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06-3551 (RPL)f P.O. BOX 1504. 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 06-00003551 81575 13AL130A CT 764-280-999-9 -300237- POOL - RESIDENTIAL MEDIUM HIGH DENSITY RES 24000 Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 1-1 VV ' LICEN ED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjurythat I a�n icensed under provisions of Chapter 9 (commencing with Section 7000) of Division. 3 of the Business an of ' nals Code, and my License is in full force and effect. License Cl:' C8 C27 C29 ense No.: 656128 I ­OER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am a mpt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Profes ions 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 70001 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.). (_ 1 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: 01 n LQPERMIT d VOICE (760) 777-1012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/05/06 Owner: KNUE 81575 BALBOA COURT LA QUINTA, CA 922 ---' DkSAS ° , i yt2006 Contractor: OCT 1 O J CALIFORNIA POOLS f P.O. BOX 1280 CITY®FLA UINTA i rOACHELLA, CA 92236 NA (760)398-9222 Lic. No.: 656128 ------------------ 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 11Y�� Code, for the performance of the ork for which this permit is issued. My workers' compensation insurance carrier and policy numb are: Carrier SEABRIGHT o cy Number BB1060510 _ I certify that, in the performance k for which this permit is issued, I shall not employ any person in any manner so as obis e s to the workers' compensation laws of California, and agree that, if I shout eco ubjec�bject to the workers' compensation provisions of Section f the Labor Code I 1 hwithomply with those provisions. tem Ap nt: WARNING: FAIL RE TO SECURE WORKERS' CO SUBJECT AN EMPLOYER TO CRIMINAL PENALTI DOLLARS ($100,000). IN ADDITION TO THE CO SECTION 3706 OF THE LABOR CODE, INTEREST ENSATION COVERAGE IS UNLAWFUL, AND SHALL AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OF COMPENSATION, DAMAGES AS PROVIDED FOR IN ND 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 bec mes null and void if work is not commenced within 180 days from date of issuance of such per it, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the a information orrect. I agree to comply with all city and county ordinances and state laws relating to buil ' struction, and reby authorize representatives of this county to te(rupon the ve-mentioned proper p r S. - Di . �iSi ture the, or Agent): Application Number . . . . . 06-00003551 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 243.00 Plan Check Fee 157.95 Issue Date . . . . Valuation . . . . 23520 Expiration Date 4/03/07 Qty Unit Charge Per Extension BASE FEE 45.00 22.00 ---------------------------------------------------------------------------- 9.0000 THOU BLDG 2,001-25,000 198.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/C13/07 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 P1an'Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/03/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 --------7------------------------------------------------------------------- 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 . . 4/03/07 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 Permit . . . . . WALL/FENCE PERMIT LQPERMIT i Application Number . . . . . 06-00003551 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . . 480 Expiration Date 4/03/07 Qty Unit Charge Per Extension BASE FEE 15.00 ----------------------------------------- ---------------------------------- .Special Notes and Comments POOL/SPA, 30 L.F. 4' EQUIPMENT WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. Fee summary Charged Paid Credited ------------------------------------- ---------- Due ---------- Permit Fee Total 362.00 .00 .00 362.00 Plan Check Total 183.95 .00 .00 183.95 Grand Total 545.95 .00 .00 545.95 LQPERMIT Bin # City of. La Quinta Building U Safety Division Permit #� P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: `_ S :7,57- Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: ContractorC 6,\\ Telephone: Address:©(2—:2)6P q Project Description:�� City, ST, Zip• Telephone: %% 39 yZZ 2 -- State Lic. #: 2 City Lie. #: L ' LF x Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): Add'n Alter Repair Demo Name of Contact Person: Q Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: r Estimated Value of ProjecA ZY, 0-0 b APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Plan Sets Req'd Recd TRACIONG PERMIT FEES Pian Check submitted �0 % Item Amount Structural Cates. 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°" Review, ready for correctionsfissue Electrical Subcontactor List Called 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.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees aL4v 2,35