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07-2032 (RPL)
P.O. BOX 1504 78-495 CALLE TAMPICO . LA QUINTA, CALIFORNIA 92253 Application Number: 07-00002_032 Property Address: '79920 WILLIAM STONE WY APN: 604-492-006-17 -24197 ✓ Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Appljcatl6n valuation: 1'1800 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SANCHEZ RESIDENCE 79-920 WILLIAM STONE WY ra e -,1111 LA QUINTA, CA '92253 JUL 131007 VOICE (76 0) 777-7012 ' FAX (760) 777-7011 . INSPECTIONS (760) 777-7153 Date: 7/13/07 LQPERMIT 1-1 Contractor: Applicant: Architect or Engineer: GfTYOFL-A QtIWA MC CAECUM POOLS ' FrN�lN�E S@UhW J46-576 VIA CELESTE INDIO, CA 92201 - - . (760)275-6403 + Lic. No.: 818835 ' LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION - I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of th5A.,Qess and Professionals Code, a y 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 L'c se 18835 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is lM issued.- te: •U 7 ntra octo `' - ` - - _ I have and will maintain workers' compensatiori insurance, as required by Section 3700 of the Labor _ - - i Code, for the performance of the work for which this permit is issued. My workers' compensation's OWNER -BUILDER DECLARATION - - insurance carrier and policy number are: - _ hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the - Carrier EXEMPT- Policy Number EXEMPT • following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to "I certify that, in the performance of the work f6r which this permit is issued,.) shall not employ any construct, alter,, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for 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 she islicensed'pursuant to the provisions of the Contractor's State - and agree that, i shou came subject to the workers' compen on prov ns of Section , License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Lab r Code, I sh forthwith c m ly th o rsions. 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).: U7 plicant: • 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 WARNING: FAILURE TO SEC RE WORKER COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' Statel.icense Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMIN NALTIES 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 ($100,000). IN ADDI ON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - 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.). - APPLICANT ACKNOWLEDGEMENT ( ) I, as owner of the property; am exclusively contracting with licensed contractors to construct the project (Sec. - IMPORTANT Application is hereby made to the Director 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 and for 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, • (_ 1 I am exempt under Sec: , B.&P.C. for this reason 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. Date: Owner: 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 ' CONSTRUCTION LENDING AGENCY - - permit to cancellation. - 1 hereby affirm under penalty of perjury that there is a construction lending agency.for the performance of the I certify that I have read this application and st t that the abo information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.1. - • city and county ordinances and state laws rel ting to building co ruction, and hereby aut representatives . of this county to enter upon t above m ned property for iect' ,Q�rpo - r - r Lender's Name: - .sr /t • e: /' I S'V / Si nature (Applica or Ag . �'�'y Lender's Address: , LQPERMIT :. Application Number "07-00002032 Permit . . . .MECH POOL Additional desc .. . Permit .Fee .. 26.00- Plan -Check Fee 6.50. Issue Date Valuation 0 Expiration Date 1/09/08 Qty Unit Charge Per Extension BASE FEE 15.00. :1.00 1-1.0000 EA MECH FURNACE >100K 11.00 --- ----------- - - - -- ------ - - - - -- --- ----- - - --- ' Permit. -BLDG POOL PERMIT Additional desc . Permit Fee 271.50• Plan Check Fee 176.48 Issue.Date Valuation 27800 Expiration Date Qty Unit Charge Per Extension BASE FEE 252.00 3.00- 6.5000 THOU BLDG 25,001-50,000 19.50 Permit ELEC.POOL PERMIT -RES Additional desc . Permit Fee . . . 45.00 Plan Check •Fee 11.25 Issue Date Valuation 0 Expiration Date 1/09/08 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 1/09/08 Qty. Unita 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 - t LQPERMIT.. Application Number 07-00002032 _. _- --- Special Notes and Comments- -PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT.INCLUDED. Fee summary Charged Paid Credited Due" Permit Fee Total 375.50 ;..00 .00 375.50• Plan Check Total 202.48 00 00. 202.48'. Grand Total 577.98 .00_ .00 577.98 LQPERDIIT t Q OJ IA O; 9 - co O G 2 1 CITY OF LA•:Q1.JINTA- SUB -CONTRACTOR LIST �� . k A .. .� JOB ADDRESS �� I n� a PERMIT NUMBER OWNER f.� S c�. BUILDER u This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job:. Any. changes to this1ist 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 voidance of building permit..For each applicable trade, all information requested below must be completed. by applicant. "On File" is not an acceptable response. de C s�fi a ion Tra / las t Contractor :::; >r:: r::<;.:.::::::::<::::State::Contracto Uc r s. epse... :....:.: :.:::. :.....:.:.>:::::>;::r::_>.:::;:::::.:..:::...: <. <: ; ::>«..:: ::: :<: :::::::..:;>::: Workers.Com ensat,o�.�nsurance . .. :..:.. it .-Business License:`;::... C Y Company Name Classification le.g . A,.B, C-8) License Number (xkxxxx) Exp. Date (xxlxx/xx) Carrier Name (e.g. State_ Fund, CalComp) Policy Number .: (Format Varies) Exp. Date (xi/xx/xx) License Number (xxxx) Exp. Date (xx/xxlxx) EARTHWORK (6r121 ... en9 2x '� ��� 5�.. 3" 3) .;a9 ©y C`�C7) J3C� I : o to �7 I :3 L CONCRETE (C-81 ::. .;.. C ��,. g y ga:- e,.: ,.. _ �� C -a o���� �� �� 8-2 � o ki STRU.0:i:STEEL: (C -5:a1 ' MASONRVId-29) PLUMBING' (C-361 rz S e, 0 3 SSCP 3 3 a i� y S �. d� to s 3 - ,� 3 '�.� y. ° r LATH; PLASTER (Cs35). . S ^ rti ' I �� :1i t �'� (p C) [� U , 31 'b ` n7 WC'X d .... y�o s= asa i� 31'0 eel DRYWALL (C-9),.;..: -. HVAC. (9-20)::.: ELECTRICAL. (C=10) ::: S ��SSb-1-0�3 S��l�-�.�� y(o�ol S�3Z� -r-vZ 1-7 3 3j-oe a� ROOFING'.(C=391''::>:°' SHEET METAL (0=43) FLOORING GLAZING (C-1.7 : • INSULATION:(C-2) :-'::..:. E SEWAGE DISP.: (C PAINTING (C33)' CERAMIC TILE (C-54) '.:. CA51NETS (C-6) .: Fill FENCING LANDSCAPING (C=27.)..`: POOL (C-53) .. ,C �n�n i5 �Sa �o.. i�l�lGtt�G OK