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05-2124 (RPL)P.O. BOX 1504 78,495 CALTrE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: �—'05-00002124- Property Address: 60950 LAGO CT APN: 764-270-999-91 -300234- Application description: POOL , - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 18000 Applicant: . I T4ht 4 4Q" or Engine BUILDING & SAFETY DEPARTMEN INSF BUILDING PERMI Own r: SHE A LA QUINTA C/O FF MCQUEEN 8800 GAINEY CENTER 350 SCOTTS ALE, AZ 85258 DContractor: CALIFORN A POOLS & S AS JUN 0 2005 WCC: EABRIGH INS WC: B1050 0 01/01/06 Ci1TV�_- _ ¢SLB: 5 8 10/31/06 — — —>T — — — - — — — — — — — — — — — — — — — — — — — — — — — v-- — — - — — — — — — f- — — hereby, irm under penalty of perjury that I am lic 'ed and r prov' ' ns of Chapter 9 (commencing with Section 7 001 of siq��3 he Business and Prof Tonal C , and my�ticyrrs is 'n�yll ce and effect. License CI s: c� ense No.: ` Date:"/O!; Contractor: t OWNER-BUIJ YR DECLARATION I hereby affirm oder penalty of pe ' y that I am exempt f the Contractor's State License Law for the following reaso (Sec. 7031 .5 usiness and Professions Code: Any city or county that requires a permit construct, alter, prove, molish, or repair any structure, prior to its issuance, also requires the appl' t f the permit to file a si a atement that he or she is licensed pursuant to the provisions of the Cont or's Ste License Law (Ch er 9 (commencing with Section 7000) of Division 3 of the Business and fessions Cod 1 or that he or she is ex mpt therefrom and the basis for the alleged exemption. Any violat' of Section 7031. by any applicant for a rmit subjects the applicant to a civil penalty of not more than a hundred dollars ($5 1.: (_ 1 1, as owner o he property, or my employees with wages as their sole pensation, will do the w It, and the structu is not intended or offered for sale (Sec. 7044, Bu ' ss and Professions Code: Th Contractors' tate License Law does not apply to an owner property who builds or improves hereon, and who does a work himself or herself through his o er own employees, provided that the improvements ar not intended or offered for sale. , however, the building or improvement is old within one year of comple ' n, the owner -builder will h e the burden of proving that he or she did not build or improve for the purpo f sale.). (_ 1 I, as owner of the property, a lusivel tracting with licensed contractors to construct the pr ject (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to aria 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 j4VAIMS --------------------- - - - - -- ---- ----= W KER'S COMPENSATION DECLARATION nder penalty of perjury one f the following declarations: f ve and will maintain a certif ate of consent to self -insure for worke ompe sation, as provided or by Section 3700 of the L or Code, for the performance a work for which this permit is, e an maintain workers' c mpensation insurance, as required by Section 3700 of the Labor ode, for the ce of the ork for which this permit is issued. My workers' compensation surance carrier and policy num are: 7 C29 C53 Poli y bar - - - - - - - - - - - - - -- ify that, in the performance of ork which this permit is issued, I shall not employ any erson in any manner so as to bec a ubj to the workers' compensation laws of California, nd agree that, if I uld become ubj the workers' compensation provisions of Section 8700 7 0 of the lab C e, Id, shall f omP ith those provisions. Applican : WARNING: FAILURE TO SECUR ORKERS' 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. certify that I have read this application and state that the above inf mati is correct. I agree to comply with all city and county ordinances and state laws relating to buil 'ng con r io and hereby authorize representatives of this ccoou to teerr upon the above-mentioned pro rty for y � � Sin a io poses Date: • ignature (Applicant or Agentl (7 ) 7 -70 (76 77 -7011 (760 7 —7-1-5-3— ` e: 6/0 / 0 j4VAIMS --------------------- - - - - -- ---- ----= W KER'S COMPENSATION DECLARATION nder penalty of perjury one f the following declarations: f ve and will maintain a certif ate of consent to self -insure for worke ompe sation, as provided or by Section 3700 of the L or Code, for the performance a work for which this permit is, e an maintain workers' c mpensation insurance, as required by Section 3700 of the Labor ode, for the ce of the ork for which this permit is issued. My workers' compensation surance carrier and policy num are: 7 C29 C53 Poli y bar - - - - - - - - - - - - - -- ify that, in the performance of ork which this permit is issued, I shall not employ any erson in any manner so as to bec a ubj to the workers' compensation laws of California, nd agree that, if I uld become ubj the workers' compensation provisions of Section 8700 7 0 of the lab C e, Id, shall f omP ith those provisions. Applican : WARNING: FAILURE TO SECUR ORKERS' 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. certify that I have read this application and state that the above inf mati is correct. I agree to comply with all city and county ordinances and state laws relating to buil 'ng con r io and hereby authorize representatives of this ccoou to teerr upon the above-mentioned pro rty for y � � Sin a io poses Date: • ignature (Applicant or Agentl LQPERMIT r ., Application Number . . . . . 05-00002124 Permit .' . . BLDG POOL PERMIT Additional desc . Permit Fee 189.00 Plan Check Fee 122.85 Issue Date . . . . Valuation 17920 Expiration Date 11/28/05 Qty Unit Charge Per Extension BASE FEE 45.00 16.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 144.00 Permit .. . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date 11/28/05 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 11/28/05 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 11/28/05 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 r -Application Number 05-00002124 " Permit WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee -. .00 Issue Date . . . . Valuation . . 80 Expiration Date 11/28/05 • Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA ONLY. 5 L.F. 4' BLOCK WALL, CITY STANDARD. GAS & ELECTRIC STUB FOR -FUTURE APPLIANCES. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due ---- ------ ---------- Permit Fee Total 308.00 ---------- .00 ---------- .00 308.00 Plan Check Total 148.85 .00 .00 148.85 Grand Total 456.85 .00 .00 456.85 LQPERMIT Name of Contact Person:AAN ,TO6 Sq. Ft: #Stories: Bin # City Of La Quino APPLICANT: DO NOT WRITE BELOW THIS LINE Building w Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico S �!Z La Quinta, CA 92253 - (760) 777-7012 d Building Permit Application and Tracking Sheet Project -Address: &0. q 6-D L— 14-,C7 © ('� Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip:. Contractor: 6aL-1*92mia ROOLS 'spasTelephone: Reviewed, ready for corrections Address: ® g® 2,%0 Project Description: City, ST, Zip: ed EQ Cl 2-2 3 (0 A- d- gG G Telephone: State Lic. # ity Lic. #; Arch., Engr., Designer: Address:�& LWAL)` LL City., ST, Zip: Plans picked up Telephone: Construction Type: 3'P Occupancy: State Lic: #: {<+ NcjAAdd'n Alter Repair Demo Name of Contact Person:AAN ,TO6 Sq. Ft: #Stories: #Units: Telephone # of Contact Person:,2"; 5'-- %!& * j? —O;).11 Estimated Value of Project:. �, O APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan -Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title -24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections!►ssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- m Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees