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06-0343 (RPL) IIIIIIIIIIIIIIIIIIIIIIIII 37 P.O. BOX 1504 IE 4 �h� ^I. VOICE 760 ( ) 777-7012 78-495 CALLE TAMPICO FAX(760)777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS (760)777-7153 BUILDING PERMIT Date: 1/23/06 Application Number: 06-00000343 Owner: Property,Address: 80819 CALLE AZUL PIERCE APN: 762-240-003-45 -300962- 80-819 CALLE AZUL Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: MEDIUM DENSITY RES D Application valuation: 20000 d Contractor: FEB Applicant: Architect or Engineer: 2 1 2w FAMILY POOL CONSTRUCTION `- a P O BOX 283 / 0 O LA QUINTA, CA 92247 �C a�NI�C UINrA (760)564-3655 Lic. No. : 658996 ---------- - -- -- - - --- - -- -- ---------- - ---- --- -- ----- --- ----------------- - --- - ------ RATION CENSE. ONTRACTOR's DECLARATION WORKER'S-COMPENSATION DECLARATION I hereby affirm under penalty of perjury h I a icensed under provisions of Chapter 9(commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 70 )of vision 3 of the Busi s nd 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 Cla s: C License No.: 658996 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is ./' issued. ,pSte:` Contra /� 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 OWI R-BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury th �I am exe pt from the Contractor's State License Law for the Carrier STATE FUND - Po' umber 1344032-2005 following reason(Sec.7031.5,Business an rofessions Code: Any city or county that requires a permit to - _ I certify that,in the perfor ance a work for which this permit is issued,I shall not employ any construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for the person in any manner o ' o become 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 d become 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 700 of the Lab o o e, ll f hwith comply with those provisions. 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($5001.: Date Applicant: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 WARNk FAILURE TO SECURE WO KERS'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 CRIMINA PENALTIES 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($100,000). IN ADDITION T THE COST 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,IN_EREST,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 pursuant to the Contractors'State License Law.). whose benefit work is performed under or pursuant to any per 'sued as a result of this application, 1-1 I am exempt under Sec. ,B.&P.C.for this reason the owner,and the applicant,each agrees to,and shall defend demnify and hold harmless the City of La Quinta,its officers,agents and employees for any a r omission related to the work being performed under or following issuance of this permit. Date: Owner: 2. Any permit issued as a result of this application bec es null and void if work is not commenced within 180 days from date of issuance of h rmit,or cessation of work for 180 days will subject CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the 1 certify that I have read this application and state th a above information is correct. I agree to comply with all work for which this permit is issued(Sec.3097,Civ.C.). city and cpunly ordinances and state laws relati o b d ng construction,and hereby authorize representatives of this co nt to nter upon the above-ment' ed pro r i tion purposes. Lender's Name: Dat Signature(Applicant or Agen . Lender's Addres�. LQPERMIT Application Number . . . . . 06-00000343 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 207.00 Plan Check Fee 134.55 Issue Date . . . . Valuation . . . 20000 Expiration Date 7/22/06 Qty Unit Charge Per Extension BASE FEE 45.00 18.00 9.0000 THOU BLDG 2, 001-25,000 162 .00 ---------------------------------------------------------------------------- Permit . . . MECH POOL Additional desc . Permit Fee 26..00 Plan Check Fee 6-.50 Issue Date . . . . Valuation . . . 0 Expiration Date 7/22/06 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' . 7/22/06 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 7/22/06 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 ONLY. ALARMS/BARRIERS .SHALL LQPERMIT Application Number . . . . 06-00000343 ---------------------------------------------------------------------------- Special Notes and Comments BE IN PLACE PRIOR TO PRE-PLASTER - INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due - ---- ----- ---------- Permit Fee Total 311.00 .00 .00 311.00 Plan Check Total 160.55 .00 .00 160.55 Grand Total 471.55 .00 .00 471.55 LQPERMIT Bin# atof La Quints BW[dfig 8t Safety Mvislon Permit# P.O.Box 1504, 78495 Calle Tampico �3 [a Quanta,CA 92253-(760) 777-7012 a�� a,3 Bonding Permit Application and Tracldng Sheet Project Address: 1 Owner's Name: t 4N0—t / A P.Number. Address: U Legal Description: City,ST,Zip: -Z 3 Contractor: s Telephone: Address: �( Ae� Project Description: cQ�L S �► City.ST,zip: 944n.i - OA Telephone: :5(0S Stec Lie.#: City Lie.#; Arch.,Engr.,Designees Address: City.,ST,Zip: Telephone: Construction Type: Occupancy: State Lie.#: Project type(circle one): New Add'n Alter Repair Demo Name of Contact Person: I Sq.FL: #Stories: #Units: Telephone#of Contact Person: �p�— 3 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE N sabmithd Req-d Recd TRACING PERMIT FEES Plan,Sets Plan Chair submitted 1 13 Item Amount structual(#les. Reviewed,ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance. Title U Calls. Pians picked up Construction Flood plain plan, Plans resubmitted Mechanical Grading plan 2!Review,ready for con ectionslissae Electrical Sobcoutactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A.Approval Plans resubmitted Grading IN HOUSE:- ''t Review,ready for eorreetiondime Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub.Wks.Appr Date of permit lanae Schodl Fees Total Permit Fees Mj Jfff e JANET Pljffpcf 80819 GO&ftzul ® °O Construction fools Spas rounfains CITY OF LA QUiNTA BUILDING &SAFETY DEPT. C760"64�6SS Gee APPROVED FOR CONSTRUCTION LlC, G58��G � j DATE ��/D BY_ 4 --