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06-2930 (RPL)40. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 r Application Number: t---Property-Address- _ APN: Application description Property Zoning: Application valuation: Applicant: y{�h 06-00002930_ A78225 CALLE CADIZ 770-156-002-2 -000000- POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 25000 Architect or Engineer 1 V I f� BUILDING & SAFETY DEPARTMENT BUILDING PERMIT AUG 1 2006 CITY OF LA QUINTA FINANCE DEFT: . LICE ED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that m licensed under provisions of C t c?1. ting with Section 7000) of Division 3 of the Busines nd Professionals Code, and icense is in fe and effect. License Class: B , i s ` 38535 .Date: •(01 tractor.' e t . O NER-BMits 0 I hereby affirm under penalty of rjury that I am exempt f's State License Law for the following reason (Sec. 7031. usiness and Professions ounty that requires a permit to construct, alter, improve, demolish, or repair any structuree, also requires the applicant for the permit to filea 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).: (_) 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 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: LQPERNIIT Owner: TRI GENERATION DEVELOPMENT P.O. BOX 450 LA QUINTA, CA 92253 Contractor: LENDEL VENTURES, INC P.O. BOX 450 LA QUINTA, CA 92247 (760)564-1866 Lic. No.: 638535 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/07/06 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. �( 1 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 0009671-2006 _ I certify that, in the performan of the work for which this permit is issued, I shall not employ any person in any manner so to become subject t he workers' compensation laws of California, and agree that, if I shou become subject tot workers' co i n provisio f Section Q�3700 of the Labor Co , shall forthwith c I oYi,s Date (` --&Applicant: ��/i WARNING: FAILURE TO SEC WORKERS' CO ATIO VERAGE IS UNL SHALL SUBJECT AN EMPLOYER T IMINAL PENALT S AND CIVIL FINES UP TO 0 UNDRED THOUSAND DOLLARS ($100,000). IN DITION TO THE COST OF COMPENSATION MAGES AS PROVIDED FOR IN SECTION 3706 OF THE OR CODE, INTEREST, AND ATTORNEY'S S. APPLICANT AC WLEDGEMENT IMPORTANT Application is hereby made to the Director o wlding 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 be omes null and void if work is ommenced within 180 days from date of issuance of such rmit, or cessation of wor r 180 days will subj t permit to cancellation. I certify that I have read this application and state that the ove information is rect. I agree to comply ith all city and county ordinances and state laws relating to buil i g construction, hereby authorize repre tatives of this county to enter upon the above-mentioned op y for inspectio Date" 5_01_Signature (Applicant or Agent): r A I% Application Number. . . . . . 06-00002930 Permit . . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 252.00 Plan Check Fee 163.80 Issue Date . . . . Valuation . . . . 24675 Expiration Date 2/03/07 Qty Unit Charge Per Extension BASE FEE 45.00 23.00 9.0000 ----------------------------------------------------------------------------- THOU BLDG 2,001-25,000 207.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check.Fee 6.50 Issue Date . . . . Valuation . . . . 0 Ex;,iration Date 2/03/07 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,,. 2/03/07 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 2/03/07 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 LQPMIIT Application Number 06-00002930 Permit . . . WALL/FENCE PERMIT Additional desc.. Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 325 Expiration Date 2/03/07 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA, 15LF X 5 FT EQUIPMENT WALL CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. Fee summary Charged Paid Credited Due Permit Fee Total -371.00 .00 .00 371.00 Plan Check Total 189.80 ..00 .00 189.80 Grand Total 560.80 .00 .00 560.80 1 LQPERMIT Bin # City of 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 Permit # ' ���0 Project Address: Z2 5' C,f`VC (�41>±-Z. Owner's Name: �� v A. P. Number: 776 • Ot> Z Address: T.10 • 4. 5-4) Legal Description: 'j. t✓LX;B''L/ Contractor: City, ST, Zip: 6,t4l (,j1r,,. Telephone: —7&o - .l Address: Po 'aw g'cp Project Description: City, ST, Zip: �, V-�T� q z-2--- -' Telephone: P 564I g(� State Lie. # : (PSF3S3S^ City Lic. #: Arch., Engr., Designer:jtEjl�7 Address: City, ST, Zip: VI.�Sr4�0� Telephone: State Lic. #: �i�11t5 Construction Type: Occupancy:'JCG'L Project type (circle one): Add', Alter Repair Demo Name of Contact Person: .p >rlP9Ce Sq. Ft.: #Stories: # Uni Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING. PERMIT FEES lPlan Sets Plan Check submitted / Item Amount Structural Calcs. 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"d Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d 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