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07-2037 (SOTB)t .1 - P O.'BOX 1564.. VOICE (760) 777-7012 . 44 r-%-46 CALLE TAMPICO ; r, FAX (760) 777-7011 LA QUINTA, CALIFORNIA -92253 . BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING•PERMIT Application Number: "Property Address: . APN:' Application description: Property Zoning: Application valuation: 07-00002037 54695 WINGED FOOT ., 775-110-007- STRUCTURES OTHER THAN BUILDINGS LOW DENSITY RESIDENTIAL 3000 Owner: CHAPIN/MALLOY'RESIDENCE 54-695 WINGED FOOT LA QUINTA, CA 92253 Date: 7/12/07 . w Contractor: U Applicant: Architect or Engineer. MCINTYRE POOLS & SPAS, I 11 /,I1 83695 AVENUE 45 kr YNf �p INDIu, CA 92201' /y (760) 342-3612 �i�'�F�R��• LIC. No.: 614611 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby -affirm under penalty of perjury that I am licensed under provisions of Chapter 9 fcommencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) 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 Cl s: C53 �• License No.: 614611 for by Section 3700 of the Labor Code, for the performance of the work. for which this permit is n �/A ( issued. •Date: Contractor l� r �,\ _ 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 permit is issued. My workers' compensation OWNER -BUIL ER 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 MAJESTIC INS CO Policy Number 020060333602 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 for which this permit is issued, I 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 is 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 (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Ad , I shall forthwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption: Any violation of Section 7031.5 by r��- `any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).: - Date: ApplicanV1, 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 WA ING: 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 ($100,000). IN ADDITION 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, (_) 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. -I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the -I certify that,l have read this application and state that the above information is correct. I agree to comply with all - work for which this permit is issued (Sec. 3097, Civ. C.). - city and county ordinances and state laws relating to buildin construction, and hereby authorize representatives ` - - - of th' ty to enter upon the above-mentioned property pg��e�ction purposes. Lender's Name: Date:. ' Signature, (Applicant or Agent): Lender's Address: _ - - - - LQPERMIT . Application Number . . . . . 07-00002037 ;'Permit . . . BUILDING PERMIT ' Additional desc . Permit Fee 54.00 Plan Check Fee 35.10 Issue Date Valuation 3000 Expiration Date 1/08/08 -. Qty Unit Charge Per Extension BASE .FEE ' - • 45..00-, 1.00,.: 9.0000 THOU BLDG 2-,001-25,000 9.00 . Permit ELEC-MISCELLANEOUS Additional desc Permit Fee . . . 17.25: Plan Check Fee 4.31 Issue Date - Valuation 0 4 EApiiaL'iiuii DaLe l/00/ 00 Qty Unit Charge Per Extension BASE FEE — 15.00 3.0.0 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 2.25 Special Notes and Comments ------------------------------ BBQ PER APPROVED PLAN ONLY Fee summary Charged Paid Credited Due Permit Fee Total ------------ 71.25 ---------- ---------- .00 .00 71.25 Plan Check Total 39.41 .00 .00 39..41 Grund Total 110.66 .00 .00 110.66 . LQPERDIIT .. Rin # tt Submittal Plan Sets Structural Cates. Truss Cafes. Energy Calcs. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval . IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees el City of La Quinta Building U Safety Division P.O. Box 1 SO4, 78-4950 Calle Tampico .La Quinta, CA 92253 - -:760) 777-7012 Building Permit Application and Tracking Sheet Owner's Namc: Address.. o- Cin. ST. Zip: 1U1 `L o S f Telephone: Project Deseripticn: City Lic. !!: ?.` Construction Type: Occupancy: cy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: Stories: N Units: stimatcd Value of Prolcct;P/ �. u _ 3O© APPLICANT: DO NOT WRITE BELOW THS LINE 'd Recd TRACKING Plan Check submitted IMIJ Reviewed, ready for corrections Called Contact Person . Plans picked up Plans resubmitted 2' Review. ready for corrections/issue Called Contact Person Plans picked up Plans resubmitted Review, ready for correction sue � Called Contact Person tssuc DEFT. U . BY—§�Z PERMIT FEES Item Plan Check Deposit Plan Check Balance Construction Mechanical Electrical Plumbing S.M.I. Grading Developer Impact Fee A.I.P.P. Total Permit Fees Amount Permit # f t 1f Project Address S. C A. P. Number: Legal Description: X Contractor: G l x Address: X Ciq', ST. Zip: ' 4K Telephone.. State Lic. q Arch., Engr., Designer: Address: City. ST. Zip: Telephone: State Lic. X Name of Contact Person: X Telephone tt of Contact Person: tt Submittal Plan Sets Structural Cates. Truss Cafes. Energy Calcs. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval . IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees el City of La Quinta Building U Safety Division P.O. Box 1 SO4, 78-4950 Calle Tampico .La Quinta, CA 92253 - -:760) 777-7012 Building Permit Application and Tracking Sheet Owner's Namc: Address.. o- Cin. ST. Zip: 1U1 `L o S f Telephone: Project Deseripticn: City Lic. !!: ?.` Construction Type: Occupancy: cy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: Stories: N Units: stimatcd Value of Prolcct;P/ �. u _ 3O© APPLICANT: DO NOT WRITE BELOW THS LINE 'd Recd TRACKING Plan Check submitted IMIJ Reviewed, ready for corrections Called Contact Person . Plans picked up Plans resubmitted 2' Review. ready for corrections/issue Called Contact Person Plans picked up Plans resubmitted Review, ready for correction sue � Called Contact Person tssuc DEFT. U . BY—§�Z PERMIT FEES Item Plan Check Deposit Plan Check Balance Construction Mechanical Electrical Plumbing S.M.I. Grading Developer Impact Fee A.I.P.P. Total Permit Fees Amount