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07-2028 (RPL)P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX -(760) 777-7011 LA. QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT. Application Number:- 07-00002028 Owner: tUL" Property Address: 81815 THOROUGHBRED TR HARRIS APN: 767-200-999-21 312024- 81815 THOROUGHBRED TRAILApplication description: 'POOL - RESIDENTIAL LA'QUINTA, CA 92253 3 2007 Property Zoning: LOW DENSITY RESIDENTIAL (760) 777-9920 Application valuation: 20000 CITY OF LA QUINTA P ADEPT. Contractor: Applicant: Architect or Engineer: MCINTYRE POOLS & "SPAS, INC. 83695• AVENUE 45- INDIO, CA 92201 (760)342-3612 . /�• Lic. No.: 614611 . 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 Lice Cla C53 License No.: 614611 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: C ractor: �jy �. Y �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 OWNER -BUILDER DECLARATION - insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier MAJESTIC INS CO Policy Number 020060333602 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 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 provision's of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or_ 3700 of the Labor C all forthwith comply it hose provisions. 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 (55001.:. ' te: ant: /�y 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 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 1$100,0001. 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 1, 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 erformed under or pursuant to an application, p p y permit issued as a result of this a li ( 1 I am exempt under Sec. , BAP.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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: LQPERA11T 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 co y ordinances and state laws relating to building construction, and hereby authorize representatives of this unty to enter upon the above-mentioned property for j e t' purposes. S' ature (Applicant or Agentl: Application Number 07-00002028 Permit BLDG POOL PERMIT Additional desc Permit Fee 207.00 P1an'Check Fee 134:55 Issue Date . . . Valuation . . . . 20000 Expiration Date 1/07/08 Qty' Unit Charge .Per Extension . BASE FEE 45.00 18.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000- 162.00 Permit MECH POOL Additional desc . Permit Fee. ." . . 26-.00_:_ Plan Check Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date -: 1/07/08 ` Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >10'OK 11.00 Permit ELEC POOL PERMIT -RES '. Additional desc .... Permit Fee . . 45.00 Plan Check Fee 11.25 Issue Date .'. Valuation . . . . 0 Expiration Date`. 1/07/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA 'ELEC PRIVATE SWIMMING POOL 30.00 Permit . .. . PLUMBING Additional desc'. PermitFee 33.00. Plan Check Fee 8.25 Issue Date Valuation' 0 Expiration Date 1/07/08 -. Qty Unit Charge Per Extension BASE FEE 15.0.0 . 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 - - LQPERMIT r Bin # Permit # DIP X Project Address: A. P. Number: X x ]� X Contractor: V -Y1(✓ t Address: Cita•. ST. Zip: 1 C Telephone: 2_ State Lic. p Arch., Engr., Designer: Address: X X Cita,. ST. Zip: Telephone: State Lic. Name of Contact Person: Telephone a of Contact Person: p Submittal Req'd Plan Sets Structural Cala. Truss Calcs. Energy Calcs. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees City Of La Quinta Building 8 Safety Division P.O. Box 1504, 78-495 Calle Tampico. La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet City Lic. q: Owner's Name:'—ip ` t 'Cin. ST. Zip: f Telephone- Description: ti N Construction Type: Occupancy: Project type (circle one): New ' Add'n Alter Repair Demo C LLX Sq. Ft.: p Stories: tY Units: f Estimated Value of Proicct- APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACKING Plan Check submitted Reviewed, ready for corrections Called Contact Person Plans picked up Plans resubmitted 2' Review, ready for cor,rections/issue Called Contact Person Plans picked up Plans resubmitted Review, ready for correctionslissue Called Contact Person Date of permit issue PERMIT FEES Item Plaa Check Deposit Plan Check Balance Construction Mechanical Electrical Plumbing S.I►1.1. Grading Developer Impact Fee A.I.P.P. Total Permit Fees Amount