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11-0739 (RPL)- P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T,&t-4 40" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 11-00000739 Property Address: 61142 FIRE BARREL DR APN: 764-280-999-43 -300235- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 30000 Applicant: _�� Architect or Engineer: r [Pe -------------------------------------------------- U STINTRACTOR'S DECLARATION I hereby affirm under penalty ofperjury the I a li ns d under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busines an Pr as i als Code, and my License is in full force and effect. License Class:' C27 License No.: 898417 Date:' tractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of pe 'ury that am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Bus ass an Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, o 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 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.). (_) 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.). ' (_) 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: LQPERMIT Owner: ADAMS-JENKINS 61142 FIRE BARREL DRIVE LA QUINTA, CA 92253 i [in— D11 Contractor: . DESERT LANDSCAPE AS 79405 HWY 111, STE LA QUINTA, CA 92253 (760) 3.99-9600 Lic. No.: 898417 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/07/11 S 26 H 1.A QIJI°AT'A ----------------------------------------------- WORKER'S 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 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 NCIGUARD INS Policy Number DEWC122591 I certify that, in the performanc of the work for which this permit is issued, I shall not employ any person in any manner so as be subject to the workers' compensation laws of California, and agree that, if I should Torn ect the workers' compensation provisions of Section 3700 of the La r Code, I all f i[ omply with those provisions. ate scant: WARNING: FAILURE TO SEC E WOR ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO RIMIN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). INA DITIO O THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LAB R C E, 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 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 abov inf mati is correct. 1 agree to comply with all city and county ordinances and state laws relating to building c s ctio , nd hereby authorize representatives of th' county to enter upon th above-mentioned property for i ectio rposes. 15'.'1e:J!J-I/ Sig ure (Applicant or Agent I - J LQPERMIT Application Number . . . 11-00000739 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 284.50 Plan Check Fee 184.93 Issue Date . . . . Valuation 30000 Expiration Date 1/03/12 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 1/03/12 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 1/03/12, 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 . . . . 27.00 Plan Check Fee 6.75 Issue Date . . . . Valuation 0 Expiration Date . 1/03/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000. EA PLB FIXTURE 6.00 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 ---------------------------------------------------7-------7---------------- Special Notes and Comments SPA, FIREPIT. ALARMS/BARRIERS SHALL BE Application Number . . . . . 11-00000739 ---------------------------------------------------------------------------- Special Notes and Comments IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary ----------------- Charged Paid -------------------- Credited -------------------- Due Permit Fee Total 382.50 .'00 .00 382.50 Plan Check Total 209.43 .00 .00 209.43 Other Fee Total 2.00 .00 .00 2.00 Grand Total 593:93 .00 .00 593.93 LQPERMIT 8►n # City of La Quinta Building 8L Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # n(�Q� Project Address: 'L � —0a, Owner's Name: M�.1 S A. P. Number: Address: G1442- Legal Description: City, ST, Zip: A.- V ma Contractor: etm-r- c2he '. Telephone: Address: W SSE IM1107 Project Description: �, ,rK/SOA 1200ri-- City,ST,Zip: W e k 432:2!01�3 Telephone: State Lic. # : j City Lic. #: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: rrrf :•r:i': •::}:;-0i};+v: :hryrrx i:• •}.:.:: L: i+� . Construction Type: Occupancy: State Lic. #: ` '`:i !i:>s '%".'•:i < < Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Jar( Sq. Ft.: # Stories: # Units: Telephone # of Contact Person- I Estimated Value of Project: Q QO 4i APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 21" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees ,r po i � ® 1 Lti � .t ,�• PA � \ t N � I +x N .. 1 a a