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08-0056 (RPL)P.O. BOX 1504 �^' VOICE 760 777-7012 .78-95 CALLE TAMPICO - FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT - INSPECTIONS (760) 777-7153 BUILDING PERMIT r Date: 1/08/08 Application Number: 08-00000056 Owner: Property Address: 81795 LA PAZ CT HANLEY RESIDENCE f, APN: 764-280-999-98 -300237- 81-795 LA PAZ CT. Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 30000 Dontractor: Applicant Architect or Engineer: ESERRA JAN P.O. BOX 1280 C ' A °�A 200a COACHELLA, CA 92236 IV+ ` (760) 398-9222 ®R LAuAft- Lic. No.: 656128. ------------------------------------------ ---- LICEN ED CONTHACTOR'S DECLARATION I hereby affirm under penalty of perjury that I an licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busir^sand rofessionals Code, and my License is in full force and effect. License Cl ss: C8 C27 C29 LicenseNo.: 656128 --Date: Contractor: OW ER -BUILDER DECLARATION I hereby affirm under penalty of perjury,11ht I a empt 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 _ 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 a 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 contractor(s) licensed pursuant to the Contractors' State License Law.). (_) 1 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 ---------------------------------------------- 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 setf-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 Policy Number BB1080510 I certify that, in the performanceof th 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' cumpensation laws of California, and agree that, if I should become ubject to the workers' compensation provisions of Section ����if 8700 o ,of the Labor Chall o hwith comply with those provisions. Date: �'Applicant: WARNING: FAILURE TO SECURE W RS' COM ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM11 AL PE AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FORIN 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 info r ation is correct. I agree to comply with all city and county ordinances and state laws relating to buildin constru on, and hereby authorize representatives of this co ty to enter upon the above-mentioned propert o inspe ion purposes. — Date:• Signature (Applicant or Agent): - LQPERMIT Application Number . . . . . 08-00000056.'1 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 284.50 Plan Check Fee 184.93 Issue Date Valuation . . . . 29600 Expiration Date 7/06/08 �r r. - Qty Unit Charge Per Extension BASE FEE 252.00 5.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 32.50 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/06/08 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 11.25 Issue Date . . . . Valuation . . 0 Expiration Date 7/06/08 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 7/06/08 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 LQPERMIT A Application Number 08-00000056 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 400 Expiration Date 7/06/08 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. 25' L.F. X 4' CITY STANDARD WALL. Fee summary Charged ----------------- ---------- ---------- Paid Credited ---------- ---------- Due Permit Fee Total 403.50 .00 .00 403.50 Plan Check Total 210.93 .00 .00 210.93 Grand Total 614.43 00 .00 614.43 C. LQPERMIT Bin# City of La Quinta Building 81 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: Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor:'— Telephone:' #,� Address: j - 0 Project Description: City, ST, Zip: lq1: c�v qzz�POO�-- Telephone: Y., State Lic. # : r,� / City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: i a Construction Type: Occupancy: State Lic. #:Add'n Project type (circle one): New Alter Repair Demo Name of Contact Person: 5�- Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: 5�— Ci7 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE 7�p pia # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted 616 Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Energy Cafes. 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:- "' 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