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10-0563 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 10-00000563 78225 DESERT FALL WY 770-031-028-29 -28019 - POOL - RESIDENTIAL MEDIUM DENSITY RES 22000 Architect or Engineer: ala BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION - I hereby affirm under penalty of perjury at I am license oder provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busin� an Professio Is C. and my License is in full force and effect. License Class: C53 ense No.: 937354 ate(�0 ntractor: OWNE UILDER 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 1$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 contractor(s) licensed pursuant to the Contractors' State License Law.). (_) 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 Owner: KELLY MURDOCK 78-225 DESERT FALL WAY LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) .777-7153 Date: 6/25/10 Contractor:.. _... _.._.... _ e........_. .__.. SPECTACULAR POOL & SPAS 38241 BUNNY LANE MOUNTAIN CENTER, CA 92561IrL JUN 2S 2010 (760)272-6643 Lic. No.: 937354 CITY OF LAOUINTA ------------------ 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 me su le a workers' compensation laws of California, `Cand agree that, if I should beco ubject to the work s' compens ion provisions of Section 0 of the bor Code, I sh forth itt co ply w' hose rovisi s. e: �~ licant: WARNING: FAIL E TO SECURE WORKERS' CO ATION CO ERA 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 sZn n of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that this correc . I agr to comply with all city and county ordinances and state laws relating to buind her y uth ize representatives of t couuntyto� enter upoZ ve-mentioned properes. D�o^tter &( ` Sig licant or Agent): V` Application Number . . . . . 10-00000563 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 225.00 Plan Check Fee 146.25 Issue Date . . . . Valuation . . . . 22000 Expiration Date 12/22/10 Qty Unit'Charge Per Extension BASE FEE 45.00 20.00 9.0000 THOU BLDG 2,001-25,000 180.00 ---------------------------------------------------------------------------- Permit . . . MECH POOL -- -- ---- — --------- Add t-iorial- desc Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 �. Expiration Date 12/22/10 - 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 12/22/10 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 12/22/10 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 ------------------------------------ --------------------------------------- Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN LQPERMIT Application Number . . . . . 10-00000563 ----------------------------------------------------------------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. 2007 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged --------------------------- Paid ---------- Credited ---------- Due Permit Fee Total 32.9.00 .00 ---------- .00 329.00 Plan Check Total. 172.25 .00 .00 172.25 Other Fee Total 1.00 .00 .00 1.00 --------------------- ------Grand'-Total---------- 502-25 — - - ....._00 ----- .00 .....-:...-502:25 ........-_..... .................._.._.. LQPERMIT Bin # City of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 F, Building Permit Application and Tracking Sheet Permit # ' Project Address: `� ZZ J� &SevtT FA v_ Owner's Name: A. P: Number. Address: b L St_--VL;j f -.4-4,L Cwt i,4 Legal Description: City, ST, Zip: L Contractor:PG2i1 A� PlA1L-S S S .0 1 Telephone: r}w>• :>::"�>:`x.sn:s Address:3 '� Z V11 9V ,1,, LA--- i Project Description: City, ST, Zip: c/—Ic7v.�T/} (, Telephone: �o (o c� 0$1�a State Lie. # : i 3 S City Lie. #: Arch., Engr., Designer. Address: City, ST, Zip: ,. ;>o::> Telephone: vy"Y -";: p .;R:�s:>'��,. Construction Type: Occupancy: �fT`�•:<i(t. \�`Yn i:ti;^iti tiS'j:vi�+447. �A State Lie. #: 7>3 } : ^><:i:>; .. .....>:.; #%.:?Y`�. �<�<;;<<;;;:V„��s<�v Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: �jT � -P Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: ';'z CL)o APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Checl: Balance Tide 24 Caics. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2i0 Review, ready for corrections/issue Electrical 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 Z b e.5� CITY- OF LA QUINTA'SUB-CONTRACTOR LIST JOB ADDRESS / � S P/\ -L"— L --Ad PERMIT NUMBER . OWNER. _-1-7 � eLLy Fi r- BUILDER This form shall be posted qn the job with the Building Inspection Card at all juries in a conspicuous place. Only persons appearing on this list or their employees are authorized to worl 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 voidanct of building permit. For each applicable trade, all information requested below must be completed by applicant. 'On File' is not an acceptable response. /Ciassiricadon S.lat�Contra tornLkeose. .: City: Busige.�sllc�nsa-:•�;_.. .Trade Company Name Classification (e.g. A. 8, C-8) License Number (xxxxXX) Exp. Date Ixx/xx/xxl Carrier Name fe.g. Stat4 Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xxl License Number (xxxx()/ Exp, Date Ixx/xx/xx) EARTHWORK IC -121 .•:.. S J -1 A,, t (✓A-Tlk 1. o rites C i 7--- � Cita-1 io0 (Q-3�-�� S TAM'ti �t�� � � � �a� i � yo ( � � � � >I d 3 I ('7 -7 -31-1 c CoNcp�1=(c-81 1(ZS C_A'...,c, U -1-K c 4*io S'°31 �� �2us /�- S p DI�Rn IZ �� ,Z7� 103 SSS �.-3�vto FRAMING :IC -51 .G I v �"Y► Cj, •ti 2�'L c. -Y 53 631 3 9 )' x-31-10 c,�-'sT oo I o b 3 >61 /=/ a /02-093 STRl1CT. STEEL -1(1,511 ' �( 1� til A(ZAo C X V A i lug, C_ , /2 9 Y!� s l `� S I ��CO 2 .cam/ 3 Q g - MASONRY (C-29) '' Chl (otti--LO•14.4 PLLiMBINR IC -361 I 'f IZ�--Tv.1 C' _-3 S3 (' f I L-� lL 1'3 • )1 C1ac�-� 1�- S ©b �f 60u1 oS �•- I �t U 3 �j 2 % -71 Y c LATH; PLASTER (C-35) ` DRYWALL (C-9) ...:. HVAC. (C-201' ELECTRICAL (C:'10)':.* fiQOFING' (C-391=� ;t'.• . . ,OHEr;T METAL.10=43) ' fLO -GLAZINO (6-,17)'-" INSULATlou(C-21. SEWAGE DISP 0-421 PAINTING (C=331 CERAMIC TI (C-54) GAWOiRS -6) s z 5r4 �- �•Z ov Fx� ` lc,Lt�Y PENDING IC -13) LANDSCAPING IC-271.�kS C- S� Iota ( � A/N S Y503 - ®47 � �=�1.IV c (C7� Z �] � ..� (✓ POO! 1C-53) 7' round spa, raised 18" sit n spin 6 hydrotherapy jets, tile faced, concrete cap, stucco back staggered bench,100 watt light 5' Bloc C B DAl self