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RPL (05-4311)P.O. BOX 1504 ^� 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number:0.5-0006.4.3.1.1 Owner: Property Address: 81400 NATIONAL DR NORMAN ESTATES II APN: 767-570-007- - - C/O MEDALLIST GOLF Application description: POOL - RESIDENTIAL - 4 501 NORTH AlA Property Zoning: LOW DENSITY RESIDENTIAL JUPITER, FL 33477 Application valuation: 15200 J*1 �0 Co tor: Applicant: Architect or Engineer. A�i��it' �DO O POOLS; INC STATE FUND '•AJ c��®��'� 1709395 SLB: 810111 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 Professionals Code, and my License is in full force and effect. License Class: License No.: ate: Contractor: 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).: (_) 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, 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.). ( ) 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 VOICE (760) 777 -7012 -- FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/26/05 - DEVELOPMENT 12/01/05 07/31/06 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 B C27 C53 Policy Number - - - -- - - - - - - I certify that, in the performance of the work for which this permit is issued,) 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 shall forthwith comply with those provisions. DMe: 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 aresult 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 this county to enter upon the above-mentioned property for inspection purposes. Date Signature (Applicant or Agent . 21 Application Number 05-00004311 Permit BLDG POOL PERMIT Additional desc . Permit Fee . . . . 171.00 Plan Check Fee 111'.15 Issue Date . . . . Valuation . . . . 15136 Expiration Date 3/25/06 - Qty Unit Charge' Per Extension BASE FEE 45.00 14.00 9.0000 THOU BLDG 2,001-25,000 126.00 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date Valuation 0 Expiration Date .3/25/06 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 3/25/06 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 3/25/06 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 Permit WALL/FENCE PERMIT LQPERMIT Application Number . . . . 05-00004311, Permit WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date Valuation . . . 64 . Expiration Date 3/25/06 Qty Unit Charge Per Extension BASE FEE 15.00 --------------------------------------------------------------------- Special Notes and Comments POOL & SPA ONLY. 4 L.F. 4' EQUIPMENT BLOCK WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO -PRE -PLASTER INSPECTION. ..Fee summary Charged Paid Credited Due ------------------------------------- Permit Fee Total 290.00 ---------- .00' ---------- .00 290.00 Plan Check Total 137.15 .00 .00 137.15 Grand Total 427.15 .00' ..00 427.15 i Iain x �IQuin.. But7,iin�-� Safery Division P.O. Boz 1305, 78 : gS• Cabe i ampico . IPertnit A la Quinra, CAF 3 - (750) 777-7-7012 Building Permit Appficadon and Tmckin 5,`: . a P P. NunDtr Addr=:. i cin•. Z�: aa531 LZ-7-21D=mIDdon- ST. �'�, --' ` 1 cicphonr- Czitttracs�r , Projr� D st�ipriot3: C7� I lb .� .Zv C b ry. S•. i ip f Stmt Ur_ # :: O, 1 \ I Cm' Lie r: 0;_5®O .AI•tn_-iSig_.J�QIST. Addr k Cily.'SL Zip: I Telephzmc - - -' -_ _ _ _ = Construction T} pc: =_ M. = - - - -- Pro = n'pe (cirde one): Nets Add'n it_r Dano State Liz~ z: _ Name ,if Ez>rgact?=rson: Sq_ FL. r Stories I = L'rits f Td�oane r of C�ntaa Pnsan: -� �j®® rued Value of Prom: aU APPLICANT: -DO NOT WRITE BELOW THIS LINE i. Submitral i Rev'd TSt4C 2NG Pc. i_*.ITI FEES Plan ccs I I I Plan Check submined I7lZV hem :Am�uttt j i ` I Sn-j=-21 Calm I I Reviewed_ ready for corrections I Man Check Depesii Calt< TrussI Called Contact Person . ` I Plan Check Ba:lanct -TiEle'_9 Cis I Plats picked up Construction \I Tlood plais plan I I Finns resubaurtcd I �tecbanical Craning pin I I Rrtitnv. ready for corrcctionsitsuc I El`ctriml Subeoataair, Lis, ' I Called Contact Person I Plumbing Giant Des II' Plans picked up I FI O—i.AFproval I I Plans rtsubmined 1 Grading TN BOUS- _ I ! '"Revirtt-. read• for c0rrecti0ns/ISsue Dcytloper Impar Fc, plansit t�protal I. I Called Contact Person I:P,UIL WILs Appr I I Datc of permit issue ISchoof*.T . Toral.Permit-ftz t L "