Loading...
08-1585 (RPL),. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description PrODerty Zoning: Application valuation: 08'-000_01585 ~� 56145 VILLAGE DR 764-030-014- - - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 35000 Architect, or Engineer: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: LAYTON 56145 VILLAGE DRIVE LA QUINTA, CA 92253 Contractor: MCRAE POOL & SPAS 79105 DESERT STRE .,LA•QUINTA, CA 92253 (760) 772 - 244 0 Lic. No.: 823017 VOICE (760) 777-7012_ FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/17/08 SFp <� ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION • I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I 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 L' se Class: C53_ -C27 License No.: 823017 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is / / o issued. Date: ! tractor: l I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor VV V _ . Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUIL R DECLARATION insurance carrier and policy number are: Ihereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EXEMPT Policy Number EXEMPT 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 0700 of the Labor Code, I sh ' Meenm3 y_a,ith 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 ($500).: te: D/r A ,cant (_ 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 WARNING: FAILU EE ToWORKERS' COMP ATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply town 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 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 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, 1 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) 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 co my r dinterances and state laws relating to building construction, and hereby authorize representatives of this co ty t enupon the above-mentioned propert pection purposes. Lender's Name: - 1 ( - to Si ature (Applicant or Agent): Lender's Address: 1 LQPERMIT LQPERMIT Application Number . . . . . 08-00001585 Permit . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 317.00 Plan Check Fee 206.05 Issue Date Valuation . . . . 35000 Expiration Date 3/16/09 Qty Unit Charge Per Extension BASE FEE 252.00 10.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 65.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date 3/16/09 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 3/16/09 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 3/16/09 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 Application Number . . . . . 08-00001585 Special`Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged Paid Credited Due Permit Fee Total 421.00 .00 .00 421.00 Plan Check Total 232.05 .00 .00 232.05 Grand Total 653.05 .00 .00 653.05 LQPERMIT ..