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05-1668 (RPL)` 0t BUILDING & SAFETY DEPARTMENT 1504 (760),777-7012 kLLE TAMPIC,O FAX (760) 777-701`1 A, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application N -u %er 05-00001668 Date 5/02/05 Property Address . . . 51557 EL DORADO DR APN: .772-250-996-174 -31349 - Application description.. POOL - RESIDENTIAL Property Zoning LOW DENSITY RESIDENTIAL Application valuation . . . . 25000 Owner Contractor --------------------------------- ----------------------=---------- RATSHON MCINTYRE POOLS & SPAS, INC. .51 -557 -EL DORADO DRIVE WCC:STATE FUND . .LA' QUINTA, CA _92253 WC: 1769111 01/01/06 CSLB: 614611 09/30/05 CCC: C53 P.O. BOX 1504 78495 CALLE TAMPICO f 4 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Q,j Applicant: Applicant's Mailing Address: co /, 4 764 C, I- Architect or Engineer: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals ode, and my Lice Is is u o ce and effect. /% { License Class l License N. - --(o o( 0 O O�te� Contractor OWNER -BUILDER DECLARATION_ I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U 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 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 or 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.). U 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.). U I am exempt under Sec. , BA P.C. for this reason Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ 1 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 vAl maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is "04-111 su o ers' compensation insurance carp nd F�9/ny�T� are• amer y 1 p Policy Numbe-V / / 8t; I _ I certify that, in the performance of the work for which this pie nit�issued, I shallor t employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. Dat ApplicanT� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 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. 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.), Lenders Name Lenders Address 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 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 building construction, and hereby authorize representatives of this county ter upon the above-mentioned properly for inspection purposes. Date Signature (Applicant or Agent). ---------------------------------------------------------------------------- Application Number . . . . . 05-00001668 , ---------------------------------------------------------------------------- Permit . . ... . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . BLDG POOL PERMIT 252.00 10/29/05 Plan Check Fee . . 163.80 Valuation 25000 Qty Unit Charge Per Extension BASE FEE 45.00 23.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 207.00 Permit . . . . . MECH POOL .Additional desc Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/29/05 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 10/29/05 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 10/29/05 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 ONLY. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 356.00-. .00 .00 356.00 Plan Check Total 189.80 .00 .00 189.80 Grand Total 545.80 .00 .00 545.80 A Bin # Permit # 65" Project Addtess:� A. P. Number: City of La Quinta Building at Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet -�N 0�r qdt,� QC, 4 0,vnees Name: 9 Address: C T -**3 Leeal Description: 4 City. ST. Zip: Contractor:mQrNsv��Tto Address: Voc� '�s Avv-W� FTelephon 'YProject Description: City, ST, Zip::Ej�" 92:1 Telephone* 343-s(clk State Lic. I "C61 k City Lic. Arch., Engr., Designer: P, P c-, Address: City. ST. Zip: Telephone: Conc�upancy� State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Fu 10 <:�q 1 0 Stories: I # Units: Telephone # of Contact Person: ( '*(Estimated Value of Proiccv. rj (Doz� APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Rec'd TRACKING PERMIT FEES Plan sets Plan Check submitted Item Amount Structural Cala. Reviewed, ready for corrections Plan Check Deposit Truss CaIcs. Called Contact Person Plan Check Balance Energy CoIcs. 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 SAM. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for corrcclionsrissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.r. Pub. Wks. Appr Date of permit issue School Fees -7 Total Permit Fees