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08-1453 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08 -00001453 - Property Address: 52300 ROSS AVE APN: 767-200-998-6 -330761- Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 30000 Applicant: --------------- •t 4. 14 1d4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: FRIEDRICH 52300 ROSS AVENUE LA QUINTA, CA 92253 Contractor: Architect or Engineer: TESERRA P.O. BOX 1280 COACHELLA, CA 92236 IA- (760)398-9222 Lic. No.,: 656128 LICENSE C CTOR'S DECLARATION I hereby affirm under penalty of perjury t I am Ii sed er visions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busines ro s s , and my License is in full force and effect. Licens ss: C8 C27 C29 a.: 656128 Date:� tractor: I hereby affirm under penalty of perjury th " am exempt from the Cantr�r's State License Law for the following reason (Sec. 7031.5, Busines d Professions Code: Any cjiy or county that requires a permit to construct, alter, improve, demolish, pair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement th 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.). 1 _ 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 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: �r LQPERMIT N VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date gbG 212000 LA 8/21/08 11 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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. 1 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 SEABRIGHT Policy Number BB1080510 I certify that, in the performance of the work for h this permit is issued, I shall not employ any person in any manner so as ome s o t workers' compensation laws of California, an�greF , if I should b ome ct t orkers' compensation provisions of Section ��1 0 ofabor Code. I sh f i cthose provisions.Date: pt: WARNING: FAILURE TO SECURE WOR RS / ATI OVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL�T AND CI' IL S UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000). IN ADDITION TOT OST 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 employ for any act or omission related to the work being performed under or following issuance of th per 2. Any permit issued as a result of this applicati bec mes null and void if work is not commenced within 180 days from date of issuance of such r ,it, 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 ati is correct. ee to comply with all city a county ordinance and state laws relating to building ru her a orize representatives of.t 'y to enter on the above-mentioned property r ins ctio i a 1 Signature (Applicant or Agent): Application Number . . . . . 08-00001453 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 284.50 Plan Check Fee 184.93 Issue Date . . . . Valuation . . . . 30000 Expiration Date 2/17/09 Qty Unit Charge Per Extension BASE FEE 252.00 5.00 6;.5000 ------------------------------------------------------------- THOTT BLDG 25; 001 -50; 0(1(1 37 SO -------------- Permit . . . MECH POOL Additional desc . Permit Fee . . . . 37.00 Plan Check Fee 9.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/17/09 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 11.0000 ---------------------------------------------------------------------------- EA MECH FURNACE ->100K 22.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 75.00 Plan Check Fee 18.75 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/17/09 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 . . . . 42.00 Plan Check Fee 10.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/17/09 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 6.0000 EA PLB FIXTURE 18.00 2.00 3.0000 EA PLB WATER INST/ALT/REP 6.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ------------------------==-------------------------------------------------- Special Notes and Comments POOL, (2)SPAS, 160 L.F. 2" GAS LINE FOR LQPERMIT- Application Number . . . . . 08-00001453 Special Notes and Comments FUTURE FIREPIT & ELECTRICAL INSTALL FOR FUTURE FOUNTAINS. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 438.50 .00 .00 4:38.50 Plan Check Total 223.43 .00 .00 223.43 Grand Total 661.93 .00 .00 661.93 t LQPERNIIT ' Bin # City of. La Quinta Building & 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 Addres . SS _ Owner's Name: A. P. Number. LlJf Address: SSA rSaN(lGj Legal Descriptio 2.V City, ST, Zip: Contractor: Telephone: Address: b 19LI Project Description: L 3 City, ST, Zip: b� [�] +'^ S� Telephone: �- (q State Lic. # : Z City Lie. #: / �G L S- Arch., Engr., Designer: Address: �. _ /G ,e G!� City, ST, Zip: Telephoner Construction Type: G+��� Occupancy: State Lic. #: r.:.. Project type (circle one): ew Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person:(76U 2 Go- az g 1 Estimated Value of Project: 170f APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted p Q S �a Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calls. Called Contact Person Plan Check Balance Energy Calls. 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 H.O.A. Approval— -- - - Plans resu�mif�ed Grading — - - -- - v�r,.ir�r1-vfdmmrw�r�dunsCiS-- sue---- - - -- .. P azim Approval ug - -- - Caked CorifsrctYerson -- ATP7'� - -- Pub, Wks. 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