06-3490 (CNHK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA'QUINTA, CALIFORNIA 92253
T4ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 06=000-03490
Property Address: 45245 "SEELEY-DR POOL 2
APN: 604-040-999-2 -31116 -
Application description: NEW COMML - OTHER NON -HOUSEKEEPING
Property Zoning: TOURIST COMMERCIAL
Application valuation: 4637
Applicant: , Architect or Engineer:
------------------
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 ass: LicenseNo.: 728102
0e: tractor: .
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 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 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 contractors) licensed
pursuant to the Contractors' State License Law.).
I—) 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 92211
Contractor:
LENNAR HOMES OF
40004 COOK ST.
-ALM DESERT, CA
(760)6.01-3100
Lic. No.: 728102
CALI
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/28/06
92211
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.
fit[ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
T� Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are: .
Carrier OLD REPUBLIC IN Policy Number MWC11495100
I certify that, in the performance of the work for which this permit is issued, 1 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 she.1.4 become subject to the workers' compensation provisions of Section
00 of the LabjWR
shalt fo with comply with those provisions.
ate: licant:
r
WARNING: FAILURE TO SECURRS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($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 Ouinta, 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
Acity c t;ordltnan]cp�eos and ate laws relating to buildi ruction, and hereby authorize representatives
unty n above-mentioned property r ins ection purposes.
ture (Applicant or Agent):
Application Number .
. . . . 06-00003490
----- Structure Information
OUTBUILDING #4 POOL E0Uze/ozo.
---'-
other otruct info . .
- . . CODE EozzI0m 01Bme04Eo5Ew
�
FIRE SPRINKLERS YES
MIXED-USE occoeamCY o-1
. OCCosmunz LOAD
1.00
------------------'_----�-------------
1ST FLOOR SQUARE FOOTAGE
-
----'-------------------------
.
z9��O0
-------
Permit . . . . . .
BUILDING PERMIT
`
Additional deao . .
' Permit Fee . . . .
72.00 Plan Check Fee .' .
46.80
Issue Date
Valuation . . ' `
`. 4637
Expiration Date . .
6/26/07 '
`
Qty Unit Charge
'Per � � . �
`e6oioo
BT -SE FEE' '
45.00
3.00 . y.onoo,rHon
_-�_----_-------__--_-----_----_---_---_----_------�--_-_-_------
BLDG 2'001-25'000
27.00
�
Pe zmi. . . ` , 'ELEC-NEW
.
'
COMMERCIAL
.-
' deoo
Permit Fee..
18.88 � rIao Check nee -�-
4.72
Issue Date . . . .
Valuation . ` ' .
O
Expiration Date . .
6/26/07 '
Qty Unit Charge
Per ` .
Extension
BASE FEE
15.00
194.00 .0200
----------------------------_----------_--------------------------_---------
� oLEc GARAGE OR NON-RESIDENTIAL
3.88
eermit . . . . . . GRADING PERMIT
Additional deoz ..
Permit Fee . . . .
15.010 rIaoCbeok.ree . .
.00
zoane Date . . . .
Valuation- . . . .
o
Expiration Date . .
6/26/07
Qty Unit Charge
Per
Extension
'
--------------------------------
BASE FEE
--------------- _---_---------------
�
15.00
_-----
Permit . . . . . . MECHANICAL
Additional 6eoc . .
Permit Fee . . . .
21.50 Plan Check Fee
5.38
Issue Date . . . .
Valuation . . . .
o
Expiration Date . .
6/26/07
'
Qty Unit Charge
Per
Extension
cQPEmvn
LQPERn9IT
Application Number . . . . 06-00003490
Permit . . . . . . MECHANICAL:
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 6.5000 EA MECH VENT FAN
6.50
-------------------------------------------------------
Special Notes and Comments
OUT BUILDING #4 -POOL EQUIPT/STORAGE.
194 SF. S-1 OCCUPANCY, TYPE V -N CONSTR.
-OCCUPANT LOAD=1. 2001 CBC,CMC,CPC; 2004
CEC, 2005 ENERGY CODES. **PERMIT DOES
NOT INCLUDE TEMPORARY POWER, WALLS,
POOLS, SPA OR SITE LIGHTING.** 2005 DIF
FEES ASSESSED.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -I---------------
Other
Other Fees . . . . . . . ACCESSIBILITY PLAN REVIEW
--------------
4.68
ART IN PUBLIC PLACES. -COM
20.CO
DIF CIVIC CENTER -COMM
30.26
ENERGY REVIEW FEE
4..68
DIF FIRE PROTECTION -COMM
8:72
STRONG MOTION, (SMI) - COM
97
DIF STREET MAINT FAC -COMM
20.56
DIF TRANSPORTATION - COMM
510.61
Fee summary Charged Paid Credited
Due
- - - - ------ - - - - ------ - - - - ----
Permit Fee.Total 127.38 .00 .00
-- - - - - - -
127.38
Plan Check Total 56.90 .00 .00
56.90
Other Fee Total 600.48 .00 00
600.48
Grand Total 784.76 .00 .00
784.'76
LQPERn9IT