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06-2998 (CP) Pool 2P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description ' Property Zoning: Application valuation: Applicant: 06-00002998 45245 SEELEY DR 604-040-999-2 -31116 POOL - COMMERCIAL TOURIST COMMERCIAL 35000 Architect or Engineer: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury t1hat I am licensed under provisions of Chapter 9 fcommencing with Section 7000) of Division 3 of the Busin s and Professionals Code, and my License is in full force and effect. License Cla :` C8 C27 C29 License No.: 656128 Date: �'i`- Contractor: OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury, that I exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Pro ions 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, 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 A 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 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: LQPERAIIT Owner: CP DEVELOPMENT LA QUINTA 77564 COUNTRY CLUB DRIVE #100 PALM DESERT, CA 92260 (760)360-8001 Contractor: CALIFORNIA POOLS & P.O. BOX 1280 COACHELLA, CA 92236 (760)398-9222 . Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/15/06 WORKER'S COMPENSATION DECLARATION 1 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 SEABRIGHT Policy Number BB1060510 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 become subject to the workers' compensation laws of California, and agree that, if I should b ome subject to the workers' compensation provisions of Section 3700 of the Labor Code, I hwith comply with those. provisions. Date Applicant: WARNING: FAILURE TO SECURE WORKE S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. IN ADDITION TOT 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 otthis 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. certify that I have read this application and state that the above' fo is correct. I agree to comply with all city and county ordinances and state laws relating to building co u ion, a d hereby authorize representatives . of this cou y to enter upon the above-mentioned property for in u oses. Oate:i? /Signature (Applicant or Agent): LQPERNIIT Application Number . . . . . 06-00002998 Permit BLDG POOL PERMIT -Additional desc . Permit Fee . . . . 317:00 Plan Check Fee 206.05 Issue Date . . . Valuation . . . 35000 Expiration Date 2/11/07 Qty Unit Charge. Per Extension BASE FEE 252:00' 10.00 6.5000 THOU BLDG 25,001-50,000 65.00 Permit . . MECH POOL Additional desc . Permit Fee. 37.00 Plan Check Fee 61.50 - Issue Date . . . . Valuation . . . . 0 Expiration:Date 2/11/0.7 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 11.0000 EA MECH FURNACE >100K 22.00 Permit ELEC=MISCELLANEOUS. Additional desc Permit Fee 63.50. Plan Check Fee 15.88 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/11/07 Qty Unit Charge Per Extension BASE FEE •15.00 4.00 .7.5000 EA ELEC PWR APP >1 TO <=10 30.00 1.00 18.5000 EA ELEC SVC <=600V/<=200A 18.50 ------------------------------------------ ---------------------------------- Permit . . . PLUMBING Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/11/07 .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 COMMERICAL POOL/SPA ONLY #2. PERMIT DOES LQPERNIIT Application Number . . . . . 06-00002998 ----------------- Special Notes ----------------------------------------------------------- and Comments NOT INCLUDE WROUGHT IRON OR BLOCK WALLS. Fee summary ----------------- Charged ------------------------------- Paid Credited ---------- Due Permit Fee Total 450.50 .00 .00 450.50 Plan Check Total 291.68 .00 .00 291.68 Grand Total 742.18 .00 .00 742.18 Bin City of. La Quinta Building U Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico G�q 8 La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: �'/2 c�S S EEG Y Z Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Address. 1�© 2 6P Project Description: City, ST, Zip Cl, . :Telephone: ]60Sc/q--,? F te Lie. # - Zh., Engr., Designer: dress: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone # of Contact Person: # Submittal Plan Sets Structural Calcs. Truss Cales. Energy Cales. Flood plain plan Grading plan Subcontactor List Grant Deed ILO:A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees Lic. #: Construction Type: Occupancy: Project type (circle one): Add'n Alter Repair Demo �C> Sq. FL: # Stories: # Units: Estimated Value of Project:. APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACING . PEI',thIIT FEES. Total Permit Fees 1 � • Plan.Check submitted Item Amount Reviewed; ready for corrections Plan Check Deposit Plan Check Balance Called Contact Person Plans picked up Construction Plans resubmitted oeiD Mechanical Y' Review, ready for correctioWissue Electrical ! SGtMe� �l� 5 Called Contact Person Plans picked up Plumbing S.M.I. MIS Plans resubmitted Grading ''� Review, ready for corrections/issue Developer Impact Fee Called Contact Person A.I.P.P. 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