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06-0259 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00000259 Property Address: 54600 AVENIDA CARRANZA APN: f 774-275-005-20 -000000- Application description: POOL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 25000 Tiht 4 4Qut«tw Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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: IB -053 LicenseNo.: 483498 —/ Dater--;'S%�/ ROntractor. k..�C 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).: (_ 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.l. (_ 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. , BAP.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: DE LA CRUZ 54-600 AVENIDA CARRANZA LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/26/06 � '� U U 2006 Contractor: _ PURRFECT POOLS & CONSTRUCTION CITY -OFC QUINT) P.O. BOX 1524 PALM DESERT, CA 92261 (760) 568-4963 Lic. No.: 483498 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION 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. iC 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 STATE FUND Policy Number 1680230-2005 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 ofthe Labor Code, I shall forthwith comply with those provisions. 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,tthhis_ ounty to enter upon the above-mentioned proA�®rti n purposes. D tS e: giFeture (Applicant or'Age tl:Nc Application Number . . . . . 06-00000259 Permit . . . BLDG'POOL PERMIT Additional desc . Permit Fee 252.00 Plan Check Fee 163.80 Issue Date . . . . Valuation . . . . 25000 Expiration Date 7/25/06 Qty Unit Charge Per Extension BASE FEE 45.00 23.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 207.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date . 7/25/06 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 7/25/06 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 7/25/06 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 ----------------------------------- ----------------------------------------- Special Notes and Comments POOL & SPA ONLY. ALARMS/BARRIERS SHALL LQPERMIT Application Number . . . . . 06-00000259 --------------------------------------------=------------------------------- Special Notes and Comments BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. _ Fee summary ----------------- Charged Paid Credited Due Permi t Fee -------------------- Total 356._00 .00 -------------------- .00 356.00 Plan Check Total 189.80 .00 .00 189.80 Grand Total 545.80 .00 .00 545.80 LQPERMIT Eq 01/17/2006 15:22 760-360-9829 � �L PURRFECTPOOLS f Purrfect construction PAGE 05/05 I I � P.O. Box 1524 Palm D6stdrt, CA 92260 • (6 19) 568-4963 FA - 01/17/2006 15:22 760-360-9829 PURRFECTPOOLS PAGE 04/05 Bin # City of La Quinta Building ex Safety Division P.O. Box 15()4, 78.445 Calle Tampico Permit # La Qulllta, CA v2253 - (760) 777-7012 Building Perm, it AppAication and Tracking Sheet Project Address' S C, (� �j ,:': Owner's Name: e-4 1.4- �-�1ey/, z - A. P. ?dumber: y .5"44o Od ..r 6 . C / i Letal Description: Cin'.:'sT.2ip- 0 u,r,A_J'A Contractor:y u C l;Telephone: Address: vl QX aiea t Description: City. ST. zip- YT �• ray s` � 7 � yip � �1 .�/� (3 d?--lkl-u j 0 <] u.N /7 � Tcltphone: 156 9_LH State Lic. # ;4��3�j2LCity Lic. Arch.. Engr.. Designer: Address: City, ST. Zip: Telephone: Crtrinretion Type: Occupancy': State Lic. #: Pro ret type (eirck one): New Add'n Alter Repair Demo Name of Contact Person: Aatcz Sq. l.�t. � F Srorits; u Units: Teicphone 4 of Contact Person: 5(o £$ Z Gt /' � ionated Value of Pro.' cct; APPLICANT: QQ NOT WRITE BELOW THIS LINE vs ev # Submittal Rcq'd Ret'd TRACKYNG PEAMIT FEES M Plan Sett Plan Chcck submitted ,,✓,/ r �7 �ro Item Amount 5trocturxl Cakes Reviewed. ready for correctio-ns Plan Ctttck Deposit Truss Calcs. Casted Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Pians resubmitted Aleehanieal Grading plan 200 Review. ready for torrecdooslimue Eiertrical Sulscontactor List Called Contact Person Plumbing Grout Deed Plans picked up H.O.A. Approval Plans resubmitted Grading INHOUSE:- '"' Review. read} for correcrioWissuc Developer Impact Fee Manning Approval Called Contact Person A.I.PY. Putt. Wks. Appr Date of permit issue 5ebool Feaa Total Permit Fees