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08-0821 (SOTB)P.O. BOX 1504 . 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 Application Number: \x_08=00000821___ Property Address: 80665 VIA GLORIETA' APN: """ 772-270 010-40 '-311231- Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2700 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: VISTA LA QUINTA PARTNERS, LLC 223 E. DE LA GUERRA SANTA BARBARA, CA 93140 VOICE (760)'777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153. Date: 5/15/08 Contractor: i Applicant: Architect or Engineer: MCINTYRE POOLS & S, 83695 - 83695 AVENUE 45 ry INDIO, CA 92201 MAY 1 6 2C .. I =' (760)342-3612 1A' L i c . No.: 614 611 CITY OF I FINANCE DEPt.------------------------------------------------------------------------------------ I LICENS D CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION ' I hereby affirm under penalty of perjury that I a licens d 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 a Profe si nals 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: C53 License No.: 614611 for by Section 3700 of the Labor Code; for the performance of the work for which this permit is c issued. ate: S- ontractor: 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of p jur that I am exempt from the Contractor's State License Law for the Carrier DELOS INS CO Policy Number 01DKRM12001870 following reason (Sec. 7031.5, Bu . ess and Professions Code: Any city or county that requires a permit to _ I certify that, in the peifuiiiiaiiue the wor , for which this permit is issued, I shall not employ ony 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 e/come 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 be ome su t to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 370Vofthe abor Code, I all fort ith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section7031.5 byany applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).: Dater t: (_) 1, 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 - WARNING: FAIL RE TO SECUR ORKERS' 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'EMPLOYERTO 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 ($100,000). 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.). - - 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 a result of this application, I 1 I am exempt under Sec. , B.&P _C. for this reason - the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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: I1A - Lender's Address: , LQPERMIT . 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 &abinfor ess tion of work for 180 days will subject permit to cancellation. - I certify that I have read this application and state thon is correct. I agree to comply with all city and county ordinances and state laws relating ton, and hereby authorize representatives of this ounty to enter up .the above-mentioned prn purposes. te: 2 ignature (Applicant or Agent): Application Number 08-00000821 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 54.00 Plan Check Fee- 35.10 Issue Date Valuation 2700 Expiration Date 11/05/08 Qty Unit Charge ,Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00' Permit ELEC-MISCELLANEOUS Additional desc Permit Fee 17.25 Plan Check Fee 4.31 Issue Date . . . . Valuation 0 Expiration Date 11/05/08 Qty Unit. Charge Per Extension BASE FEE 15.00 3.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 2.25 ---------------------------------------------------------------------- - Special Notes and Comments BBQ AND FIREPIT PER APPROVED PLANS Other Fees . . . . . . ENERGY REVIEW FEE 3.51 Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 71.25 .00 .00 71.25 Plan Check Total 39.41 .00 .00 39.41 Other Fee Total 3.51 .00 -.00 3.51 Grand Total 114.17 .00 .00 114.17 LQPERMIT - . I Bin #City` of La. Quintic Buifding U Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application ayq, Tr ck g S et Project Address:' �0.� 8 . U Owner's Name. A. P. Number: D W a S Address: Legal Description: City, ST, Zip: 2 v 0, Contractor: p O A � CR Telephone: Address:.V 3 .(j Project Description: (� Q 4_ (9 " City, .ST, Zip: 1Oct. 22261 Telephone:eA? e7 d f� State Lie. # : 5� - �p C��! ::I Arch., Engr., Designer: 'Address:City, ST, Zip: Telephone: nstruction T . YPe� occupancy: State Lit. #: Project type (circle one): New . ' Add'n Alter Repair Demo .. _ Name of Contact Person: Ft.: ir7! .:. ...... ........... ... .... _.. #Stories:. #Units:........... . Telephone # of ContactPerson: Estimated Val APPLICANT:. 706 APPLICANT:. DO NOT WRITE BELOW THIS LINE'. # Submittal Req'd Recd TRACING _ PERMIT FEES Plan Sets Plan Check submitted S��Dt� Item Amount Structural Cafes. Reviewed; ready for corrections Plan Chec6. Deposit T'� des• Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction < TJ Flood plain plan,. Plans resubmitted Mechanical Grading. plan" 2'' Review, ready for eorrectlo su Electrical Subcontactor List Called'ContactPerson Plumbing til Grant'Deed Plans. picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for correctionslissue Developer Enpact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. APpr Date of permit Issue School Fees —Am-- - - - -- - -- —Ll -- ---.._... --- -- - 1.Total Permi'. Fees ,Ff`^�/ O / � � .t � 5,. ��