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07-0282 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00000282, Property Address: 54840 AVENIDA VALLEJO APN: - 774-302-004-20 .-000000- Application description: POOL —RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 20000 T-iht °f 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SAWYER KENDRA 54840 AVENIDA VALLEJO LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/25/07 . Contractor: o Applicant: Architect or Engineer: MCINTYRE POOLS & SPAS, INC. d crry 83695 AVENUE 45. INDIO; CA 92201 a I ^ (760)342-3612 p� 9 �+C LiC . NO.: 614611 ��Itl 3 v [®O7 Or E n'��A ` ---------------- ------------------------------------------------------------ -------------------�� 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 License Class: C53 License No.: 614611' for by Section 3700 of the Labor Code, for the performance of the work for which this permit is / `, issued. �at1f� ,actor; .05ve 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 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 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 ($500).: 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 _ 1 1, 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.). (_ ) '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 insurance carrier and policy number are: Carrier MAJESTIC INS' CO Policy Number C20060333602 _ 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 37PO of the Labor Code, I shall forthw' Com ly ' h those provisions. ate:'/7�5 icant: �� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 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 I 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 to building constructio land hereby authorize representatives of thi ounty to enter upon t above-mentioned propert fo ii pe S. Date:;/ ature (Applicant or Agent):. I'- It _ Application Number . . . . ' 07-00000282 Permit . . . . . . oLEC POOL PERMIT -RES . Additional deaz . . . Permit Fee . . . . «s.00 Plan Check Fee - . 11.25 Issue Date . . . . Valuation . . . . O Eopizatioo�oate . . 7/24/07 ' ` Qty Unit Charge � per. 'Extension ' BASE FEE _ 15.00 l.oO 30.0000 ' _-------------__------_ EA ELEc PRIVATE SWIMMING POOL ------------------------- -----------------_----- 30.00 rezmit . . . - . . BLDG POOL nEsumzr ' Additional deoc . . Permit nee . . . . 198.00 Plan Check Fee . '. 128.70 Issue Date . . . . Valuation . . . ' 18658 . Expiratioo.oate . . 7/24/07 Qty Unit Charge Per ` Extension . BASE FEE 45.00 ' 17.00 '9.0000 _-------------__-_---_--------_---------_---------------------------- THOU BLDG 2'001-25'000 153.00 germit . . . . . . pLomxBzmG AdditiooaI deoo. . ` Permit Fee . . - . 27.00 Plan Check nee . ' a.7s Issue Date . . . . Valuation . . . .� � o Expiration Date . . 7/24/07 ' Qty Unit Charge Per _ Extension BASE FEE 15.00 1.00 6.0000 Eu eLo FIXTURE 6.00 1.00 3.0000 EA gLo WATER . 3.00. ' 1.00 3.0000 -_--------_-_----_-_---------_---------_--_--_--------------_----_- EA eLo GAS PIPE 1-4'OUTLETS 3.00 . . Permit . . . . . ' WALL/FENCE PERMIT Additional deoc Permit Fee . . . . 33.00 ' Plan Check Fee . . .00 ' I Valuation . . . . 1342* Expiration Date . ' 7/24/07 - i Qty Unit Charge 'Per ` Extension ' BASE FEE � 15.00 9.00 2.0000 HND BLDG 501-2,000 18.00 ------------- --------- --------------------------------------- `------------^- ' oneciaI Notes and Comments eDoL/ora' 62 L.F. 5' GARDEN & EQUIPMENT ' \ LQPERMIT Application Number . . . . 07-00000282 ---------------------------------------------------------------------------- Special Notes and Comments WALL, BOTH CITY STANDARD ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. Fee summary Charged Paid Credited Due Permit Fee Total 303:00 .00 .00 303:00 Plan Check Total 146.10 .00 .00 146.70 Grand Total 449.70 .00 .00 449.70 LQPERMIT W&L AVC VIDLLR40 Bin # City of La QuiInta.. Building ex Safety Division Permit # 4 P.O. Box 1504, 78-495 Calle Tampico y La Quinta, CA 92253 - (760) 777-7012 U .Building Permit Application and Tracking Sheet Project Address: ` g ' y0 UL (' c Owner's Name: /KD� A. P. Number: Address: S i ` 1W Bio 4ue V, e Legal Description:r �j City, ST, Zip: �-C�„ vIC� t �� •� ��%— . Contractor: C'PocS IS S 3�7C -Telephone:,3+' ' Address: ig-L�-6gs /4 L/ 5 Project Description: " City, ST, Zip: C/3A cIr` Telephone: State Lic. # : 6 16l City Lic. #: Arch.; Engr., Designer: , e� r_7 C ` SoF Address: �I 1.1�� l ►i City, ST, Zip: Telephone: - _' Construction Type: Occupancy: . State Lic. #: - ` "`• j h'P i Pro ect a ctrcle one): New ' Add'n Alter Repair Demo Name of Contact Person: m C Sq. Ft.: #Stories: r #Units: Telephone # of Contact Person: , 1"s V Estimated Value of Project: O , trio ' APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACHING . PERMIT FEES Plan Sets Plan Check submitted a Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance , Energy: Calcs. Plans picked u P P Construction Flood plain plan, Plans resubmitted Mechanical Grading plan tad Review, ready for correctionsfissue Electrical Subcontactor List • Called Contact Person Plumbing ' Grant Deed Plans picked up ,.. S.M.I. t ~H.O.A. Approval - Plans resubmitted Grading IN HOUSE:- ''d 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 ' S M - Total Permit Fees o10 0C)o " 1342 i�s��•