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07-1378 (RPL)4 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00001378_ Property Address80782 —VIA PUERTA AZUL APN: 762-240-003-18 -300962- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM DENSITY RES Application valuation: 15000 Applicant: c&tv/ 4 4 Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: PUERTA AZUL PARTNERS 17700 SW UPPER BOONES SUITE 100 PORTLAND, OR 97224 VOICE '(760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 FERRY RD Contractor: FAMILY POOLS CONSTRUCTIC P 0 BOX 283 LA QUINTA, CA 92247 (760)564-3655 Lic. No.: 658996 Date:. 5/08/07 — — — — — — — — — — — — — — — — — — f\— — y — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — +androfessions D CONTRACTOR'S DECLARATION I hereby affirm under penalty of peensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of thfessionals Code, and my License is in full force and effect. License ass C53License No.: 658996 ate: C ractor. NER-BUILDER DECLARATION I hereby affirm under penalty of pexempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Bussions 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 ($500).: 1 _ 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 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 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 ber are: ' . Carrier STATE FUND Policy Nu er 1344032-06 I certify that, in the perf . ormalte df the rk for which this permit is issued, I shall not employ any person in any manner so aVto omesubject to the workers' compensation laws of California, and agree that, if I shoute subject to the workers' compensation provisions of Section U' 3700 of_the Labor C havith comply with those provisions. WARNING: FAILURE TO SECURE WORKEqS1 COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE LTIES 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 omiss' etetf to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this applicati mes null and void if work is not commenced within 180 days from date of issuance c' permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and a that a 'or information is correct. I agree to comply with all city and cu y ordinances and state laws relating 'I g construction, and hereby authorize representatives of thi unt to nter upon the above-mentioned 'ns tion purposes. at nature (Applicant or Agent Application Number Permit . . . Additional desc . . Permit Fee . . . . Issue Date . . . Expiration Date . . . . . . 07-00001378 BLDG POOL PERMIT 162.00 Plan Check Fee . . 105.30 Valuation . . . . 15000 11/03/07 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 11/03/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 ---------------------------------------------------------------------------- EA I 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 11/03/07 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 11/03/07 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 3.00 -----------------------------------------------------------------------=---- Special Notes and Comments SPA, ALARMS/BARRIERS SHALL BE IN PLACE LQPERN11T CITY OF A IDT A BUILDING APPROVED I FOR CO &JL"---- BYDATEm-- • E fledfIC equlpme d Wdl , by Lmdxaprr �� 16, ! P/L 14. eqw noLGul''l 80 Vla Pueda tfzu/ La ouinla - Pued o Azul Yalmli Y� d- 1 10, oo& Construction l'00/5 Spas rounloln5 Lic, #6�8996 21, Bin # Permit # Project Address: A. P. Number: Legal Description: Contractor: Address: City, ST, Zig: Telephoner State Lic. Arch., Engr., Des'4gner: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: , Telephone # of Contact Person: # Submittal Re Plan Sets Structural Calcs. Truss Cates. Energy Cates. Flood plain plan Grading. plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval 4 Pub. Wks. Appr School Fees City of La Qninta . Building 8i Safety Division , P.O. Box 1504, 78-495 Calle Tampico La Quinta, .CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Z Owner's Name: Address: 8 Z 1 ujl' City, ST, Zip: L a�� Telephone: 3 . Project Description. Lic. #: Construction Type: Occupancy: ; project type (circle*one): New Add'n Alter Repair Demo J Sq. Ft.: # Stories: # Units: �a_ ! Estimated Value of Project:��- APPLICANT- DO NOT WRITE BELOW THIS LINE TRACKING PERMTT FEES Recd . Item Amount Plan Check submitted Reviewed, ready for corrections Plan Check Deposit Called Contact Person Plan Check Balance Plans ticked up Construction Plans resubmitted Mechanical tad Review, ready for correctionstissue A Electrical Called Contact Person Plumbing Plans picked up S.M.I. Pians resubmitted Grading 'd ' Review, ready for corrections/issue Developer3 mpact Fee ti Called Contact Person F1 Date of permit issue Total Permit Fees Application Number . . . . . 07-00001378 ---------------------------------------------------------------------------- Special Notes and Comments AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary. Charged ----------------- ---------- Permit Fee Total 260.00 Plan Check Total 129.80 Grand Total 389.80 LQPERMIT Paid Credited Due ---- - - - - ------ - - - - - - ---------- .00 .00 260.00 .00 .00 129.80 .00 .00 389.80