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07-1319 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00001319 Property Address: 78365 CLARKE CT APN: 643-170-999-27 -31348 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 15000 Applicant: T4ht 4 4Qu�t& Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT MAY 0 31007 CITY OF LA ------------------------------------------------- / LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B C27 C53 LicenseNo.: 810111 Dater Contractor: ../ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from 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.). (_) 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: LQPERi111T VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/01/07 Owner: PH RANCH LLC 78-365 CLARKE COURT LA QUINTA, CA 92253 (760)771-1755 Contractor: PICASSO POOLS INC 78078 COUNTRY CLUB DR, #206 BERMUDA DUNES, CA 92203 (760)345-4600 Lic. No.: 810111 ------------------ WORKER'S COMPENSATION DECLARATION 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 STATE FUND Policy Number 290-0001790 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 subject to the workers' compensation provisions of Section 3700 of the Labor Coodddee�II shall forthwith comply with those_ provisions. Date:7' Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES 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 and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property foL nspection purposes. Date: � Signature (Applicant or Agent): Application Number . . . . . 07-00001319 Permit . . . BLDG POOL PERMIT ' Additional desc . . Permit Fee . . . . 162.00 Plan Check Fee 105.30 Issue Date . . . . Valuation . . . . 15000 Expiration Date 10/28/07 Qty Unit Charge Per Extension BASE FEE 45.00 13.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 117.00 Permit . . . MECH POOL Additional desc.. Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/28/07 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 10/28/07 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 10/28/07 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 Fee summary Charged --------------------------- Paid Credited ------------------------------ Due LQPERMIT Application Number Permit Fee Total Plan Check Total Grand Total LQPEnIIT 07-00001319 266.00 .00 .00 266.00 131.30 .00 .00 131.30 397.30 .00 .00 397.30 Chy of- b Quint2 U BLUI& ;. &r Safery Division P.O. Box 1 504, 78 : -,°. 5. Calle Tarrrpico . Ips it - , La Qtanca,- CA 92253 - (760) ��-701 RdIdin, Pen;lit ,Applicadon and Tracking, Shams. �ojtxf .�ad['� g -�,�• �.'�-cc�-� tz,trs r��: - IP_ P: �ita� • . �AddresS:. 8-�3 .,S C'� Caa�.i Ciry. ST. Zip: _3 Contreemr: -Ze n C__-�S_ 0'-pno G l cicphohe: Aritn--� �'"l.' l � Projr� Dcscripuoti: � T • Crn•. St. zi f 4 TelcpDo 'llo� 1 State LiL � • � of l J Cin• Lie �: �l./�7 ArCh_: E=_ :b=qn=r Addr= ` _ Const veaon Type OCa Faze : Stat= Lie x: `=`n= v>y;_ - Proje`t t}•pe (cirdc one): Nctc Add'n :fit-r i�-�. Demo - -. 1�ame of Ettts�rT ?error.: Sq. Ft_: I r Stories: + Lits: i 80 Td=inrtc # of Contact Pawn: — 4 toD® ntatcd value orProir�• I Q APPL•1CAX T : DO NOT WP=.r BELOW THM LINE R I Submitsai I Rcq'd 1 Ru'd TR-kCIONG PUU-M FEES i Flan Secs + + Plan Chccl submitted Item 1 :4m,cuwt StractLral Calm I I Review ed. readr for- corrections I Plan Check Dcpasii ITruss Cal= �' CaUed Contact Person. Plan Check Bahnct I -Fide_ C<;`s I Plans picked up I Construction I TTood plaice play I Pians resubmitted I Atecbanical I. -Grading pan '_'' Rmiet•. ready for correction slissuc Electrical Subennt2cwk List l Called Contact Person l Plumbing Guru Des Plans picked up FLO_L AFProval I I -Plans resubmitted I Grading 'N BCaUS_- I ( '"Review. ready for correctiolmtssuc Developer Intpan Fcr Ptauming amprovai '': I Called Contact Peron I.Pub. Wks. Appr I Late or permit mi tle ScbooI .F'cs - I � + I Toca1 Permit Fur I -