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06-3045 (SOTB)58026 Aracena 1111111I1111111111111Jill 17IE _ P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00003045 Property Address: 58026 ARACENA APN: 764-200-999-4 -316812- Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 5000 Applicant: Architect or Engineer: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Busines and Professionals Code, and my License is in full force and effect. License CI ss: _Q8 C27 C29 License No.:' 656128 Date• 6 Contractor: 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 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 owrfer 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.). . ( 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: LQPEI211IIT Owner: GERARD VALCAREGHI 58-026 ARACENA LA QUINTA, CA 92253 Contractor: CALIFORNIA POOLS & S 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: 8/21/06 WORKER'S COMPENSATION DECLARATION 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 thispermit 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 to become subject to the workers' compensation laws of California, and agreethat, if I shout ecome subject to the workers' compensation provisions of Section z 0 of the Labor Co sh forthwith comply with those provisions. Date Q Applicant: WARNING: FAILURE TO SECURE WORKER ' COMPENSATION COVERAGE IS UNLAWFUL, AND,SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 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 ounty ordinances and state laws relating to b ' ing c truction, and hereby authorize representatives of this u3nty o e r upon the above-mentioned pro rt r sp tion purposes. Dat C- O Signature (Applicant or Agent): n Application Number . . . . . 06-00003045 Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 72.00 Plan Check Fee 46.80 Issue Date . . . . Valuation . . . . 5000 Expiration Date 2/17/07 Qty Unit Charge. Per Extension BASE FEE 45.00 3.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 27.00 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee 17.25 Plan Check Fee 4.31 Issue Date Valuation 0, Expiration Date 2/17/07 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 .7500 ---------------------------------------------------------------------------- PER ELEC DEVICE/FIXTURE 1ST 20 2.25 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 21.00 Plan Check Fee 5.25 Issue Date . . . . Valuation 0 Expiration Date 2/17/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 -------------------=-------------------------------------------------------- Special Notes and Comments - BBQ ONLY PER APPROVED PLAN Fee summary Charged --------------------------------=---- Paid Credited -------------------- Due Permit Fee Total 110.25 .00 .00 110.25 Plan Check Total 56.36 .00 .00 56.36 Grand Total 166.61 .00 .00 166'.61 LQPERA11T Bin # Permit # a Project Address: $_oZCo A. P. Number: Legal Description: Contractor `\k: Y� Address:�Po City, ST, Zip fy� c .� 0 Telephone: L&O 3q�cIZZ Z State Lie. # : Z Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: Name of Contact Person: �( Telephone # of Contact Person: # Submittal Plan Sets Structural Cales. Truss Calcs. Energy Cales. Flood plain plan Grading. plan" Subcontactor List Grant Deed H -OA. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees Recd N, X ♦ (_ ♦ CsJJ Z,. c -it— City of. La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet gs7fi,a Owner's Name: v %,` C -1 - Address: 5 _ 02 6 City, IT, Zip: L/h, Project Description: Lie. #: "11F LA CSUIN I f � ILDING & SOL—I _ ';moi -" L„ lU V---��� Total Permit Fe es DATE BY Construction Type: Occupancy: Project type (circle one): Add'n Alter Repair Demo Sq. FL: # Stories: # Units: Estimated Value of Project: S O v 'LICANT: DO NOT WRITE BELOW THIS LINE TRACKING • PERMIT FEES Plan.Cbeck submitted Itcm Amount Reviewed; ready for corrections Plan Check Deposit Galled Contact Person Plan Cheek Balance Plans picked up Construction 5© Plans resubmitted Mechanical 2'' Review, ready for corrections/issue Electrical' 3 Called Contact Person Plumbing FAX T✓rt.L Plans picked up S.M.I. Plans resubmitted Grading Review, ready for corrections/issue Developer Impact Fee Called Coritaet Person A.I.P.P. Date of permit issue —, "11F LA CSUIN I f � ILDING & SOL—I _ ';moi -" L„ lU V---��� Total Permit Fe es DATE BY