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08-1962 (CP)P.O. BOX 1504 78-495 CALLE TA_MPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-0.0001962 Property Address: 47795 DUNE PALMS RD APN: 600-020-030- - Application description: POOL - COMMERCIAL Property Zoning: REGIONAL COMMERCIAL Application valuation: 50000 Applicant: Architect or Engineer: N1� BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ------------------------------------------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am lic ensed,under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is In full force and effect. Lice Class: C8 C27 C2 License No:: 656128 Date• nfractor: OWNER -BUILDER DECLARATION ' I hereby affirm under penalty of perjury that I am exempt 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,permitsubjects the applicant toga civil penalty of not more than five hundred dollars (8500):: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and thestructure 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:orher own employees, p(ovided'that the improvements are not intended or offered for sale. M; however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that heor 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: ThwContrac[ors' State License Law does not apply to an owner of property who builds or improves•thereon, and who contracts for the projects with a.contractorls) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec: B.&P.C. for this reason Dater Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty,of perjury that there iso 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:: 12/19/08 Owner: COACHELLA VALLEY HOUSING COALI 4570.1 MONROE ST 1-G INDIO,, CA 92201, 0 Contractor: DEC 2 2 2008 TESERRA P.O. BOX 1280 my OF COACHELLA, CA 9 236 LAQUINTA (760)398-9222 FINANCE.DEPT. Lic. No..: 656128 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: Lhave-end will maintaina_certificate of consent, to self -insure for workers' compensation, as provided for by Section 3700 of the Labor for the performance of the work forwhich this -permit is issued. li(l have and will maintain workers' compensation insurance, asrequired by Section 3700 of the Labor Code, -for the performance of the Work for which this permit is issued. My workers' compensation insurancecarrier and policy number are: Carrier SEABRIGHT Policy Number BB1080510 I certifythat„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 tit reed hall forthwith compll tit those provisions. e;1 0� p WARNING: FA URE To SECURE WORKERS' COMPENSATION VERAGE INL S 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,COMPENSATIONi DAMAGES AS. PROVIDED FORIIN. SECTION 3706 OF THE LABOR CODE; INTEREST„ AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and'Safetyfor 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 requestand 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 Quints, its offlcers, agents anTemptoyees for any act or omission related to the.w.ork,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. 1 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, -,arid hereby authorize representatives ofthiscounty to enter upon the above -m a pro for inspection purpo Hate:ature (Applicant. Application Number . . . 08-00001962 .Permit MECH POOL Per Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . PLB FIXTURE Valuation . . . 0 Expiration Date 6/17/09 PLB WATER INST/ALT/REP 3.00 Qty Unit Charge Per EA Extension 3.00 BASE FEE 15.00 1.00 11.0000 ----------------------------------------------------------------------------- EA MECH FURNACE >100K 11.00. Permit . . . ELEC-MISCELLANEOUS Additional desc . . Permit Fee . . . . 41.00 Plan Check Fee 10.25 Issue Date . . . . Valuation . . . . 0. Expiration Date 6/17/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 EA ELEC PWR APP >1 TO <=10 7.50 1.0.0 18.500:0 EA ELEC SVC <=60OV/<=200A 18.50 Permit PLUMBING Additional desc . Permit Fee. 27.00 Issue Date . . . . Expiration Date 6/17/09 Plan Check Fee . . 6.75 Valuation . . . . 0 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 Permit . . . Additional desc . Permit Fee Issue Date . Expiration Date . BLDG POOL PERMIT 414.50 6/17/09 Plan Check Fee 269.43 Valuation 50000 Qty Unit Charge Per Extension BASE FEE 252.00 25.00 6.5000 THOU BLDG 25,0,01-50,0.00 162.50 - ------------------------------------------------------------------- Special Notes and Comments COMMERCIAL.POOL. ALARMS/BARRIERS SHALL L4mR rr Application Number . . . . . 08-00001962 ---------------------------------------------------------------- Special Notes and Comments BE IN PLACE AT PRE -PLASTER INSPECTION. ALL FENCING DONE BY OTHERS Fee summary Charged Paid Credited Due ------------------------------------------------------- Permit Fee. Total 508.50 .00 .00 508.5.0 Plan Check Total 292.93 .00 .00 292.93 Grand Total 801.43 .00 .00 801.43 LQPERMrr Bin # City of La Quinta l Building ex Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Petmit # n _ 1 1�vf 1I Project -Address: gjr LUA/r PQM S Owner's Name: BIZO IJAI &,,V_57" 14477;A/ A. P. Number: 'Address: Nj (.V A Legal Description: City, ST, Zip: Contractor- s0j 0, 4 Telephone..I/ 6. O O Address: T 0 , ©yG 0 Project Description: q City, ST, Zip: �A C•HOZL-A 4 /Z2,36 I- -71 et �/i! lJ ulv6- S Telephone: 222 i&&A-- �oMM i GOAL o o L State Lig. City LM #: Arch.,'Engr., Designer: Address: City, ST, Zip: Telephone- State Lip-. #: Construction Type: 6;fN /7E- Occupancy.: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: A•uL S Sq. Ft.: 8 # Stories: -"T Units; Telephone# of Contact.Person: Estimated Value of Project: log �j O crcro APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Plan Check submitted nn )O�11(?19m 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 correctionsrmue I Electrical OLW � N� Subcontactor Li;t Called Contact Person Plumbing 14 0MAO /_ Grant Deed Plans, picked up S.M.I. H.O.A. Approval Plans, resubmitted Grading INHOUSE 314 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 ♦S LTotal Permit. Fees COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH ENVIRONMENTAL HEALTH SERVICES SUPPLEMENTAL REPORT TO SAN. FORM # DATE SUBJECT c,, (� ,� !\ 11U +t 2 � G 1 M PERMIT NO. ADDRESS 1 - i c1 \ l�) n ��� �.� C �- G ns 2, 1� e-, REMARKS: < INSPECTOR < -N U -e Z 6 14 F)l ("AL A Tom] L I 36 v P e Splons, J L 1 c OV, so 1 ` S _C �s 1Cj2- 1 1 / DEH -SAN -118 (Rev 8/02) Distribution: WHITE—Office; CANARY—Owner; PINK—Office COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH ENVIRONMENTAL, HEALTH SERVICES SUPPLEMENTAL REPORT TO SAN. FORM # DATE 69-Q SUBJECT L PERMIT NO. I ADDRESS 4 n-41 S � -p REMARKS: ,INSPECTOR 4^ N'%p� �A gg�k k An r o r Ipi a cLon's CA Q -Vo 7- 42 e'qlf'5 C7 lit4i)HV� (,27-� V. L DEH. -SAN -1 18 (Rev 8/02) WHITE --Office Distribution: CANARY—Owner; PINK—Office 4 •J Y, I. COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH ENVIRONMENTAL HEALTH' SERVICES SUPPLEMENTAL REPORT TO SAN. FORM #. DATE /9 SUBJECT L PERMIT NO. ADDRESS, REMARKS: INSPECTOR F -Q 1 N TCi 6 n c e —tm osem rr\ v G i )a- s r GflzsQr\ �" )CIC S r e Ck \A I., \IJ J S� (X 9 4 DEH -SAN -118 (Rev 8/02) Distribution: WHITE --Office; CANARY—Owner; PINK—Office