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11-0231 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht 4 XP Q" Application Number: 11-00000231 Property Address: 81422 PEAR_Y__PL_ APN: 767-680-026- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 42000 Applicant: Architecor�gineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am 'censed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busin s an P fess' als Code, and my License is in full force and effect. License Class: C53 License No.: 890670 Date: (' 1 Contractor: ---- OWNER -BUILDER DECLARATION I hereby affirm under penalty of p rjury the I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Bu 'ness a d Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, it 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).: 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 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 proiccts with a euntractor(s) licensed pursuant to the Contractors'. State License Law.). (_) I am exempt under Sec.- , BAP.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 Owner: MCGEE STEPHEN/MCGEE 2534 BEACON DRIVE SALT LAKE CITY, UT SHARON 841 Contractor: PLATINUM POOLS & SPAS 77564 COUNTRY CLUB DRI PALM DESERT, CA 92211 (760)772-7274 Lic. No.: 890670: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/11/11 ---------------------------------7------------- 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 STATE FUND Policy Number 1863573-2011 _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any mJNAL o become subject to the workers' compensation laws of California, and agree that, co subj to the workers' compensation provisions of Section R 3700 of the Laha f «h it comply with those provisions. Date: ,J' I Applicant: - WARNING: FAILURE TO SECUS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDHE 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 sct forth opt 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 abovCnstru n mat" is correct. I agree to comply with all city and county ordinances and state laws relating to building c ,and a eby authorize representatives of this county to enter upon the above-mentioned property for ip t on urp s Date: f • Signature(Applicantor Agent): Application Number . . 11-00000231 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 362.50 Plan Check Fee 235.63 Issue Date . . . . Valuation . . . . 42000 Expiration Date 9/07/11 Qty Unit Charge Per Extension BASE FEE 252.00 17.00 6.5000 THOU BLDG 25,001-50,000 110.50 -------------------------------------------------------'--------------------- Permit . . . ELEC POOL PERMIT -RES •Additional desc . Permit Fee . . . . 75.00 Plan Check Fee 18.75 Issue Date Valuation . . . . 0 Expiration Date 9/07/11 Qty- Unit Charge Per Extension BASE FEE 15.00 2.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 60.00 -------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc . Permit Fee . . . . 30.00 Plan Check Fee 7.50 Issue Date Valuation . . . . .0 Expiration Date 9/07/11 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ------------------------------------------------------------------=--------- Permit . . .' MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/07/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL, SPA, FOUNTAIN & GAS LINE FOR FUTURE FIREPIT. ALARMS/BARRIERS SHALL BE LQPERMIT ' Application Number . . . . . l�-0000o231 -------------_--------------------_--_-_-------------------------------'- 8peoial Notes and Comments IN PLACE AT eRE`gzASTEa INSPECTION. .EQUIPMENT EmCLDGcnRo NOT ImcL0000. 2010 Cp000. --------------------------------------------------------- � other Fees . . . ' . . . . . 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