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06-2736 (RPL)A.P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00002736 1 Property Address: 48196 BIG HORN DR. APN: 658-140-999-14 -29436 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 35000 Applicant: Tu!t 4 4 Q" Architect or Engineer: Nlp BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: C27 C53 License No.: 801813 OWNER -BUILDER DECLARATION I 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 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 _ 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 ISec. 3097, Civ. C.I. Lender's Name: Lender's Address: LQPERMIT Owner: GARZA 48196 BIG HORN DRIVE LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/19/06 Contractor: V. VICTORIA LANDSCAPES/WATERF L AUG 15 2006 82365 HIGHWAY 111, SUITE # 4 INDIO, CA 92201 (760) 775-0449 CITY OF LA6lU1NT L i c . No.: 801813 FINANCE DEPT. 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 Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier EVEREST NTNL Policy Number 380002849 _ 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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor /Code, �I fshall forthwith comply with those provisions. at4f e:0 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 1$100,0001. 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 construction, and hereby authorize representatives of this cou to/enter upon a above-mentioned property for inspection purposes. D �S'O� nature (Applicant or Agent): OIL Application Number . . . . . 06-00002736 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 317.00 Plan Check Fee 206.05 Issue Date . . . . Valuation . . . . 35000 Expiration Date 1/15/07 Qty Unit Charge Per Extension BASE FEE 252.00 10.00 6.5000 THOU BLDG 25,001-50,000 65.00 ---------------------------------------------------------------------------- Permit . . . MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration rate . . 1/15/07 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 1/15/07 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 1/15/07 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 LQPER IIT Application Number . . . . . 06-00002736 ---------------------------------------------------------------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary. Charged ----------------- Paid Credited Due -------------------- Permit Fee Total 421.00 .00' -------------------- .00 421.00 Plan Check Total 232.05 .00 .00 232.05 Grand Total 653.05 .00 .00 653.05 LQPERMIT Jul 24 06 12:03p Victoria L&W Inc 760-775-9063 p•1 Bit: # City of La �. Building ex Safety Division P.O. Box 1504, 78-445 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # !� 1 Project Address: - iii 1p `J ti 1 t V {� �r . Owner's N=c-. ` 1� A. P. Nurnb.er. Address: 4 g — !CLY A OV—. Legal Description: City. ST, iip: Contrauor . , C ,I g F Tdcphoac: Address rj3 -J25 i;ve• Nio&ro Xftoject Msaipfion: City, ST, Zip: L L CA cl1 rat: '7 -7 ' j o w '��'- - i �~' •. 'y i}2t• . State Lia R: i ( City Lic. #: Arch., Engr. Designs: Address: City, ST, Zip: Tekpbone:;sw'' -�,�T_ Construction Type: Otxttpancy: State Gia ri: Project type (circle once New Add'a Aper Repair Dana Name of Coma" Person: rim.4e NA4 FL: S Ig >Y Stories: N Units Telephone * of Contact Person: g inwted Yalae of Project: �� (� APPLICANT: DO NOT WRITE BELOW THIS UNE a Submittal Req'd Rted TRACKING PERMIT FM Plan Sets Plan Check submitted ltem Amount Structural Cato: ` _ . ..... _ _: _._. -iteviciiic . tcadp [oc �errectiaas _ _ _ .. Plan Check Deposit Truss Cala. PI: Plt ¢ Y Cal Y I Pia Pk ''' b Plan Cheek Balance Energy Csics. Caatructioa Flood plain plan Mechanical Grading plan Electrical Subcontactor List Plumbing Grant Deed S I►Ll. R.O.A. Approval Grading IN HOUSE:- Developer impact Fet Planning Approval L J { Catkd Contact Person A.LP.P. I I Pub. M ks. Appr I I I Date orpermit issue ( j 1 6 School Fees I I I I 1 I. ' I Total Permit Fees I t 0 vl 11 1.1i N d :1L ;. -'• ``r °, ` % ',/ --� spa'. +" i8 .. •..ri .,816 / 3' 20.6.'' puul If 'r ; i.l � ... - 22'6 i \ '� -'r----� '16'9., 99 �',• .12 i - � 1 1 • .116 � 3'6 •\ :1L ;. -'• ``r °, ` % ',/ --� spa'. +" i8 / 3' 20.6.'' puul `'fit- 'r ; i.l � ... - 22'6 i \ '� -'r----� '16'9., 99 �',• i45,6 i BBQ. LOGGIA AREA '41LAWN cAltza Rts>llENcl; � : - Victoria Landscapes & Waterfal B(JILDII 14 199 me notUNI DR. ' 82-365 Hwy. 111, Suite 102 AF 1,1IQAMY C,A.92253 Indio, Ca 92201 FOR Contractors Lic #801813 ;TION FEE OF $30 'ED IFTHF APPROVED B CARD ARE NOT ON )R A SCHEDULED EPTIONS! )F LA QUINTA 3 & SAFETY DEPT. PROVED