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09-1030 (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: 9/24/09 Application Number: 09-00001030 Owner: Property Address: 78915 DESCANSO IN AMUNDSON APN: 646-350-011- - I- 78915 DESCANSO LANE Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 23000 o r1Contractor: o - Applicant: Architect or Engineer: TESERRA n P.O. BOX 1280 b1J� COACHELLA, CA 92236 (760)398-9222 LiC. No. 656128 Gl��t1F"A"Z )NiA — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — I hereby affirm under penalty of perjur that Section 7000) of Division 3 of the Busin License Cl a s: C8 , 10 , 27 2 ate: ontractor: O -BUILDER DECLARATION I hereby affirm under nal f perjury that I a t from the Contractor's Stat License Law for th e win u de penalty o pe lu y e s o e following reason (Sec. 7031.5, Business and P Bions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair 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 ($500).: (_ 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.). (_ 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 contractorls) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , BAP.C. for this reason ED CONTRACTOR'S DECLARATION I am lice d under provisions of Chapter 9 (commencing with and Professi aIs e, and my License is in full force and effect. nse No.: 656128 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 ISec. 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. 1 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 SEABRIGHT Policy NumberBB1080510 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 aagree that, if I should become sublW to the workers' compensation provisions of Section of the Labor CodeXfo omply with those Provisions. Date: plicant: WARNING: FAIL RETOSECURE WORTION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPE A.T,ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPUCANT 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 g construc ' nd hereby authorize representatives oft is c to en/yupoe above-mentioned pro ins n purposes. �Si (Applicant or Agent): Application Number . . . . . 09-00001030 Permit . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 234.00 Plan Check Fee 152.10 Issue Date . . . . Valuation . . . . 23000 Expiration Date 3/23/10 Qty Unit Charge Per Extension BASE FEE 45.00 21.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 189.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/23/10 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 3/23/10 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 3/23/10 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 L---------------------------------------------------------------------------- Permit . . . . . . WALL/FENCE PERMIT LQPERMIT Application Number . . . . . 09-.00001030 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee .00 Issue Date Valuation . . . . 325 Expiration Date 3/23/10 Qty Unit. Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments . POOL/SPA, BBQ, 15 L.F. 5' EQUIPMENT ENCLOSURE, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION.2007 CODES. ----------------------------------------------------------------7----------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid ---------- Credited ---------- Due --------------------------- Permit Fee Total 353.00 ---------- .00 .00 353.00 Plan Check Total 178.10 .00 .00 178.10 Other Fee Total 1.00 .00 .00 1.00 .Grand Total 532.10 .00 .00 532.10 LQPERMIT # City of a, 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 # O,},O pa' f Project Address: 20415OV S V Owner's Name: 2q M 14 A / ID-) A. P. Number: Address: ���� SCJ C S-7) Legal Description: City, ST, Zip: Contractor: 7 �,� aft• ' Telephone: Address: g(�— (,0 A V , Project Description:L c City, ST, Zip: r L Cj¢ 7—Z3 Telephone: State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair . Demo Sq. Ft.: # Stories: # Units: Name of Contact Person: E&M& Telephone # of Contact Person:. - Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal. Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. 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 correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval. Plans resubmitted Grading IN HOUSE:- ''' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P, Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees