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08-1861 (RPL)P.O. BOX 1504 78-495 .CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: .0.0:1&�_11=_ Property Address: 52395 VIA SAVONA APN: 772-480-027- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 50000 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: JEFF RIPPE 52395 VIA SAVONA LA QUINTA, CA 92253 Contractor: MISSION VALLEY POOLS & SPAS VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 11 Date: 11/17/08 LIC ED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 rrj licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a id fessionals Code, and my License is in full force and effect. Lice -Class: C53 License No. : 409386 �F Date: ontractor: , OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt fiom 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 1$500).: (_ 1 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 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 _ I 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: Y J LQPERMIT WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 nu er are: Carrier DELOS INS CO olicy Number 01DKRM12000404 I certify that, in the performanc of the work for which this permit is issued, I shall not employ any person in any manner so as o me subject to the workers' compensation laws of California, and agree that, if Ishould b e subject to the workers' compensation provisions of Section c3,700 o;the La or Code, I forthwith comply with those provisions. ate: II' u b cant: WARNING: FAILURE TO SECURE WOR ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 omission related to the work being performed under or following issuance of this permit 2. Any permit issued as a result of this application bermes null and void if work is not commenced within 180 days from date of issuance of such pit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the ab ve in ation is correct. I agree to comply with all city and county ordinances and state laws relating to building c s ruction, and hereby authorize representatives offlhhis county to enter upon above-mentioned property f in purposes. gate: I -� /-�� Si curthe (ApplicanLor Agent): 8284 MIRAMAR ROAD SAN DIEGO, CA 92126 y 1L(858)695-2007 Lj,�.` 1 3 2608 ----------------------------=------------------------------------------------ V Lic. No.: 409386 -------------------- CITOF LA QUINTA FINANCE DEPT. LIC ED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 rrj licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a id fessionals Code, and my License is in full force and effect. Lice -Class: C53 License No. : 409386 �F Date: ontractor: , OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt fiom 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 1$500).: (_ 1 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 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 _ I 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: Y J LQPERMIT WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 nu er are: Carrier DELOS INS CO olicy Number 01DKRM12000404 I certify that, in the performanc of the work for which this permit is issued, I shall not employ any person in any manner so as o me subject to the workers' compensation laws of California, and agree that, if Ishould b e subject to the workers' compensation provisions of Section c3,700 o;the La or Code, I forthwith comply with those provisions. ate: II' u b cant: WARNING: FAILURE TO SECURE WOR ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 omission related to the work being performed under or following issuance of this permit 2. Any permit issued as a result of this application bermes null and void if work is not commenced within 180 days from date of issuance of such pit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the ab ve in ation is correct. I agree to comply with all city and county ordinances and state laws relating to building c s ruction, and hereby authorize representatives offlhhis county to enter upon above-mentioned property f in purposes. gate: I -� /-�� Si curthe (ApplicanLor Agent): Application Number . . . . . 08-00001861 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 414.50 Plan Check Fee 269.43 Issue Date . . . . Valuation . . . . 50000 Expiration Date 5/16/09 Qty Unit Charge Per Extension BASE FEE 252.00 25.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 162.50 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/16/09 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 . . 5/16/09 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 5/16/09 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, 100 LF 3/4" GAS LINE FOR LQPERMIT Application Number . . . . . 08.00001861 ---------------------------------------------------------------------------- Special Notes and Comments FIREPIT. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged Paid --------------------------- Credited Due ---------- Permit Fee Total 518.50 .00 -------------------- .00 518.50 Plan Check Total 295.43 .00 .00 295.43 Grand Total 813.93 .00 .00 813.93 LQPERMIT Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: li Vio t V 1'1 ( Owner's Name: A. P. Number: - .-1•2 .4,zic) Address: J 2 3G�5 V 1 a S� Legal Description: LC4 City, ST, Zip: L R a LA- l Y-\ e /-1 2 2S5 Contractor: r� &—o [,Lt b 61 S Telephoner Address: U 2 zb1f i K o7 a-, Q—d Project Description: City, ST, Zip: S, C 2] 2 (o ICA C4 Ct S tf Telephone: 6-11 Le e-7t State Lic. #: 4 City Lic. #: Arch., Engr., Designer: Lo-n C CJ L Address:V49(4 U-,L� waja- r City, ST, Zip: Telephone: OS`,;' State Lic. #: I —) —� j::..; , Construction Type: Occupancy: Project type (circle one ew) Add'n Alter Repair Demo Name of Contact Person: S LJ S I —)J-1 Sq. Ft.: , ,,a # Stories: # Units: Telephone # of Contact Person: j q •2 2 - 2 Estimated Value of Project: 5� , DUO APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Req'd TRACKING PERMIT FEES Plan Sets Plan Check submitted ' Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Energy Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for corrections/'issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''a 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 / f /13 ( C c�� iI'1 `� f`' .