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11-0383 (RPL)P.O. BOX --11504 ,78-495- CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: x_11-00000383 —7, Property Address: 55755 PEBBLE -BEACH APN: 775 -170 -013 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL. Application valuation: 37000 Applicant: '. Architect or Engineer:. P46 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION - I hereby affirm under penalty ofperjury 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: C29-053 License No.: 81AS2 C ractor. 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).: (_) 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 contractors) licensed pursuant to the Contractors' State License Law.). (_) 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: A' Lender's Address: LQPERMIT Owner: LUNAN WAYNE 5.840 FALCON ROAD WEST VANCOUVER, VOICE (760) 777 -7012 - FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/14/11 . BC V7W 1-53 Contractor: LARA MASONRY 82373 KENNER AVENUE INDIO, CA 92201 (760)70275939 . Lic. No.: 81952 ------------------ 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. K 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 GOLDEN EAGLE Policy Number 10132010-01 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' pensat dons of Section D�3700 of theLaborCode, I shall forthwith comply se pr 'tons. 4W "// e,,,,lt"tant: - - WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). 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 repres tives of this my to ent r upon the above-mentioned property for inspection purposes. e: tXSigna (Applicant or Agent):--�' 7 Application Number 11-00000383 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 330.00 Plan -Check Fee 214.50' Issue Date Valuation . . . 37000 Expiration Date.. 10/11/11 Qty Unit Charge Per Extension BASE FEE 252.'00 12.00 6.5000 THOU BLDG,25,001-50,000 78.00 Permit MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date 10/11/11 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 10/11/11 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 10/11/11 Qty Unit Charge Per Extension BASE FEE J 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 LQPERMIT Application Number 11-00000383 Permit WALL/FENCE-PERMIT Additional desc . Permit Fee 19.00 Plan Check Fee .00 Issue Date Valuation 675 Expiration Date .. 10/11/11 Qty Unit, Charge Per Extension BASE FEE 15.00 2.00 2.0000 HND BLDG 501-2,000'.• 4.00 Special Notes and Comments POOL/SPA, COURTYARD WATER FEATURE& "27 L.F. 6' EQUIPMENT ENCLOSURE, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. 2010 CODES. ---------------------------------------------------------------------------- Other.Fees . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary Charged Paid Credited Due ----------------- ---------- ------- ----------- - Permit Fee.Total 453.00• .00 .00 - 453.00.." Plan Check Total 240.50 .00 .00 240.50 Other Fee Total 2.00 .00. .00 2:00 Grand Total 695.50 .00 .00 695.50 LQPERMIT Bin # City of La Quinta . Building K Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: S � Sri �-�� � ��i} �✓(, Owner's Name: A. P. Number: —? d O ( Address: P')'a Legal Description: (.otT City, ST, Zip: C.01 Z2 -7a Contractor: .Telephone: 64,"77 b. "_G% Address: Z— 37 '/1//l1 }:.:..:.;::.... G F%Z Project Description:_ City, ST, Zip: Telephone 7o •::••:.•..;.......:�:;z<}::;:>>.:.�.::.>:}:: Z- jtik;:; State Lic. # : 9' City Lic. #; /06�6CY Arch., Engr., Designer: Address: City, ST, Zip: C. Telephone: •'•.':<%^??:.`:;':>:#E<�3:>{: K Construction Type: s::w<:>s:. •:>:<:;:>.r YP Occupancy: State Lic. #: {:+�.�:.�.:< ::>?`:::`'����<' �>;>r��:'• Pro' Ject type (circle one): NewAdd n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories. #Units: Telephone # of Contact Person: Estimated Value of Project: 70 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Pian Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.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 70. &6. � ®4 Jo � r / 'i l li l�, li li r 1/ L A K INFINITY EDGE ss s, SWIMMING POOL r TANNING �� 0 E Q CO 1. 2. 3. 4. 5. 6' 7. 8. 9. 10.,