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07-2561 (RPL)y TA• 4,�/I P.O. BOX 1504 w 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: 9/19/07 Application Number: 07-00002561 Owner: Property Address: 80067 VIA TESORO TOLL CA V D APN: 772-250-018-30 -31349 - C/O KEVIN D DUERMI I: Application description: POOL - RESIDENTIAL 8901 E MOUNTAIN VI 00 Property Zoning: LOW DENSITY RESIDENTIAL SCOTTSDALE, AZ 852 SEP 2 a 2007 1 Application valuation: 15400 Contractor: CITY OF LAQUINTN FINAN Applicant: Architect or Engineer: PICASSO POOLS INC 78078 COUNTRY CLUB DR, 4206 BERMUDA DUNES, CA 92203 MIR (760)345-4600 Lic. No.: 810111 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B C27 C53 h License No.: 810111 Date:/. Contractor:' �/Js�►-�./ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am 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 ($500).: 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 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 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 number are: Carrier STATE FUND Policy Number 290-0001790 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section l �Q,,.,�3700 of the Labor Code, AeFI fonhwit ply provisions. Date?PP— 1- Applicant: WARNING: FAILURE TO SECURE WORK RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 omission related to the work being performed under or following issuance of this permit. 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 permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for ection puLpqs s. Date: ��2 Signature (Applicant or Agent): J Application Number . . . . 07-00002561 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 171.00 Plan Check Fee 111.15 Issue Date . . . . Valuation . . . . 15272 Expiration Date 3/17/08 Qty Unit Charge Per Extension BASE FEE 45.00 14.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 126.00 Permit . . . MECH POOL Additional desc . Perffiit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0. Expiration Date . . 3/17/08 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 3/17/08 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 . 3/17/08 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 Permit . . . . . . WALL/FENCE PERMIT LQPERMIT Application Number . . . . 07-00002561 Permit . . . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 128 Expiration Date . . 3/17/08 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL, SPA, ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. (2) CITY STANDARD 4' HIGH 6" WIDE, 4' LONG EQUIPMENT WALLS. Fee summary Charged Paid - Credited Due ----------------------------------- Permit Fee Total 290:00 - .00 -------------------- .00 290.00 Plan Check Total 137.15 .00 .00 137.15 Grand Total 427.15 .00 .00 427.15 LQPERMIT I I P 7< ;sir, >r City of �Quin' Ta BuRcUr .9 Sarery Division P.O. Boz 1.504, 78-4-F5 Calle Tar tpim . Permit n 12 Qilinra, CA 92233 - (760) 777-7012 Bonding Permit Application and T-.2.ckinc, Shee• Prgj= Addr=SD-bbklolllces Nam= —DIpn A.. P. Aitlrnbcr Address: R o- hi sl "j co-, 1PCrsvT) LealDesm-iption: Con aanr. - ci,_ST. Zip: Le,_CQlJ�C4LLa� 1 cicphonc: 8 — 1p a O Addres.- 9 _Url Ctn.St.Zipej� Telephone:It d State Lic r : g QI .A il.- E=- DcSiHncr: i , - 1 Cin• Lit r:AL Proj: rt D:scriptioti: C a 2 (- t . t Add= Ctn•. Si Zip: Start Lie. r: Namt�of-CDnr=,P==n: -'-`:;:'= - Corstruetion Tk?c OczpanL% Projc= n•pt (citric one): N -v Add'n Aitr Dcmo Sq. FL: I r Slorics- � It Lilts,: Tcl=bone '-of Contac Person: - 4 (oQ0 Estimated Valve of Project APPLICANT: DO NOT WRITE BS -OW THIS LINE I $nbmittal I Rcq'd I R ---'d TR4CKING I PERMIT FEFS Plan. Sets I I Pan Check submitted I �� ltcm , Am,aunt Struesural Cabs: I Reviewed_ read" for corrections , Plan Check Dcl oszl Truss Calcs I' Called Contact Person. Pan Check BZlanct 7it]e24 Calls Plans picked up I =onstruction 7-lood plain plan I I Plans resubmirted I Aircbanicsl . Gradin-, plan I Z- Reyitw. ready for correctionsi"ssuc I Electrical Subenntaetor List I Called Contact Person Plumbing 'Grant De -_d Plans picked up I S -M-1. I i1 0 -AL Approval I 'Plans resubmitted I Grading HOUSE:- I '" Review. ready for correctiottstissue Devdoper dmpaa Fee Pantein� Apprmal I. I Called Contact Person •Puh. Wks. Appr I Date of permit issue Schoof.F'ets . I V - 1 Tota] Prrmit-Fees kvqojl-�-