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08-0545 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA.QUINTA, CALIFORNIA 92253 Application Number:. 0.8-000.0.054.5 Property Address: 57375 �PASEO DE LA PAZ APN: 764-010-008-17 -31910 Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 25000 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: LYNCH 57375 PASEO LA QUINTA, DE LA CA 922 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/02/08 ---'----------- ---------------------------------'--------------------------------------------------- ` . LICENSED CONTRACTOR'S DECLARATION Contractor: Applicant: Architect or Engineer: MCINTYRE POOLS & Section 7000) of Division 3 of the Business d Profe pals Code, and my License is in full force and effect. 83695 AVENUE 45 License Class: C53 License No.: 614611 INDIO, CA. 92201 (760)342-3612 ate: ontracior: LiC: NO..:: 614611 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/02/08 ---'----------- ---------------------------------'--------------------------------------------------- ` . LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION -DECLARATION. I hereby affirm under penalty -of perjury that I am licens-d 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 Business d Profe pals Code, and my License is in full force and effect. I have and will maintain a certificate'of consent to self -insure for workers' compensation, asprovided License Class: C53 License No.: 614611 _ for by Section 3700 of the Labor Code, for�the performance of the work for which this permit is issued, ate: ontracior: r1Cr I have and will maintain workers' compensation insurance, asrequired. by. Section 3700 of the Labor VV, 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 l am'exempt from the Contractor's State License Law for the - Carrier DELOS INS CO Policy Number 01DKRM12001870 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 become "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 should b ome ject 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 Labor'Code, all to with 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 i� any applicant fora permit subjects the applicant to a civil penalty of. not more than five hundred dollars ($500).: ate: � +'� (� licant: AM ( 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 - - WARNING: FAILURE TO SECUR V ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL . Contractors' State License Law does not apply to,an'owrter of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINALPENALTIES 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 ($1.00,000)... 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 a ents and employees for any act or omission related to the work being 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: LQPERAIIT • 9 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/finspecti informati is correct. I agree to comply with all city and count rdinances and state laws relating to bstructi and hereby authorize representatives of this co to an upon above-mentioned proppurposes. te: ignature (Applicant or Agent)' Application Number . . . . . 08-00000545 Permit . . . . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 252.00 Plan Check Fee 163.80 Issue Date . . . . Valuation . . . . 24760 Expiration Date . . 9/29/08 Qty Unit Charge Per Extension BASE FEE 45.00 23.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 207.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee'. 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/29/08 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 9/29/Q8 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 9/29/08 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 Permit . . . . . . WALL/FENCE PERMIT LQPERMIT Application Number . . . 08-00000545 Permit WALL/FENCE PERMIT Additional desc _ Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 240 Expiration Date 9/29/08 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments POOL/SPA,,,15.L.F. 4' EQUIPMENT WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT.PRE-PLASTER INSPECTION. Fee summary Charged Paid Credited Due Permit Fee Total 371.00 .00 .00 371.00 Plan Check Total- 189.80 .00 .00. 189.80 Grand Total .560.80 .00 00 560.80 . LQPER4IIT p , c as 760 Bin # City0f La Quinti. Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico. La Quints; CA 92253 - (740) 777-70.12 Building Permit Appiication.,and Tracking Sheet Permit # Project Address:' 5 7, % &2 7 Owner's Name: G 7/e.12 C e. A. P. Number: Address: — 375 -Q S eo Legal Description: City, ST, Zip:' ZeQ. n Contractor: jqC TI/ Telephone: - Address: 83- 6 q S- All 4S Project Description:. 0 n s ack City, sT, Zip: ao O. QUO Telephone: 3 47__ 36 1 5 t X 4 State Lie. # : City Lic. Arch., Engr., Designer: Address: City, ST, Zip: Telephone: : Construction Type: Occu an P cY: State Lit. #453­61416ff. Project type (circle one): New Add'n 'Alter Repair Demo Name of Contact Person: -5e! it Sq. Ft.: J# Stories: #Units: Telephone # of Contact -Person: 760' 2 5 0 - Estimated Value of Project: 257,600 APPLICANT: DO NOT WRITE BELOW THIS LINE. # Submittal Req,'d Recd TRACMG . PERMIT FEES • Plan -Sets Plan Check submitted Z� `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 GranfDeed Plans. picked up S.M.I. H.O.A. Approval Plans resubmitted Grading. IN HOUSE:- '`" Review, ready for correctionsrssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of per mit.issue School Fees Total Permit Fees as 760