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06-3174 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 4AW 06-00003174 60965 LAGO CT 764-270-999-92 -300234- POOL - RESIDENTIAL MEDIUM HIGH DENSITY RES 75000 Ti -ht 4 4 Q" Architect or Engineer: IIIA BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: STEVE STENTON 60965 LAGO CT LA QUINTA, CA 92253 O Contractor: \� 1 GARY & SONS U 65-931 AVENIDA PICO DESERT HOT SPRINGS, CA 92 40 (760)251-8945 Lic. No.: 866518 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 W5"� l OINT A Date: 8/30/06 1 2uos ------------------------------------------------------------------------------------------------- 1 LICED CONT C''S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I a .licensed under ovisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Busines an Professionals•C de, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C53ice se No.: 866518 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is © / issued. ate: +S actor: I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor c-• Code, for the performance of the work for which this permit is issued. My workers' compensation ER-BUILDER DECLARATION O7ssi-ons insurance carrier and policy number are: I hereby affirm under penalty of perjury that I ampt from the Contractor's State License Law for the Carrier STATE FLTND Policy Number 1,837911-06 following reason (Sec. 7031.5, Business and Pro Code: Any city or county that requires a permit to _ I certify that, in the performan-e of the work for whicl this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so a to become subjec to tie workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should 'come subject t he orkers' coinpensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor e, hall forthwith mply ith those provisions. 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).: Date: �/ Ag an • (_ 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 WA IN : FAILU E TO SECURE WORKERS' CO PENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENAL IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the. DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 am exempt under Sec. , B.&P.C. for this reason Date: Owner: r CONSTRUCTION LENDING AGENCY 1 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 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. j 2. Any permit issued as a�esult of this application becomes null and void if work is not mmenced within 180 days from date of issuance of such permit for cessation of work for 8 days will subject permit to cancellation. ! I certify that I have read this application and state that the ab ve i Formation is correct. agre to comply with all city and county o dinances and state laws relating to buildin co ruction, and hereby utlior a representatives of this c ty to ma upon theAbove-mentioned property r ' s ection purposes: i e: ature (Applicant or Agent): \ Application Number . . . . . 06-00003174 ' Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 527.00 Plan Check Fee 342.55 Issue Date . . . . Valuation . . . . 75000 Expiration Date 2/26/07 Qty Unit Charge Per Extension BASE FEE 414.50 25.00 4.5000 ---------------------------------------------------------------------------- THOU BLDG 50,001-100,000 112.50 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check•Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/26/07 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 2/26/07 . 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 2/26/07 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 ALARMS/BARRIERS SHALL BE IN C LQPERMIT Application Number . . . . . 06-00003174 Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 631.00 .00 .00 631.00 Plan Check Total 368.55 .00 .00 368.55 Grand Total 999.55 .00 .00 999.55 L l Bin # City of La Quinta Building U Safety Division " P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address:` ._'. ZA,-_ Owner's Name: A. P. Number: Address: Legal Description: Contractor: 4�2� City, ST, Zip: Telephone: m Project Description: Address: City, ST, Zip: 00 L" Telephone• T/ State Lic. # City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: y r, State Lid. #: Name "of Contact Person:Sq. Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Ft.: #Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING. PERMIT FEES Plan Sets Plan Check submitted A ,. Q v !iI Item Amount Structural Calcs. Reviewed, ready for corrections . Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted' Mechanical Grading plan 2"d Review, ready for corrections/issue Electrical " Subcontactor ListCalled Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval ' Plans resubmitted Grading IN HOUSE:- ''" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P. Pub. Wks. Appr, Date of permit issue School Fees . Total Permit Fees J I I Existing Residence (� 0 --5(o, L�&o cr. /Gas Meter f FlPc:trinal Panel a ham. Entrance v o> 4'Depth @ .1 .. 18 +24 i 541 11 , 5' Depth I `v 1 T 0" 63 4' epth i 10'4 1/4" / i11 M-pl 011 �0�� I C7' ii� f•r ::: TerOF LA QUINTA BUILDING & SAFETY DEPT. APPROVED y FOR CONSTRUCTION DA BY A RE -INSPECTION FEE OF $30 WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. NO EXCEPTIONS!