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10-0999 (RPL)P.O. BOX 1504 T4hf 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 10-00000999 Owner: Property Address: 46734 BRADSHAW TR GLOBAL INVESTMENT APN: 643-170-999-65 -31348 - 3470 WILSHIRE BL a, Application description: POOL - RESIDENTIAL LOS ANGELES, CA 9 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 18000 Contractor: Applicant: Architect or Engineer: INDIO HILLS POOL 28800 DESERT CHARM DESERT HOT SPRINGS, / (760)393-6720 Lic. No.: 816170 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 Professionals Code, and my License is in full force and effect. /License Class: jC53 License : 816170 Dater Contractor: P,,,—,—. 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).: _ 1 1, 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 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/27/10 a.liii�lfl ) i I I ' : it S' t ,,.,. �, J 0j t� ROAD CA 92241 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 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 STATE FUND Policy Number 0004052-2009 1 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 at, if I should become subject to the workers' compensation provisions of Section 3700 o he Labor Cod.1 shall forthwith comply wit ose provisions. Date: -( Z� � Applicant: � 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 1$100,000). 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 d county ordinances d state laws relating to building construction, and her authorize representatives o his county to enter u n the above -mentioned propert for inspection purpose . i Date: ignature (Applicant or Agent): LQPERMIT Application Number . . . . . 10-00000999 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 189.00 Plan Check Fee 122.85 Issue Date . . . . Valuation 18000 Expiration Date . . 3/26/11 Qty Unit Charge Per Extension BASE FEE 45.00 16.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 144.00 Permit . . . MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/26/11 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 . . 3/26/11 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 . . 3/26/11 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 1.00 3.0000 EA PLB 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. ALARMS/BARRIERS SHALL BE IN LQPERMIT Application Number . . . . . 10-00000999 ---- ----------- Special Notes and Comments -------------- ------------- PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. 2007 CODES. ------ Other Fees . . . ------------- . . . . . . BLDG STDS -------------------- ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due ----------------- Permit Fee Total -------------------- 293.00 .00 -------------------- .00 293.00 Plan Check Total 148.85 .00 .00 148.85 Other Fee Total 1.00 .00 .00 1.00 Grand Total 442.85 .00 .00 442.85 LQPERMIT o bA � q A a � Ll '+•+ ti� �� Z � .. a a � a vi p a d F cr za- 04 ...� U cil �tl +i�' � � � O ,gyp ,� p, � • '� r" � � .p 'h' ,� � j`� J- a ' a f a a c VA C t p» V° tj ! a a• a a ais at cii E e' o a aye p � m � ,� a � � � t� ss ..a � �i �ii � a � ° � .g • y 'a � � � C7 va CS x � o. a' v�i a Q a U Q U E� v�i Q U F Ems.• � I 0 EQUIPMENT * 1- Hayward multi speed putp circulation pump 13DO * 1- 325 cfm Hayward cartrid Filter *1-400,000 btu Hayward he ter ly O * 1- 400w pool light I I00w f spa light * I- pro -logic system. * auto fill device *3- 12" sheer descent U T i ;> 0 C9LL n f w ri 12" sheer descent 15 POINT HAPPY LOT # 65 46-734 BRADSHAW TRAIL LA QUINTA CA. 92253 INDIO HILLSCONSTRUCTION 28-800 DESERT CHARM RD INDIO HILLS CA. 92241. BUS.PHONE#(760) 342-3246 CELL (760)393-6720 CA. LIC.#816170 C-53 NEW BLOCK WALL