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07-1855 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00001855 Property Address: 54085 AVENIDA HERRERA APN: 774-213-016-5 -000000- Application description: POOL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 12000 Applicant: QV7 Tavl 4 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: 1• I� ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, an my License is in full force and effect. License Class: C12 C53 License 746662 Date: Contractor: -GLLfY OWNER-1,Y11DER DECLARATION I hereby affirm under penalty of perjury that I am exam from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business 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 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 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/26/07 Owner: D SAHS RESIDENCE 54-085 AVENIDA HERRERA LA QUINTA, CA 92253 "� O - Contractor: C��'pF 10QJ NEUBURGER EQPMNT RNTL & CONSTR P.O. BOX 623 FOFpHP,q LA QUINTA, CA 92253 (760)275-5740 Lic. No.: 746662 ----------------------- WORKER'S COMPENSATION DECLARATION 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 STATE FUND Policy Number 1576693-2006 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 to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply those provisions. Date: .u' 0?Applicant: _ (• WARNING: "FAILURE TO SECURE WORKERS' COMPE ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES /+! D CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000). IN ADDITION 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 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 above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. y0 7 Date: 2— A Signature (Applicant or Agent): •Application Number . t . . . . 07-00001855 Permit BLDG POOL PERMIT Additional desc . Permit Fee . . . . 135.00.'.' Plan Check Fee 87.75' Issue Date Valuation . . . . 12000' Expiration Date 12/23/07 Qty Unit Charge Per Extension BASE FEE 45.00 10.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 90.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date 12/23/07 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 12/23/07 Qty •Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 7 -------------------------------------------------------------------- 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 12/23/07 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. -------------- ------------------------------------------------------------- Special Notes and Comments POOL, ALARMS/BARRIERS SHALL BE IN PLACE LQPERMIT Application Number . . . . . 07-00001855 Special Notes and Comments AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee.summary Charged Paid Credited Due Permit Fee Total 233.00 .00 .00 233.00 Plan Check Total 112.25 .00 .00 112.25 Grand Total 345.25 .00 00 345.25 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.# ( /vO") Project Address:' J'� �� Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip;Q a k Contractor: a(%u h" r �'4 Telephone - Address:. O oc Project Description: City, ST, Zip: 4. al l S�-3 " ' Structural Cities. Telephone: .77. State Lie. #: &(p & City Lie. #: Arch., Engr., Designer: Plan Check Deposit Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type- Occupancy: Project type (circle one): New dd'n Alter Repair Demo 'Sq. Ft.:. # Stories: #Units: Telephone # of Contact Person: - Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd -. Reed TRACKING • PERMIT FEES Plan Sets Plan Check submitted 2 Item Amount Structural Cities. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Cales. Plans picked up Construction Flood plain plan. Plans resubmitted Mechanical Grading, plan V Review, ready for corrections/issuc Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L ILO.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for correctionstiissue Developer Impact Fee Planning Approval Called Contact Person A-LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees C[211 v 70 K(R �L Fol 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.' �� jZo�� Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip;2a li Contractor: Q(/2w�u— �'� Telephone: '<<� Address:D Project Descriptio City, ST, Zip: i Telephone:State Lic. # ro(o Z ECity-Lic. #: Arch., Engr., Designer: Address: rl City, ST, Zip:or Telephone: 1�'e L,'- b Construction Type: Occupancy: State Lic. #: Project type (circle one): New dd'n Alter Repair Demo Name of Contact Person: /UUu /n/111"111VSq. Ft.: # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd 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 picked up Construction Flood plain plan. Plans resubmitted Mechanical Grading. plan 2°" Review, ready for correctiissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L 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