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11-1315 (RPL)P.O. BOX 1504 ' 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: K11=00001315 Property Address: 80810`VISTA—LAZO APN: 762-250-021- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 41600 Applicant: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SUNBIRD INVESTMENTS LTD 23 NW HAWKHILL MEWS CALGARY, AB T3G 2-V1 Contractor: Architect or Engineer:. JP POOLS INC 4082 SUNNY DUNES PALM SPRINGS, CA 92262 (760)272-4621. Lic. No.. 786133 L 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, an y License is in full force and effect. Lis5pse Class: C53 ens o.: 33 r Date1 2�' ontractor: OWNER -BUILDER DECLARATION Ihereby affirm.under penalty ofp rj ry at 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, doolish, 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 Section7000) 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).: - (_) 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.). - (_) 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.). (_) I am exempt under Sec. , B.AP.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: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/09/11 A WWiP� 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 1 insurance carrier and policy number are: Carrier STATEFUND Policy Number 1615367-2011 _ 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 3700 of lhftLabor Cod hall rthw'ti pl 'ith those provisions. - ate: a pplicant: G WARNING: FA URE TO SE R RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER T INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN • ITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE OR 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 iscorrect. I agree to comply with all . city and county ordinances and�tate laws relating to building truction, and hereby authorize representatives of this county to enter upon eobove-mentioned grope or ' spection pur es. E d D efjg f_-�Si ature (Applicant or Agen . LQPERMIT Application Number ... . . .11-00001315" Permit . . BLDG POOL PERMIT Additional desc . 'Permit Fee . . . . 362.50 Plan Check Fee 235.63. Issue Date . . . . Valuation . . . . 41600 Expiration Date 6/05/12 Qty Unit Charge Per Extension BASE FEE 252.00 17.00 6.5000"THOU BLDG 25•,001-50,000 110.50 Permit MECH POOL` Additional desc Permit Fee 26.00 Plan Check Fee 6.50 Issue Date .. Valuation 0 '-Expiration Date 6/b5/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0.000 EA .'MECH FURNACE >100K 11.00 Permit . y. . . ELEC POOL, PERMIT-RES. Additional desc Permit'Fee- 45.00 Plan Check Fee 11.25 Issue Date Valuation, . ... 0 . Expiration Date : 6/05/12- 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". Issue Date . . Valuation 0 Expiration Date 6/05/12. Qty Unit Charge Per Extension BASE FEE, 15.00 2:00` 6.0006 EA PLB FIXTURE 12.00 .1.00 3.000.0 EA PLB WATER INST/ALT/REP 9.00 . 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 .. Bin # . . City of la Quinta . BuildingArSafety 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 C-) Owner's Name: (/` ( V �S IM < A. P. Number:.. Address:C � L Legal Description: City, ST, Zip: L a U 114 G Contractor. TV VCIC9 S Telephone: 2,' :•. ,. ,..:;.�:. Address:.CJ- b Z SU ��`. �� • S Project Description: City, ST, Zip: ` S Telephone: 7 �7Z� Z Yc s State Lic. # : �S �~7� . City Lic. C Arch., Engr., Designer. 'e Address: q Z .575 MzfAczGG City., ST, Zip: v N> Telephone: 60 �y • ,. �t.s.>.:;.;>..::: State Lic. #:v��=:m ca�?'h2° Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: S V # Stories: # Units: Telephone # of Contact Person: Z-7- y6,,Z Estimated Value of Project l f ("oto '— APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACIUNG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cities, Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Caics. • Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2' Review, ready for correctioWssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. r H.O.A. Approval Plaits resubmitted Grading W HOUSE:- '" Review, ready for correctionstissue Developer Impact Fee, Planning Approval Called Contact Person A.I.P.P. 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