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06-2209 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00002209 Property Address: 81792 CONTENTO APN: 767-200-011-5 -318742- Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 23000 Applicant: Tiht 4 4 Q" Architect or Engineer: PI BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business an ro ionals Code, and my License is in full force and effect. LicenseClaass: C8 C27 C29 LicenseNo.: 656128 Date • J t%f!O Contractor: R -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 _ 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 contractorls) licensed pursuant to the Contractors' State License Law.). (_) 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: i�\.LQPERMIT Owner: STILES 81-792 CONTENTO LA QUINTA, CA 92253 Contractor: CALIFORNIA POOLS & SP P.O. BOX 1280 COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/31/06 D � JUN O 12006 CITY OF LA QUINTA 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 SEABRIGHT Policy Number BB1060510 I certify that, in the performance of k for which this permit is issued, I shall not employ any person in any manner so as to b ome s ject to the workers' compensation laws of California, and agree that, if I should beco subje to the workers' compensation provisions of Section ? x,3/700 of the Labor Yd), I shall ' h comply with those provisions. Date: J C/10 Applicant: WARNING: FAILURE TO SECURE ORKERS' COM ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). 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 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 in matio is correct. I agree to comply with all city and county ordinances and state laws relating to bui . g constr tion, nd hereby authorize representatives of this co u ty to nter upon the above-mentioned prop rty or inspe do urpo s. Date: Signature (Applicant or Agent): Application Number . . . . . 06-00002209 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 234.00 Plan Check Fee 152.10 Issue Date . . . . Valuation . . . . 23000 Expiration Date 11/27/06 Qty Unit Charge Per Extension BASE FEE 45.00 21.00 9.0.000 ------------------- --------------------------------------------------------- THOU BLDG 2,001-25,000 189.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/27/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 ---------------------------------------------------------------------------- EA MECH FURNACE <=100K 9.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date .. 11/27/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 -7 -------------------------------------------------------------------------- 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 11/27/06 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 PERMIT DOES NOT INCLUDE LQPERMIT Application Number . . . . . 06-00002209 ---------------------------------------------------------------------------- 'Special Notes and Comments WALLS OR ENCLOSUES Fee summary ----------------- Charged ---------- Paid Credited Due Permit Fee Total 336.00 ---------- .00 -------------------- .00 336.00 Plan Check Total 177.60 .00 .00 177.60 Grand Total 513.60 .00 .00 513.60 LQPERMIT A,y.. #4° TIE:._ STEEL TOP OURSE C = INSIDE DIMENSION ::. :. WATER, - GAS FIRE RING: . - - - ME1BR�1NE-. INE } IOR ANSI # BTU,BAR VERT AT APPROILED: ..: .6x8X8 OR LENGTH OF GAS. PIPE 'L -�� RIAM :QF GAS:PIPE .:: �► :..,:;•:::.::::..:..:.`. 8x8X8 CMU.:' -SOLID GROUT' OUTDOOR :FIRE: RLNG GAS.' -:SHUTOFF. :G'AS;LINES'.:SHALL`BE: INSTALLED` .. . VALVE GRAVEL-. PER CPC FOR DEPTH, LOCATED COURSE GAS LO.G COVERAGE,.AND PLACEMENT WITHIN 36° SAND; WATERPROOF . OF,UNI7 LIGHTER".'- . MEMBRANE :., STONE,3711 #4 TIE STEEL #4: BAR..VERT. AT 32." .0. C. 8X8X8 CMU:.SOLID GROUT F S :F.S. A,y..