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08-1037 (RPL)E P.O. BOX 1504 ` 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92.253 Application Number: 08-00001037 Property Address: 81454 GOLDEN POPPY WY APN: 764-280-999-99 -300236- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 20000 Applicant: -- - - - - - - - - - - - - - - I hereby affirm under penalty of perjury Section 7000) of Division 3 of the Busi license CI C8 C27 C29 Architect or Engineer: ,~ t BUILDING & SAFETY DEPARTMENT BUILDING PERMIT CONTRACTOR'S DECLARATION nse under rovisions of Chapter 9 (commencing with itntl my License is in full force and effect. L' ns o.: 656128 I hereby affirm under penalty of lur hat I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5CJJw9rness and 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 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 contractors) 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: LQPERAI I7' Owner: STAGG 81454 GOLDEN LA QUINTA, CA POPPY WAY 9225,Z- Contractor: TESERRA P.O. BOX 1280 COACHELLA, CA (760)398-9222 Lic. No.: 6561 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/17/08 WORKER'S COMPENSATION DECLARATION 1 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 xissued. 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 a licy number are: Carrier SEABRIGHT Policy Number BB1080510 I certify that, in th erforman-e of the work for which this permit is issued, I shall not employ any person in any man so as to bec)ect to the workers' compensation laws of California, and agree that, if I sho e e srfi ubj�e �( he workers' pensation provisions of Section 3700 of the Labor�ode,�ls$ I�fgLhJ'"Y^9urngywi a Provisions. WARNING: FAILLIA TO SECURE WORK RS' COM A - E=1 - WFUL-,-ANQ SHALL SUBJECT AN EMPLOYER TO CRIMIN ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITI TO THE 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 it. 2. Any permit issued as a result of this applicatio bec' es null and void if work is not commenced within 180 days from date of issuance of such rmi ; or cessation of rk for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above i rmati is c ct. a to comply with all city and co ty ordinances and stat laws relating to building constru n, a ereb thorize representatives of this my to enter upon the ove-mentioned property for ins p ttion oses� te:Pa— Sign re (Applicant or Agent): Application Number . . . . . 08-00001037 Permit . . . . . BLDG POOL PERMIT Additional desc . . Permit Fee 207.00 Plan Check Fee 134.55 Issue Date . . . .. Valuation . . . . 19680 Expiration Date 12/14/08 Qty Unit Charge Per Extension BASE FEE 45.00 18.00 --------------- 9.0000 ----------- THOU BLDG 2,001-25,000 ------------------------------------ 162.00 -------------- Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/14/08 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 12/14/08 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 12/14/08 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 LQPERn4IT Application Number . . . . . 08-00001037 Permit . . . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 320 Expiration Date 12/14/08 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA, WATERFEATURE & 20 L.F. 4' EQUIPMENT WALL, CITY STANDARS. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION Fee summary Charged ----------------- ---- ----- --------°-- Paid Credited ---------- Due Permit Fee Total 326.00 .00 ---------- .00 326.00 Plan Check Total 160.55 .00 .00 160.55 Grand Total 486.55 .00 .00 486.55 LQPERAI IT 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 # Project Address: / /� f L C9C �(— Zf� Owners Name: A. P. Number: Address: Legal Description: L Contractor: City, ST, Zip: Telephone Telephone(") Address: Project Description: n City, ST, Zip: �6/` Y �1 I erl t �( c UU Telephone: z e State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City; ST; Zip: Telephone: 41 ' -ars -. 1 Construction Type: Occupancy: State Lic. #: SC9lZ Project type (circle one) Ne Fv dd'n Alter Repair Demo Name of Contact Person: C �//` Sq. Ft.: Z17'1 # Stories: # Units: ` l Telephone # of Contact Person:( ,) Estimated Value of Project: �C? - APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Floodplain plan Plans resubmitted Mechanical Grading plan god Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing GranlDeed 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