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10-0110 (RPL)P.O. BOX 1504 .78-495 CALLE TAMPICO t LA QUINTA'; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: L-10'_00000110 -TM 'Owner: Property Address: 47490 VIA MONTANA ' PALMER RESIDENCE :. APN: 643-120-044-272 -261.52` 47490 VIA MONTANA Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 _. ..Property Zoning: LOW DENSITY RESIDENTIAL Application Valuation: 4500 O " -- Contractor: App' ant: Architect or Engineer: CLASSIC"POOLS & SPAS 79461 AVENUE 40TH BERMUDA DUNES, CA 922031 (760)413-4867 --- VVV LiC. No.,: 935936 VOICE (760) 777-7012 FAX(760)777-7011 INSPECTIONS (760) 777-7153 Date: 2/16/10 FEB 1'7 2010 CITY OF LA f )(,;3' TA ----------------------------------------- LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION hereby affirm undecpenalty of -perjury that I am licensed un er 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 Busi ss and Professional 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: C13 C53 - Li ense No.: 935936 _ for by Section 3700 of the Labor Code, for the performance of the work for which thispermitis ---- IACGCode, issued. ntractor' _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the labor for the performance of the work for which this permit is issued. 'My workers- compensation - OW R -BUILDER DECLARATION insurance carrier and policy number are: - I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier NATIONAL INS Policy Number 200090117388 following. reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance 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 person in any manner -so as to become subject to the workers' compensationlawsof 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 sho Id ecome subject to a workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - 37 0 of the Labor Co hall forthwith o ply 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 ($500).: Date: - QApplicant: 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 sate (Sec. 7044, Business and Professions Code: The WARNING. FAI URE -TO SECURE WORKER OMPENSATION COVERAGE IS UNLAWFUL, 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 FINES UP TO ONE 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, DAMAGES 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, 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 anowner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractorls) licensed .. 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuantto the Contractors' State License Law.)" whose benefit work is performed under or pursuant to any permit issued as a result of this application, 1 _ 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 i ork is not commenced - within 180 days from date of issuance of such permit, or cessation o ork 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 that the above information i co ect. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). - city and county ordinances and state laws relating to buiIdi g construction, a d'h eby authorize representatives - of this county a ter upon the above-mentioned pro pe ty r inspection p pos Lender's Name: _ _ � ?Date: 'Signature (Applicant or. Agent): Lender's Address: -- - - LQPERAIIT •-Application Number 10-00000110 Permit . . PLUMBING Additional desc - Permit.Fee 21.00` Plan Check Fee 5.25 Issue •Date Valuation 0 Expiration Date 8/15/10 Qty Unit Charge Per•.. Extension _ BASE :FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 --.