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06-0630 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTAYCA.LIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant:' 06-00000630 f 60995-LAGO CT 764-270-999-93. -300234- POOL - RESIDENTIAL MEDIUM HIGH DENSITY RES 23000 T`ht 4 4 Q" 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 fcommencing with Section 7000) of Division 3 of the Business and Piufessionals Code, and my License is in full torce and effect. License CCllass: C8 C27 C29 A License No.: 656128 Contra OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury tl at 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.). 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: 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 HONEY 60-995 LAGO COURT LA QUINTA, CA 92253 Contractor: CALIFORNIA POOLS & SPAS P.O. BOX 1280 COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 n VOICE (760) 777-7012 4 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/10/06 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 HRH INS 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 should become subject to the workers' compensation provisions of Section 3700 of the Labor ode, I sh hwith comply with those provisions. -papplicant. WARNING: FAILURE TO SECURE WORKER ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 co truction, and hereby authorize representatives of thiscountyto enter upon the above-mentioned pro r in tion purposes. D /.2-r Signature (Applicant or Agent Application Number . . . . . 06-00000630 Permit . . . BLDG POOL PERMIT _ Additional desc . Permit Fee . . . . 234.00 Plan Check Fee 152.10 Issue Date . . . . Valuation . . . . 22920 Expiration Date '. 8/09/06 Qty Unit Charge Per Extension BASE FEE 45.00 21.00 9.0000 ---------------------------------------- THOU BLDG 2,001-25,000 ------------------------------ 189.00 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/09/06 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 8/09/06 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 8/09/06 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 Permit . . . . WALL/FENCE PERMIT LQPERMTP Application Number . . . . . 06-00000630 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee .00. Issue Date Valuation . . . . 80 Expiration Date 8/09/06 Qty ..Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA. 5 L.F-:,4' EQUIPMENT BLOCK WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. Fee summary Charged Paid Credited Due Permit Fee Total 353.00 .00 .00 353.00 Plan Check Total 178.10 .00 .00 178.10 Grand -Total 531.10 .00 .00 531.10 LQPERMIT - - Bin # Permit # 6G — 6G3o Project Addre! A. P. Number: Address o City, ST, Zip: Telephone:766 '59? -922 2 State Lic. # : CO5—Cp l 2 Arch=Engr.; Designer Address: City, ST, Zip: Telephone: State Lie. #: Name of Contact Person: Telephone # of Contact Person: # Submittal Req'd Plan Sets Structural Cales. Truss Cales. Energy Cales. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees City ®f 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 Owner's Name: Address: City, ST, Zip: �V Telephone:' Project Description: /� R r� — i R�'� � 1 � V/�A � A A ww J -----L I /� Total Permit Fees PO 2-32.0) - Construction Type: Occupancy: Project type (circl11 e one): New Add'n Alter Repair Demo /JeSS� Sq. Ft.: # Stories: # Units: Estimated Value of Project: Z e7 G5 APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACMG . PERMIT FEES Plan Check submitted Item Amount Reviewed, ready for corrections Plan Check Deposit Called Contact Person Plan Check Balance Plans picked up Construction Plans resubmitted Mechanical 2"d Review, ready for corrections/issue Electrical Called Contact Person Plumbing Plans picked up S.M.I. Plans resubmitted Grading '`d Review, ready for corrections/issue Developer Impact Fee Called Contact Person A.I.P.P. Date of permit issue J -----L I /� Total Permit Fees PO 2-32.0)