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RPL (05-5349)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:05-00005349 Property Address: 81260 NATIONAL DR APN: 767-5007019- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 50000 T4ht 4 4 Qum' Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT V'EC 131005 Ihereby 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 Professionals Code, and my License is in full force and effect. LicensejClass: C27 C53 License No.: 801813 ate: /�' /�� Contr tor: 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).: 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 contractor(s) 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: LQPERMIT Owner TOMASO 81-260NATIONAL DRIVE QUINTA, CA 92253' �ICTORIA LANDSCAPES/WATERFALL 82365 HIGHWAY 111, SUITE #104 INDIO, CA 92201 (760)775-0449 Lic. No.: 801813 VOICE (760) 777-7012 .' FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/07/05 • ------------------------------------------------- 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. L" 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 EVEREST NTNL Policy Number 380002849 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 Lab r Code, I shall forthwith comply with those provisions. / / /j Date: PJf Appl' nt: 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 construction, and hereby authorize representatives of thhis%c unty to enter upon the above-mentioned pro/p/qty for inspection purposes. Dare: ,/ Signature (Applicant or Agent):<�� 0 Application Number . . . . . 05-00005349 z Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 414.50 Plan Check Fee .269.43 Issue Date . . . . Valuation 50000 Expiration Date 6/05/06 Qty Unit'Charge Per Extension BASE FEE 252.00 25.00 ---------------------------•------------------------------------------------- 6.5000 THOU BLDG 2.5,001-50,000 162.50 Permit . . . MECH POOL Additional desc Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date 6/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 ---------------------------------------------------------------------------- 11•4000 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 6/05/06 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 6/05/06 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 . . . 05-00005349 I, ------------------------------------ - 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 518.50 .00 .00 518.50 Plan Check Total 295.43 .00 .00 295.43 Grand Total 813.93 .00 .00 813.93 Dec 06 05 05:11 p Victoria L&W Inc Bin # Permit # T ' 1C Project Address: p V� A. P. Numbs: 760-775-9063 p.1 City of La Quinta Building ei Safety Division P.O. Box 1504, 76-495 Cane Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet tofw- Dr, ow-ncr'sNamc. ,Ur-�lal,ic{ GIYY1(I �i�,�. X Contractor. v (22!/'.kric., L+ u V (+ 1 e. x Address.ZJ�G�j Z Cid' ST' gip' L0 09)_. Q xTaephone:7lp4-77�- State Lic. ak : 1� l City Lic. !l: Arch:, •Engr., Designer. Address: City, ST. Zip: r, City, ST. Zip: Project Description: G' 1,67(Z Total Permil Fees �: �-" • : Y . Construction Type: State Lic #:4� �;;' �:'. Occupancy: Na X me of Contact Person: 4'. '. Project type (circle onc): New Add'n Alter Repair Demo %f Telephone 4 of Contact Person- Y Sq. Ft.: r Stories. * Units: imated Yatue of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE Submittal Rro'd Recd TRACKING Plaa Sets PERAfIT FEES Plaa Check submitted j, firm Structural Calcs: ` .... ......... .:...... _.._..: Rcvieired, rcidy fog corrections - Amount Truss Cales -_-- Plao Check Deposit ---•--_ . Called Contact Person Energy CalmPlans Plan Chcck Balance picked up Flood plain plan Construction Plans resubmitted Grading plait Mechanical 2" Review, ready for cerr"liowlssue Subcoataetor List Electrical Called Contact Person Gnat Deed Plumbing Plans picked up H.O.A. Approval S.ALL Plans resubmitted M HOUSE:- Grading t'' Review, ready for eorrccliottsrissue Developer Impact Fee PlanntrrgApproval Called Contact Person Pub. M11Appr A.I.P.P. Date of permit issue School Fees Total Permil Fees PAL concrete SPA SET c� +18" pilasters quartzite spillway 1 FIREPIT paa 53� P/L TAN _ SHELF nBBQ �_p - .•*'z ar :a'O = +� o L I Y ' PLANTER FJ -5 ' -��LU - Victoria Landscapes & Waterfalls COVLRED LOGGIA 82365 Hwy. l 11, Suite 104 lot 44 GREG NORMAN ESTATES Indio, Ca 92201 DR. DAVID TAMASCO RESIDENCE Contractors Lie 4801.813