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11-0964 (RPL)!iZ P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/06/11 Application Number: I1-60060`964 Owner: Property Address: 52945 CLARET COVE RICHARD DAVIS APN: 770-3307002- - - 52945 CLARET COVE Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 32000 Contractor: D Applicant: Architect or Engineer: LINDLY' S POOLS OF CALI • IA 30755 DESERT PALM DRI �,r O c ��J THOUSAND PALMS, CA 922 O j C (760)343-0600 Lic. No.: 833313 CIiYpFLAQUINTA I'Ia��'�f['.•E ncnr ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: C53 LicenseNo.: 833313 ate: 0 — G— i I ontractor. • l�,J' 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 Cade) 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).: 1 _ 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 1, 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 _ 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.I. Lender's Name: Lender's Address: LQPERA1IT WORKER'S COMPENSATION DECLARATION 1 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 0009172010-02 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 becomelsubject to the workers' compensation provisions of Section 3700 of the abor C e, I shall fo hwith comply with those provisions. ate: �6 �C. (I pplicant: WARNING: FAIL RE TO SECUR ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TOC INAL 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 constructioUn�deby authorize representatives of thisc ty to enter upo eabove-mentioned property for inspection D e: /b'b- 1 ignature (Applicant or Agent): oo Application Number . . . . . 11-00000964 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 297.50 Plan Check Fee 193.38 Issue Date . . . . Valuation . . . . 32000 Expiration Date . . 3/04/12 Qty Unit Charge Per Extension BASE FEE 252.00 7.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 45.50 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/04/12 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 . . 3/04/12 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 . . . . 27.00 Plan Check Fee 6.75 Issue Date . . . . Valuation . . . 0 Expiration Date 3/04/12 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 POOL. (SPA EXISTING) ALARMS/BARRIERS LQPERMIT 'i Application Number . . . . . 11-00000964 ----------------------------------7-------------------7--------------------- Special Notes and Comments SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED: 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 " Fee summary ----------------- Charged Paid ---------- Credited Due Permit Fee Total ---------- 395.50 .00 -------------------- .00 395.50 Plan Check Total 217.88 .00 .00 217.88 Other Fee Total _ 2.00 .00 .00 2.00 Grand Total 615.38 .00 •.00 615.38 LQPERA1IT Bin City of La Quinta Building at Safety Division - P.O.. Box 1504, 78-495 Cabe Tampico La Qufita, CA 92253 - (760) 777-7012 Building Permit Application and Tracidng Sheet Permit.# (� Project Address: 5 2 v' u5 ('i 1 G� {e C aY� Owner's Name: `C 1r► q /d O ACJ 15 A. P. Number. Address: S 2-q.W S Ci` G(e•k . C v 1115 Legal Description: Contractor. LI/1�1 vOl CG1. Address: 3o 15 S -GeSB (-tM Dr, CitY, ST, Zip: LG Telephone Project Description: City, ST, Zip: Ct) -YtA QZN, ,AS N PlN `��) G�/` G7 . .�, Mt Ort 4., Telephone: 160M M-11 State Lic. # : 33 3 City Lic. #; tW i Oct Arch., F.ngr., Designer Address: City., ST, Zip: Telephone: ::- "� ` -.'� , ,-; Construction Type: Occupancy: State Lic. #:.:; Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: q05 Fi . G]vy, J'Z Sq. Ft: #Stories: # Units: Telephone # of Contact Pinson: Estimated Value of Project: 3c.2, OQ D. APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Reed TRA(30NG PERMIT FEES Plan Sets Plan Cheek submitted V& Item Amount Structural Calcs Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain pian Plans resubmitted Mechanical Grading plan 21' Review, ready for correctiouvlssue Electrical Subcontactor Idst Called Contact Person Plumbing Grant Deed Plans picked up SALL H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''" Review, ready for correetionslissue Developer Impact Fee Planning Approval Called Con4et Person A.LP.P. Pub. Wks. Appr . Date of permit issue School Fees Total Permit Fees I 42, Tilt 03 . Z34 Sl OZE ur