SOTB (06-1813)51400 Marbella Ct
06-1813
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
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BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 06-00001813/ Owner:
Property Address: 51400 MARBELLA CT SHAW
APN: 772-250-998-49 -31349 - 51-400 MARBELLA COURT
Application description: STRUCTURES OTHER THAN BUILDINGS LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5000
Contractor:
Applicant: Architect or Engineer: CALIFORNIA POOLS & SPAS
u P.O. BOX 1280
>lti ✓ MAY 0 8 2006 COACHELLA, 92236
(760)398-922222
Lic. No.: 656128
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am li Fsunder provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business an ssionals Code, and my License is in full force and effect.
License Class: C8 C27 C29/ LicenseNo.: 656128
ContractCr: -
OWN -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exem t 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 1$5001.:
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 contractor(s) 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
1 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:
LQPERMff
VOICE (760) 777-7012.1
FAX (760) 777-7011 P
INSPECTIONS (760) 777-7153
Date: 5/05/06
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 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 agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor Code, I she i h comply with those provisions.
r
Aee 7^ Applicant:
WARNING: FAILURE TO SECURE WORKERS' COM ENSATION 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.
1 certify that I have read this application and state that the above inf rmation is correct. I agree to comply with all
city and county ordinances and state laws relating to building c tion, and hereby authorize representatives
of this county to enter upon the above-mentioned property for io urposes.
Dat,, ignature (Applicant or Agent):
Application Number . . . . . 06-00001813
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 72.00
Plan Check Fee
46.80
Issue Date . . . .
Valuation . . .
. 5000
Expiration Date 11/01/06
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 . . . . 17.25
Plan Check Fee
4.31
Issue Date ... . .
Valuation . . .
. 0
Expiratior-.-Date.. 11/01/06
-
Qty Unit Charge Per
Extension
BASE
FEE
15.00
3.00 .7500 PER ELEC
DEVICE/FIXTURE 1ST 20
2.25
----------------------------------------------------------------------------
Special Notes and Comments
BARBEQUE ONLY (Z21-58-1995).
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ENERGY REVIEW FEE
4.68
Fee summary Charged.
---------------------------
Paid Credited
Due
----------
Permit Fee Total 89.25
--------------------
.00 .00
89.25
Plan Check Total 51.11
.00 .00
51.11
Other Fee Total 4.68
.00 .00
4.68
Grand Total 145.04
.00 .00
145.04
LQPERMIT
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City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
U Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit.#
Project Address: 51- (loo
Owner's Name:
A. P. Number:
Address: !51-{
Legal Description:
City, ST, Zip:
Contractor: S
Address: (
Telephone:
Project Description:
City, ST, Zip: A CSC C 2 2 3
Telephone:
State Lic. # :
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:ZEL _ 1-Al2-5;--
Estimated Value of Project: 7S 0 Q
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 Check Balance
Energy Calcs.
Flood plain plan
Plans picked up
Plans resubmitted
Construction
Mechanical
Grading. plan
Subcontactor. List
Grant Deed
2" Review, ready for correctionsrssue
Called Contact Person
r"Ocked p I
Electrical
Plumbing
S.M.I.
H.O.A. Approval'
BUIL Ijl4 's ru d
Grading
INHOUSE:
P
Ip (9. -? eappy V b r e tion ssu
Developer Impact Fee
Planning ApprovalI-Ij
lied'Co r°t ct P OTION
A.I.P.P.
Pub. Wks. Appr
MTp Date of per ' issue
School Fees
Total Permit Fees