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08-0548 (SOTB)P.O: BOX 1504 I` 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4hf 4 BUILDING & SAFETY DEPARTA4ENT BUILDIWG-1lIT �i Application Number:08-00000548 Property Address: 57375 PASEO DE LA PAZ APN: 764-010-008-17 -31910 - Application description: STRUCTURES OTHER THAN BUILDINGS Property. Zoning: LOW DENSITY RESIDENTIAL Application valuation: 650 - Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed un r provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr essjo Code, and my License is in full force and effect. License Class: C53 icense No.: 614611 ale: tractor: i. . OWNER -BUILDER DECLARATION _ I hereby affirm under penalty ofperjurythat 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 oftheContractor'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).: (_ 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 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.). 1 _) I am exempt under Sec. I 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: LQPERi11IT Owner: LYNCH 57375 PASEO DE LA PAZ LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/02/08 Contractor: MCINTYRE POOLS & SPAS, C. 83695 AVENUE 45 d INDIO, CA 92201 . (760) 342-3612 Ap Lic. No.: 614611 :'-APR -03ZOOg. . cir►.,.� II ----------- - - - - -- - -- ------ WORKER'S COMPENSATION DECLAR T, 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'compensa , 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 01DKRM12001870 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 beco subject to the workers' compensation laws of California, and agree that; if I should become ect to the workers' compensation provisions of Section 370000 of the Labor Code shall f with comply with those provisions.. Date. ��0.(I pelican WARNING: FAILURE TO SEUR ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO IMINAL 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 Ouinta, 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 abov informatio correct. I agree to comply with all city and court ordinances and state laws relating to building nstructio d hereby authorize representatives of this my to enter upo the above-mentioned property f � inspectio poses. at ignature (Applicant or Agent Application Number . . . . . 08-00000548 1F Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 19.00 Plan Check Fee 12.35 Issue Date . . . . Valuation . . . . 650 Expiration Date 9/29/08 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 2.0000 ---------------------------------------------------------------------------- HND BLDG 501-2,000 4.00 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 18.00 Plan Check Fee 4.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/29/08 Qty. Unit Charge Per Extension BASE FEE 15.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ------------7--------------------------------------------------------------- Special Notes and Comments FIREPIT PER APPROVED PLANS -=-------------------------------------------------------------------------- Other Fees . . . . . . . . . STRONG MOTION (SMI) - RES .50 Fee summary Charged Paid ---------- Credited -------------------- Due --------------------------- Permit Fee Total 37.00 .00 .00 37.00 Plan Check Total 16.85 .00 .00 16.85 Other Fee Total .50 .00 .00 .50 Grand Total 54.35 .00 .00 54.35 LQPERA11T p0'JlE�'S1�NN, .I. 'A. ,' - r r f` ^'•:� � 1. 4 .. .1.x.4 -_ - �� ,,,A_._. YN,CH:SI NCS ��g 5=75 A LAPA-Z CtF LA I1Y;l,I,(�• . . LA OUINAi CA BUILDING &SAFETYIDEPT.; APPROVED FOR-CONSTR. CTION . -4r DAT�3 3/ BY S7' r I .I. 'A. Bin # City of LaQ uinta . BuildingU Safety' Division P.O. Box 1504, 78-495 Calle Tampico La Quilita, CA 92253 - (740) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: _ 575- A. P. Number: /CtOwner's Name: L � e Address:.5 — a 75 9 o5co e, Ac Legal Description: City, ST, Zip: L Contractor: Telephone: Project Description:. Address: 83-695- City, ST, Zip:. `O cot . Z Z6 Telephone: 34? 36t? , State Lie. # : City Lic. Arch., Engr., Designer: Address: City, ST, Zip: Telephone: _ s ..Construction Type: Otcu an P cy: State Lit. #: C S 3' 6 4 6 I Project type (circle one): New Add'n 'Alter Repair Demo Name of Contact Person: )err Sq. Ft.: #Stories: Units:. Telephone # of Contact Person: (766) 050. 8(g ZQ .# Estimated Value:of Project: rp 5 0 APPLICANT: DO NOT WRITE BELOW THIS LINE . # Submittal Req'd. • Reed TRACKING PEtiMTT FEES Plan Sets Plan Check submitted Item Amount Structural Cglcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Flood plain plan, Plans picked up Plans resubmitted Construction Mechanical B Grading_plan 2°" Review, ready for corrections�ssue Electrical NA. Subcontactor.List Called'ContactPerson Plumbing WIA GrantDeedPlans. picked up H.O.A. Approval Plans resubmitted Grading . IN HOUSE:- 3' Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees