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12-1405 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA. 92253 /"- __ Application Number: '12-00001405 _� Property Address: __ 52229 WHISPERING WY APN: 767-200-999-47 -312023- Application description: '.POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 25000 BUILDING &SAFETY DEPARTMENT BUILDING PERMIT Owner: DESERT CHEYENNE 78401 HIGHWAY 1 LA QUINTA, . CA' 9 (760)777-9920 Contractor: Architect or Engifieer: MCINTYRE POOLS &L S R4f595 D�rFI\TfTF. A5 INDIO, CA 92201 (760)3.42.-3612 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 �r 3 2012 CITY OF LA QUINTA szI&O NCF nEPT. Date: 12/04/12 Lic: No.: 6.14611 JT C R'S DECLARATION - WORKER'S COMPENSATION DECLARATION . hereby affirm under penalty of pVaa) am I' ensed nd provisions of Chapter 9 (commencing with 'I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of thand fessi al ode, 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 Li ense Class: C53 icense No.: 614611 for by Section.3700 of.the Labor Code, for the performance of the work for which this permit is - c,� issued. Date: !�� ontractor- - , Y 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 per 's issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of pam exempt from theContractor's State License Law for the .Carrier BENCHMARK INS Policy Nu bar 0 402 following reason (Sec. 7031 .5, B Professions Code: Any city or county that requires a permit to I certify that, in the performanceof the wor for whi th' permit is issued, I shall not employ anyconstruct, alter, improve, demolisany structure, prior. to its issuance, also requires the applicant for the - person in any, manner so as to becomeubjec th orkers' compensation laws of California, permit to file a signed statement he is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become su ct t e rkers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code).or - 3700 of th Labor Code, I shall fort ith p with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031 :5 by / b //e any applicant for a permit subjects the applicant to'a civil penalty of not more than five It dollars ($500).: �^"�•p� �� /� '�7�^^��n*- - (_ 1 I, as owner of the property, or my employees with wages as their sole r.nmpPnc?tion, 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.). - (_ 1 1 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 , WARNING: FAILURE TO SECUREORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - SUBJECT AN EMPLOYER TO CRI INAL PE VALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITI N TO HE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CO TEREST, 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 AlOd rk being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes /poses work imenced - within 180 days from date of issuance of such permit, orork fs willsubject permit tocancellation.I certify that I have read this application and state that the above inforI agrcomply with all city and county ordinances nd state lawnrelating to building construcaut rize representatives _ of is county�t(o enter up the above-mentioned property for inspecti Date/ T !/ ignature (Applicant or Agent): Application Number 12-00001405 Permit . . BLDG•POOL PERMIT Additional desc . Permit Fee 252.00 Plan Check Fee 163.80 Issue Date . . . . Valuation 25,000 Expiration Date 6/02/13 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 6/02/13 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 6/02/13 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 C. 33.00 Plan Check Fee 8.25, Issue Date Valuation 0 Expiration Date 6/02/13 Qty Unit Charge Per A Extension BASE FEE 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.0.0 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 . . . 12 -00001405 -------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. 2010 CODES. -------------- - -----------------_-------------------------.„ Other Fees BLDG STDS ADMIN (SB1473) 1.00 . Fee summary Charged ..Paid, Credited Due Permit Fee Total 356.00 .00 .00 356.00 Plan Check Total 189.80 _ .00 .00 189.80 Other Fee Total 1.00 .00 .00 1.00 Grand Total 546.80 .00•• .00 546.80 ” LQPERD1IT y Bin # Cityof La Quth Building 8i• Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ` Project Address: S,02 _ f!V( - Owner's Name: A. P. Number. Address:- ddress:Legal LegalDescdpfion: City, ST, Zip: ' Contractor: C S_Itt C Address: - 6 Project Description: �xj City,'ST,.Zip: "' c Telephone: ?40 _3v�` 2 9_3601- State Lie. # : y6'1 t city tic. #; S Arch., Engr., Designer . Address: City.; ST, Zip: Telephone:' : • ,• Construction Type: Occupancy: State Lie. #: a a .., 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 Planets Req'd Recd TRACKING Plan Check submitted PERMIT FEES Item Amount Structural Calcs..Reviewed, ready.for corrections Plan Check Deposit. Truss Calcs. Called Contact Person Plan Check Balance Tide 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan god Review; ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing . . Grant Deed Pians picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d 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 t., tiT PERIMt�� BOULDERS 6' I1EIG-' - O 5 O _ _ F..:. \ J � TREE 1 - - - � 4' \ l + 12" I r