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10-0549 (RPL)Y Qum& TA - P.O. BOX 1504 78-495 CALLE TAMPICO LA, QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT '% BUILDING PERMIT, Application Number: 1-10'=0000 Owner: Property Address: 78500 VIA SEVILLA . c SCOTT SMITH APN: 604-211-030-32 -23971. 78-500 VIA SEVILLA Application description: POOL RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 30000 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/22/10• u JUN 22 2010 CITY OF LA QU11 dTA . P@iia?, -,E O.EPT ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION _....Contractor: . Applicant: Architect or Engineer: VACATION POOLS INC Section 7000) of Division 3 of the Busi asnse is in full force and effect. 83900 AVE 45 STE C License Class: C53 35 IN92201 �sC ' (760)60) 775-5- 0468 Date. � Contractor: Lic. No.: 856835 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/22/10• u JUN 22 2010 CITY OF LA QU11 dTA . P@iia?, -,E O.EPT ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION Ihereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 fcommencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Busi asnse is in full force and effect. Ihave and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C53 35 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is �sC ' 'issued. ' Date. � Contractor: _ 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 perjury that I am exempt from the Contractor's State License Law for the Carrier PRAETORIAN INS Policy Number 194854842010 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manners to become subject 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 1 s uld ecosu jact to a 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 ode, sha fort it mply with those provisions. that he or. she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ./ _�A any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date:. _ Applicant (_) 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 fSec. 7044, Business and Professions Code: The WARNING: FAILURE TO S E WORKERS' 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 EMPLOYER 0 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 _ 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 Coder 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 am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmlesstheCity 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. . - .Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that t above inf ation i orrect. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). - city and county ordinances and state laws relating to b d ing co r tion, hereby authorize representatives of this county to enter upon the above-mentioned pr a for i ction 't oses. Lender's Name: _ 2 /� G/Cl�� /6"nature-(Applicant ' Lender's Address:. -!Date: / . or Agen LQPERDIIT - Application Number 10-00000549 Permit . . . MECHIPOOL Additional desc . Permit Fee . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . 0 Expiration Date 12/19/10 Qty Unit Charge Per Extension BASE FEE 15.00" •1.00 11.0000 EA MECH FURNACE ->100K 11.00 Permit . . BLDG POOL PERMIT • "Additional desc` : •-; _ __.__._•. __• _ Permit Fee 284.50 Plan Check Fee 184.93 Issue Date . . . . Valuation . . . 3.0000 Expiration Date 12/19/10 Qty Unit Charge Per Extension BASE FEE 252.00 . 5.00 6.5000.'THOU BLDG 25,001-50,000 32.50 Permit . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 .Expiration Date .. 12/1.9/10 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 12/19/10 . 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, GAS & ELECTRIC.STUB-OUTS FOR LQPERAITT ' a l Application Number 10-00000549 ----- Special Notes and Comments FUTURE APPROVED APPLIANCES. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE-PLASTER INSPECTION. -EQUIPMENT ENCLOSURE NOT INCLUDED. 2007 CODES. ---------------------------------- - - - - -- -- - Other Fees BLDG STDS ADMIN (SB1473) 2.00 Fee summary Charged Paid Credited. Due Permit Fee Total. 388.50 .00 .00 388.50 Plan-Check'Total 210.93 '.00 00 210.93. - --Other--Fee' -Total00 •-•_.-.._.,--- .00.......... ...2:00-.........:.. - Grand Total 601.43 .00 .00 601.43 Bin # City Of La Quints Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 5ARLa Project Address: 8 —S 11/ jO v jl/ Owner's IVam .ivCG il, A. P. Number: Address: V Legal Description: , City, ST, Zip: 0',,4/h74 Contractor: �G �dN.. t?�i!/J ,Telephone: �� .: `i; Address: 712 -ZenclA Pioject Description: Poe/ I qlx 4? City, ST, Zip: IVC / U , Telephone: 7 0 State Lie. # : 59 V 7 3,ii City c. #; Are!., Engr., Designer. Address: --// Cit .,-PT, Zip: AO/ 7 ✓ s Tel Bone: �+ eP �V - % �f �� 'k ,.. �fi:S�i 1... H+: .',r.�w,- . Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo State Lfc. #: �Jfry 6 Name of;Contact Person: y(? A, %G'�A/ Sq. FL: # Stories: #Units: Telephone # of Contact Person: �f�! - / G v } �� Estimated Value of Project: OC Cs' APPLICANT: DO NOT WRITE BELOW THIS LIVE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2i° Review, ready for corrections/issue Electrical Subeoutactor List Called Contact Person Plumbing Grant Deed Pians picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''" Review, ready for correctionstiissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees