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06-2999 (CP) Pool 3I P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: . Property Zoning: Application valuation: • Applicant: 06-0"0002999 45245 SEELEY DR 604-040-999-2 -31116 POOL - COMMERCIAL TOURIST COMMERCIAL 30000 T4ht 4 4 4". Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury tha I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busines nd Professionals Code, and my License is in full force and effect. License Class: C8 C27 C29 License No.: 656128 Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am empt from the Contractor's State License Law for the following reason ISec. 7031.5, Business and Proles 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).: (_ ) 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 ISec. 7044, Business and Professions Code: The :#t _ 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 4� 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 ISec. 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—) I am exempt under Sea. , 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: " LQPERMIT Owner: CP DEVELOPMENT LA QUINTA 77564 COUNTRY CLUB DRIVE #100 PALM DESERT, CA 92211 Contractor: CALIFORNIA POOLS & SPAS 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 AUG " 17 2006 CITY OF LA 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 SEABRIGHT Policy Number BB1060510 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 that, if I should come subject to the workers' compensation provisions of Section .3700 of the LabTWORKES' rthwith comply with those provisions. Dat . _ Applicant: WAR NG: TO SECURMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR , 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 ab i mation is correct. I agree to comply with all city and county ordinances and state laws relating to buildi struc 'on, and hereby authorize representatives of this cou to enter upon the above-mentioned prope purposes. Date: Signature (Applicant or Agent): 1l Application Number . . . . . 06-00002999 .' Permit BLDG POOL PERMIT Additional desc . Permit Fee . . . . 284.50 Plan Check Fee 184.93 Issue Date . . . . Valuation 30000 Expiration Date 2/11/07 Qty Unit Charge Per Extension BASE.FEE 252.00 5.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 32.50 Permit MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date 2/11/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 ---------------------------------------------------------------------------- EA MECH FURNACE >100K 11.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 27.00 Plan Check Fee 6.75 Issue Date . . . . Valuation 0 Expiration Date 2/11/07 Qty Unit.Charge Per Extension BASE FEE 15.00 1..00 6.0000 EA PLB FIXTURE 6.00 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 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . 41.00 Plan Check Fee 10.25 Issue Date Valuation . . . . 0 Expiration Date 2/11/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 EA ELEC PWR APP >1 TO <=10 7.50 1.00 18.5000 EA ELEC SVC <=600V/<=200A 18.50 ---------------------------------------------------------------------------- Special'Notes and Comments COMMERICAL POOL ONLY #3..PERMIT DOES LQPERAIIT Application Number . . . . . 06-00002999 - - Special Notes and --------- Comments --------------- NOT INCLUDE WROUGHT IRON OR.BLOCK WALLS. Fee summary Charged Paid Credited Due Permit Fee Total. 378.50 .00 .00 378.50 Plan Check Total 208.43 .00 .00 208.43 rr-i-.1 Cznr- oZ nn nn CZQti o'� LQPERDIIT r Total Permit Bt3A • City: ,of. La :Quilnta .. . Building q.Safety Dlvlsiori , Permit .# . Q P.O. Box 1.504, 78.495. Cale Tampico Q {� { La.Qulnta CA 92253.:;(760).777-70:12. Building Permit Appllcation.and Tracking Sheet - Project Address: qS-- A. P. Number: Owner's Name. Address: Legal Description: ' City, ST, Zip Contractor \, 777. 'Telephone: Project Description: Address: ' �© 2 CP Cita', ST, Zip Telephone: oA.AAA- 9- State Lie. # :....�. city Lic. #: Arch., Engr., Designer: Address: -777 City, ST, Zip: :Telephone: . Construction Type: Occupancy: State Lic..#: Project type (circle one): Add'n AlterRepair Demo Name of Contact Person: 7.Sq. Ft:.#Stories # Units: Telephone # of.Contact Person: Estimated Value of Project:. 3d:ou o APPLICANT. DO.,NOT WRITE BELOW THIS LINE # Submittal:• Req'd R ec+d TRACING • PERMIT FEES Plan Sets. 'P1 a Check submitted Item Amount Structural Cates'. Reviewed; ready for. corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance 77 Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical AR�'Qi Grading plan' 2"d:Review, ready for correctionssuefCJ[Cc' Electrical % Odor,* Subcontactor List Called Contact PersonPlumbing !�0[O S tlG�CY Grant Deed Plans picked up 1 .O.A: Approval Plans resubmitted Grading IN HOUSE:- ''" 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 r Total Permit