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09-0713 (RPL)4 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00000713 Property Address: 60985 FIRE BARREL DR APN: 764-280-999-64 -300235- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 30000 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ------------------------ -OR'S DECLARATION I hereby affirm under penalty of perjury that �am licensed ndr provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bu ' ess nd Profess' nals ode, and my License is in full force and effect. _ License Class: C53 Li ense No.: 866518 ate: ontractor: WNER-BUILD R DECLARATION I hereby affirm under penalty of perjury that m exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business a 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 Contractor's 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 _ 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 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 1, 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 I 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: 01 LQPERMIT Owner: JIM & LESLIE TITUS' 60985 FIRE BARREL DRIVE LA QUINTA, CA 92253 Contractor: GARY & SONS 67621 CACTUS APPLE DESERT HOT SPRINGS, (760)251-8945 Lic. No.: 866518 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/08/09 CA 9224 -------------------------- WORKER'S I hereby affirm under penalty of perjury one of the following declarations: _ I 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 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 insurance carrier and policy number are: Carrier DELOS INS CO Policy Number 0 AKRM220010101 I certify that, in the perforUdcom of the work for whi is permit is issued, 1 shall not employ any person it any mannerso become subject t h workers' compensation laws of California, and agree that, if I shoe subject tot •w rkers' compensation provisions of Section A700 of the Labor Coall forthwith co ply ith those provisions. WARNfING: FAILURE TO SECURE WORKE S' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINALPNALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000). IN ADDITION X THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODLE, INTEREST, 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 armless the City of La Quinta, its officers, agents and employees for any act or omission related to a 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 i not commenced within 180 days from date of issuance of such permit, or cessation of work r 111 days will subject permit to cancellation. certify that I have read this application and state that toinspection mation is c rrect. 1 agree to comply with all city and county ordinances and state laws relating to btion, an ereby authorize representatives of this co y to nter upon the ve-mentioned propp ' oses. e: iJ Sig ure (Applicant or Ag Application Number . . . . . 09-00000713 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 284.50 Plan Check Fee 184.93 Issue Date . . . . Valuation . . . . 30000 Expiration Date 1/04'/10 Qty Unit Charge Per Extension BASE FEE 252.00 5.00 6.5000 ----------------------------------------------------------------------=------ THOU BLDG 25,001-50,000 32.50 Permit . . . MECH POOL Additional desc ... Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/04/10 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 1/04/10 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 1/04/10 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 Permit WALL/FENCE PERMIT LQPERMIT 4j* LQPEHAfIT Application Number . . . . . 09-00000713 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 160 Expiration Date 1/04/10 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA, 10 L.F. 4' GARDEN WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. 2007 CODES ---------------------------------------------------------------------------- Other Fees . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 403.50 .00 .00 403.50 Plan Check Total 210.93 .00 .00 210.93 Other Fee Total 2:00 .00 .00 2.00 Grand Total. 616.43 .00 00 .616.43 89n # City of LQ Qbtnta Building &r 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: r i rrz� Owner's Name: lv.-7 l (� A. P. Number: Address: Legal Description: City, ST, Zip: C?? I Contractor: Telephone: {`` 4s{%{ M. Address:& / f- Project Description: c(,J aoL s City, ST, Zip:C ZQ/ �— L� Telephone: 602Y v ^"'%i State Lic. # : S City Lie. #; Arch., Engr., Designer:. Address: City., ST, Zip: Telephone: State Lic. #:N _ ?{ � y ,., :.:.... a> . �?,lis;?/'•t Construction Type: Q Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: • Pr Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE. BELOW THIS LINE # Submittal .Plan Sets Req'd Recd TRACMG PERMIT FEES Plan Check submitted 7 Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance • Title 24 Calcs. I.Planspickidup Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for correctionstissue Electrical . Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up. S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- eyiew,.ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person AJXX. . Pub. Wks. Appr Date of permit issue School Fees v"• Total Permit Fees Q * TREES a aaerops humills Washingtonia filifera S� �- SHRUBS/VINES Calliandra haematocephala Disticts laxiflora Jasminum sambac Lantana 'New Gold' Salvia greggii am.Buxus microphylla * Aloe Barbadensis Fouquieria Spendens Agave attenuata Hesperaloe Parviflora Mediterranean Fan Palm Washington Fan Palm Pink Powder Puff Trumpet Vine Arabian Jasmine New Gold Lantana Autumn Sage Japanese boxwood Drain 3" Aloe Vera Ocotillo Fox Tail Agave Red Yucca 2 2 18 17 9 10 15 16 14 2 6 24" Box 8'-10' trunk foot height 5 Gallon 5 Gallon 5 Gallon 5 Gallon 5 Gallon 5 Gallon Drain 5 Gallon 5 Gallon 5 Gallon 5 Gallon Scale: 1/8"=1' -O" - Jim Leslie Titus 60985 Fire Barrel Trilogy La Quinta