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09-1164 (RPL)e P.O. BOX 1504 ' 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 09-00001164. Property Address: 61002 DESERT ROSE DR APN: 764-270-999-124 -300231- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 30000 t or Engineer: •-------------------- CLARATION s of Chapter 9 (commencing with ny License is in full force and effect. 658996 RATION - ctor's State License Law for the or county that requires a permit to jance, 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 _ 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 _ 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.). 1 _ I 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: c Lender's Address: LQPERA1IT Owner: DENNIS & ROBIN ASHER 61002 DESERT ROSE DRIVE LA QUINTA, CA 92253 Contractor: FAMILY POOLS CONSTR P O BOX 283' LA QUINTA, CA 92247 (760)564-3655 Lic. No.: 658996 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 1 Date: 11/03/09 ------------------ WORKER'S COMPENSATION DECLARATION D I hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of corisent 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 require&by Section 3700 of the Labor Code, for the performance of the wo>lror which this permit is issued. My workers' compensation insurance carrier and policy numb re: , Carrier STATE FUND olicyNumber 1344032-2009 I certify that, in the performs of the work for which this permit is issued, I shall not employ any - person in any manners s become subject to the workers' compensation laws of California, Iand agree that, if I sho Id b ome subject to the workers' compensation provisions of Section 3;00 of the Labor Code, a}ilforthwith comply with those provisions. WARNING:II F ILURE TO SECURE WORK 'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT N EMPLOYER TO CRIMINAL PE ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1 0,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 706 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 omes null and void if work is not commenced within 180 days from date of issuance of suc ermit, or cessation of work for 180 days will subject permit to cancellation. I certify th I ave read this application and state that t e bove i ormation is correct. I agree to comply with all city and go ordinances and state laws relating to d' constru 'on, and hereby authorize representatives of this o(t eBler upon the above-mentioned pro I i e urposes. battee: 1` V//,'Signat (Applicant or Agent) ' a v Application Number . . . . . 09-00001164 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee 284.50 Plan Check Fee-. 184.93 Issue Date Valuation . . . . 30000 Expiration Date 5/02/10 Qty Unit Charge Per Extension BASE FEE 252.00 5.00 6.5000 -----------------------------------------------'----------------------------- THOU BLDG'25,001-50,000 32.50 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date 5/02/10 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 r Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/02/10 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 . . . . 27.00 Plan Check Fee 6.75 Issue Date Valuation . . . . 0 Expiration Date 5/02/10 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 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 . . . . . 09-00001164 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 108 Expiration Date 5/02/10 Qty Unit Charge Per Extension BASE FEE - 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL, 5 L.F. 4-6" SCREEN WALL, CITY STANDARD, GAS & ELECTRIC STUB -OUTS FOR FUTURE BBQ. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. 2007 CODES. ---------------------------------------------------------------7------------ Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 2:00 Fee summary Charged. Paid Credited --------------------'--------------------------- ---------- Due Permit Fee Total 397.50 .00 .00 397.50 Plan Check Total 209.43 .00 .00 209.43 Other Fee Total 2.00 .00 .00 2.00 Grand Total 608.93 .00 .00 608.93 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 Building Permit Application and Tracking Sheet Permit # 1,, 04 Project Address: Owner's Name: g�jd(%IS fl�W A. P. Number: Address: VLI)%i Legal Description: City, ST, Zip: u �T Contractor: Telephone: V ,Q Address: _ 0 , tl Z7 Project Description: City, ST, Zip: Telephone: Zo State Lic. #: &.LL167 City Lic. Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State L <``'<^`'' 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: , APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted p A� �em Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" 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/issdc Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees ISI I � I I I I Existing Spa Equipment Existing Spa, Fire Plac and Seat Wall MR & MRS. DENNIS ASHER 61002 DESERT ROSE DRIVE TRILOGY COUNTRY CLUB - LA QUINTA 9/21/09 1/8"=1' J�CVM- d -V/ ylo,041'1 New Pool e BBQ G & E for PreFab BBQ ❑ I by Owner Existing Deck Construction 7Equipment Pools Spas Fountains `(760)564-3655 Lic. #658996Ne Ch Y OF LA QUINTA \ BUILDING & SAFETY DEPT. APPROVED I FOR CONSTRUCTION DAT�I�q BY I i 0 S' 0 oo�-- 10' El I Existing 6' Wall