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07-0641 (RPL)4 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/01/07 Application Number: 07-00000641 Owner: Property Address: 79831 DANIELLE CT RALPH ROBERT/MICHELLE APN: 602-390-028- - - 79831 DANIELLE COURT Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 20000 PDMAR Contractor: Applicant: Architect or Engineer: DUNN'S DESIGNER POOL�o�a74866 LENNON PL, STErPALM DESERT, CA 9226clTl�� (760)773-9923 FINANCE Ce LA 1 .A Lic. No.: 635896 -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: C27-053 LicenseNo.: 635896 ate: O tractor: 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 (5500).: 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 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.). (_) 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 I am exempt under Sec. , B.&P.C. for this! ason 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 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 CLARENDON NAT' L Policy Number 04KR0028724 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 3700 of the Labor Code, I shall forthwith comply with those provisions. 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 construction, and hereby authorize representatives of this county to enter upon the above-mentioned property inspection purposes. Dat ?,ignatur pplicant or Agent): �,�.` Application Number . . .. . . 07-0000064-1 Permit . . . BLDG POOL PERMIT Additional desc . . .Permit Fee . . . . 207.00 Plan Check Fee 13.4.55 Issue Date . . . . Valuation . . . . 20000 Expiration Date 8/28/07 _ Qty . Unit Charge- Per Extension BASE FEE 45.00 18.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 162.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/28/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 ---------------------------------------------------------------------------- EA MECH FURNACE >100K 11.00. Permit . . . ELEt POOL PERMIT -RES Additional desc .. Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date Valuation . . . . . 0 Expiration Date 8/28/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 ----7------------------------------------------------------------------------ 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 8/28/07 [x 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 LQPERMIT r Bin # City of La QuInitaBuilding u- Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Appkicadon and Tracking Sheet ProjectAddress: "jQ g3 (. Alit Owner's Nana Q A. P. Number: fZ- ( Address: g7j l D Vl I e C Legal Description: swt v✓1 n City, ST, Zip: �,,� rf�.►i1Ti4- Contractor -00 Telephone: --� Address: Lee' 4 0 IT, P 6CC C( Project Description: City,.ST, Zip: C l ,eS ...__ Telephone: 77 -S —q L Z '7 State Lia #'- City Lie. #: Arch., F.nngr., Designer: ---i Address: City, ST, Zip: Telephone: Construction Type Occupancy: State We. #: Projecttype (circle one): New Add'n Alter Repair Demo Name of Contact Person: A V Z✓ CiA -i nSq. Ft.: # Stones: ' # Units: Telephone # of Contact Person: '-7j b --G Q4EStimated Value of Project: . �'� WD APPLICANT_ DO NOT WR[TF Rt t nw Tuts Mr. # Submittal Req'd Rce'd TRACIQNG PERMIT FEES Plan Sets Plan Check submitted�' 27 Item Amount . Struct`ral Calcs. Reviewed, ready toe corrections Plan check Deposit Trans Calla. Called Contact Person Plan Check Balance Energy Calcs. Plans jricked.ap Construction Flood plain plan Plans resubmitted Mechanical Grading.plaa 2" Revier, ready for eorrectionstissae Electrical nt Subcoactor List . Called contact Person Plumbing Grant Deed Plans picked up S.M L 10 A. Approval Plans resubmitted Grsdiag IN HOUSE:= ''' Rtvie)r, ready for.corrections/issae Developer Impact Fee Planning Approval Called Contact Ptrson A.LP.P. Pub, Wks. Appr Date of permit Issue School Fees Total Permit Fees