucjl%3 V VV 1 I -L. 7 VVJG/ JIYJ // / UVJUJ/ VY/ f L/L .,CoS C.- CITY OF LA QUINTA , BUILDING & SAFETY DEPT. APPROVE® FOR CONSTRUCTION DATE —�LJ' 0 q 3Y—eRIA S CIi C. Feb 06 09 12:04p AZUL POOLS 7603637847 GVUJ-UL-UJ IV•JU VL' -.V Vv I LL 1 1I UVJLI JIYJ �� I VVJUJI VYI :O T U q 1, n ' (_ z 1 � . I / •� k BE NCS Ny� r'kF N :}I . � \ r j �� — t� ' i \�` '��11• �•, w1�;.j��' ,•.j11.�i1i•j\;yu �', : =4.A' l CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE gy 'a 6j% fLO,4 61 z P l �.l 1111 1.1 {/1 z 1 � . I / •� k BE NCS Ny� r'kF N :}I . � \ r j �� — t� ' i \�` '��11• �•, w1�;.j��' ,•.j11.�i1i•j\;yu �', : =4.A' l CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE gy 'a 6j% fLO,4 l �.l 1111 1.1 {/1 H o z � ' o 0 •.i Y. n rr._ 1» Z 14 z 1 � . I / •� k BE NCS Ny� r'kF N :}I . � \ r j �� — t� ' i \�` '��11• �•, w1�;.j��' ,•.j11.�i1i•j\;yu �', : =4.A' l CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE gy 'a 6j% fLO,4