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08-1240 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00001240 Property Address: 45280 DEBBIE 'DR APN: 604-372-004-40 -27899 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 20000 Ta�v440" Applicant: Architect or Engineer: I" ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under -penalty of perjury that I am li ed under provisions of Chapter 9 (commencing with Section.7000) of Division 3 of the Busines rofessi _ P Code, and my License is in full force and effect. License C8 C53cense No.: 431055' ate�� rector•. 177 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 e' permit subjects the applicant to a civil penalty of not more than five hundred dollars (8500).: (_) 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:). f _ 1 1, 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 notapply 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 1 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. 30.97, Civ. C.)• Lender's Name: Lender's Address: LQPSRMLT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/22/08 Owner: DAVE SPITZ 45280 DEBBIE DRIVE Q LA QUINTA, CA 92253 C/I Contractor: PARZINSKY POOL .INC, RIC P.O. BOX 897 vF,�Hiq PALM SPRINGS, CA 92263 '- (760)324-5827 Lic. No.: 431055 --------------- - - - WORKER'S COMPENSATION "DECLARATION 1 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,.forthe per 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 o.fthe work for which this permit is issued. My workers' compensation insurance carrier•and policy number are: • Carrier OAR RIVER INS Policy Number 2200051680-071 _ I.-certifythat, in the performance of the -work,"forwhich this�permif is issued, I shall not employ,eny person in any manner so as to the workers' compensation laws of California, and agree that, 'd I shout oma subj to he orkers' compensation provisions of Section �NG:�FAILURE 3�Qnj of the LaborCode, fo y'with those provisions. lican PPI 00O WAECUR ORKERS' COMPENSATION.COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO MINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN.ADDITIONTO 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 persomat whose request and for whose benefit work is performed under or pursuant to any permit issued as,a result of this application, the owner, end thwapplicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quints, 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 isnot commenced within 180 days from date of 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 abo orm i rrect. I agree to oomplywith all cityend county'ordinances"and:stateJaws relating t0 building c uction, and .by authorize representatives of this Co ty to enter upon a above-mentioned property for i s. Da .�% _ S' ature (Applicant or Agent): ej_( Application Number . . . . . 08-00001240 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 207.00 Plan Check Fee 134.55 Issue Date . . . Valuation . . . . 20000 Expiration Date . . 1/18/09 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 . . . . 26.0:0 Plan Check Fee 6.50 Issue Date . . . Valuation . . . . 0 Expiration Date . . 1/18/'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 Pee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . Valuation . . . . 0 Expiration Date . . 1/18/09 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 1/18/09 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 LQPERM r Application Number 08-00001240 --------------------------------------------- - - - --- - ------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged ----------------- ---------- Permit Fee Total 311.00 Plan Check Total 160.55 Grand Total 471.55 Paid Credited Due .00 .00 311.00 .00 .00 160.55 .00 .00 411.55 Bin # City of La Quinul Building ex Safety Division P.O. Box1504, 78-4.95 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # t h !,�(J Project. Address: VS' -2 eoO U G`S i3 I Or 'b /L Owner's Name: PI I 7- A. P. Number: Address: Y'S - Z e o (b G a es, b /L Legal Description: City, ST, Zip:( L Contractor: (Z �C Or P",2_ %.,, SK PJok Co�Si Address: ' Telephone:: Project Description: City, ST, Zip: /0AL - SPA, = t I ®� $j�i► Telephone: Z 7 State Lic. # : ((3 I O S 9 City Lic. #: Arch., Engr., Designer: J Ori ," &CJr_e>),,L Address: V/ 9 21 14%L%. City, ST, Zip: tk. Telephone: State Lic. #: f Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone;# of Contact Person: Estimated Value of Project: T% FXM� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACIONG . PERhM,FEES Plausets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Cales. Pians ticked up Construction Flood plain plan Plans resubmitted Mechanical Gradiug plan 2" Review, ready for correctioasfissue' Electrical Subcontactor List Called Contact Person Plumbing Grant Deed I Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN '"' Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees