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13-1082 (RPL)P.O. BOX 1504 78-495 CALLE TAMPIC6 . LA QUINTA, CALIFORNIA 92253 Application Number 13-00001082 Property Address: 60307 SWEETSHADE LN APN: 7614-270-999-172 -300232- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES` Application valuation: 10000 r 4) �C1 � 4� BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SMOOKE 60307 SWEETBUSH LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 x ' Date: 9/03/13 Contractor: p g Applicant: Architect or Engineer. AIREY, DERYK, SEP 03 2013 40262 EASTWOOD LANE PALM DESERT CA 92211 CIT'OF LAQUINTA (7 6 0') 4 9 7- 7 6 5 4 FINANCE DEPT. Lic• No.: 962128 - --------------------------------------=---------------------------------------------.------------ 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 LicensePass: lass: B C29 C53 License No.: 962128 — for by Section 3700 of the Labor Code, for the performance `of the work for which this permit is issued. DateC Contractors I ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor - de, for the performance of the work for which this permit is issued. My workers' compensation OWNER-BUI ECLARATION _ i carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from t ntractor's State License Law for the - - Carrier EXEMP Policy Number EXEMPT • following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _fIl"certify_ in ormance 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 f✓ person in y 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 C shall fo twith cocomp with those 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 1$500).: -Dates Applicant: - 1 I 1, 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 WORKER ' COMP NSATION C E IUNLAWFUL, 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 FINE O HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DA ES 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 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 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. Date: Owner: 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 - 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 th the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and ounty ordinances and state laws relating to ing con truction, and hereby authorize representatives • of this - ty enter upon the above-mentioned prop y r ins trio purposes; Lender's Name: mss- ' Date :.J nature (Applicant or Agent): A Lender's Address: � VVV\ NJ % LQPERMIT " Application Number 13-00'001082 Permit POOL 2013 - Additional desc Permit Fee 178.75 Plan Check Fee 00 'Issue Date . . . . Valuation , Expiration Date 3/02/14 - `0 Qty Unit.Charge 'Per Extension 1..00. 178_.7500 EA MISC POOL/SPA 178.75 ' Permit, ELECTRICAL 2013 Additional desc . Permit Fee 23.83 .Plan Check Fee .00 Issue Date `Valuation 0 Expiration Date 3/02/,14 Qty Unit Charge, PerExtension 1.00 23.8300 -LS-,- ELEC DEVICES,, FIRST 20 -2.3.83 Permit PLUMBING 2013 "- Additional-desc - Permit Fee 11.92` Plan Check Fee -00- Issue Date Valuation . . . . 0 Expiration Date.. 3/02/14 Qty Unit Charge Per- Extension 1.00 11.9200 LS PLBG GAS SYS, 174 OUTLETS.• 11.92 - Special Notes and Comments ' WATER FEATURE AND 150LF OF 1' GAS LINE AND ELECTRIC FOR FUTURE BBQ AND SPA (LOCATONS TO COMPLY WITH LA QUINTA MUNITICIPAL,CODE)"2010 CALIFORNIA BUILDING -CODES. Fee summary Charged .Paid --Credited ;. Due Permit Fee Total 214.5.0.00 .00 214.50 . 'Plan Check Total .QO .00 .00' .00 Grand Total 214.50- ..00 .00. 214.50 . LQPERMIT - - - - Bin # City Of La Quinta Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 3 5 Owner's Name: A. P. Number: Address: 60367 S480�1 Legal Description: City, ST, Zip: Contractor: ��;�CV � Address: tq. C) Telephone: <v« Project Description: o�� City, ST, Zip: e p Q ` �' 7 0� I V-- Tele 'h ne: P 0 0 9 6 7 � -7 6 � S State Lic. # : City Lic. #: I 4 r Arch., Engr., Designer: 61 L e CT t c 1 w 3 " C ar13 7' Address: City, ST, Zip: Telephone: "'''-' `"''"'"` ""` z> Construction Type: Occupancy: State Lic. #: Pr oJ•ect type (circle ne • New Add'n Alter Repair Demo Name of Contact Person: \1 K Sq. Ft.: #Stories: #Units: Telephone # of Contact Person:76 6 97 —76-1' Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'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. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan god 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 IN HOUSE:- 'rd 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 ,v 1J CITY OF LA QUINTA . COMMUNITY DEVELOPMENT ILA ,,TcARIU I �L! C.ti.�o��.r I=an" SNcr�osv. 6 . I k t (Zonl'T cc- J.'5s rt M C�-f� g 's . ' 3 f► L I\j Dc L eC tAnsL ► � � o �S . ' BUILDING & SAFETY DEPT. APPROVED EOR CONSTRUCTION ! amp V*Allue- Fitt 't SAW3 . 4sjll Fwr w1b. o rel c�- ��' - — �h ,r J ,