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09-1043 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00001043 Property Address: 52165 DAY STAR DR APN: 767-200-999-18 -312023- Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 19000 c&ht 4 4Qu&rw BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: RAY & MAXINE PAULS 52165 DAY STAR DRIVE LA QUINTA, CA 92253 ( VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/29/09 Contractor: Lr -t1 I Applicant: Architect or Engineer: MCRAE POOL & SPAS D; ; 79105 DESERT STREAM DR 6:r ;+ �: � LA QUINTA, CA 92253 J % (760)772-2440 Lic. No.. 823017 — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — 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 C ss: C53C27License No.: 823017 te: / ntractor: OL41 C S OWNER-BUIRATION I hereby affirm under penalty of perjury that 1 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 155001.: 1 _) 1, 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 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 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 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 EXEMPT Policy Number EXEMPT 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 wi se provisions. S�Ap c 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 a��F nd state laws relating to building construction, and hereby authorize representatives ofthisthe above-mentioned property for ins ection purposes. 0 -a't'e: re (Applicant or Agent); Application Number . . . . . 09-0000.1043 Permit BLDG POOL PERMIT Per Additional desc . BASE FEE Permit Fee . . . . 198.00 Plan Check Fee 128.70 Issue Date . . . . Valuation . . . . 19000 Expiration Date . . 3/28/10 EA PLB WATER INST/ALT/REP Qty Unit Charge Per Plan Check Fee Extension Issue Date . . . . BASE FEE 45.00 17.00 ---------------------------------------------------------------------------- 9.0000 THOU BLDG 2,001-25,000 153.00 Permit MECH POOL Extension Additional desc . FEE 15.00 Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/28/10 Qty ' Unit Charge Per Per Extension Extension BASE FEE 15.00 1.00 11.0000 ------------------------------------ EA MECH ---------------------------------------- FURNACE >100K 11.00 Permit ELEC POOL PERMIT -RES 12.00 Additional desc . 3.0000 EA PLB WATER INST/ALT/REP Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . 3.00 Valuation . . . . 0 Expiration Date .. 3/28/10 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 . . 3/28/10 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 Application Number . . . . . 09-00001043 Permit . . . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . 15.00 Plan Check Fee .00 - Issue Date . . . . Valuation . . . . 192 Expiration Date . . 3/28/10 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA 12 L.F. 4' EQUIPMENT ENCLOSURE, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. 2007 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited -------------------- ---------- Due --------------------------- Permit Fee Total 317.00 .00 .00 317.00 Plan Check Total 154.70 .00 .00 154.70 Other Fee Total 1.00 .00 .00 1.00 Grand Total 472.70 .00 .00 472.70 LQPERMIT S:k CITY- OF LA QUINTA SUB -CONTRACTOR LIST : JOB ADDRESS S`hA9 p L PERMIT NUMBER' OWNER -P BUILDER /✓1e24E d snd C - This form shall be posted on the iob with the Building spection'Card• at all times in a conspicuous place. Onl persons appearing on this list or their employees are authorized to work on this job. Any -changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. .....:.... :::.:...... .. Trade ! Classdication Contractor•' :. Stata:.Contractok.s License.. ker:.CorrlGity Busneys :: M Company Name Classification License Number Exp. Date Carrier Name Policy Number Exp. Date License Number Exp. Date (e.g. A, B, C-8) (xxxxxx) (xx/xx/xx) (e.g. State Fund, CalComp) (Format Varies) (xx/xx/xx) (xxxx) (xx/xx/xx) O EARTHWORK (C-12)(� C N a O - 1- S -- CONCRETE (C-8) FRAMING OSTRUCT.:STEEL.(C-51) - AAASQ,799,9. L30-119 SC--1CT WxA231c 10810-1709--l0 O PLUMBING (C-361 (:ATH: PLASTER DRYWALL (C -9)..i:' NVAC. (C-20)-:.:::,.::<.:. ELECTRICAL. (C=10)' RQQFING'.IC.39)'>:::= SHEE'T.METAL (0.4j).:'' FL02RING (0 GLAZING (0-17);. INSULATION.. (C-2)... SEWAGE DISK (C-42)­- C-42) .PAINTING• PAINTING.(C=33) CERAMIC TILE (C-54) CABINETS (G-6) FENCING (C713) LANDSCAPING (0-27)..?:: POOL (C-53) A �?)P _217070 110-9)- IN&M.9 : .� W. c�S.3 W6 93,S- Y-3o�Cl2F1I �6ac�abr�66Zo9� 10122 F-3040 Bin # City of La Quinta 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 # ` Project Address: S Da, Owner's Name: A. P. Number: Address: S a — Legal Description: City, ST, Zip: Lq 2c2 CA Contractor: Telephone: Address: 7 _ s— Project Description: City, ST, Zip: 1^i CA Telephone 7 %11-6 y3 _ State Lic. # Arch., Engr., Designer: City Lic. #: r �T � Address: , City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: L Sq. Ft.: #Stories: # Units: Telephone # of CXtact Person: % - Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING. PERMIT 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 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical t 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