-------------- Special'Notes and Comments ------------------ ------ --------- ------ - WATER FEATURE TO POOL SPLIT MAIN - DRAINS --- - - - PER APPROVED ' PLANS & _ S. T . Fee summary Charged Paid Credited Due -------•--- --------- Permit Fee Total 21.00, .00 00 21.00 L Plan Check Total 5.25 .00- :00 5.25 Grand Total, 26.25 .00 00 26.25 LQPERMIT - Bin # City of La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # in '� Project r ' f Addre J � 4 —Y�� � Owner's Name: A. P. Number: Address: r U Legal Description: Contractor: l� (� l , S City, ST, Zip: Telephone: Address: Project Description: City, ST, Zip: / Telephone: l :. VYLt-es State Lic. # City Lic. #: Arch., Engr., Designer: f 'TO Address: I , e h S City, ST, Zip:. , Telephone: Construction Type: O ancy: State Lic. #: Project type (circle one): New dd'n lter Repair Demo Name of Contact Person: �c Sq. Ft.: # St *ries: # Units: Telephone # of Contact Person: �Q Estimated Value of Projec \j< U APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING. FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balanc Energy Calcs. Plans picked up Construction 7d oA Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing 1 DA#j0 Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 7rd 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 r l -f. THESE PLANS, DRAWINGS • AND SPECIFICATIONS ARE NOT TO BE REPRODUCED, CHANGED • OR COPIED IN ANY FORM OR MANNER .WHATSOEVER WITHOUT 'THE EXPRESSED WRITTEN" CONSENT OF CLASSIC POOLS/SPAS - BOAT OQC ... F •. LAKE T + PTr TO 10 z H SYN-LANW ! b ® EXISTING ®' ® RESIDENCE ® . ®A 'w C> POOL sgIIIP. • � � • PLANT LEGEND - PALMS SM HAMS SIZE am. Gommem . B BA Brd+so c mala 24' Bax 3 t MOW= BW Patin • - - w B GH GFwnaerops hMils 24' Box 7 MUNI - MedNenviean Fan Patin w .. \ GH. CLOW crops hums 56' Bax 2 MU . .. Itedtterwean Fan Patin - c _• • w, J • . - GR; Gycos reveWta 24' Bax 4 sago Palen - am egg hP mwgtnnlo rellrero we Plan 12 Skhted . IIt�.IM"' GallFomb Fan Patin . SIC. �i�1/ • - - PANEL `L/ SHRUBS SYR NAME SIZE GM.G0MT18Tir AMIAmporcgo kxvs sprergerl T1—* I go'.51 . _ e , BO Bougltea 10MIa-la' 5 gal. - 20 , 8axpowihNltea BRP Bogamilea Royal Purple. 5. gal. 22 - BougahNllea ' EXISTING• BR eeacmea recavata 15 gal 3 .. 0 DRIVEWAY Elephant Foot Tree . . GA Gypenn altemNlolk s 5 gal. • 2 _ Ikrid+ello Plant . AL GAP GoeselphlopulcherMa 5901. 3 Red Bird of Porodbe • ® GBB guxfflorciBommoodBeaq I gal, 39 , .' BaxnoodIctal - Q GM GIMo mhida 5 gal. , 3 Red . .. 6JV Idea YeNchli' 5 gal. Fa + .. V H HH Henerxallb h"1 gal. 36 Y'ellon • - V 1A MONTANA . Day my , . - O HRB Hbbae rose--i ereb 9YWant' - 5 gal. IS Hbbcus (Red) O MB . Marea Fie ... 1901. 6 . ND Nardho domestho ' 5901. 34 , . _ f NF Phemtm texxa 5 Ilea Zealand Flux - - .5 - • OP Ophlopogon _ aponlcan tErey' ,r 190L... 'l • • Ilk 5H strreft$a Nwlol - 15 gal' 3 ' " - - 6Wd Bird of Paridbe s . _ _ 1 SR Strefltd0 regDwe 5 901• t 4 P .. Blind Of Fcrldbe 7J mcheba JmrtmroWes 1 901 IO hhRe ." . . ,. * .. Skr kpe�mum .. - ESPALR5M k VIES - - - - • ' 6m NAlff SIZE .' •GTIY. Gop(Ha 5 - c9CCa C4 G4111ard a he4wlatera 15901. 15 Vine ' - Pink Powder Flhr 61%G= GpVERS - SYM. NAME SIZE 61Y. GOMI•>$n . •. •Llriwi`f SYNTHETIC LAVH a„aQ 'Arhona Gobble' 3' to T for overflowing Basalt Golums Mva7 f Ar,a color to be selected by oreer -. - 3/8• Mn— - 'CALIFORNIA GMJY BG. 2 6rd+es tHck In street side - only. r _ •. �`� 4' BUFF Colored carrrste mow s✓?'KJ - ` 1 .. 'Posta Blonde' B.Aders - T to s• riarreter. ,. -NAME+ PALMER RESIDENCE Y�ZaSSI C POOLS / Spas = ADDRESS+ 47-490 VIA MONTANA Landscaping .. CITY, INDI❑, CA 92201 ti (760) 345-8302 Lic. # C 53-935936 PHASE, — TRACT, — .' - L❑T# — SCALE: 1/16"=1'0" .