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06-2384 (RPL)P.O. BOX 1504 IE 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 05 • J_ 4�VOICE(760) 760 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Application Number: 06-00002384 Property Address: 60810 AZUL CT APN: 764-270-999-85 -300234- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 15000 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 Busines _and Professionals Code, and my License is in full force and effect. License Class: C53 se o.: 786324 Dater Contractor: OWNE - WILD R ECLARATION I hereby affirm under penalty of perju that I am axe pt rom the Contractor's State License Law for the following reason (Sec. 7031.5, Busin s and Professi ns ode: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any stru tur , 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 exempttherefrom 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-strucude'is not intended of 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 contractor(s) licensed pursuant to the Contractors' State License Law.). 1 _ 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: LQPERMIT Date: 6/14/06 Owner: MEYEN 60-810 AZUL COURT LA QUINTA, CA 92253 n 1 D Contractor: ALPIN41995E BOARDWALK T, A-3 2 2006 DALM DESERT, CA 92of 1A 000TA (760)3.46-.2350 _ Lic. No.: 786324 ----------------------------------------------- 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 STATE FUND Policy Number 000232362006 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 work OW cpensation laws of California, and agree that, if I should become subject to the workers' mpenom,ation provisions of Section 37700 of the Labor Code, I shall forth comply with th t e provisions. Date:�'1 0G Applicant: s✓ti/ WARNING: FAILURE TO SECURE4TOTHECOST KERS' COMP NS TION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIL PENALTIES N CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITF OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AN 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 above information is correct. 1 agree to c ply with all city and county ordinances and state laws relating to building construction eby out onze r esentatives of this county to enter upon the above-mentioned erty for inspection urposes. Dater LI -o4 Signature (Applicant or Agent). v LQPERMIT Application Number . ... . . 06-00002384 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . 162.00 Plan Check Fee 105.30 Issue Date . . . . Valuation . . . . 15000 Expiration Date 12/11/06 Qty Unit Charge Per Extension BASE FEE 45.00 13.00 9.0000 --------------------------7------------------------------------------------- THOU BLDG 2,001-25;000 117.00 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date Valuation 0 Expiration Date 12/11,'06 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 12/11/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 --------------------------------------------- EA ELEC PRIVATE SWIMMING ------------------------------ POOL 30.00 Permit . . . I PLUMBING .Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/11/06 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 ALARMS/BARRIERS SHALL BE IN Application Number . . . . . 06-00002384 ---------------------------------------------------------------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION EQUIPMENT ENCLOSURES NOT INCLUDED. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 266.00 .00 .00 - 266.00 Plan Check Total 131.30 .00 .00 131.30 Grand Total 397.30 .00 .00 397.30 LQPERMIT Bin # City of. Laui 'ta Q . Building & Safety Division P.O: Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking g . . $h eet . Permitfl . Project Address:' Owner's Name: I A. P. Number: Address: 9` Legal Description: City, ST, Zip: L Contractor.: L . I L `� Telephone: Project Description: 06oL S Address: l _ City., ST, Zip: Telephone: City Lir.'. #. State Lie. # .: 6` Arch., Engr., Designer: Address: . City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: �f}w J Construction Type: Occupancy: Project type (circle one): New Add'n Alter _ Repair Demo Sq: FL: #Stories: #Units: Telephone # of Contact Person: 7 (� 4a �= � y Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING'. PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called .Contact Person Plan Che ck Balance Energy Calcs. Plans picked.up Construction. Flood plain plan. Plans resubmitted Mechanical Grading plan 2"4 Review, ready for corrections/issue Electrical . Subcontactor. List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE: Review, ready for eorrectionstissue Developer Impact Fee. Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees ;. VA n, n, - Y c na 1 v: �i f � 3' LEEVE PLANTER NOTE: r �•� POOL AREA. 338 SQ FT *� POOLPERINIETER; 82' TWD SPA AREA: ;>B SQ FT SPA PERIME'FER 22' #��-':�` � t.r.�, EQUIPMENT MALL 48" 1-iIGM