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07-1720 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: --07-00001720 --� Property Address: 52965 LATROBE LN APN: 770-340-009- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 25000 Tihf BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/14/07 - Owner: ANDERSON LANCE Contractor: Dff LEE 0 AVENUCTIO 53930 AVENIDA LA QUINTA, CA 92 (760)777-9838 CITY OF LA Q Lic. No.: 602947 BwAmr nEP'1'._ _ ------------------------------------------------------------------------------ LICENSED CONTRACTOR'S DECLARATION ------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionao Code, and my License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C53 No.: 602947 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is :nse / contractor: issued. 16ate: ` _ 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EXEMPT Policy Number EXEMPT following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a'permit to _k�_Fcertify that, in the performance of the work for which this permit is issued, I shall.not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall f�rthwith ply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by / /p any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: . ate: O ! 3a -I pplicant: (_) 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 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 _ 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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 p oses. /Signature (Applicant or Agent): Application Number . . .. . 07�00001720 ' Permit . . ' . . . BLDG. eooL PERMIT Additional deoo ' Permit Fee . . . . 252.00 eIau Check Fee . . 163 80 Issue Date' Valuation ` . - . 25000 Expirationoa�e . . �c/��/O7 Qty Unit Charge Per- Extension BASE FEE 45.00 ' .23.00 9.0000 ` ------_-----------------_---_-----------------^-_----_-------_-------- , THOU' BLDG 2�001-25'000 207.00 - ` ` eermit . . . . . . MECH POOL Additional deac . . ' Permit Fee . . . . 2s.uV eIao check Fee . . . . 6.50 ` Issue Date . . . . ' Valuation . . . . O . Expiration Date . . 12/11/07 Qty Unit Charge Per Extension BASE FEE ' 15.00 1.00 11.0000 ------------------------------------------_--------------------------------- Eu MoCH FosuvAcE.>100K 11.00 ��ez��t . . ... . ' ELEC eooL PERMIT -RES ' Addi innal deeo Permit Pee . . . . 45.00 eIau Check Fee . . 11.25 Issue Date . . . .Valuation u Expiration Date . . 12/li/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 ____________________________________________________________________________ EA ELoC PoInxxrE owzMmzmG POOL 30.00 permit . . . . . . PLUMBING . Additional deao . . Permit Fee . ' . . 33.00 eIao Check Fee . . 8.25 Issue Date . . . . Valuation . . . . o _ Expiration Date . . 12/11/07 Qty Unit Charge Per Extension � BASE FEE 15.00 2.00 6.0000 Ea eLB FIXTURE 12.00 1.00 3.0000 EA rLB WATER ZmSz/aLr/aoe s'oo 1.00 3.0000 EA eLa GAS Pzeo 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- ial Notes and Comments POOL/SPA. azAzMo/BxuzazERS SHALL BE IN LQPERMIr Application Number . . . . . 07-00001720 Special Notes and'Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due ----------------------------------------=---------------- Permit Fee Total 356.00 .00 .00 356.00 Plan Check Total. 189.80 .00 .00 189.80 Grand Total 545.80 .00 .00 545.80 LQPERMIT Bin # City of La Quinta Building 81 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:' S ; — % i 5 /A Owner's Name:. e •A. P. Number: Address: -7 g - c Legal Description: Contractor: �C Sof City, ST, Zip: Telephone: 7 (gyp 3 - 9.3 7!;- i Address: Project Description: Lj City, ST, Zip: �-l1 h �ix /.? 2 3 Telephone: p 7 -7 _ 4 State Lic. # : -60 ,29. y7 City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: �� Q� Construction. Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft : # Stories: # Units: Telephone # of Contact Person: (760 p 5-7�- � g 3 `� y Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKM . 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 Energy Calcs. Plans picked up Construction Flood plain plan. Plans resubmitted Mechanical Grading.plan 2"' Review, ready for correctionsrssue 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 P/L +24"" +18" — GOLF COURSE P/L . w 5' Deck by others i +24" Planter 3'6" 15'-0" 12" P/L "BACKYARD RESORTS" By Michael Lee Construction Office (760)777-9838 Cell (760)578-8834 fax (760)771-9676 J� Licensed since 1990 C53-602947 www.backyardresorts.us Name: The Morrison Group Street:78-060 Calle Estado Cit : La Quinta Job Address: S2 - 9G S Latrobe, La Quinta Phone Office: 396-9375 Res. Lot 9 Tract Page Book Scale 1/8"=1' Date ` Spa spec. Size 7' x 71 Area 38' Per. 22' Spa dam wall width. 12' No. Jets: 6 No. Lights: 1 Spa raised: 6" Spillway Type: Tile Special notes* Poolspec. Size 15'6" x 34'6" Area Per. De th min, 4' Max. 416" Love seat: Per plan Extra steps: no Tannin Ledge: no Rockpockets: no Excavation: Type: Bobcat yes Deep end ramp: Removal: wall: no Sod: no PlumhInge Hayward Equipment Size: Filter: e to • 400,000 2 hp 2nd *2 hp 3rd pump: 2 h Type of controls: Jandy RS 6 Fountains/s ra heads: as per plan No. 0 1 Lights: 2 Color: eck drains: Notes: Tile: Type: TBD Step trim: Type: Masonarys Coping type: Cantalever: yes no no Access wall:Equip walle Fire it: no BBQ length@ no TBD Plasters Color: e: -g-2 - o 6 1,,q "low JOB ADDRESS CITY OF LA QUINTA SUB -CONTRACTOR LIST cS��C,� � ��� �r Svh � PERMIT NUMBER OWNER BUILDERcGt/ This form shall be posted on th� iob with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of' work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. t ' ... las cas on .. - - ontractbr. - State:C ........... ontractors 6icehse ........:::..:.:.:•:...::::::::::.:.. Workers Compensation lhsurance ... City Business License Company Name P Y Classification Lic ense Number Exp. Date Carrier Name PolicyNumber Exp. P License Number Exp.Date e. - A B C ( 8 1 9 xxxxxx ( ) xx x /xx 1 / x)e. .State Fund CalCom ( 9 PI (Format Varies) (xx/xx/xx) (xxxx) (xx/xx/xx) :.EA. RT:. . AHW0RK:1C,1>2'1``>::. > �%�6wt• r � � ec> �... 3 72 ���'`% '246 S�sI �'v'�i=��� lnSr�r. 2�1 b635G/�/�bG L CONCRETE 1C 8) p v ; , , C►�e.�� M� G 63cl n'.1 �0OIL FRAMLN'G(.C'.51:>::::'s. STRUC STEEL (C 51) �o Go Gct 3 I �-;� <N,u o c 20o b 6 (�� I/ /a -a� 07 rl" n 5 4-; - 93, %r- ... 1 ` !� S�n t_ T�..h J !lO D(� 1 -o7 too / l DAYWALL. (C=91>>:>:::>;:[::>>>: HVACXX ECTRICAL (C 101. (^ I Z -q -r OA �2C �ooF a A - S3 1%t:(/'�1 1 l S� fie_ ��� inn `-�oG lz-l3-off loo , SHEAT:>ME?AL`.<C:«'<>?>` 1:4Q.8ING::fC: 1:51`:: WC >�.71....::.;::.......:.: : SEWAGE bISP >:C_A-711 :/A.INTI.NG::IC AMCILE(GR4.. R G 2// - L g p 1/- � Do 1/ OL - 8,a-307 f� .. FE....:: ;>;::::::::; NCIH( .....`> . < : �, e e GoN g� t �.. Li 1 ov! C_- _ s � . c � � a � /`� 'Z - 2fi `� �$C l % - 3/-07 r .