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06-0921 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application`Number: Property Address: APN: Application description Property Zoninq: . Application valuation: Applicant: 06-00000921— 77� 52955 AVENIDA RAMIREZ 773-322=999-1 -33415 - POOL - RESIDENTIAL COVE RESIDENTIAL 10000 Tay/ 14 40u'4 - Architect or Engineer LICENSED CONTRACTOR'S DECLARA-fibN BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of pe that I m licensed oder provisions f Cha er 9 (commencing with Section 7000) of Division 3 of the usi ss a Professi ats Code, and y Lice se is in full force and effect. License Class: B License No.: 72 99 ate:3'°ty� Contrac OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that 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 1, 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 contractors) 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 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: ' r LQPERMIT 1, Owner: CORONEL LUCANO S 51324 CALLE TAMAZULA LA QUINTA, CA 92253 Contractor: CORONEL ENTERPRISES INC -C P.O. BOX 389 LA QUINTA, CA 92247. (760)564-4604 Lic. No.: 727199 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 WORKER'S COMPENSATION DECLARATION Date: 3/09/06 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 STATE FUND Policy Number 1 7_444,53-2006 _ 1 certify that, Lls e of thLwork kwhithi��pe mit is'issued, I shall not employ any person in ato becrs' compensation laws of California, and agree ecomeompensation provisions of Section 3700 of thhall foose' provisions. Dasd:zsl -V - APPI WARNING: FAILURE TO SECURE WORKERS' 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 Juch ermit,-or cessatitheraby rk for 180 days will subject permit to cancellation. I certify that I haveread this application and state thve inf rmation iI agre o c mply with allcity and county ordinances and state laws relating toons ction, anauthori a re esentatives of this county to enter upon the above-mentioned prinsp ion purp D ljf�. -� Signature (Applicant or Agent): Application Number . . . . . .06-00000921 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 117.00 Plan Check Fee _ 76.05 Issue Date Valuation 10000 Expiration Date 9/05/06 Qty Unit Charge Per Extension BASE FEE 45.00 8.00 9.0000. ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 72.00 Permit MECH POOL Additional desc . Permit Fee . . . . 26..00 Plan Check Fee 6.-50 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 r Permit ELEC POOL PERMIT -RES Additional desc . -Permit Fee . . 45.00 Plan Check Fee 11.25 Issue Date Valuation 0 Expiration Date 9/05/06 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 9/05/06 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 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA ONLY. ALARMS/BARRIERS SHALL LQPERMIT Application Number 06-00000921 Special -Notes and Comments BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due Permit Fee Total 221.00 00 00 221.00 Plan Check Total 102:05 .00 .00 102.05 Grand Total 323.05 .00 .00 323.05 LQPERNM I I . . �. - t. . .. I 14 r, . . - x .. .. • '`. -. - I �- din # - Ci of La Quinta :. City :� .a . Building 8t Safety Division - P.O. Box 1504 - . • ' .' . 'P.eritth # ' ' ' ,78-495 Calle Tampico I .:.. . La Quinta, CA 92253 a �O� �� > '<> `' Buildin Permit Application and Tracking Sheet Building Project Address: SD_'-� G�,r G _ Owner's Name: • V__, \ iZw� Address: �, � (p, \ A. P. Number: >S , Le al Description: I City,ST, Zip: , 0_1_I -,A �a-a-S� C ll /'' 0 ntr actor' _ r v, �\ c„ s Te l bone: eP �� .> Address: �_ p ,(�- a Project Description: Cir" _ST. Zip: �a;.:'LI - ���-S m ? - ,fie_ 1� k \-� •� • �; Telephone:I-- o `f 1 z .� 'c State Lic. # : L` j4`1$ t ` �j `° City Lic. #:� ��� ; - - . Arch.. Enur.. Designer: , ' I Address: . ' . ', c .. I . Cin'_•ST. Zip: r ne: Telephone: ho P I - cti T e` Occupancy: tJ Construction on Co YP c. �. S tate Ln -% ��j w d1 n Alte r Re air Demo et e c ircle one : N e A Pro c tYP P 1 Name of Contact Person: Sq. 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