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06-3839 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 06-00003839 81824 CONTENTO 767-200-011-3 -318742- POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 20000 c&ty/ 4 4 Q" Architect or Engineer: P14- BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ---------------------- --------------------------- CEN CONTRACTOR'S DECLARATION I hereby affir under enalty of perjury t m licensed under provisions of Chapter 9 (commencing with Section �6000 of Div' ion 3 of the B and Professionals Code, and my License is in full force and effect. LicenseQl21 ' ^ License No.: 658996 ' IIIA -1 I it y1fi LONER -BUILDER DECLARATION I hereby affirm under penalty of perjury t at I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business nd 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.). (_) 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 I 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 (Sec. 3097, Civ. C.). Lender's Name: - Lender's Address: LQPERMIT Owner: RON FITZPATRICK 81824 CONTENTO LA 'QUINTA, CA 92253 Contractor: FAMILY POOL CONSTR P O BOX 283 LA QUINTA, CA 9224 (760)564-3655 Lic. No.: 658996 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/27/06 /,&\ _ U . L p€� 312006 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, 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 Pol' umber 1344032-06 1 certify that, in the perf ance a work for which this permit is issued, I shall not employ any person in any manne o o become subject to the workers' compensation laws of California, a d agree that, if I s d become subject to the workers' compensation provisions of Section 1. 00 of the L II forthwith comply with those provisions. WARNING: FAILURE TO SECURE ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI1Ff.L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000).IN ADDITIO 0 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 omes null and void if work is not commenced within 180 days from date of issuance of such mit, or ation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that t e a information is correct. I agree to comply with all city a''ffnd.gunty rdinances and state laws relating to b construction, and hereby authorize representatives of they �, �yyto Or upon above•mentioned pro or�.spectjpn purposes. ' (Applicant or Agent): Application Number . . . . 06-00003839 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 207.00 Plan Check Fee 134.55 Issue Date . . . . Valuation . . . . 20000 Expiration Date 4/25/07 Qty Unit Charge Per Extension BASE FEE 45.00 18.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 162.00 Permit . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/25/07 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 4/25/07 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 . . . . 27.00 Plan Check Fee 6.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/25/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 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 ------------------------------------------------------------7--------------- Special Notes and Comments POOL. ALARMS/BARRIERS. SHALL BE IN PLACE LQPERMIT Application Number . . . . . 06-00003839 ---------------------------------------------------------------------------- Special Notes and Comments AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary. Charged Paid ---------- ---------- Credited ---------- ---- Due - ----- ----------------- Permit Fee Total 305.00 .00 .00 305.00 Plan Check Total 159.05 .00 .00 159.05 Grand Total 464.05 ..00 .00 464.05 LQPERMIT Bin # City of La Quinta. Building 8t Safety Division . P.O. Box 1504, 78-495 Calle Tampico La Quinta,.CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit j Project Address: Owner's Name: A. P. Number: Address: D Legal Description: Contractor: Address: City, ST, Zip: Telephone: ✓ Project Description: �d City, ST .., Zip:a- �� Telephone:` State Lic. # ; City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person:) Construction Type: Occupancy: Project type'(circle'one): New Add'n Alter Repair Demo Sq. Ft.: #Stories #Units: Telephone # of Contact Person: per^ Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACKING. PERMIT FEES Plan Sets Plan Check submitted %Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Ctieck Balance Energy Coles. Plans picked up Construction Flood plain plan Plans resubmitted Methanical Grading, plan 2id Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted -Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer�lmpact Fee Planning Approval Called Contact Person A.I.P.P.. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees