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07-0085 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00000085 Property Address: 78421 DEACON DR W APN: 770-210-019- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 24000 Applicant: vo/ Architect or Engineer: pla BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: ALEXANDER CAPITAL C/O BRIAN HAIGH 900 W CASTLETON RD CASTLE ROCK, CO 80 Contractor: TESERRA P.O. BOX 1280 COACHELLA, CA 9223 (760)398-9222 Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/10/07 CORP - ` - - - - - - - - - - - - - - - 4 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjur licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the sin and Pr essionals Code, and my License is in full force and effect. license lass: C8 C27 C29 License No.: 656128 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjuryAlr I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Busned Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or 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 1$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.). (_ 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 t *1 Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the 1* work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERnIIT 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. JZ 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 Policy Number BB1060510 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as t become subject to the workers' compensation laws of California, and agree that, if I should bject to the workers' compensation provisions of Section kr f 3700 of the Labor Code, orth comply with those provisions. WARNING: FAILURE TO SECURE WORKERq' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE+LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000). - IN ADDITION TO TH COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTE EST, 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 odthia cation becomes null and void ifwork is not commencedwithin 180 days from date off such permit, or cessation of work for 180 days will subject permit to cancellation.I certify that I have read this application ant th ove information is correct. I agree to comply with all city and county ordinances and state laws r ilding nstruction, and hereby authorize representatives of this county to enter on theave-men spection purposes. g re (Applicant o I t i LQPERMiT Application Number . . . . . 07-00000085 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 243.00 Plan Check Fee 157.95 Issue Date . . . . Valuation . . . . 24000 Expiration Date 7/09/07 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 Fee6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/09/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 ---------------------------------------------------------------------------- EA MECH FURNACE >10.OK 11.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee .'. 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/09/07 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 7/09/07 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, WATER FEATURE. 1 ti LQPERNIIT Application Number . . . . . 07-00000085 ---------------------------------------------------------------------------- Special Notes and Comments ALARMS/BARRIERS SHALL BE IN 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 Bin.# = City of. La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 0� Project Address:*��— Lt 2 ( 7c �.[a�.l DCI.. W� T Owner's Name: ��ry, �� p A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: 5� �-� Address: U Telephone: FMI° Project Description: City, ST, Zip:r_01t:-C E—U,J C.P� C17.23 `P Telephone: C% ZZ 2-' State Lic. # : t%p ,) �j ,� City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: CSO Sq. Ft.: 71 #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: r V v o APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Plan Sets Req'd Recd TRACIQNG . Plan.Clieck submitted PER&D.T FEES Item Amount Structural Calcs. Reviewed; ready for corrections Plan Check Deposit Truss Calcs. Called Contact PersonPlan Cheek Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan" god Review, ready for correctionsrissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Pians picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'rd Review, ready for correctionslissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees / �o � C�� e----