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11-0639 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA'QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: X11-000006397Owner: Property Address: . Com --52230 SILVER STAR TR VOGT APN: 767-200-999-62 -312021- 52230 SILVER STAR TRAIL Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: . LOW DENSITY RESIDENTIAL (760) 777-9920 Application valuation: 29000 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/14/11 Contractor: Applicant: Architect or Engineer: CAL PACIFIC ' POOLS tA' P.O. BOX 1804 J�/i�1 PALM SPRINGS, CA 92263 (760)327-8649 CITYOFLA WNP YI rl. Lic. No.: 552140 Fl +pr A ------------------ ------------------------------------------------------------------------------- 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 i ss and Professionals Code, and my License is in full force and effect. Lice)r se Class: B C53 I License No.: 552140 I hereby affirm under penalty of perjury that I am exempt om the Contra or's State License Law for the following reason (Sec. 7031..5, Business and Prof essionsC e: An ' y 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.). ' (_ 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. , 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.1• Lender's Name: {�- Lender's Address: - 1" LQPERMIT - WORKER'S COMPENSATION DECLARATION 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' compensation, as provided �. for by Section 3700 of the Labor Code, for the performance of the work for which this permit is `1 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 ULLICO INS Policy Number UWRP48100006910 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 o Id become subject to the workers' compensation provisions of Section 113700 of the lab Cod I shall forthwith comply with those provisions. te: ` `cant: WARNING: FAILU E TO SECURE WORKERS' COMPENSAT11N COV GE IS UNLAWFUL, ND SHALL, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIIL FI UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. IN ADDITION TO THE COST OF CO SATION, 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 ands to laws relating to building construction, and hereby authorize representatives ofth ounty to upon above-mentioned prop for inspection purposes. ignature (Applicant or Agent): Application Number . . . . . 11-00000639 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 278.00 Plan Check Fee 180.70 Issue Date Valuation 29000 Expiration Date 12/11/11 Qty Unit Charge Per Extension BASE FEE 252.00 4.00. 6.5000 THOU BLDG 25,.001-50,000 26.00 Permit' MECH POOL Additional desc . Permit Fee -26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . 0 Expiration Date 12/11/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >1-OOK 11.00 Permit . . . ELEC_POOL PERMIT -RES Additional desc . Permit Fee .45.00, -Plan Check Fee 11.25 Issue Date . . _ Valuation . . . . 0 Expiration Date .. 12/11/11 ' 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 12/11/11 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 . . . . . 1-1-00000639 Permit . . . . WALL/FENCE PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee .00 " Issue Date Valuation . . . 160 Expiration Date 12/11/11 Qty Unit Charge Per - Extension 4 BASE FEE 15.00 Special Notes and Comments POOL/SPA, 10 L.F. 4' EQUIPMENT WALL, CITY STANDARD, GAS STUB -OUTS FOR FUTURE BBQ & FIREPIT: ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. 2010 CODES. -------------------_--------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary Charged, Paid Credited Due Permit Fee Total 397.00 .00 .00• 397.00 'Plan Total 206.70 .00 .00 206.70 ,Check Other Fee•Tota1. 2.00 .00 .00 2.00 Grand Total 605.70 .00 .00 605.70 LQPERMIT Bin # .• City• of La Quinta Building 8z Safety Division P.O. Box 1504; 78-495 Calle Tampico La Qulnta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # (),Ql, JJ Project Address: ZSOSI L\)La_ Owner's Name:. \J A. P. Number: Address'5�—'?'o SI W�— C3t-pqL Legal Description: Contractor: CA4, Piczi G S City, ST, Zip: L -a QUI {*16, CA C 12223 Telephone' g OMAN >. a `• Address: Li Roy- \i� 0 4 Project Description: City, ST, Zip:d�,r� TelephonelLo �� l , ix .: >;•: <:3 ///�� fw State Lic. # : I City Lic. N. Arch., Engr., Designer. U l� / a `(Z� o . Address: City, ST, Zip: S . Telephone: State Lic. #: " Name of Contact Person , Construction Type: Occupancy: Pro'sfv circle on Ncw Add'n Alter Repair Demo Sq. Ft.: # Stories: # .Units: Telephone # of Contact Person7l top: -2n,2S, tSj 4) +2, Estimated.Value of project: APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cala. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance Title 24 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcoutaetor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Pians resubmitted Grading M HOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees VIE