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08-0827 (RPL)P.O. BOX 1,504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: i, 08-00000827 Propy Address: ert 80665 VIA GLORI ETA APN: 772-270-010-40 -311231- Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 27000 Applicant: T-,dtt 4 4 Q" Architect or Engineer: � fkl BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: VISTA LA QUI 223 E DE LA SANTA BARBAR 931 Contractor: *Ay MCINTYRE OOLSC,HO� S, 0IiQ�e 83695 AVENU INDIO, CA 922 (760)342-361201 ASC �FPrr� Lic. No.: 614611 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/15/08 ------------------------------------------------------------------------------------------------- LIC SED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION . I hereby affirm under penalty of perjury that m lice 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 Busines nd Pr / ionals 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 �� Date: 5.� Contractor: issued. I have �� _ and will maintain workers' compensation insurance, as required by Section 3700 of the Labor -'—- 4- °-----'' 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 perjury that 1 am exempt from the Contractor's State License Law for the' Carrier DELOS INS CO Policy Number 01DKRM12001870 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to the wor or which this permit is issued, I shall not employ any _ I certify that, in the pe/aas construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any mancomeject 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 e su e 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 3700 of the Labor ort ith comply with those provisions.that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).: -rJany ;;D�, Applicant?I, as owner of the property, or my employees with wages as their sole compensation, will do the work, andthe structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SEC ROMPENSATION 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 I DOLLARS 1$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, (_ 1 lam 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: 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. � 1 . 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 permit to cancellation. I certify that I have read this application and statethat the above inf mation ' correct. I agree to comply with all city and county ordinances and state laws relating to building cons uction, d hereby authorize representatives of this county to enter upon the above-mentioned property for in ection poses. Date:' Signature (Applicant or Agent):.� v ' Application Number . . . 08-00000827 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 265.00, Plan Check Fee 172.25 Issue Date Valuation . . 26680 Expiration Date 11/05/08 Qty Unit Charge Per Extension BASE FEE 252.00 2.00 6.5000 THOU' BLDG '25,001-50,000_ 13.00 Permit . . . MECH POOL Additional deco - Permit Fee . . . 26.00 Plan Check.Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date 11/05/08 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 11/05/08 Qty Unit Charge Per Extension BASE.FEE 15.00 1.00 30.0000 ---------------------------------------------------------------------------- EA ELEC PRIVATE SWIMMING POOL 3.0.00 Permit . . . PLUMBING Additional desc . Permit Fee . . 33.00- Plan Check Fee 8.25 Issue Date Valuation 0 Expiration Date 11/05/08 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 LQPERMIT Application Number 08-00000827 Permit . . . WALL/FENCE•PERMIT Additional desc•.-. Permit Fee 15.00 Plan Check Fee .00 Issue Date Valuation 320 " Expiration Date,. 11/05/08` Qty Unit Charge Per Extension BASE FEE 15.00 ------ ----------------------------------------------------------- Special Notes and Comments- POOL/PPA, 20 L.F. 4' EQUIPMENT WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE 'IN PLACE AT PRE -PLASTER INSPECTION. Fee summary Charged Paid Credited Due ----- Permit Fee Total 384.00 .00 _ ---------- .00 384.00 Plan Check Total 198.25 .00 :00 198.25 Grand Total 582.25 .00 .00 582.25 LQPERMIT ' Bin # City Of La Quintla u : Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quihta, CA 92253 - (740) 777-7012 Building Permit Application and -Tracking acking Sheet Permit # V Project Address; �Q -66 5 or e Owner's Name: oS. ICL. v o h A. P. Number: Legal Description: Address:. 0-6.6 S lo - City, ST, Zip: G C) Contractor: e S Address: 5- A, 4,S- City, ST, Zip: 91Z Telephone: 1 Telephone: Project Description:.' OnQ Cf n r . X. O State Lie. #: C5 3 - 0161 • City Lie. W. ' Arch., Engr., Designer: Address:, . City, ST, Zip: Telephone: State Lie. #:e5,3-6_146L'1Project Name of Contact Person: c� e/� Construction Type: Occupancy: P cy: type (circle one): New Add'n 'Alter Repair 'Demo Sq. Ft: #Stories: #Units: Telephone # of Contact Person: (7610), 250- -836Z Estimated Value.of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE . # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted 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 Flood •plain plan, Plans resubmitted Mechanical Grading. plan'. 21" Review, ready for correctionsfissue 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.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees