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07-1513 (RPL)P.O. BOX 1504 78495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00001513 Property Address: 49130 EISENHOWER DR, APN: 658-290-042- - - Application description: POOL - RESIDENTIAL Property zoning: LOW DENSITY RESIDENTIAL Application valuation: 32000 T4&t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: 0� V --------------- _. LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of,perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professionals Code; and my'License is in full force and affect. LicenseClass: C27 C53 License No:: 801813 Date:,A/'ss�Contractor: ���---777777 � OWNER -BUILDER DECLARATION llherebyaffirm under penalty_of perjury that Lam exempt-from,the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Coda: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any strueture,,prior to its issuance, also requires'the applicant for the 'permit to file a signed statement that he or she is licensedpursuant to the provisions of the Contractor's State License Lew (Ctiapter,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:applicern to a civil penalty of not more than five hundred dollars (8500):: I _) [,as owner of the property, ormy employees with wages as their sole compensation, will do the work, and the structure isnot 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 aie,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, as owner of the property,: am exclusively contracting with licensed contractors to construct the project (See. 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 forthe projecmwith a contractoris) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B:&P:C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that;thereis a construction lending agency for the performance of the work for which this permit. is issued (Sec. 3097, Civ: C.I. Lender's. Name: _ Lender's Address: LQPERMIT Owner: BIRDSELL ROBERTA D PO BOX 630 LA QUINTA, CA 92247 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/22/07 Contractor: d VICTORIA LANDSCAPES/WA 99145 LOOKOUT DRIVE MECCA, CA 92254 (760)393-363'0 MAY 231057J, Lie. No.: 891813 ----------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm underpenalty of perjuryone 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 thework: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 forvihich this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier EXEMPT Policy Number EXEMPT I- certify that, .in the performance of thework for which this permrt,is issued, l 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 with those. provisions. Date: Applicant: 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 serf forth on this application: 1. Each person upon whose behalf this application is made, each person;et 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 Quints, 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 oflsuch permit, or cessation of work for 180 days will subject permit to cancellation. I certify that t have.read thisapplieation and state that t ie above information is correct. I agree to comply with all city and county ordinanaea,and state laws relating•to building, construction, and hereby authorize representatives of this county toenterupon the above-mentioned property for inspection purposes. Date: Signature (Applicant or Agent): Application Number . . . . 07-00001513 Permit . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 297.50 Plan Check Fee 193.38 Issue Date . . . Valuation 32006 Expiration Date 11/18/07 Qty Unit Charge Per Extension BASE FEE 252.00 7.00 6.5000 THOU BLDG 2:5,001-5.0,000 45.50 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation 0 Expiration Date 11/18/07 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 . 11/1$/07 Qty Unit Charge. Per. Extension BASE FEE 15.00 1.00 .30.0000 EA ELEC.PRI-VATE SWIMMING POOL 30.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.2.5 Issue Date . . . . Valuation 0 Expiration Date 11/18,/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 1.60 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3..00 ------------------------------------------------------------- Special Notes and: Comments POOL, SPA, ALARMS/BARRIERS SHALL BE IN WFEnMrr Application Number . . . . . 07-0.0001513 ------------------------------------------------------------------------ Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged Paid Credited Due ----------------------------------------------------------- Permit Fee Total 401.50 ..00 .00 401.50 Plan Check Total 219.38 .00 .0.0 219.38 Grand. Total 620.88 .00 .00 620.88 LQPE kmrr CITY OF LA IQUINTA SUB -CONTRACTOR LIST JOB, ADDRESS PERMIT NUMBER OWNER BUILDER \JttPK0V40V­ I -A -%&j This form shall be posted on the job with. the Building Inspection Card at all times in a cons picuous-gla place. Only persons appearing on this list or their employees are authorized to Work on this jobi 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 complet6d by applicant. "On File* is not . an acceptable response. Trade I Ciasw'fication. U ttaiAontiact6e 'Cit4, Bu n:o3 License Company Name ClaWfication License Number Exp. Date Carrier Name Policy Number Exp. Date Exp. License Number Exp. Date d: (e.g. A, B, C-8) (xxxxxx) (xx/Xxlxk) (e.g,. State Fund, CalComp) (Format Varies)' jxx) (xxlxxlxx) (XXXX) lxxlxxlxx) tARTHWORK . 11 P-4 2) ­ 1 1"T'. Ca"_#J=VV (sit, C-51 Is SS V"I -7 groffe F-'A�b Z FRAMIN9 STRU :C:T. 11Jr. GL%" =ve ItJe- msswi qWov -si-ne en&t3j> z!Ln 6as37 3O 56 6v %;.3 1 10 Ole C -.36) PLUMBING (C -361 tl 1% t tl fit. tATW K"TE6r(qr3r))' 'Q#AA%MDV. . *Vob%.s DeLMS INS- &%0K?%Wv2%ft0V 41.7469 DRYWALL HVAQ (C-!201`:: ELECTRICAL (0.40) RQOFING-(C R11Nq I GLAZING (C.!17. PAINTING (0331) CERAMIC TILEL(C-54) CABINETS (0-6) FENCING LANDSCAPING (C;.27.);-..-.,:-. 'POOL IC -53 rou*wz *jheA-r=V4 1,00L06 P/L ' ' 'J'- LA QUINTA BUILDING & SAF ETY DEPT. FOR STRUCTION DA BY Bin GV of LQ Qu,inta Building tC Safety Division. Permit #P:O. Box 1504, 78-495 Calle Tampico La Quinta,'CA 92253 -.(.760) 777-7012 Building Permit Application and Tracking Sheet Project Address: E 1CO AJ Ownex's Nair: V o —L A.. P. Number: Address: s`I-Tn,o Legal Description` City. ST, Zip: Contractor. Vf ft Ar L+LJ /.A (! Telephone Address: City, ST; zip:.`A)G' A- �j ZZa- Telephom 3 CVd% State Lica# : FMADIrts Arch.. EW., Designee: Address: City; ST,, Zip: Telephone: State Lie. #: - NameofContadPason: Teleohoae # of Contact Persons #t Coasttuaron Type: UocupanCT Projed type (circle one): New Add'n Alter Repair Dano Sq. Ft: # Stories: `# Units: Estimated' Value of Project tM APPLICANT: DO NOT WRITE BELOW THIS UNE S Submittal Rey'd Reed TRACIMG _ PERIMLLT FEES Plea Set . Plus Check submitted Item Amopnt - Structural Coles. Reviewed, ready for correction Plata ChVek Deposit Ttuis Cates. Called CoataetPerson PlawCheek Balance Energy Calea. "am kicked cep CousbWtion . 1140" plain plan Plum resubmitted Mechanical Grading plin' 2'' Review, ready for am ullonv issue Electrical SubeontaeterVA : Called Contact Person Plembing Grant Deed Plans picked cep SALL- ILOJL Approval Plana resubmitted Grading IN HOUSE-,- Review, ready for.correetiooalissne Developer Impact Fee PlanniagApproval CaUed Contact 'Person A:LP.P. Ppb. Wks. Appr Date of permit Bane School Rees Total PermltFees