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07-2221 (RPL)P.O. BOX 1504 78=495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: �_ 07-00002221 Property Address: 79891 CASTILLE DR APN: 609-380-999-27 -293234- Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 53000 Tiiy/ BUILDING & SAFETY DEPARTMENT BUILDING PERMIT .Applicant: Architect or Engineer: -------------------------------------------------- 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 C ss: C53 518742 Date:r tor: OWNER -BUILDER DECLARATION I hereby affirm under penalt�erjury 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 _ 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.). (_) 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 ISec. 3097, Civ. C.). Lender's Name: Lender's AddressM LQPERMIT Owner: MARK & VIRGINIA GIRGAS 79891 CASTILLE DRIVE LA QUINTA, CA LA QUINTA, CA 92253 Contractor: AMERICAN POOL CONSTRUCTION It P.O. BOX 11996 PALM DESERT, CA 92255 (760)340-2588 Lic. No.: 518742 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/02/07 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 STATE FUND Policy Number 0001188-2006 _ 1 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, d agree that, if I should be e subject to the workers' compensation provisions of Section 700 of the Labor Code, I If forthwitJh .with those provisions. ate: ica WARNI G: FAILURE TO S CUR ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER T IMINAL 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 ilding construction, and hereby authorize representatives 12of the co ty enter upon the above-mentioned p ertynflor inspectio rposes. e: nature (Applicant or y LQPERMIT Application Number . . 07-00002221 Permit . . . BLDG POOL PERMIT INV FEE Additional desc . Permit Fee . . . . .856.00 Plan Check Fee 278.20 Issue. Date . . . . Valuation . . . . 52140 Expiration Date .1/29/08 Qty Unit Charge Per Extension BASE FEE 829.00 3.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 50,001-100,000 27.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/29/08 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 1/29/08 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 1/29/08 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 1.0.0 3.0000 ---------------------------------------------------------------------------- EA PLB GAS PIPE 174 OUTLETS 3.00 •Permit . . . . . WALL/FENCE PERMIT t Application Number . . . . . 07-00002221 _ Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 23.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 860 Expiration Date 1/29/08 _Qty Unit Charge Per - Extension BASE FEE 15.00 4.00 2.0000 HND BLDG 501-2,000 8.00 ------=--------------------------------------------------------------------- Special Notes and Comments POOL/SPA, 5 L.F. 5' EQUIPMENT WALL & 47 L.F. 42" GARDEN WALL IN FRONT YARD, BOTH CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER .INSPECTION. INVESTIGATION FEE ASSESSED PER 1997 UNIFORM ADMINISTRATIVE CODE §304.5 FOR WORK BEGUN WITHOUT BUILDING PERMIT. Fee summary Charged Paid Credited ----------------------------------------------- Due ---------- Permit Fee Total 983.00 .00 .00 983.00 Plan Check Total 304:20 .00 .00 304.20 Grand Total 1287.20 .00 .00 1287.20 LQPMIIT (sl rQ CS) CD cn 1.4.� Ivlo 4ov Va "Ike cli CD L cn 0 u5i N1 odrm- �kw;vs w SqA AF4EA. mAp Lf) 00 MY VAP 16 tP D M F. rrl W i ai; L. 5'187" :6 3> 0 0 r a LOT- GL= C) 0 z Ln unLry FOLIE[]'J=TMM 8M ®c, MKA HT air- WeL owwm' MCM 4LOW REA -----..tprury (a) AWA -AMMICAM F QEIWI TrE wm t&vaa � Mt F&-V�m rx ~ - --- ticEPAW40"M AM Q WCH MARK OEM=. VUM ATM THOM" cl" MGM*" UPC fig vam mrm GATE 1ALVE UAM AEROW LAC"A PALM RT, Ck OVERIEPO.TME 1> swc" P Tw RAe . 13 COS GRLL (760) 3.40-2588 AL CLEd'PE.DCSM 9CCESSC> 0- MMKACU .--3 SMS t:p CLV A14OFM X SEE S CITY T Ul- Lj-\ UuIIN I /-X BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE O'-"07 BY-l� NOTES: -ell L ri 4LAM n MY I k020- 10 21 tic soot @NOW* Vim, VTRJTT POLEJ*CMH UILM LosEka"T Q aXi� MIEL I& GUMER - FILL LJA*: -�f U3ff QD AFFEA. DRAM fRCE OfrAff, I W SAS Wi6t- . 0 WM LEVELS 0 rj L+r; K -��DRAETLM pvc ORM SEN13H MAW FOOM WA. E H.DTER C" RAILS —C-6— 44DEMMOLIND CAS wiiiii;iiil OVEIMAD ELEC VOM DEPM 909M �ALVE. &VAN CRAN --4 AERaM� '.. :� -LADC" OVEMEADJELE. wipl> t ' swrtc" 0 p -mv c> Kw - Q CAS GRLIL M - ELEd PDXSTAL A�C:�> 0 RECEPTACLE ---3 STUB t:P CLP ANDMb SfE "OTris - P9. E LIC. 5187$j - F, - umwc.M4(- IVrgfAj4 4MCICICZLA� LA OULA) !4- ITEL-F--' w PICAN f ' M.)CTICN cru. -Po.e11996 PALM WRT CA. NO) 34042588 07/31/2007 06:36 7606749438 AMERICAN POOL CONST �J City of • La Quinta, Building u Safety Division Pel mit # P.O. Box 1504 78;495 Calle Tampico La Quinta, CA 92253 -.(760)'777-•7012 • Building POrmit Application and Tracking Sheet Frc iect Address: �rC Owner's Name: A. >. Number: Address: 7 ? Let al Description: City, ST. Zip: ZZ Ly Co: tractor: , Telephone: Ad/C/?( 0, cress: ( Project Description. Citr, ST, Zip: q-uyl %T-'� Tol Stare U0. # : 'S/�' ( . �. C1CY Arch., Engr., Designer: -- Ad. tress: -- - SccQ Cir ST, zip: Tel phone: Lj Construction Type: Sta• a Lic: M: . XNq=(eirole orle):• cw Nar :le of Contact Person_ LW l Ul7.(5 Sq. Ft: #Stories: Tel :phone # of Contact Pemir �Q r Z � p Submittal Plan Sets Structural Calcs. truss Calcs. Energy Calve. Flood plata plan Grading. plan' Subcontactor List Grant Deed H.O.A. Approval IN HOUSE:- Plaaaing Apprarai I'ub. Wks. Appr School Fees . Estimated Value of Proj� APPLICANT: DO NO7 Wf rrE•BELOW THIS LINE Plan Ch PAGE 01/05 Occupancy Wa Alter Repair Demo 9 units'. PEP= FEES tdc subtuittcd Ital I Amount Total Permit Fecs 5-3000 g 60 5a, Reviewed, ready for corrections Called Contact Person Plaas.�lciced uP Plans resubmitted 2`' Review, ready for•eorrecdoaariasue Called ContactPersoa Plans picked up pians resubmittod Review, ready for coereetloovissue Calted Contact Person 4ate of permit issue Plan Check Deposit Rtaa Check Balance Caaateactiou Mechanical Electrical Plumbing. S 1vx.I Grodidg Developer Impact ec A.I.P.Y. Total Permit Fecs 5-3000 g 60 5a,