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08-1137 (RPL). ~, - � - •; ! � • �;' .' � \. Gni - P.O. BOX 1504, r 78-495 CAL"LE TAMPICO LA QUINTA;,CALIF.ORNIA 92253:. BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 08-00001137 Property Address: 78557 TORINO DR APN: 609-551-002-6 -28458 Application description: POOL - RESIDENTIAL , " Property Zoning: LOW DENSITY RESIDENTIAL. Application valuation:'. 32000 ' Applicant:. Architect or Engineer: • --------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION ' I hereby affirm.under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of -the Business and Professionals Code, and my License is in full force and effect. - License C ssi C36 C53 �ycense No.: 618116 7 O Date: -7t Contractor: I OWNER -B DER DECLARATION I. hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or countythatrequires 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'sState 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 intendedor offered for sale. If, however, the building orimprovement 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.). - - - I I 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 (Seca 3097, Civ. C.1. Lender's Name: Lender's Address: LQPERn11T Owner: KERLEY RESIDENCE 78557 TORINO DR LA QUINTA, CA 92253 Contractor: LEAK DETECTORS P.O. BOX 727 THOUSAND PALMS, (760)773-9070 Lic. No.: 618111 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 , Date: 7/07/08 ------------------ WORKER'S COMPENSATION DECLARATION 1 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 -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 CALIFORNIA INS Policy Number 460089600104 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 should become subject to the workers' compensation provisions of Section �f 3700 of the Labor Code, II shall forthwith comp4withose provisions. Date: I .Applicant:WARNING: FAILURE TO SECURE WORKERS' COMPENSATIOAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL 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 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 1 have read this application and state that the above information is correct. I agree to comply with all city. and county ordinances and state laws relating tobuildingconstruction, and hereby authorize representatives of this county o enter upon the above-mentioned property for inspection purposes. ' Date: Signature (Applicant or Agent): LQPEPA11T Application Number . . . . . 08-000.01137. .. Permit* . . . . MECH POOL Additional desc . Permit -.Fee'`.` 26:00 Plan Check Fee .6.50 Issue. Date_.., Valuation. 0 Expiration Date '1/03'/09. Qty Unit Charge. Per.. Extension BASE•:F E 15.00 :. 1.00:.',:' 11.0000 EA 'MECH.FURNACE >100K 11.00 Permit :BLDG POOL -PERMIT Additional desc . Permit Fee_ 297.50 Plan Check Fee 193.38 Issue.Date Valuation 32000 Expiration Date 1./03/.09 Qty Unit Charge Per Extension BASE FEE'. 252'.00 7.00 6.50,00, THOU BLDG 25,001-50,000 45.50 Permit_ . . ELEC POOL PERMIT -RES Additional desc . Permit. Fee 45.00 Plan Check Fee.. '11.25 • Issue Date Valuation 0 Exp.irat ion"Date". 1/03/09 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 1/03/09 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 3.0.0 - --- ------------------------------------------- Special Notes and Comments ' POOL, SPA, ALARMS/BARRIERS SHALL BE IN LQPEPA11T ' ':`Application Number 08-00001137 ,...:. ::.. - Special Notes and -Comments -- - - - - -- - --------------- PLACE AT PRE -PLASTER INSPECTION.. EQUIPMENT ENCLOSURE INOT .INCLUDED - Fee summary Charged Paid Credited Due Permit Fee Total 401:50 :00 60 ----- 40.1.50 Plan:Check.Total 219.38 ..00 :00 2.19.38 -- Grand Total 620.88 .00 .00 620.88-. r. LQPEPM IT Bin # City of La Quinta Building u Safety Division P.O. Box 1504, 78-495 Calle Tampico Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Per it # ILa Project Address: $ Owner's Name: 2[t- A. P. Number: Address: '� 9 SS % To p i H o Legal Description: City, ST, Zip: Contractor: -� 1=1c�v �� ,, �vQ-s Telephone: % 7 172--11 0 6 N r} Address: 2744 .S P—ta 0t= So 6Project Description: lJ C90� S R City, ST, Zip: 'CC.I �� Telephone: 30 X 773 1070 City Lic. #: jtED a5;. Lic, State Lic. # : tv (9 I 1 b Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Em Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Les L V \^ Sq. Ft.: # Stories: TN Units: Telephone # of Contact Person: -601- 002-7 Estimated Value of Project: 3 2-1000 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Ree'd TRACKING PERMIT FEES Plan Sets Plan Check submitted 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 tad Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading W HOUSE:- 7rd 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