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06-1487 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: rte:--`-" r-06-00001487 60479 HONEYSUCKLE ST - 764-270-999-147 -300233- STRUCTURES OTHER THAN BUILDINGS MEDIUM HIGH DENSITY RES .1500 Architect or Engineer: A-140 ----------------- LICENSED CONTRACTOR'S DECLARATION 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT � 2 Zeas pPR 1 _ 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 sionals Code, and my License is in full force and effect. LicenseClass: C8 C27 C29 icense No.: 656128 Vie:- '? Convai:V- 0ER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exmpt 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.). 1 _ 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—) 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: LA BAUGH -479 HONEYSUCKLE ST QUINTA, CA.92253 on actor: C FORNIA POOLS & SPAS P. . BOX 1280 COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/12/06 --------------'--------------------------------— 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 SEABRIGHT Policy Number BB1060510 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 s -6eco a subject to the workers' compensation provisions of Section 37000 doff the Labor orthwith comply with those provisions. 70 —Y'F+pplicar� WARNING: FAILURE TO SECURE WOR ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINALIPENALTIES 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 i formation is correct. I agree to comply with all v city and county ordinances and state laws relating to b ' ruction, and hereby authorize representatives of th%is ounty to enter upon the above-mentioned pro a or e ' n purposes. Date:`��–Gqgn.ture (Applicant or Agent): LQPERMIT t Application Number . . . . . 06-00001487 -' Permit BUILDING PERMIT Additional desc Permit Fee •35.00 Plan Check Fee 22.75, f Issue Date Valuation . . . . 1500 Expiration Date 10/09/06 Qty Unit.Charge Per Extension BASE FEE 15.00 10.00 2.0000 FIND BLDG 501-2,000 20.00 ' Permit . . . PLUMBING - Additional desc . Permit Fee . . . . 18.00 Plan Check Fee 4.50 Issue Date Valuation . . . . 0 expiration Date 10/09/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- - Special Notes and Comments . FIREPIT (AGAL 496). ---------------------------------- ' Other Fees . . . . . ---------------------------------.--------- . . . . ENERGY REVIEW FEE 2.28 ' Fee summary, Charged Paid ----------------- Credited Due ----- Permit Fee Total - ---- ---------- 53.00 ---------- .00 .00- ---------- 53.00 Plan Check Total 27.25 .00 .00 27.25 Other;Fee Total 2.28 .00 .00 2.28 Grand Total, 82.53 .00 .00 82.53 LQPERMIT �CjtryLof La Qu fnta Bwl(dmg 8t Safety ©Ivlslon Permit # .. P:O. Box 15Q4,78 49.5. Calle Tampico. Quinta, CA 92253 (7,60) 777 7012 ". Building PermitApp(ccation and TrackingSheet Prglect Address: �' �� E a Amy Owner's Name A P:'Number: A ddress: . O� : - � �� � vC K.l• , =,Le al:Descci tion y;.,,:: •.tet Ct „ YI\ pone* - , ' ptProjectDe 77 7.cnptton• C� ?I'eleplione: %�aD 3.9'ZZ ::State Lie # �•� City ,,# <�� � ..r�, ..,, . r.Arch.;�En c.; Desi er: ..., , :,• .., � , <'AddcesS. :.......... ty `ST Zi . P' t 777 Con traction Type — - 'State a'roject type (circle one pd' ° ' 1 �,- do ter Repan Demo n slur Nacite of Contact Person: •.•.•..:..:::: -. ,.. ..... .... tociesW. Units: 77 ..Tele bone #: of.Con _ :.. .:.: • .: ...:. P......:... tact Pers . on. � : ` _. -.. Value of.:Pr'� .. o�ect:. � �Q OST WRITE BELOW THIS LINE 5"+ S Y 71 `fRACIfl1V""` �! :,PERIYIIT'�REES' PIan;Sets. : Plan Check satimitfed. /1 10 ;Item; Amount.. Structural Calcs. Renewed, ready for corrections y ?P, an C heck Deposit Truss 'C ales. -... :. a Called Contact PersonPla CheCk`Bala nce . „ • 'n Energy Calcs. :. — — -- - P Plans picked up .` Ctinstructign � a ___ Flood in plan ' . ,.::.,:, - f Plans resubmitted -.,. :Mechanic 1 a Gradmg plan' , ... . 1tevjew, ready for correctionsfissue • 1 E ectr�ca I Subcontactor Inst Called Contact Person . , . Plumbing G6inf Deed - --- --7—. e�7Tl:t Plans picked up.., SM I 4FIa2.A. A Prova. ansrs:ed .. Grad' . mg IN ROUSE:- :::....::. :. . . :........ ready.for correctionsrssue: ;Developer Impact Fee 8lamm�g Approval Called Contact Person A.I.P:P. 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