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08-1266 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: X08-000001266--1 Property Address: 53148 VIA DONA - APN: 772-410-999-1,6 -298944- Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 34700 T4ht " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: . ) Architect or Engineer: v LICENSED CONTRACTOR'S DECLARATION _ I hereby affirm under penalty of perjury that I am licensed un ,provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profess' Code, and my License is in full force and effect. Lice la s: C53 C27 cense No.: 419309 Date; Contracto 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 permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500).: (_) 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 ISec. 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 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 ownerof- property who 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 - Date: 7/24/08 Owner: ZIRINSKY 53148 VIA DONA LA QUINTA, CA 92253 D Contractor: DESERT PARADISE POOL/SP NC AUG'78005 WILDCAT DRIVE SUI 04 A 0 4 2008 PALM DESERT, CA 92211 (760)360-7400 CITY OF LA QUINTA Lic. No.: 419309 FINANCE DEPT ------------------------------------------------ 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. 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 insurance carrier and policy number are: Carrier ENDURANCE WORK Policy Number WEN1000 18-02 I certify that, in the performance of the work for which tH r s issued, I shall not employ any person in any manner so as to become subject to ;Wwwws, compensation laws of California, and agree that, if I should become subject to cers' compensation provisions of Section 700 of.theLa r Code, I shall fo mply with those provisions.. ate: OD WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL n SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). 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 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is co t. I agree to comply with all city and county ordinances and state laws relating tobuildingconstruction,. ereby authorize representatives of�thjs co my to ter upon th above-mentioned property for inspecti poses. Dater Si tura (Applicant or Agent). 41•-. , i' Application Number . . . . . 08-00001266 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 317.00 Plan Check Fee 206.05 Issue Date Valuation 34700 Expiration Date 1/20/09 Qty Unit Charge Per Extension BASE FEE 252.00 10.00 6.5000'THOU BLDG 25,001-50,000 65.00 Permit . . . MECH POOL Additional desc ". Permit Fee . . 26.00 Plan Check Fee 6.50 Issue Date . . . Valuation 0 Expiration Date 1/20/09 QtyUnit Charge Per Extension BASE FEE 15.00 1.00` 11.0000 ------------------------------------------------------------------------------ EA MECH FURNACE >100K ti 11.00 Permit . . ELEC POOL PERMIt-RES' Additional desc . Permit Fee 45.00 Plan Check Fee 11.25 Issue Date Valuation 0 Expiration Date 1/20/09 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 . . . 33.00 Plan Check' Fee 8.25 Issue Date Valuation 0 Expiration Date 1/20/09 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 -------------------------------- Special Notes and Comments POOL/SPA, WATER FEATURE. ALARMS/BARRIERS LQPERMIT I Bin # # Submittal Plan Sets Structural Cales. Tr■ss Coles. Energy Calls. Flood plain plan ' Grading plan Subcontaetor List Grant Deed H.0 -A. Approval EY HOUSE -- Planning Approval Pub. Wks Appy School Fen r City of .La QuInta• .. Riffi Ing -Sl;. Safety..DbrWen P.O. Box 1504, 78-495 Calle Tampico La QuhUa, CA 92253 - (760) 777-7012 Building' Permit Application and Tracking Sheet ,oz,flJ . Owner's Name: . Address: 5 3) N V I A- OD N4, City. ST. Zip: r ' >< o .•' 1 Projext:lJea a P�� L ;ity Lic. #:OLID Construction Type: Occupancy: PMo�3►pe(�'cIeone): Nev-,Adtl•'n Alter Repair . . "Demo D E Sq. FL: ' # Stories: # units: Valve -of . APPLICANT: DO NOT UOMT-8MOW THR9 NNE Rec'd TRACKING PERMIT FEES Plan Check submittt9t V tact Peesoad epmitted ready for conact Persond up Plans resubmitted 3" Regiew. ready for com Called Contact Person Date of permit here - Item Permit #L ctions Plan Cheek Deposit if Plan Check Balance .Project Address: 5 ' 1 it rg A.Y. Number. , Legal Description: X Contractor. X 7� .Adeiress:lp -.-+tlLE- � City, ST, Zip: r Telephone: e— M91 X etionsfissue DrvdoW Impact Fre Statc Lic. # : 3 - I A LP.P. Arch.. Engr., Designer: Address: City, ST, Trp: ITdwPcnuwFecs,- Telephone: State Lie. #: A Name of Contact Person: X Telephone # of Contact Pews(%. # Submittal Plan Sets Structural Cales. Tr■ss Coles. Energy Calls. Flood plain plan ' Grading plan Subcontaetor List Grant Deed H.0 -A. Approval EY HOUSE -- Planning Approval Pub. Wks Appy School Fen r City of .La QuInta• .. Riffi Ing -Sl;. Safety..DbrWen P.O. Box 1504, 78-495 Calle Tampico La QuhUa, CA 92253 - (760) 777-7012 Building' Permit Application and Tracking Sheet ,oz,flJ . Owner's Name: . Address: 5 3) N V I A- OD N4, City. ST. Zip: r ' >< o .•' 1 Projext:lJea a P�� L ;ity Lic. #:OLID Construction Type: Occupancy: PMo�3►pe(�'cIeone): Nev-,Adtl•'n Alter Repair . . "Demo D E Sq. FL: ' # Stories: # units: Valve -of . APPLICANT: DO NOT UOMT-8MOW THR9 NNE Rec'd TRACKING PERMIT FEES Plan Check submittt9t V tact Peesoad epmitted ready for conact Persond up Plans resubmitted 3" Regiew. ready for com Called Contact Person Date of permit here - Item j. Amount ctions Plan Cheek Deposit Plan Check Balance Construction - Mechanical Kdousluue Electrical . Plumbing S.l►LL Grading. etionsfissue DrvdoW Impact Fre A LP.P. ITdwPcnuwFecs,- -4.