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10-0072 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00000072 Property Address: 53065 ROSS AVE APN: 767-680-002-8 - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 70000 Ta!t4-4Q" Applicant: l,/ Architect or Engineer: �ik ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I a licens d Oder provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business an rofesfiioVals Code, and my License is in full force and effect. License Class: C53 License No.: 614611 ,P.f�e:t' � - (e tractor: O NER-BUILDER DECLARATION I hereby affirm under penalty of p jury tha I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Bu iness a d Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or re it any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement tha 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 ($500)•: 1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ' (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: tilf LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/28/10 Owner: RADER STEPHEN C/O CLARITY PART 100 N. CRESCENT.DR 300 BEVERLY HILLS, CA 0 /1 Contractor: I FL 0'2 2B s MCINTYRE POOLS & PA$,,,,INC. 83695 AVENUE 45 G4TYC'F J1, INDIO, CA 92201 (760)342-3612 Lic. No.: 614611 ----------------------------------------------- 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 GOLDEN INS Policy N ber 2010010139097Z I certify that, in the performance of the w6r for which this permit is issued, I shall not employ any 'person in any manner so aj to beco s bject to the workers' compensation laws of California, and agree that, if I should becom�j ct to theworkers' compensation provisions of Section 3700 of the Lpbor Code, / shall nh comply with those provisions. vr� WARNING: FAILURE TO SErYrYrYf/fURJ KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN DIO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABINTEREST, 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 void if work is not commenced within 180 days from date of issuance of sucLonstr ation of work for 180 days will subject permit to cancellation. I certify that 1 have read this application and state that the n is correct. I agree to comply with all city and county ordinances and state laws relating to buildand hereby authorize representatives of this county to enter upon the above-mentioned propertyrposes. /%pignature (Applicantor Agent): Application Number . . . . . 10-00000072 Permit . . .. BLDG POOL PERMIT Additional desc . Permit Fee 504.50 Plan Check Fee 327.93 Issue Date. . . Valuation . . . . 70000 Expiration Date 7/27/10 Qty Unit Charge Per Extension BASE FEE 414.50 20.00 4.5000 THOU BLDG 50,001-100,000 90.00 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee*. 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/27/10 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 . . . . 75.00 Plan Check Fee 18.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/27/10 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 . . . . 39.00 Plan Check Fee 9.75 Issue Date . . . . Valuation 0 Expiration Date 7/27/10 ' Qty Unit Charge Per Extension BASE FEE 15.00 3.00 6.0000 EA PLB FIXTURE 18.00 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 POOL/SPA, WATER FEATURE. ALARMS/BARRIERS LQPERMIT 0 LQPERMIT - Application Number . . . . . 10-00000072 -------------------------------------- Special Notes and Comments ------------------------------------- SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. 2007 CODES. -------------------------------=-------------------------------------------- Other Fees . . . . . . BLDG STDS ADMIN (SB1473) 3.00 Fee summary Charged ---------- Paid ---------- Credited -------------------- Due ----------------- Permit Fee Total 644.50 .00 .00 644.,50 Plan Check Total 362.93 .00 .00 362-93 Other Fee Total 3.00 .00 .00 3.00 Grand Total, 1010.43 .00 .00 1010.43 0 LQPERMIT - Bin # City Of La Quinta . Building tat Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: S'-� —065 Owner's Name: A. P. Number:fflo-Jia-m.,v ls Address: 00 e r Legal Description: Contractor: Cild 5 5' S1hc Address: - - 4 s City, ST, Zip: SPuPrI T-aieph@R : -C14 clng-io Project Description: City, ST, Zip: Telephone: '12-361 j State Lic. # : 6 / � 6 j City Lic. #: i �S Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: l/ Name of Contact Person: i Yle m C Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: a 5 C) -- (J Estimated Value of Project: 7C a 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 2nd 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:- ''d 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