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09-0271 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00000271 Property Address: 60629 LACE LEAF CT APN: 764-270-999-116 -300231- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 30000 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: RICHARD & 60629 LACE LA QUINTA, JONNI HIRSr't' LEAF COUR CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/25/09 Contractor. Applicant: Architect or Engineer: GARY & SONS 67621 CACTUS APPLE OF DESERT HOT SPRINGS, CA 922 QU (760)251-8945 SPT A IA' LiC. No.: 866518 ------------------------------------------------------------------------------------------ LIC SED CONTRALTO S DECLARATION I hereby affirm under penalty of perjury tI`N I m licensed under pro isions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busin s d Professionals de, and my License is in full force and effect. Lice�ns C s: /53 Lic se o.: 866518 a�6 te: V tractor: _ OWNER ILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exem from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professio s 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 1$500).: (_) 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 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: PC 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 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 ermit is issued. My workers' compensation insurance carrier and polic number are: Carrier DELOS INS CO I Policy Number 0 DICRM220010101 I certify that, in the perfba ce of the work for whic this permit is issued, I shall not employ any person in any manne/to become subjec tot a workers' compensation laws of California, nd agree that, if I secome subjectto a rkerscompensation provisions of Section 700 of the Labor Chall forthwith c ply ith those provisions. WARAIIN FAILURE TO SECURE -WORKERS' C ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECIVAN EMPLOYER TO CRIMINAL PENAL&ES 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 b 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 not commenced within 180 days from date of issuance of such permit, or cessation of work f r 180 days will subject permit to cancellation. I certify that I have read this application and state that the ab a information is carr ct. I gree to comply with all city and cc ty or finances and state laws relating to building e_ t, and he by a horize representatives of this c y to n r upon the above-mentioned proper f inspection purpos e: ature (Applicant or Agent Application Number . . . . . 09-00000271 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 284.50 Plan Check Fee 184.93 Issue Date . . . . Valuation . . . . 30000 Expiration Date . . 9/20/09 Qty Unit Charge Per Extension BASE FEE 252.00 5.00 6.50.00 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 9/20/09 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 9/20/09 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 9/20/09 . 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 ---------------------------------------------------------------------------- Special Notes and Comments -POOL/SPA. ALARMS/BARRIERS SHALL BE IN LQPERMIT Application Number 09-00000271 -------------------------------------------------------- Special Notes and Comments -------------------- PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 4.00 Fee summary Charged ---------- Paid Credited -------------------- Due --------------------------- Permit Fee Total 388.50 .00 .00 388.50 Plan Check Total 210.93 .00 .00 210.93 Other Fee Total 4.00 .00 .00 4.00 Grand Total 603.43 .00 .00 603.43 t LQPERMIT N 5, N ii:M q r 1, , I 91 r '4'3rj J J -10 A V sl� 0 Chuck Cooper EnvironmeutM Planning + Design Bin # City of La Quin to Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # I Project Address: �pO� � L4 Cyt{ Owner's Name: IaLQ✓ o A. P. Number: Addiess: `i%O(jc)-9 Legal Description: City, ST, Zip:Gi9 Contractor: S()115 Telephone: Address: 7 (Q4 4-V,5 Project Description: City, ST, Zip: segwcff Telephone:'76G ���—�' S �1 G lVe- 417, fit State Lic. #: _ City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person `j (p(�!ql3�o Estimated Value of Project: 0:30 0C) APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Ree'd TRACKING PERMTT 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 Energy Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2id Review, ready for correctionsfissue 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