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07-2155 (RPL)I . P.O. BOX 1504 VOICE (760) 777-7012 : 78-495-CALLE.TAMPICO:' ", FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760)77777153 BUILDING PERMIT Date: 7/23/07 Application Number: -07-0000215"5' .Owner: Property Address: 50495 ORCHARD LN CRAMER APN: 772-050-012- - -50495 ORCHARD LANE Application description: POOL RESIDENTIAL LA" QUINTA, CA 92253 Property Zoning: LOW 'DENSITY RESIDENTIAL Application valuation: -30000 Contractor: JUL 2 5� l�r Applicant: Architect or Engineer: TESERRA�� P.O. BOX 1280 CITY '� f g __J COACHELLA,.CA 92236 FAN \ ' (760)398-9222 N Lic., No.: 656128 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I a 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 Busin sand rofessionals Code, and my License is in full force and effect. - _ I have and willrnaintain a certificate of consent to self -insure for workers' compensation, asprovided License Clas : C8 C27 C29 License No.: 656128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is it�9 - issued. e: V'Y'C -,actor. 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 SEABRIGHT Policy Number BB1070510 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 ecome 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 shout bec a subject to the workers' compensation provisions of Section " License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the borCo 's ith 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 (5500).: •D ��! plicam: - • ( ) 1, 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 Cade: The WARNING: FAILURE TO SECURE W RK ERS' 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 through his or her own employees, provided that the DOLLARS (5100,000). 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.). - - 'APPLICANT ACKNOWLEDGEMENT (_) I, 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 permit subject to the , 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of, conditions and restrictions set forth on this application. - - -property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed" 1 . Each person upon whose behalf this application is made, each person at whose request and for " pursuant to the Contractors; State License.Law.). ' whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am 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 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. - Date: Owner. 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 • CONSTRUCTION LENDING AGENCY - permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state thatthe above information is correct. .1 agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances an state laws relating to build' co, truction, and hereby authorize representatives - - of this co ty to ent upo he above-mentioned prop. f r ins_ ction purposes. Lender's Name: — _ , Da 7�ture (Applicant or Agent): - Lender's Address: +� LQPERM[T - - Application Number 07-00002155 Permit . . . BLDG••POOL PERMIT Additional desc _ Permit Fee 284.50. Plan Check Fee 184.93 Issue Date Valuation . . . . ,3.0000 Expiration Date—,1/19/08 Qty Unit Charge 'Per Extension BASE FEE 252.00 5.00 6.5000 THOU BLDG 25,001-50;000 32.50 Permit MECH POOL Additional desc Permit Fee . . . 26.00 Plan Check Fee 6.50 Issue Date . . . Valuation . . . . 0 Expiration Date 1/19/08 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 1/19/08 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 1/1.9/08 - 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" Special Notes and. Comments POOL/SPA, WATER FEATURE. LQPERMIT - Application Number . . . . ." 07-00002155 Special Notes and Comments -- ALARMS/BARRIERS SHALL'BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due Permit Fee Total 388.50 .00 .00 388.50 Plan Check Total 210.93 .00 .00 210.93 Giand TuLal Syy.43 UU UU 599.43 n LQPERMIT . , Bin # Permit # \1P Project Address:' s� A. P_ Number: Contractor: Address: �- O �(J� City, ST, Zip: M Telephone: 31N-�ZZZ State Lic. # : QS Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: 6 Telephone # of Contact Person: # Submittal Re r Plan Sets Structural Calcs. Truss Calcs. Energy Cates. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees 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 Owner's Name: r Address: City, ST, Zip: �� (p Project Description: _ C14- C�ZZ-3 6 Lic. #: . y ' 3 Construction Type: Occupancy: Project type (circle one): ew Add'• Alter Repair Demo Sq. FL: #Stories: # Units: Estimated Value of Project: Q APPLICANT: DO NOT WRITE BELOW THIS LINE Rec'd TRACKING PERMIT FEES Plan Check submitted Reviewed, ready for corrections Item Amount Plan Check Deposit Called Contact Person Plan Check balance Plans picked up Construction Plans resubmitted Mechanical Zoe Review, ready for corrections/issue Electrical Called Contact Person Plumbing Plans picked up S.M.I. Plans resubmitted Grading Developer Impact Fee A I P P "d Review, ready for corrections/issue Called Contact Person Date of permit issue Total Permit Fees •