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05-2350 (RPL)1 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: OS -00002350 Property Address: 81375 LEGENDS'WY' APN: 762-420-038=` - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 18000 Applicant: Architect or Engineer: Co TkA C ,`0�? ----------------- LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT I hereby affirm under penalty of perjury that I am I'cen d under provisions of Chapter 9 (commencing with . action 7000) of is io the Business and Profe Is Code, antt•fity1.ice�,se�is�n fill force and effect. � icense Clas cense No/ ate: is Contractor: 1SWDERl LDER 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$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.). (_ 1 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 propertywhe builds or improves thereon, and who contracts for the projects with a contractor(s) 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 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: LQPERAIIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/15/05 Owner: SRHI C/O RIELLY HOMES INC 3 CORPORATE PLAZA DR 210 NEWPORT BEACH, CA 92660 Contractor: CALIFORNIA POOLS & SPAS WCC: SEABRIGHT INS WC: BB1050510 01/01/06 CSLB: 656128 10/31/06 ----------------------------------------------- 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. 1 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 are: Carrier CS C27 C29 C53 Policy Number - - - - - - - - - - - - - -- _ 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 shout ecome s ct the workers' compensation provisions of Section 37 0 of the Labor C I hall fort wit mply with those provisions. 65te: Applicant: *' WARNING: FAILURE TO SECURE W,4RKERS'tQX7MSATION 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 ss 'on of work for 180 days will subject permit to cancellation. - certify that I have read this application and state that the above infor tio,-i correct. I agree to comply with all city and county or nances and state laws relating5�17,u buildonstrct n, hereby authorize representatives of s cou y to nter upon the above-mentioned pr,cti oses. aU te: V� d Signature (Applicant or Agen LQPERA1IT Application Number . . . . . 05700002350 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 189.00 Plan Check Fee122.85. Issue Date Valuation .. . . . 17920 Expiration Date 12/12/05 Qty Unit Charge Per Extension BASE FEE 45.00 16.00 9.0000 THOU BLDG 2,001-25,000 ---------------------------------------------------------------------------- .144.00 Permit MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0. Expiration Date 12/12/05 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 . . . . 15.00 Plan Check Fee 3.75 Issue Date Valuation . . . . 0, Expiration Date 12/12/05 Qty Unit Charge. Per Extension BASE FEE ------------------------------------------=--------------------------------- 15.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . 0 Expiration Date 12/12/05 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 Additional desc . LQPERA1IT s LQPERMIT Application Number . . . . . 05-00002350• Permit . . . . . . WALL/FENCE PERMIT Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . 80 Expiration`Date 12/12/05 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA ONLY. 5 L.F. 4' EQUIPMENT BLOCK WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR_ TO PRE -PLASTER INSPECTION. Fee summary Charged Paid Credited Due - --- ---�' Permit Fee Total 278.00 .00 .00 278.00 Plan Check Total 141.35 .00 .00 141.35 Grand Total 419.35 .00 .00 419.35 s LQPERMIT Bin # City of LQ Quints Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # S 3 O . - Project Address: — 3r ✓ - Lgq& IDS Owner's Name: A. P. Number: Address: Legal Description: Contractor: C L tJD LS � City, ST, Zip: Tele hone: P ne. Address: C) Project Description: City, ST, Zip: to - toL PA- Tel h n Telephone: e o e. P 2 .........................................:::::::::: State Lic. # 4) City Lic. #; Arch., Engr., Designer: Address: �s WA -U,. l 00K W it L L.- $ %-1i City., ST, Zip: Telephone: hone: ... Construction Type: Occupancy: State Lic. #: Project (circle le one : o type Ad ' Alter Repairai r Demo Name of Contact Person: DAM 1���4C7 Sq. Ft.: # Stories: # Units: Telephone # of Contact Person:; ;� "/:$I� .S'� i Estimated Value of Project: 1 0(D APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKINGPERMIT FEES Plan Sets Plan Check submitted 6/1,4// Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2ed Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed 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 �O duo