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08-0916 (RPL)P.O. BOX 1504- 78-495 CALLE TAMPICO r LA QUINTA, CALIFORNIA 92253 Application Number:. 08-00000916 Property Address: 54300 AVENIDA VALLEJO APN: 774-245-003-22 -0.00000- Application description: POOL - RESIDENTIAL Property Zoning: . COVE RESIDENTIAL Application valuation: 25000 - Applicant: Architect or Engineer: 4 u�f�,rGv BUILDING & SAFETY DEPARTMENT BUILDING, PERMIT 4" -------------------------------------------------- LICENSE CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that Iensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busines nd Pdofessionals Code,'and my License is in full force and effect. Licens :las : C8 C27 C29 License No.: 656128 Date: J Contractor: Jempt NER-BUILDER DECLARATION - 1 hereby affirm under penalty of perjury that 1 a from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city 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 (5500).: 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 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 contractorls) licensed pursuant to the Contractors' State License Law.). 1 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.). Lender's Name: _ Lender's Address: LQPERMIT Owner: DILLON RESIDENCE 54300 AVENIDA LA QUINTA, CA Contractor: TESERRA P.O. BOX 1280. COACHELLA, CA (760)398-9222 T 4 ?IT x561". VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/21/08 ------------------ 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 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 SEABRIGHT Po y Number BB1080510 _. I certify that, in the performance of t work for which this permit is issued, 1 shall not employ any person in any manner so as to bec me subject to the workers' compensation lawsofCalifornia, and agree that; if I should become ubject to the workers' compensation provisions of Section 3700 of the Labor Co shall fo hwith comply with those provisions. Date:4�11 Applicant: WARNING: FAILURE TO SECURE WO MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L -PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS J$11 00,000). 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 I have read this application and state that the above inf, mation is correct. I agree to comply with all city and county ordinances and state laws relating to building constr ction, and hereby authorize representatives of this c_ou ty to nter upon the above-mentioned property r nspe ion purposes. Date:�Signature (Applicant or Agent): Application Number. . . 08-00000916 Permit . . . BLDG POOL PERMIT Additional desc-. Permit Fee . . . . 252.00 Plan Check Fee 163.80 Issue Date. Valuation 24680 Expiration Date 11/17/08 Qty Unit Charge Per Extension BASE FEE 45.00 23.00 9.0000 ----------------------------- THOU BLDG ------------------------------------------------ 2,001-25,000 207.00 Permit MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 .Issue Date Valuation . . 0' Expiration Date 11/17/08 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 1.1.25 Issue Date Valuation 0 Expiration Date 11/17/08 Qty Unit Charge Per Extension BASE FEE 15'.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 33.00 Plan Check Fee.. 8.25 Issue Date . . . Valuation . . . . 0 Expiration Date 11/17/08 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 f LQPERMIT LQPERM[T Application Number . . ... . 08-00000916 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee15.00 Plan Check Fee •.00 Issue Date . . . . Valuation 320 Expiration Date 11/17/08 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------- Special Notes and Comments POOL, SPA, ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. 48" X 20' CITY STANDARD BLOCK WALL. . Fee summary Charged ----------------- Paid Credited Due -------------------- Permit Fee Total 371.00 ---------- .00 ---------- .00 371.00 Plan Check Total 189.80 .00 .00 189.80 Grand Total 560..80 .00 .00 560.80 I Bin # City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # "l Project Address:Sg3oa L- 6-0 Owner's NameL010 zle& , A. P. Number: Address: Legal Description: City, ST, Zip: . (Zl2l� Contractor:/ Telephone:NO MEMO KIP Address: �(�— ( 00 A y•; S1 Project Description: City, ST, Zip: CGS _ Ci`� ZZ3 p Telephone: ry �2.0 g � d State Lic. # : 1111-5 City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: = State Lic. #: R Name of Contact Person: J SSL Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: L-7757— cDa � (' Estimated Value of Project: Z S 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 Cates. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" 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:- 7rd Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue i School Fees r Total Permit Fees