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07-2944 (RPL)P.O. BOX 1504', 7,- 7 8-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253. '�&4440*& BUILDING & SAFETY .DEPARTMENT BUILDING PERMIT �. -- Application Number: 07-00002_944 Property -Address: ----80385 . TORREON WY APN: 777-330-055- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW-DENSITY RESIDENTIAL Application valuation: 30000 Applicant: Architect or Engineer: 1V k Owner: MARGUILES RESIDENCE 80-385 TORREON WY LA QUINTA, CA 92253 Contractor: AMERICAN LANSCAPE/POO: 85265 DAMASCUS AVENUE COACHELLA, CA 92236 (760)880-1173 Lic. No.: 859417 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/14/07 ------------------------------------------------ LICENSED CONTRACTOR'S DECLARATION -- ------------------------------- - -- --- -- --- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I. am 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 Business and Professionals 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, as provided License lass: C27-053 - ' nse No.: 859417 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is _ rDate: Contractor:' issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor — i Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER TION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from a Co tractor's State License Law for the Carrier STATE FUND Policy Number 1890134-07 following reason (Sec. 7031 .5, Business and Professions Code: 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 become 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 Labor I sh forth ply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by _ JI any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: ,NMf Applicant: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and _ .0 i . -' the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION C AGE, 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.). (_) 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 contractors) licensed pursuant to the Contractors' State License Law.). 1 _) 1 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: LQPERMIT 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. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this count to enter upon the above-mentioned pro or inspecti p es. Date: 1� - Signature (Applicant or Agent): Application Number . . 07-00002944 .Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 284.50 Plan Check -Fee 184.93 Issue,Date . Valuation .. 30000 Expiration Date 5/12/08' 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 5/12/08 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 5/12/08 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 5/12/08 -, Qty " Unit Charge Per Extension BASE FEE. 15.00 2.00 6.0000 EA PLB FIXTURE 12.00. . 1.00 3.0.000 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, ALARMS/BARRIERS SHALL BE IN LQPERMIT LAYOUT PLAN ' QUARTZ 910 �� SPILLWAY SPA &0 18'6 22'6---- 15'6 11 , 300 :. 8'0� i�� 27'0 266 i k 390 E EXISTING CONCRETE MARGUILES RESIDENCE 80-385 TORREON WAY LA QUINTA, CA. 92253 MOUNTAIN VIEW C.C. CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOP YONSTRUCTIO ,N DA �' of gy V 26'0 El ❑ STEP STONES El it i EQU4:1 13'6 Y Bin # City of La Quinta Building u Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico /I 101A � � La Quinta, 'CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address:' , , -� 2i2-��b►J Owner's Name: (W� Ct U, I L A. P. Number: Address: Legal Description: City, ST, Zip: t_0- _ Contractor:A-MEV-4 &A-0 L P Telephone: (e ga, '7 Address: !K6- Z(oQb— DA-dl.f),5,,!,5 / City, ST, Zip: LA elk 01,72-2-3&Telephone: �(¢D ...7 3 11 State Lic. # : 859 `7 City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone # of Contact Person: # Submittal Plan Sets Structural Cales. Truss Cala. Energy Cala. Flood plain plan Grading. plan' Subcontactor List . Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees Project DesgipHon: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: . # Stories: #[nits: b I l 7 ?J lEstimated value of Project: So, fCIO APPUCANT: DO NOT WRITE BELOW THIS UNE Recd TRACIQNG Plan Check submitted Reviewed, ready for corrections Called Contact Person Plans picked up Plans resubmitted 2" Review, ready for eorrections/imue Called Contact Person ------------------ Plans picked up Plans resubmitted " Review, ready for.correetions/issue Called Contact Person Date of permit issue PERMIT FEES Item Plan Check Deposit Plan Check Balance Construction Mechanical Electrical Plumbing S.M.I. Grading Developer Impact Fee A.LP.P. Total Permit Fees Amount . CITY OF LA `QUINTA SUB -CONTRACTOR LIST JOB ADDRESS PERMIT NUMBER ` OWNER ' BUILDER This form shall be posted on the job with the Building Inspection Card at all times.in a conspicuous place. Only persons appearing on this list .or their. employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit.. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. u Classihcation Contra Classification (e.g. A. B, C-8) e License Number (zxxxxx) Exp. Date .(xx/xx/xx) eomersation:Insurance': C"StateontractoLc.sco Carrier Name (e.g. State Fund, CalComp) .::is Get . t3usme� Policy Number Exp. Date License Number Exp. Date (Format Varies) (xx/xx/xx) (xxxx) (xx/xx/xx) Company Name .. EARTHWORK (6712 i3T u-tJL J '�03 3O 1 CONCRETE (C-8)':;-' FRAMING :1C-5) • ' .� ` :. $TRUC7. PEEL (C- 51) MASONRY (C-29) �f T �D p15 Tj2 t � D PS l P3�(< C wr-�Y.1� I}-! �°. PS n�'�P�1 e �- 1� �A— P �i Z> C� j C_ S7J �J ( 5 'S?S .7 C�� O �, '57en Fu•�d� 5't- 't= 22 �� 3 b 2Z--OC�.3 3 :36 3 22 1—o 03 3 7 3 a Z o n c� .2 �1 3a 0-6 q PLUMBING (C-36) LATH; PLASTER (C-35)911- o G "=V t e. CEJ S 76-S`{-7 `' d g DRYWALL (C-9) <..: HVAC. ie -2o►..:::::<::.:.:: ELECTRICAL. (CA 0) RQOFING(C=391?` SHEET METAL FLOORING (0:15); '_ ... . GLAZING (C -17):x.: INSULATION(C-2).. SEWAGE DIM: (6-42) . PAINTING (C=33) CERAMIC TILE (C-54) CABINETS (C-6) FENCING (C-13) LANDSCAPING (C=27.►. OL (C-53) �t �,N1'il: PO 'T - C� wtiiL 3 Fs 7r- j o 5 t'a i= -^/ 22q - 0 0 3 3 73