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12-0157 (RPL);>• P.O. ' BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: � ��=-12 --04 Property Address: 55605 PEBBLE BEACH APN: 775-130-009- - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 9600 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: GIBBS FAMILY TRUST 75 GRANITE RIDGE CALGARY, AB T3Z3B- VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date,: 2/22/12 Contractor: U '' 1 Applicant: Architect or Engineer:' BUBBLE SPRINGS`' G •2 2011 ji'l . P.O. BOX 1046 RANCHO MIRAGE, CA 2270 cFCIA,�kEQUllY7q (760) 341-2336 �nw�3, /P Lic. No.: 728796 --------------------------------------------------------------------------------------- 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 fessionals Coo' and my License is in full force and effect. Lice9se Class: C53 D35, LX : 728796 OWNER-Bf RDECLARATION I hereby affirm under penalty of perjury that I am e e Contractor's St ate License Law for the following reason (Sec. 7031 .5, Business and Profe o Code: Any city_ or county that requires a permit to construct, alter, improve, demolish, or repair any ture, 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 isnot 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 _ 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 EVEREST NATL Policy Number 760001635111 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 kers' compensation provisions of Section 370 of the labor Code o with co th those provisions. APPlicant: WARNING: FAILURE TO SECURE RKERS' COMPE ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN'EMPLOYER TO CRIMINAL PENALTIE NO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE CO 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, indemnity 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 here thorize representatives of�this county to enter upon the above-mentioned property for ' cti ' urp Dat /natre u(Applicant or Agent): Application Number 12-00000157 Permit . . .. BLDG POOL PERMIT. Additional desc . Permit Fee . . . . - 117.00 Plan Check.Fee 76.05 Issue Date . . . . Valuation 9600 Expiration Date 8/20/12 Qty Unit Charge Per Extension BASE FEE 45.00 8.00 9.0000 THOU BLDG 2,001-25,000 72.00 Permit . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45•.00 Plan Check Fee 11.25 Issue Date Valuation . . . 0 Expiration Date 8/20/12 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 27.00 Plan Check Fee 6.75 Issue Date Valuation . . . . 0 Expiration Date 8/20/12 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 ENTRY COURTYARD FOUNTAIN WITH EQUIPMENT. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . ... . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 189.00 .00 .00 189.00 Plan Check Total 94.05 .00 .00 94.05 Other Fee Total 1.00 .00 .00 1.00 Grand Total 284.05 .00 .00 284.05 LQPERMIT FE55LE BEACH RE51-DENCE 55605 FE55LE BEACH LA QUINTA, CA. 0 NOW M I VA ME MAIM, 'ANOW al M Ell � n SI7E PLAN A-11 5GALE, 1/0 i DN 49331 (0. NEW WING WALL FEATURE WALL TO BE FINISHED WITH NEW SLATE 7'- 'k 07 4 CA 492.' N E ALK NEW ' CboAN ACiTY OF LyAy Q INTA \FET bjILDING sA y bEPT- -APPROVED R -UCTION Vt t, t -t-ATL Z w61 BY y + + V4, t. ceTBAeK lk -4, RATIr) N;:lll C,'_ins L Bin # :. ON ®f La� QuMb Building &r Safety Mlsioti . P.O. Box 1504,78-495 Calle Tampico . 1a.Quinta, CA 92253- (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ' Project Address:. S"S'' OS /�� /� Owner's Name:. A. P. Number.. Address: S"s-Gvs Legal Description: City, ST, Zip: Contractor: Telephone: Address: QCov •O ProjectDescription: y City, ST, Zip: ,% a�?G a= . . Sao � 0 �Od v „._ Telephone: :{i ;rr',. y �n`• '7Co - f-7�> Bp . rt State Lie. #: -7,7 7 City Lie. #, 44,1 ; Arch., Engr., Designer Address: City., ST, Zip: Telephone: ::`? r�' -.. ` , Construction Type:. Occupancy: State LIC. #:- Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: #Stories: # Units: Name of Contact Person: Telephone # of Contact Person: CO— 7,T•-� 9L 7,e Estimated Value of Project: O 0 APPLICANT: DO NOT WRITE BELOW THIS UNE M Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted.Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . Truss C21cs• Called Contact Person Pian Check Balance Title 24 Wes. Plans picked up Constructioa Flood plain plan Plans resubmitted.:. MecharikaL Grading plan tad Review, ready for correction Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN KOUSE:- '^' Review; ready for correetionslissue Developer Impact Fee Planning Approval. Called Contact Person A.LP.P. Pub. Wks: Appr Date of permit issue School Fees Total Permit Fees