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08-0850 (RPL)P . B&1504. '� _ 7 ; VOICE'(760) 777-7012- 78 495 CALLE TAMPICO. '` f `. - FAX.(760) 777=7011f LA.QUINTA, CALIFORNIA 92253 �_ t BUILDING &'SAFETY DEPARTMENT - ,- ,,; INSPECTIONS (760) 777-7153` `'�•' - _. - - '4 .fes , ) -"Y .. BUILDING PERMIT - . , _ _ ,: • y , -' � 4- _ _ - . _ Date: 5/15/08 Application;Number. ` 08-00000850. M Owner: ; • "'. y ` Property -Address: 49643�AVENIDA'VISTA BONITA, ).ELAND RESIDENCE APN: 4 773-350-055-55 -14496 - x 49-643 AVENIDA VISTA-BONITA y Application description:. - POOL - RESIDENTIAL LA QUINTA; "CA 92253 Property. Zoning:- A LOW DENSITY RESIDENTIAL ,' D�• Application valuation « 17000 ` ° r ►. �,, +Contractor: Applicant: Architect or Engineer ! A MCINTYRE POOLS •& SPAS, ' C A��,9? V 83695 AVENUE 45 ^/ INDIO', CA.92201 L~n IL'/jy �.: :-f' hN .`fir �` • ' 1 "� 3, . • �` F (7'60)342-3612 �Lic: NO. 614611 7 qNC� QV rtom. ,. �+ x . + p - � �, - . , -x' .n w •` _ _ _ jay + ti - - - - - - - - - - --- - - - - - - -.- -- --- - - - - - - - - - - - - - Fes•- --- - - 7 - - - - "� - --- - _ - 7 - _ ' ..LICENSED CON ACTOR'S DECLARATION v - �'' s - WORKER'S COMPENSATION DECLARATION - A ~� i= _ I hereby affirm under penalty of perjury that I licens der provisions of Chapter 9 (commencing with ,.,,; _ I hereby affirm under penalty of perjury one of the following declarations: _ Section 70001 of Division 3 of the Business d Profe nals 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 Class: C53 License No.: 614 611 , for by Section 3700 of the Labor Code, for the performance of the work for which this permit is - �Gissued. . •Date: Vi Z�aI V Conttr-acto,":�, _ I have and will main tain workers' compensation insurance, as required by Section 3700 of the Labor - :r----_��_ - Code, for the performance of the work for which this permit is issued. My workers' compensation - OWNER -BUILDER DECLARATION'S n - 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 DELOS INS CO Policy Number 01DKRM12001870 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 T person In any manner so as t,, am bject 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 be me su ct 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, - "' j . 3700 of the Labor Code, I all for ith comply with those provisions. - - - " r 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).: , ,- �v + i Date:c�1Applicant: ..•r - w ti„ . y - a , , ( - 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: FAILURE TO SECURE RKERS' 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 (5100,0001. IN ADDITION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN f' 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. r- ir 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.)..., M . • tl - � , APPLICANT ACKNOWLEDGEMENT_, _ - ' .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. 1, 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 Sea , B.&P C for this reason •- • the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City y _ % i " of La Quinta, its officers, agents and employees for any act or omission related to the work being , ,•sX. -- , - - - '-performed under or following issuance of this permit. t - _ _ Date. • Owner: - -�" ; •2. ' Any permit issued as a result of this application becomes null and void if work is not commenced .J- - within. 180 days from date of issuance of such permit, or cessation of work for 180 days will subject 3 �" '•• '+ CONSTRUCTION LENDING AGENCY permit to cancellation.- r I herebyaffirmunder 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 the above 'nform i n 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 c strut ,and hereby authorize representatives - - -'`, of this county to enter upon the above-mentioned property fo spec n purposes. c*.'. TAW Lender's Name:. _ - . ' , .l r °�, ( r Date:5 AZO' Signature (Applicant or Agent14 l: Lender's Address: X • . • , - '^�--^.�--r-+5'•"= = - - - LQ PERMIT .� J j " Application Number - . . . . . 08-00.000850 Permit BLDG POOL PERMIT. Additional desc f Permit Fee . . 180.00 Plan Check Fee 117.00 Issue Date . . Valuation 17000 Expiration Date 11/11/08 Qty Unit Charge Per Extension BASE FEE 45.00 15.00 9.0000 THOU .BLDG 2,001-25,000 135.00 Permit . . .. MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date, . . . . Valuation 0 Expiration Date 11/11/08 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 11/11/08 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 . . . . 27.00 Plan Check Fee 6.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/11/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 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 SPA, ALARMS/BARRIERS SHALL BE IN PLACE LQPERMIT - - - Bin # City of La. Quinta ..'. Building & Safety Division P.O. Box 1 SO4, 78-49S Calle Tampico La Quints, CA 92253 - (700) 777-7012 Building Permit Application and Tracking Sheet Permit # �f � (J Project Address:' G4 A. P. Number: Legal Description: Contractor: Address: At E Owner's Name: LpIOh o' IAC Address:. A- C .3 .ny,Q City, ST, Zip: a ci �G. e Telephone: VX .:Project Description:. City, ST, Zip:. 7 z G o Telephone: 6 ' a_ State Lie. # : CS3 �6 �6 City Lic. Arch., Eng., Designer: Address: City; ST, Zip: Telephone: State Lie. #: Name of Contact Person:. r Construction Type: Occti an P cy: Project type (circle one): New Add'n 'Alter Repair Demo Sq. Ft : # Stories: 4 #Units: Telephone # of Contact -Person: ' 2 - - Estimated Value.of Project: . QU0 - APPLICANT: DO NOT WRITE BELOW THIS LINE .: # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit . Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction ' Flood plain plan, Plans resubmitted Mechanical Grading, plan . 2ad Review, ready for correctionsssue Electrical . Subcontactor. List Called'Contact Person Plumbing Grant Deed Plans. picked up S.M.I. A.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 Total Permit Fees