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07-1032 (RPL)it a P.O. BOX 1504 j VOICE (760) 777-7012- 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA,. CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 V. BUILDING PERMIT _ _ Date: 4/03/07 ' Applicatjon_Nu_mbec 07700001032 - t� Owner: t ` Property Address: 61722 TOPAZ DR GUTHMIL_LER RESIDENCE APN: 764-28.0-999-136 -300237 61-722 TOPAZ DR. Application description: POOL'- RESIDENTIAL •LA_QUINTA, CA, 92253 Property. Zoning: •MEDIUM HIGH DENSITY RES Application valuation: 22000 D e ` - Contractor: ggpp s Applicant: Architect or Engineer: TESERRA APR 0 4 �69��y t P:O. BOX 1280 t ! COA0)398-, 22 922 6 ylgpraAA (760)398-9222 Lic. No.:.656128ll ----- - - - - - - 'ti LICENSED ONTRACTOR'S DECLARATION _ WORKER'S COMPENSATION DECLARATION - ,.I hereby affirm under penalty of perjury that I am licen rider provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 70001 of Division,3 of the Busine and Profe a 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 Class: C8 C27, •C29 'i nse No.: 656128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is s �� issued. - {Date:- Contractor: _ 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 O DER DECLARATION .r - insurance carrier and policy number are: - hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier SEABRIGHT Policy Number BB1070510 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 a 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 b cc a bject 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 sh d beco a su je to the workers' compensation provisions of Section µ•.' . License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3 00 of the Labor C d I sh orth 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 a - any applicant for a permit subjects the applicant to a civil penalty. of not more than five hundred dollars ($500).: rDate: '1C�2�Applicant _ (_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is hot intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURETOSECURE ORKERS' COMPENSATIONCOVERAGE IS UNLAWFUL, AND SHALL- - Contractors' State License Law does not apply to an owner of propertywho builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND - r and who does theworkhimself or herself through his or her own employees, provided that the - DOLLARS ($100,000). 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 1 1 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, (_ 1 I am exempt under Sec. , B.&P.C. for this reason i - the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City c - - - - 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. - Date: Owner: 2. Any permit issued as a result of this application becomes n I and void if work is not commenced • - - - within 180 days from date of issuance of such permit, or essation of work for 180 days will subject - CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above inform i is orrect. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). - city and county ordinances and state laws relating to build' g onstructio , a ereby authorize representatives ` - of this cou t enter upon the above-mentioned proper f insp tion po es. - Lender's Name: �"` --�•- `....'-'� t. _ Date: Signature (Applicant or Agent)_ � � _ Lender's`Address: ' LQPERMIT ,Application Number . . . . . 07-0.0001032 Permit . . BLDG POOL PERMIT _ Additional-desc Permit •Fee 225.00 Plan Check Fee 146.25 Issue Date-. Valuation" 21680 Expiration Date 9/30/07 - Qty Unit Charge Per Extension BASE FEE 45.00 20.00 9.0000 ------------------------------------------------------------------------------- THOU BLDG 2,001-25,000 180.00 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0. Expiration Date 9/30/07_ 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 9/30/07 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 9/30/07 • 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 t Permit WALL/.FENCE PERMIT LQPERMIT . .. Application Number- 07-00001032 Permit . . . WALL/FENCE PERMIT Additional desc . " Permit• Fee. 15':00" Plan Check Fee.-.. .00 - Issue Date Valuation '320,: Expiration Date 9/30/07, Qty Unit Charge Per. Extension, BASE..FEE 15.00 ------------------ - - - - -- - Special Notes and Comments ---7----------------------------- POOL, SPA, ALARMS/BARRIERS SHALL BE IN PLACE AT PRE-PLASTER INSPECTION. 20' L.F X 48" CITY STANDARD. GAS & ELECTRIC STUB FOR FUTURE APPROVED SEPARATELY PERMITTED APPLIANCES.. .Fee summary Charged Paid Credited Due Permit'Fee.Total 344.00 .00 .00 344.00 Plan Check Total 172.25 .00 .00 172.25 Grand Total 516.25 .00 00 516.25 LQPERMIT Bin # Permit # f Project Address: _ �—�— A. P_ Number: Legal Description: Contractor: City of. La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La QuintA, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Z Owner's Name:CA T _ Kz– Address: City, ST, Zip: Telephone: Address.-- �ZC— l2 Project Description: pp City, ST,Zip:e-oPC Ll l/�► CA �ZZ3 Telephone: r . _ G ` State Lic. # : s!p S� l Z City Lic. #: Arch., Engr., Designer: Address: r 4e4 aeKnu City, ST, Zip: anc Telephone: Construction Type: Occupancy: : State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: (� C— S Ft.: 9. # Stories: #Units: Telephone # of Contact Person: -2— �5-0 _ Z Ef. # Submittal Plan Sets Structural Calcs. Truss Calcs. Energy Cates. Flood plain plan Grading.plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees Total Permit Fees 3� a 11 tmated Value m Project: OO APPLICANT: DO NOT WRITE BELOW THIS LINE Req'd Rec'd TRACKING PERMIT FEES Plan.Cfieck submitted Item Amount Reviewed, ready for corrections Plan Check Deposit Called Contact Person Plan Check Balance Plans picked up Construction Plans resubmitted Mechanical 2.d Review, ready for correctionsfissue Electrical Called Contact Person Plumbing Plans picked up S.M.I. Plans resubmitted Grading 1rd Review, ready for corrections/issue Developer Impact Fee Called Contact Person A.I.P.P. Date of permit issue Total Permit Fees 3� a 11