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07-0788 (RPL)P.O. BOX 1504 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 07-00000788 1 Owner: Property Address: 81831 FIORI DEL DESERTO DR SPROUSE RESIDENCE APN: 764-010-011-72 -30092 - 81-831 FIORI DEL DESERTO DR. Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 24000 Applicant: Architect or Engineer: to �(k �pn --------------------------------------------------- LICSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that L4M licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine a Pr essionals Code, and my License is in full force and effect. LicensVClass C8 27 C29 License No.: 656128 1 Dat � Contractor. � t i OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I a exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Pr fessions 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 155001.: (_) 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 ISec. 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.). 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 ISec. 3097, Civ. C.1. Lender's Name: _ Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/16/07 ID Contractor: _ TESERRA P.O. BOX 1280 (jCOACHELLA, CA 92236 :MAR 27L- 2007 ?� (760)398-9222 Lic. No.: 656128��`` ,A ------------------ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 SEABRIGHT P4shobe licy Number. BB1070510 I certify that, in tmanc f the work for which this permit is issued, 1 shall not employ any person in any o become subject to the workers' compensation laws of California, and agree thad be a subject to the workers' compensation provisions of Section 3701 of the le, 1 s I f thwith comply with those provisions. "te:ApplicaWARNING: FAILURE TO SEC ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TOL PE LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN AO T COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, 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 perm , 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 ation is correct. I agree to comply with all city and c unty ordinances and state laws relating to buildi cons ucti , and hereby authorize representatives of this co my toe t on the above-mentioned propert ins ctio purposes. ate: nature (Applicant or Agent): Application Number . . . . . 07-00000788 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 243.00 Plan Check Fee 157.95 Issue Date . . . . Valuation . . . . 24000 Expiration Date . 9/12/07 ~ Qty Unit Charge Per Extension BASE FEE 45.00 22.00 9.0000 THOU BLDG 2,001-25,000 198.00 ---------------------------------------------------------------------------- Permit . . . MECH.POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/12/07 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 . . 9/12/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0.0000 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 9/12/07 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 ---------------------------------------------------------------------------- Special Notes and Comments POOL, SPA, ALARMS/BARRIERS SHALL BE IN LQPERAIIT Application Number . . . . 07-00000788 Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 347.00 .00 .00 347.00 Plan Check Total 183.95 .00 .00. 183.95 Grand Total 530.95 .00 .00 530.95 LQPERMIT Bin # City of. La Quinta Building u Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # "7� g Project Address l � �E tZ Owner's Name: �VS� �>✓S A. P. Number: Address: v I -t3J T-[UZ Legal Description: City, ST, Zip: Contractor:- Telephone: Address: Project Description: City, ST, Zip:4f,0PG E l..1/�— Telephone: !�)o(g / ZZ 2.. State Lie. # City Lie. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: Construction Type: Occupancy: 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 Zt C)^ # Submittal Req'd Rec'd TRACKING. PERMIT FEES Plan Sets Plan.Check submitted Item Amount Structural Cates. Reviewed; ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Cates. Plans Qicked up Construction Flood plain plan Plans resubmitted Mechanical Grading. plan' 2"d Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmittedGrading IN HOUSE:- ''" Review, ready for corrcetions/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 d < (n 0 z d m rn rn C7 rn w Y i S ao n I D O O r W 0 to D z I .rrn In CO Z N Ln 4P O N n 0 O� D Ln � X a: m M Dv �C) O D CA (O N 00 N I W N U 'pajoui aslMaaulo ssalun 's_j;ggjo 3❑HNI'd21Q 's}od 4q pun sialuold joj uoi:}o61Jai pun a6ou�roJ4131ON 3an1HN0IS Sd-Icl,/'SS3d i,QNHr sN3Q- noa 3-1I1 3N❑1S SN�I1���1�5 al L-4- S b'1N1no lint., :10 31VU SN❑ISIA3N Ara GD33H0 ),El Q3❑S Aff N/ VdC[ 31VG TWOS '❑N 3N❑Hd 33I33❑ N0IIOn6aSN0O . 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