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RPL (05-3047)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: ' Application description Property Zoning: Application valuation: Applicant: r--05�-0.000..304 52195 AVENIDA NAVARRO 773-234-021-10 -000000- POOL - RESIDENTIAL COVE RESIDENTIAL 17500 Ta�14-40" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: SEP 2 1. 2005 CITY OF LA --------------------- Z ------------------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that Iam licensed under provisions of Chapter 9 (commencing with ' Section 7000) of Division 3 of the Business and Professionals Code, and m e is in full folce and effect. LicenseC+las . License No -BUILDER- CLARATION 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 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 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.). I—) lam 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: LQPERMTT VOICE (760) 777-7012 FAX (760) 777-7011 �y INSPECTIONS (760) 777-7153 bate: 8/08/05 Owner: LAZZARINI P.O.BOX 1685 LA QUINTA, CA 92253 Contractor: MACHIR DEVELOPMENT, INC. WCC: STATE FUND WC: 1061487-2005 02/10/06 CSLB: 792681 03/31/07 --------------------------------------------- WORKER'S COMPENSATION DECLARATION .I hereby affirm under penalty of perjury one of the following declarations: 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, 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 C arFahai Ifo hwith comply witose provisions. Die Applican�;�---=- WARNING: FAILURE TO SECURE WORKER ' COMP ATION V AGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL 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 j of thi cou ty to a er upon the above-mentioned pro inSficti purposes. ate: � Signature (Applicant or Agent)— Application Number . . . . . 05-00003047 Permit BLDG POOL PERMIT Additional desc . Permit Fee 180.00 Plan Check Fee 117:00 Issue Date Valuation . . . . 16526 Expiration Date .. 2/04/06. Qty Unit Charge Per Extension' BASE FEE 45.00 15.00'- 9.0000 THOU" BLDG 2,001-25,000 135.00 Permit MECH POOL Additional desc . Permit Fee 26.00' Plan Check Fee 6.50 Issue Date . . Valuation . . . 0 Expiration Date 2/04/06 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 2/04/06 Qty Unit Charge Per .Extension BASE FEE 15.00 1.00 30.0000 ----------------------------------------------------------------------------- EA' ELEC PRIVATESWIMMING POOL - 30.00 Permit . . . PLUMBING Additional" desc . Permit Fee 33.00 Plan Check Fee 8.25: Issue Date . . . . Valuation . . 0 Expiration Date 2/04/06 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 . . . . . 05-00003047 Permit . . . WALL/FENCE PERMIT Additional desc . .Permit Fee 25.00 Plan Check Fee .00 Issue Date . . . . Valuation 974 Expiration Date 2/04/06 Qty Unit Charge Per Extension BASE FEE 15.00 5.00 2.0000.HND BLDG 501-2,000 -------------------------------------------------------------------=-------- 10..00 Special Notes and Comments POOL & SPA ONLY. 45 L.F. 5' BLOCK WALL, ORCO SYSTEM. ALARMS/BARRIERS AHLL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid 'Credited Due --------------------------------- Permit Fee Total 309.00 .00 .00 309:00 Plan Check Total 143.00 .00 .00 143.00 Grand Total 452.00 .00 .00 452.00 LQPERMIT Bin # Pennic d5- 30� Project Address: A. P.'Numbcr:. Legal .Description- Contractor: Address: Cit3% ST, Zip: Telephone: Arch., Engr., Designer: Address' City _.ST, Zip: Telephbnie: State Lic. Name of Contact Person: Telephone 9 Of Contact Person: Submittal Plan sets Structural C21 . cs. Truss-Caics. Title 24 tales. Flood plainplan ..Grading plan Subcon(actor List - Grant Deed II.O.A, Apgroval IN HOUSE: - Planning Approval Pub. INVIL-'s. Appr School cFees City of U Quinta" Building &r SACY Division P.O. BOX I SO4, 78.4 95. Calle Tam,pico LJ Quinti, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Owner's Name: 'Address: City, Project Description: City Lic. #: --------------- ijy 0 0(, '- 3133.,loI con, ction Type: Occupancy: Pf9jcct type (circle one):. New Add'n Alter RcPa'ir Demo Sq. Ft.: # I S toric!:: # Units; Estimated Value of Project: APPLICANT: DO 'NOT'WRITt BELOW THIS LINE TRACKING 'PERMIT E _ Check .Check 'Plansubmitted Reviewed, read' for corrections for Item Amount ]Plan Check- Deposit -Called con,t2C(Pcrson --------- Plan Chick Balance Plans picked'up Construction Plans resubmitted ----------- Nitchanical 2" RevieA', ready for corrections/issue Electrical Called Contact Person ------ Plunibink Plans picked. up Plans. resubmitted Grading Revicn+ ' eady for corrections/issue Developer . Impact Fee Called Contact Person Date of permit -issue ----------- __L__: . .......... ..... .......... . . Total Permit Fees