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SOTB (06-1579)51053 Marbella Ct 06-1579 • P.O. BOX 1504 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00001579 Owner: Property Address: 51053 MARBELLA CT BISHOP APN: 772-250-998-35 -31349 - 51-053 MARBELLA COURT Application description: STRUCTURES OTHER THAN BUILDINGS D LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 5000 APR 9 o Contractor: Applicant: Architect or Engineer: CALIFORNIA POOLS & SPAS i1lfA[r P.O. BOX 1280 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 Business and Profe sionals Code, and my License is in full force and effect. LicenseClass:/ +C8 //C 27 C29 LicenseNo.: 656128 /bate: L '—Iq__ Zontracnf OWNER- UILDER 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 _ 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 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 COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 A99 VOICE (760) 777-7012 A99 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/19/06 ----------------------------------------------- WORKER'S -- -------------------------- 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. X 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 SEA13RIGHT 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 agree that, if I should b come subject to the workers' compensation provisions of Section i 370000 of the Labor Code, I all forthwith comply with those provisions. ate: Applicant:/ WARNING: FAILURE TO SECURE WORKERS' 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building c ction, and hereby authorize representatives of thi' ount/y to enter upon the above-mentioned pro rty fo msp tob purposes. Date: ignature (Applicant or Agent): Application Number . . . . . 06-00001579 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 72.00 Plan Check Fee 46.80 Issue Date . . . . Valuation . . . . 5000 Expiration Date . . 10/16/06 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. . . . 18.00 Plan Check Fee 4.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 10,'16/06 Qty Unit Charge Per Extension BASE FEE 15.00 . 4.00 .7500 ---------------------------------------------------------------------------- PER ELEC DEVICE/FIXTURE 1ST 20 3.00 Permit PLUMBING Additional desc . . Permit Fee . . . . 21.00 Plan Check Fee 5.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/16/06 ,Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 ----------------------------------------------------------------------------- Special Notes and Comments BARBEQUE (Z21-58-1995). ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 4.68 Fee summary Charged ..Paid Credited Due Permit Fee Total 111.00 -------- ---------- ---------- .00 .00 111.00 Plan Check Total 56.55 .00 .00 56.55 Other Fee Total 4.68 .00 .00 -4.68 Grand Total 172.23 .00 .00 172.23 LQPERMIT Bin # City of. La QuInta Building,U Safety Division'. . `Permit # P.O. Box 1504, 78-495 Calle Tampico (o La Quinta, CA 92253,- (760) 777-7012 'Building Permit Applicatlon'and Tracking Sheet Project Addr ss: bf✓ Owner's Name: \ S. r A. P. Numb Address: Legal Description`. City, 8T Zip: Q V V` Contractor:`, ` Y\ (,\ .Telephone: . Address: © 2 CP Project Desctiption: City, ST, Zip*C/1 _.• 1=Z 3. . , :Telephone:. SCK -Z 2_ State Lic. # : Z City Lie # Arch., Erign, Designer: Address: City, ST, Zip: Telephone: -- tConstruction Type: Occu an P cy: State Lic. #: Project type (circle one)., Add'n Alter Repair Demo `Name of Contact Person Sq• Ft • #Stories #Units .Telephone # of Contact Person: L" C Estimated Value of Project:. . APPLICANT: DO,NOT WRITEBELOW THIS LINE # N, Submittal c . Req'd T RACIQNG _ - - PERM r FEES Plan Sets `Plan Check submitted . " Item i& Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Cales. Plans picked u,p Construction Flood plain plan ,Plans resubmitted Mechanical Grading. plan' :V Review, ready; for corrections/issue Electrical Subcontactor List ,Called Contact Person. • " 'Plumbin Grant Deed Plans picked up SMI. H.O A' Approval 'Plans resubmitted Grading IT H-OUSE:- ''' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person ITA Pub, Wks. Appr Date of permit i§'sue RI 11 -DING & SAFETY DEPT. School Fees ` 'ED ROVED OR C NSTRUCTION