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RPL (06-3435)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&t!t 4 4 Qum& Application Number: 06-00003435 Property Address: 81103 MONARCHOS CIR APN: 767-320-999-266 -32879 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 26000 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT --------------------------------------------- LICE ED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business an Professionals Code, and my License is in full force and effect. License Cla C5 C27 C29 L(a�� icense No.: 656128 �at� T% ontractor: !/ R -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exenit from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professio 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).: (_) 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.). (_ I 1, 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 contractors) licensed pursuant to the Contractors' State License Law.). (_) 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: LQPER111IT Owner: MCCOMIC GRIFFIN LLC 7979 IVANHOE AVE 4550 LA JOLLA, CA 92037 Contractor: CALIFORNIA POOLS & P.O. BOX 1280 COACHELLA, CA 9223 (760)398-9222 Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/25/06 D Ij� SEP 28 2006 L 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 SEA 3RIGHT Policy Number 13BI060510 _ I certify that, in the performanc of the work for which this permit is issued, I shall not employ any person in any manner so as t become subject to the workers' compensation laws of California, and agree that, if I should be me subject to the workers' compensation provisions of Section 37 of the L r C ' I hwith comply with those provisions. atD e: L� 6 plicant: WARNING: FAILURE TO SECURE WORKERS' SUBJECT AN EMPLOYER TO CRIMINAL PEND DOLLARS ($100,000). IN ADDITION TO THE SECTION 3706 OF THE LABOR CODE, INTERI IPENSATION COVERAGE IS UNLAWFUL, AND SHALL S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ;T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN 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 p mit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the ab information is correct. I agree to comply with all city and county ordinances and state laws relating to buil g c s tion, and hereby authorize representatives of this-ceiipty to enter upon the above-mentioned grope trio purposes. YGignature (Applicant or Agent): Application Number . . . . . 06-00003435 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 258.50 Plan Check Fee 168.03 Issue Date . . . . Valuation . . . . 26000 Expiration Date 3/24/07 Qty Unit Charge Per Extension BASE FEE 252.00 1.00 6.5000 THOU BLDG 25,001-50,000 6.50 ---------------------------------------------------------------------------- Permit MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 3,24/07 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 3/24/07 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 3/24/07 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 LQPERMIT Application Number . . . 06-00003435 ---------------------------------------------------------------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 362.50 .00 .00 362.50 Plan Check Total 194.03 .00 .00. 194.03 Grand Total 556.53 .00 .00 556.53 LQPERMIT Bin # City of. La Quinta Building U Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico 3 3 La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address:g (- 1p3 Owner's Name: A- P. Number: Address: Z ISN Legal Description: City, ST, Zip: w1LWdUL0r, r, \\ Y-\, City, ST, Zip• Telephone: 765 3i� ZZ Z State Lie. #: Z Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone # of Contact Person: # Submittal ' Rea'd Recd Plan Sets Structural Cates. 1 ' Truss Cates.. Energy Cates. Flood plain plan Grading plan' Subcontactor List Grant Deed H O:A. Approval INHOUSE: - Planning Approval Pub. Wks. Appr . School Fees Project Description: `�p Lie. #: Date of permit issue Total Permit Fees Construction Type: Occupancy: Project type (circle one): Add'nAlter Repair . Demo Sq. Ft.: #Stories: T#Units: L C�Z Estimated Value of Project: ,Z. 4 0© o kPPLICANT: DO -NOT WRITE BELOW THIS LINE TRACI�iG , PERMIT FEES ' Plan.Check submitted tem Amount Reviewed; ready for corrections Plan Check Deposit Called Contact person. . Plan Check Balance Plans picked up Construction Plans resubmitted Mechanical 2°' Review, ready for correctionsrssne Electrical Called Contact Person Plumbing Plans picked up S.M.L Plans resubmitted Grading 7r° Review, ready for correctionsPissue Developer Impact Fee Called Contact Person A.I.P.P. Date of permit issue Total Permit Fees m r I ; t t c i � 1 , 1. I I �I r� 1 • 4 t i t� i.: iI , i� I t r i I i I . Ii i r I