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07-2226 (RPL)«l l fo/p7 P.O. BOX 1504 f ^� VOICE (760) 777-7012 `78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA,.CALIFORNIA'92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT _ Date: 8/02/07 Application Number: 07--00002226 --' Owner: Property Address: SIA TALAVERA R. EHLERT APN: 777-270-002- 80460 VIA TALAVERA Application description: POOL'- RESIDENTIAL LA .QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 30000 Contractor: Applicant: Architect or Engineer: VACATION POOLS INC D 83900 AVE 45 STE C INDIO, CA 92201 (760)775-0468 Lic. No.: 856835 OCT Q ZOO) CITY OF LA QUINTies FINANC;:Oz:P7 LICENSEDCONTRACTOR'S DECLARATION. WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with - 1 -hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business.and Professionals 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 Clas : C53 1 Lic r152yJo.: 856835 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is �/ issued. ate: tractor: _ _ rl have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor NJ 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 SIRIUS AMERICA Policy Number 0IDKRM21000986 ' 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 manner so as to become subject 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 should become subject 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 ` 3709 of the Labor Code, I shall forthwith ply with those provisions. ' 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 (S500).: e:%�rlcant!- ( 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 WARNING: FA E TO SECURE 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 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 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 1, 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, (_) 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 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. 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 1 have read this application and state that the above information is correct. 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 building construction, and hereby authorize representatives of this�;?� �ia a e•mentioned prLender's Name: DatApplican or g Lender's Address: . t LQPERMIT ri _ ::Appl'ication Number 0.7-00002226 Permit . . . BLDG POOL PERMIT Additional desc . Permit.Fee 284:50 Plan Check Fee 184.93 Issue Date' Valuation . . . . 30000 Expiration Date 1/29/08 Qty Unit Charge Per..' Extension BASE FEE 252.00 5.00._•- 6.5000 THOU BLDG'25,001-50,000 32.50 Permit MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date ., 1/29/08 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 1/29/08 -- 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 1/29/08 - 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 ----------------------------- Special Notes and Comments ------------- POOL/SPA. ALARMS/BARRIERS SHALL BE IN LQPERMIT ?72- Z,56! -W-117 -30357 Bin # . City Of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 1450 Building Permit Application and Tracking Sheet Permit #( 01 Project Address: —0&0-6 via Owner's Name: A. P. Number: 77 7 2-70 Qd -Z Address4o(%aTgI atJ42.*-.a Legal Description: City, ST, Zip: Qu; 111 Contractor: 1-0P67oz, 5 Telephone: (YO3) q;i3. ' q1q I Address: �� �/L Y S �• L Project Description:/ ,?CPO City, ST, Zip: C` 4P G/* r Tele .7 257—c) y b ` State Lie. # : X35 g 3 j City Lie. #.- Arch., Engr., Designer: Address: City, ST, Zip: Telephone: hone• Construction on Type:Occupancy: ccu P cY: State Lie. #: New Add'n Alter Repairair DemoProJect type (circle one):: Name of Contact Person: F%--- L: #Stories: Units:Sq. # Telephone # of Contact Person: O �- `($ Estimated Value of Project:. 3 r7 OdD v Y0 APPLICANT: DO NOT. WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMTT FEES Plan Sets Plan Check submitted 841/pi Item Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit Truss Calcs, Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctionstissue 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 I,p,p. Pub. Wks. Appr Date of permit issue School Fees e Total Permit Fees 4 :., . • 71- 4 •W. A' CAT,10 '_. } ' __83900 Venueui0 ' 77te loi- ) 5 0468 � x53=85663Levense # FIC1, ,Ff.1r- ,.,..._s_.,._.._..,.. .. �V�z _ _ - - .;,... 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