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09-1203 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 09-00001203 Property Address: 81833 VIA SAN CLEMENTE APN: 764-010-008-9 -31910 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 26000 Applicant: .0 Architect or Engineer: -------------------------------------------------- LICENSED CONTRACT( R'S DECLARATION I hereby affirm under penalty of perjury that Iam lic nsed and F rovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr essionals C de, and my License is in full force and effect. License Classes: C53 nee No.: 614611 /()ate: - (.tJ - ntractor: /U/C­WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury tha 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 a civil penalty of not more than five hundred dollars (55001.: (_) 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 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 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 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.). (_ 1 1 am exempt under Sec. , BAP.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 ISec. 3097, Civ. C.)• Lender's Name: Lender's Address: LQPERMIT Owner: HARDING 81833 VIA SAN CLEMENTE LA QUINTA, CA 92253 Contractor: MCINTYRE POOLS S, INC. 83695 AVENUE Q INDIO, CA 92 01 n (760) 342-36 �` p Lic . No.: 614 O VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/23/09 ----------------------- 4V#6*--rYt--------- WORKER'S C-0-1 N'�E A 1 hereby affirm under penalty of perjury one of the following decl tions: I have and will maintain a certificate of consent to self•i ure for kers' compensation, as provided for by Section 3700 of the. Labor Code, for the perform ce the work for which this permit is issued. Y. 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 DELOS INS CO Policy Number 0 KRM120001870 _ I certify that, in the performance of the work for whit is is permit issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that, if I should become sub] ct to th orkers' compensation provisions of Section // 3700 of the Labor Code, I shall forthvlth'com with those provisions. ate: ! : plicant: WARNING: FAILURE TO SECURE WO KERS' CO PEN TION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALT S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE ST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COD INTE ST, 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 be s null and iep if work is not commenced within 180 days from date of issuance of such per mi , or cessatio of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the abov informatio is correct. 1 agree to comply with all city and county ordinances and state laws relating to building o nstru i �, and hereby authorize representatives of this te: /1 - county to enter upon the above-mentioned property to �insp I purposes. Z�6g Si ature (Applicant or Age t): I Application Number . . . . . 09-00001203 Permit BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 258.50 Plan Check Fee 168.03 Issue Date Valuation. 26000 Expiration Date 5/22/10 Qty Unit Charge Per Extension BASE FEE 252.00 1.00 6.5000 THOU BLDG 25,001-50,000 6.50 ---------------------------------------------------------------------------= Permit MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/22/10 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 . . 5/22/10 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 . . 5/22/10 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. ALARMS/BARRIERS SHALL BE IN LQPERMIT I Application Number . . . . . 09-00001203 ---------------------------------------------------------------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. 2007 CODES. --------------------------------7------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary Charged -------------------- Paid Credited -------------------- Due ----------------- Permit Fee Total 362.50 .00 .00 362.50 PlanCheck Total 194.03 .00 .00 194.03 Other Fee Total 2.00 .00 .00 2.00 Grand Total 558.53 .00 .00 558.53 LQPERMIT Bin # City d a uinta _ . Building 8t SafetyDivision P.O. Box 1504, 78-495 Calle Tampico U Quilita, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # O� Project Address:' g 33 C ewl en Owner's Name: es tro A. P. Number: Address: 8 - 35 Legal Description: 5 City, ST, Zip: Contractor: Telephone: Address: City, ST, Zip:.= r 0 ZZa Project Description:. Pool CA VO, -- Telephone: Z _ 3� Z City Lic. #:. ir � State Lie. # : S 3 - �j Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: Construction Type: Occupancy: Project type (circle one): New Add'n ' Alter Repair Demo 'Name of Contact Person: err Sq. Ft : #Stories: # Units: Telephone # of Contact -Person: (740) 2,50- - 8'6 Z Estimated value.of Project: 00o0 . APPLIcANT: DO NOT WRITE BELOW THIS LINE . # Submittal Req'd - Rec'd TRACMG PERMIT FEES Plan Sets Plan Check submitted 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 ' Flood plain plan , Plans resubmitted Mechanical Grading. plan tad Review, ready for correctioris/issue Electrical Subcontactor List Called *Contact Person Plumbing GranfDeed 1 Plank 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.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees