07-3070 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO*
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00003070
Property Address: 77320 CALLE DURANGO
APN: 773-161-011-13 -000000-
Application description: POOL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 36000
T4t!t 4 4 Qu&z
BUILDING &. SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architecror Engineer: _
P.O. BOX 564 I �' . 1007 r!/T
PALM SPRINGS, CA 9 62
('760) 32,4-5880 �Fl OFC1_A ropes �l
Lic;. No.: 384460AfC
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury thatl am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following -declarations:
Sectiom7060).of Division 3 of the Business and Professionals Code; and,my License is in full force and effect. _ I have and will maintain a certificate of consent to'self-insure for workers' compensation, as provided
License.Class: C53 C46 License No.: 384460 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
'issued.
e: m 79.21, Tractor: A I have and will maintain workers' compensation insurance; as required 6y Section 3700 of the Labor
Code, for the performangwof the work for which this permit is issuer!. My workers' compensation
OWNER -BUILDER. DECLARATION insurance carrier and policy -number are:
I herebyaffirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 0555371-2007
following reason -!Sec. -7031.5, Business and Professions Code: Any city or county that requires a permit to I oertify'that, ih.the performance of the work fob which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or -repair any structure, prior toitsissuance, also requires the applicantfor the person in any manner so as to, become .subject to the workers' compensation laws of California,
.permit to file a signed statement that he or sheLis licensed pursuant to, the provisions of the Contractor's State and agree.that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 37 of the Labor'Code Sh with -comply with those provisi
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).: , licant:
(_ 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 WARNING: FAILURE'TO SECURE'WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property.who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS J$1 00,060). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS S PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the,building or improvement is sold within SECTION 3706 OF THE:LABORCODE, INTEREST, AND ATTORNEY'S FEES.
one year of completion, the owner -builder will have the burdenof'proving that he or she did notbuildor
improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT
( _) I, as owner of the property, am exclusively contracting with licensed comractors'to construct the project (Sec. IMPORTANT Application is hereby made totheDirector of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors'- State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who, builds or improves thereon,, and who contracts for the projects with a contractor(s) licensed 1.. - Each person upon whose behalf this application is made, each person at whose request andfor
pursuant to the Contractors' State License Law.). whose benefit work.is performed under or pursuant.to any permit issued as a result of this application,
(_) I am exempt under Sec. , BAP.C. for this reason the owner, and the applicant, each.agrees for and, shall defend; indemnify and hold harmless the,City
Owner: .
HENDLER DOLORES LEE SANDER
77320 CALLE DURANGO
LA QUINTA, CA .92253
Contractor:
ALTERNATIVE ENERGY
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/03/07
Date:
Owner:
CONSTRUCTION LENDING AGENCY
1 hereby affirm under. penalty of perjury that there isla.construction lending agency for the performance of the
work for whichthis permit is issued (Sec. 3097, Civ. C.).
Lender's: Name:
Lender's,Address
LQPERMIT
of La Quints, its officers, agents and employees for any actor omission related to the, work being
performed undevor following issuance of this permit.
2. Any permitissued as a result ofthis application becomes null,and void if workis not commenced
within 180 days from date of issuance of suchpermit; or cessation of work for 160 days,will'subject'
permit to cancellation..
I: certify that,l 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 building construction, and hereby author i resentatives
of=this county to terupon the above-mentioned propyr for inspection purposes:
c
� re (Applicant orAge
n .
Application Number . . . . . 07-000.03070
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
323.50 Plan Check Fee
210.28
Issue Date . . . .
Valuation . . .
. 36000
Expiration Date
5/31/0.8
Qty Unit Charge
Per
Extension
BASE FEE
252.00
11.00 6.5000
---------------------------------------------------------------------------------
THOU BLDG 25,001-50,000
71.50
Permit . . . MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . .
5/31/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.0.0 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
5/31/08
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 . .
5/31/08
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
LQPERWT
Application Number . . .. . . 07-00003070
Special Notes and Comments
-PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary Charged Paid Credited Due
Permit Fee Total 427.50 .00 .00 427.50
.Plan Check Total 236.28 .00 .00 236.2:8
Grand Total 663.78 .00 :00 663.78
LQPERMIT
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