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08-0947 (RPL)P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT_ C; ^ Date: 5/30/08 t Application Number: t 08-0000099477 Owner: Property Address: 79035- VIA CARMEL - RINALDI APN: 646-400-019- 79035 VIA CARMEL Application description: POOL RESIDENTIAL LA QUINTA, CA,92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation:. 15000 — �iN1118y-1 jOu1Q ' _ Contractor:-�Q�% pp�tItl�s Applicant: Architect or Engineer: STONE CANYON POOLS- 73170 OOLS - v �.Q )1r ` 73170 RAMON ROAD i* THOUSAND PALMS, CA 92276 • •'� \ /,/L (760)343-5420 N1/r( •LiC. No.: 534494 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 Professionals 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: D35-053 (License N .: 534494 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is /,, �? Q _ issued. te: lY / 0V ntractor: _ 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EX MPT Policy Number EXEMPT ' following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to 1 I certify 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 the workers' compensation provisions of Section License taw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I s, hall forthwith comply with those pLpvisions. 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$5001: e: `' plicant: !tom ( ) I, as owner of the property, or my 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon; - SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS (5100,0001 IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however; the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND -ATTORNEY'S FEES. ' 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 APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for .pursuant to the Contractors' State License Law.). whose benefit work'is performed under or pursuant to any permit issued as result of this application, (_) I am exempt under Sec. , B.&P.C. for this reason + . the owner,-andthe 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. .Date: Owner: - - 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 . - CONSTRUCTION LENDING AGENCY permit to cancellation. hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agf a to comply with all work for which this permit isissued(Sec. 3097, Civ. C.). _ - city and county ordinances and state laws relating to build'ng construction, and hereby autho sentatives of this co ty to enter upon t above-mentioned propert for i pection purpos Lender's Name: e: Y_ S' ature (Applicant or'Agent): Lender's Address: ' LQPERMIT Application Number . . . . . 08-00000947 Permit . . : . . BLDG -POOL PERMIT Additional desc . Permit Fee . . 162.00 Plan Check Fee 105.30 Issue Date . . . . Valuation . . . 15000 - Expiration Date 11/26/08 Qty Unit Charge Per Extension BASE FEE 45.00 13.00 9.0000 ----------------------------------- THOU BLDG 2,001-25,000 117.00 Permit MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date, Valuation 0 . - Expiration Date- 11/26/08 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 11/26/08 Qty. Unit Charge Per Extension BASE FEE 15.00 1.00' 30.0000 ------------------------------------------------------------------------------ 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 11/26./08 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 --------------------------------------------------------------------------- Special Notes and Comments SPA ONLY. ALARMS/BARRIERS SHALL BE IN LQPERMTC Application- Number, . . . . . 08-00000947 -- - - - - - - - Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee.summary Charged Paid Credited- Due Permit Fee Total 260.00 .00 00 260.00 Plan Check Total 129.80 .00 .00 129.80 Grand Total 389,80 .00 .00 3R9.80 LQPERMIT Bin # City of La Qui n'ta Building a Safety Division 'P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Ap lication and Tracking Sheet P g Permit # I q Project Address: CA>Zi1�1.-- f. Owner's Name: A. P. Number: L +.J T� � Address: 5 V 3S- v > A GAS �-�L- Legal Description: Contrac o : c�;rT NX, City, ST, Zip: L pr (a�-.4, C ; Telephone: ,lo p _ Address: Project Description: �� D . -;P-- LJ A- City, ST, Zip: Telephone. 9� w City Lic. #: 1166 State Lic. # 53 Zyq Arch., Engr., Designer: Address: City, ST, Zip: , Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New . Add'i Alter Repair Demo Name of Contact Person: l �ti ,.J Lg k t Ln-k-L� Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: S7 t - 63 Lk - S,3 IS Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted 1/1 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 Floodplain plan Plans resubmitted Mechanical) Grading.plan 2nd 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:- ''d 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