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06-3432 (RPL)54575 Alysheba Dr r I IIIIIII VIII III VIII (III P.O. BOX 1504 IE - 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00003432 s Owner: Property Address: 54575 ALYSHEBA DR MCCOMIC GRIFFIN LLC APN: 767-320-999-56 -32879 - .7979 IVANHOE AVE'#550 Application description: POOL - RESIDENTIAL LA JOLLA, CA 92037 Property Zoning: LOW DENSITY RESIDENTIAL D Application valuation: 27000 Contractor: Applicant: Architect or Engineer: CALIFORNIA POOLS P 0 BOX 1280 VOICE (760) 777-7012. FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/25/06 SEP 282006 L 1 I A COACHELLA, CA 9223 CITY OF I.EPT. (760)398-9222 FINANCE DEPT. Lic. No.: 656128 ----------------------------------------------------------------------------t--------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business d Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License CI ss: C C27 C29 License No.: 656128 Date: 2 7 QV C rector: 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 0 NER-BUILDER DECLARATION insurance carrier and policy number are: 1 hereby affirm under penalty of perjury that I am ex pt from the Contractor's State License Law for the Carrier SEABRIGHT Policy Number BB1060510 following reason (Sec. 7031 .5, Business and Professio Code: Any city or county that requires a permit to I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structur , prior to its issuance, also requires the applicant for the person in any manner sotecome subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I shoulme subject to the workers' compensation provisions of Section 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 3700 of the Labor Cod hwith comply with those provisions. (: any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: U plicant: - ( 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and r the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKER 'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PEN LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS (5100,000). IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTERE , AND ATTORNEY'S FEES. 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.). - APPLICANT ACKNOWLEDGEMENT ' (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the '7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuantto the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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 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 abov information is correct. I agree to comply with all city and county ordinances and state laws relating to buildi uction, and hereby authorize representatives of this co ty to to upon the above-mentioned proper rope for ins ecti rposes. ate: ` J ' ature (Applicant or Agent): (�o Application Number . . . . . 06-00003432 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 265.00 Plan Check Fee 172.25 Issue Date . . . . Valuation . . . . 27000 Expiration Date 3/24/07 Qty Unit Charge Per Extension BASE FEE 252.00 2.00 6.5000 THOU BLDG 25,001-50,000 13.00 ---------------------------------------------------------------------------- Permit . . . MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration DLte 3/24/07 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 . . 3/24/07 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 3/24/07 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 POOL/SPA, WATER FEATURE. LQPERMIT Application Number . . . . . 06-00003432 ---------------------------------------------------------------------------- Special Notes and Comments ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 369.00 .00 .00 369.00 Plan Check Total 198.25 .00 .00 198.25 Grand Total 567.25 .00 .00 567.25 LQPERA11T Bin # City of. La. Quinta Building U Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico 3 La Quinia, CA 92253 - (760) 777-7012 3 Building Permit Application and Tracking Sheet Project Address L( 57 Owner's Name A. P. Number: Address: �� LAN CN Legal Descriplion: City, ST, Zip: Address:�© Z Project Description: City, ST, Zip ZZ?J (� Telephone: Total Permit Fees State Lie. # : City Lie. #: . • Arch., Engr., Designer: Address:.. City, ST, Zip: , Telephone: Construction Type: Occupancy: . State Lic. #: Pra ect type (circle one): Add'n' Alter Repair Demo Name of Contact Person: Sq: Ft.: #'S t6d'es: • # Units: Telephone # of Contact Person: L L ©- l� Estimated Value ofPr0jeqtV CZ 4 APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Reed TRACING PERMIT FEES Plan Sets Plan.Checksubmitted p Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Tress Calcs, Galled Contact Person. . Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan' 2" Review, ready for correctionslissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Pians picked up SALL E .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 permi�issc School Fees Total Permit Fees