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06-0804 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253_ Application Number: 06--00000080- rD Property Address: 43`4'4 B�BORD APN: 609-380-997-5 Application description: POOL - RES DE. Property Zoning: LOW DENSIT R Application valuation: 20000 Applicant: — — — - — — — — — — — — — — — — — — — f- — L — — 4 VOICE (760) 777-7012' FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 eBUILDING PERMIT �y c Date: 2/24/06 �DRMAR 02 2006 MATSUI -293233- _ 43-448 BORDEAUX T IWyOFLAOUINTA LA QUINTA, CA SIDM pEpT LA QUINTA, CA 92253 Contractor: Architect or Engineer: FAMILY POOL CONSTRUCTION P 0 BOX 283 / LA QUINTA, CA 92247 �/� -(760)564-3655 LLL Lic. No.: 658996 LIC S TRACTOR'S DECLARATION I hereby affirm under penalty of perjury t m lic nsed under provisions of Chapter 9 (commencing with Section 70 0) of Division 3 of the Busi s an o essionals Code, and my License is in full force and effect. Licensega�s: 53 License No.: 658996 ­15a—te: 2(24IOLeContractor: WNER-By/LDER DECLARATION I herb affirm under penalty f r' r hereby a u de pe a ty o pe ju y that I aryPe�xempt 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 ructure, 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.). (_) 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. , BAP.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: LQPERMITP 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. X 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 nu r are: Carrier STATE FUND P Iic 1344032-2005 I certify that, in the performan a work for which this permit is issued, I shall not employ any person in any manner s to a me subject to the workers' compensation laws of California, and agree that, if I shou ec m ubject to the workers' compensation provisions of Section 7 0 of the Labor Code s I rthwith comply with those provisions. D� Applicant, ""- Wo F ILURE TO SECURE WORKERS COMPE TION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE OST 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 any act or omission. related to the work being performed under or following issuance of this ermit: 2. Any permit issued as a result of this apCb2truction, s null and void if work is not commenced within 180 days from date of issuanceor c r for 180 days will subject permit to cancellation. I certify t t I have read this application and ormation is correct. I agree to comply with all city and c unt ordinances and state laws - tuction, and hereby authorize representatives of thi my nter upon the above-mentionedct on purposes. Da !� Signature (Applicant or Agent): P LQPERMTT Application Number . . . . . 06-00000804 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 207.00 Plan Check Fee 134.55 Issue Date . . . . Valuation . . . . 20000 Expiration Date 8/23/0,6 Qty Unit Charge Per Extension BASE FEE 45.00 18.00 9.0000 THOU BLDG 2,001-25,000 162.00 ---------------------------------------------------------------------------- Permit . . . Additional desc . . Permit Fee . . . Issue Date . . . Expiration Date . MECH POOL 26.00 8/23/06 Plan Check Fee . . 6.50 Valuation . . . . . 0 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 8/23/06 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 8/23/06 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 N Application Number . . . . . 06-00000804 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 311.00 .00 .00 '311.00 Plan Check Total 160.55 .00 .00 160.55 Grand Total 471.55 .00 .00 471.55 LQPERA11T s 4L. City of La Quints Buffdbg ar Safety DhWon pmtP.O. Box IS04, 78-495 Calle Tampico 0 46 La QLdntay CA 92253 (760) 777-7012 BididInk Pennit Application Tracking Sheet and Ned Addj=-. w A. P. Number: L1-;2)q49 bb" 617 U-)z LeW DamtAim: City, ST, Zip: Telephone: OEM= Contac - FP{ 1&4 t�S (Al5f,' A&Irw: lk-Poo! E50X 7--�93 project Dow . iption: ye"'O'be— Is cny. ST, Tap: LR &,k- c) =S-3 Telephone: Sta Lic.#1e. City Li Awk, EW.. Dedgaw. C,% sr, zip: Telephone: Construction Type: Occupancy: State Lia k Proj'cd type (circle one):' New Add'n Altar Repair Demo Sq. Ft: - --7 #Units: Name Of Contact Person: Pon Telephone # of COU'la'a Persm. Estimated Value of Project: �1 APPLICANT: DO NOT WRITE BELOW THIS LINE Sobvdud Reqd Rev'd TRACMG PERMrFERS [Plan so Plan Cbeck submitted ISM= Amo®t struawd Rakwed, ready for coffeetbas Plan Cheek Deposit Trost CKICL Calla! Contact Person Plan Ckerk 11-1-mee. M 24 Cdc& M= PIdMd up Coastrnetioa Flood pidsplan Plans rembmitt.ed Mechanksl 21d Review, ready for correction0me Mectrtcd Subenutter list Called CONtId Person plulabl.ag Grant Dad nw picked up MM& A"rwal Plans rembInifted Grad Ing ROOM ready for correedon0me Developer Impact Fee ManxIMAWovid Called Contact Person A.U.P. Pub. Wks. Appr Date of Permit inu .&AM] Fen Total permit Few 4L.