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05-2316 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05--00002316 Property Address: 79645 CORTE DEL VISTA APN: 609-380-997-22 -2932 Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTI. Application valuation: 17000 Applicant: Architect o Eng` 60NTICA&FOK /V/^ Tjht 4 46 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153, Owner: LENNAR HOMES OF CALIFORNIA n 78401 HIGHWAY 111, STE C IUI LA QUINTA, CA LA QUINTA, CA 92253 JUN 16 2005 Contractor: MY OF LA QUINTA CALIFORNIA POOLS & SPAS FINANCE DEPT. WCC: SEABRIGHT INS WC: BB1050510 01/01/06 CSLB: 656128 10/31/06 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am lice er provisions of Chapter 9 (commencing with /Section 7000) of isio the eusines nd Prof tonal Code, and;y- icvse is in ull ftrcg�nd effect. ,/ License CI s:—' icense Noa/ Jcfjx aD tte Contract ( i 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 155001: (_ 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.). I—) 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: LQPERMIT Date: 6/13/05 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: �,� arrier C8 C27 C29 C53 Policy -- ------- - - - - -- 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 17,6sho d beco a 'ect to the workers' compensation provisions of Section / 0 of the Labor C , I shall, rt ith comply with those provisions. te:6 /Q✓Applican WARNING: FAILURE TO SECURE ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). 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 infor� ation is correct. I agree to comply with all. city and county ordinances and state laws relating to building constru i d hereby authorize representatives of thi oun to ter upon the above-mentioned grope for in ec tan poses. s c / Date: � O ignature (Applicant or Agent Application Number . . . . . 05-00002316 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 1.80.00 Plan Check Fee 117.00. Issue Date . . . . Valuation . . . . 17000 Expiration Date 12/10/05 Qty Unit Charge Per Extension BASE FEE 45.00 15.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 135.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee .. 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/10/05 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 12/10/05 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 12/10/05 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 LQPERMIT Application Number . . . . . 05-00002316 ------------------------------------------------------------------7--------- 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 284.00 .00 .00 284.00 Plan Check Total 143.00 .00 .00 143.00 Grand Total 427.00 .00 .00 427.00 LQPERAIIT Bin # City Of La Quinta �,cuuca� Building &r Safety Division Permit # P.O. Box 1504,78-495 Calle Tampico Grant Deed La Quinta, CA 92253 - (760) 777-7012 S.M.I. Building Permit Application and Tracking Sheet Project Address: —3�q — bqr W I1✓D� Owner's Name:zA A.4 k4o mz s A. P. Number: Address: Legal Description: City, ST, Zip: � }i+:•`.?�;r4ciiyL::M1Sriii';:ti vL::.'•<4;:`Gr1� :: Contractor: C L ( O0L�s Telephone: f}, Address:p�® (Z Project Description: /� City, ST, Zip: C..� d 14 CA 9 )�A DocL 5 .Telephone: �� �" ! � Z �. L:}Y.L}vLi}.�!:�i:{•':r :vti+;}��. q xis :.. •4: }:: ri! ' �>�?%��.::.;Y<,>•. �<�.:s:�Y;:f> • State Lic. # City Lic. #.- Arch., Engr., Designer: 0PLO Address: . City., ST, Zip: Telephone: '• 4 J}:: R}i•:'} ti?iv};ii::: d1CL+ N"rF�•L . irii}: vih l.�3}irr!}+}�L{Jvry*;!!ppjh S}��•.'}''.-<i:,�:#;yJ?.+l• �?'��`{;�fc;! Construction Type: Occupancy: `rA'l?S}'�ti:+'grrfJ'•v^•vix State Lic: #: � `:<;;;sF:.�;:;;;;«:;u.�s�>.;s.�; Project type (circle one): Ne Add'n Alter Repair Demo Name of Contact Person: D;4 ZITMY Sq. FL: 4 Stories:. -- Telephone # of Contact Person: 2'-?T—//`p";�-7.$ =OAt/. Estimated Value of Project:. APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets ! Plan Check submitted D / 05 Item Amount Structural Calcs. Reviewed, ready for corrections Plan -Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales.. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical v�aumg Sao a�c.acn,.cau� ave w.,cuwuano�uc �,cuuca� Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 7rd Review, ready for correctionsliissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees