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05-4548 (RPL)54685 Avenida Alvarado 11 11111111111111 69 IE P.O. BOX 1504' - - 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 05-00004548 54685 AVENIDA ALVARADO 774-272-021-9 -000000- POOL - RESIDENTIAL COVE RESIDENTIAL 28000 Tait 4 4 adittal Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: TATRO JESS EUGENE 54685 AVENIDA ALVARADO LA QUINTA, CA 92253 Contractor: A & R COMPLETE POOL SERVICE WCC: YOUNGBLOND INS WC: 229003025105 CSLB: 841981 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 04/19/06 07/31/06 Date: 10/10/05 LICE I hereby affirm under penalty of perjury that I Section 7000) of Division 3 of the Business License Class: CONTRACTOR'S DECLARATION censed under ovisios of Chapter 9 (commencing with rof sionals C. •e, a my License is in full force and effect. Li se N 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 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 contractorls) 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 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 4.•.• issued. /Y I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor 7 Code, for the performance of the work for which this permit is issued. My workers' compensation • insurance carrier and policy number are: Carrier C53 Policy Number _ 1 certify that, in the performance • the work for which this permit is issued, I shall not employ any person in any manner so as •• ••ecome subject to the workers' compensation laws of California, and agree that, ' I should me subject t• the workers' compensation provisions of Section' t I3700 of the L. •or Code, all f•rthwith; amply th those provisions. ' 2) Da aa!IU' I Ap • c WARNING: FAILURE TO SECURE WO S' 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 above i prmation is cord ct. I agree to comply with all city and county ordinances and state laws relating to building co-t(uction, and h eby authorize representatives of this c• nd o enter upon the above-mentioned property foyi •ect .n purpo Date! t' 5 Signature (Applicant or Agent) Application Number 05-00004548 Permit Additional desc Permit Fee. . . Issue Date . . Expiration Date BLDG POOL PERMIT 271.50 4/08/06 Qty Unit Charge Per Plan Check Fee . . Valuation . . . . BASE FEE 3.00 6.5000 THOU BLDG 25,001-50,000 176.48 28000 Extension 252.00 19.50 Permit Additional desc Permit Fee . . Issue Date . . Expiration Date MECH POOL 26.00 4/08/06 Qty Unit Charge Per BASE FEE 1.00 11.0000 EA MECH FURNACE >100K Plan Check Fee Valuation . . . 6.50 0 Extension 15.00 11.00 Permit ELEC POOL PERMIT -RES Additional desc Permit Fee . . 45.00 Plan Check Fee 11.25 Issue Date . . Valuation . . 0 Expiration Date 4/08/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL '30.00 Permit Additional desc Permit Fee . . Issue Date . . Expiration Date PLUMBING 33.00 4/08/06 Qty Unit Charge Per Plan Check Fee . . 8.25 Valuation . . . . 0 BASE FEE 2.00 6.0000 EA PLB FIXTURE 1.00 3.0000 EA• PLB WATER INST/ALT/REP 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS Extension 15.00 12.00 3.00 3.00 Special Notes and Comments POOL & SPA ONLY. ALARMS/BARRIERS SHALL Application Number 05-00004548 Special Notes and Comments BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Permit Fee Total Plan Check Total Grand Total LQPERMIT 375.50 202.48 577.98 .00 .00 .00 .00 .00 .00 Due 375.50 202.48 577.98 .CITY OF LA.CLf1IATA - BUILDING & SAFETY DEPT: APPROVED FOR CONSTRUCTION DATE colli OS BY t 1 CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB DRESS 5` -hp S 40e,l'litda. Pt -Oa -MC -Lb PERMIT NUMBER Of- 5pSza OWNER-a-4-rn l �e.5s • BUILDER fid . 6 LCbt-; Is•1')c.-• This form shall be posted on the job with the Building Inspection Card at all times in a consoicuousplace. Only persons appearing on this list or their employees are authorized to work • on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of buildinpermit. For each applicable trade, all information requested below must b.e completed by applicant. "On File" is not an acceptable response. rkerS;Cumpensatigni s ...:............................... e; ssif.icati Cont actor.: Company Name 1 State Contract... .:License Classification (e.g. A, B, C-8) License Number (xxxxxx) 1 Bus bcens e Exp. Date (xx/xx/xx) Carrier Name .(e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) ecalp at: eoois .. u .r0.6 t'tc-ii ,tdSOTL 13 Sy�S 07) ►�o� 43(45.1-1-70, 31,i---r8-C-u S. ,2,61-361,5-7 6 dihq,J R -66,98 7gb e 5 C-� 3 -1S I q3 5TW-i e Ftp 0 c2i1/ / b9(/ Op D`i!o `bo /b (p/ / qD7 C-6 Syl98I I -0 � �a r PA,NB ;51j3- /2/1/6s 57741 - D 36)5/-0slout IG CIAI3INETS (C FENCING (C- DSCAPING?(! a -s 5 4! oz/(p—Colo(pi 8 0/ 01/ Oco Bin# . . City of La Quinta Building 8t Safety Division P.O. Box.1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ��� ys�� Project Address: 5'4 LASnvet.n.DA (\" ukrADt7 HH Owner's Name: Te_.. S Tq_–{-rte A. P. Number: . Address: 5'ci 6 8' A veAlI D A—' f 't lock CI -6 Legal Description: City ST, Zip: Li _ a teaq Cts- ga.cg. Contractor: / . �� — _ r i 11 � ��,Z _ one. � ...: ..................,......................... � _ Address: p0.60,,-/0 3 - Project Description: Poo •1 1- spew1 to City, ST, Zip: LA at in - Rf2a-r- 66 me_ Vit')' )( 1 S' I Telephone: ep hone• Q� Q aa 3� . poi State Lic. # : 1.-1' q R ) _ City Lic. #: a -/L// 5 Arch., Engr., Designer: i- 1- 1 sec , . ...-jr"" Address: City, ST, Zip: Tele hone• ii,P di Construction o str ucti on Type: ' N� L� u P an cY . State Lic. ...... ... ..... Project hP (circle a one ew Add'n Alter Repair Demo 0 Name of Contact Person:We Sq. Ft.: 1.1 I # Stories: I # Units: Telephone # of Contact Perso€ 7LD6) a'la_ 73 e•—A Estimated Value of Project: 2_g'/ �n6 . APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES 7. Plan Sets Plan Check submitted /! /G ' Item Amount 1 Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction . Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue • Electrical 1 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 corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees