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06-1439 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-0000143'9 Property Address: 81954 COUPLES CT APN: 764-0.60-006- _ Application description: POOL RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 20000 Applicant: Architect or Engineer: �A; LICENSED'CONTRACTOR'S DECLARATION 2F ff�# i I BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm.under penalty, of+perjury-thavi am licensed under provisions:of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals' Code, and my Lim is,in fullaorce and effect. License cls s: C53 -C27 License No:;. 823017 1pal* �� uN Contrdctor C • �• OWNER41UILDE01 DECLARATION I hereby affirm under penalty of perjury, that.l em -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 'thwapplicant for the permit to file a signed statement that he or'she is licensed pursuant to the provisions of the Contractor's State License Lew (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 Section7031 5_ by any applicant for a permit subjects the applicantto a civil penalty of not more than five hundred, dollars (8500)::. (_ 1 I, as owner of.the property, or my employees with wages as.their sole compensation, will do the work, and - the:strueture1s not intended or offered for sale (Sec. 7044,.86siriess and ProfessionsCode: The Contractors' &; 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 improvementware not intended or offered for sale. If, however, the building or improvement is sold within one yearaf completion, the.ownsr4bui)der will have the burden of proving ihathe 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 constrict the project (Sec. 7044, Business and Professions Code: The Contractors' State License,Lawrdaes not apply to an owner of property who builds or.improves thereon,.and who.contracts for the, projects with a cont_ ractor(s) licensed pursuant to the Contractors' State.Uoense Law.). (_) 'I am exempt under:Sec. _ _ _ _, B.&P.C. for this;reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby Wirm under penalty of perjury that there.is,e 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-71.53 Date: 4/10/06 Owner: TRUTANICH 81=954 COUPLES COURT_ LA QUINTA, CA 92253 Contractor: D a MCRAE POOL &.SPAS 79105 DESERT STREAM APR 1 0 1p06 LA QUINTA, 'CA 92253 .(760)772-2440 CIS Lic:. No.: 823017 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury,one of the following declarations: I have,and will maintain e:certificate of cohseni..te;self-insure for workers' compensation, as provided for by Section3700,of the Labor Code, for the;psrformsnce of the'.work for whichthis 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 EXEMPT Policy Number EXEMPT I certify tnat,;in the.performanoe 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 1 should become subject tothe,workers` compensation provisions of.Section 3700 of the Labor II./sha��ll forthwith comply with those provisions. , r� Applicant:Z 4AI �_ .� � -tel WARNING: FAILURE.TO SECURE WORKERS' COMPENSATION 0VERAGE;IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES -AND CIVIL FINES' :UP TO ONE HUNDRED THOUSAND, DOLLARS ($100;000). IN ADDITION TO THECOST OF COMPENSATION; DAMAGES;AS'PROVIDED FOR;IN SECTION 3706 OF THE LABOR CODE, INTEREST,;AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application Is'hereby madeto the Director of Building and Safety fora 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,, arxi ie applicant,.each agrees to, and shall defend, indemnify and hold harmless the City of La Quints; its officers, agents and employees forany actor omission -related to the work.being performed underorfollowing issuance,of this permit. 2. Any permit issued as a result of this application becomes null and void,ifwork is not commenced within 180 day* from date of issuance of such permit,:orcessation of.worklor, 180 days will subject. permit to cancellation. I certify that I have read this application and state,that the above information ls.correct. I agree to comply with all city and, countyordinances and state laws.relating to building construction, and hereby authorize representatives of this co /y toenterupon the above-mentioned property for inspection purposes. �//��q� �/ Dat�f 0 06 Signature (Applicant:orAgent)`: / " /L • //� W/�.I Application Number . . . 06-0000143.9 Permit . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 207.00 Plan Check Fee 134.55 Issue Date . . . Valuation . . 1.9697 y Expiration Date 10/07/06 ` 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 10/07/06 ' Qty Unit Charge Per Extension .BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 1-1.00 Permit ELEC P06L PERMIT=RES Additional desc . . Permit Fee 45.00_ Plan Check. Fee 11.25 Issue:Date. Valuation . . . . 0 Expiration Date 10/07/0.6 Qty Unit Charge Per Extension BASE FEE 15.00- 1.00 -3'0.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 PermitPLUMBING Additional-.desc . Permit Fee 33.00 Plan Check Fee 8.25 Issue Date Valuation . . 0 Expiration Date 10/07/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.0;000 EA PLB FIXTURE 12.06 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 EA P,LB GAS PIPE f:4 OUTLETS 3.00 _ Permit_ . . . . . WALL/FENCE PERMIT LQPE MPF Application Number . . . . . 06-000.01439 Permit . . . WALL/FENCE PERMIT Additional des_c . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 303 Expiration Date . . 10/07/06 Qty Unit Charge Per. Extension BASE FEE 15.00 ------------------------------------------ Special Notes and Comments - --- -------- POOL & SPA. 14 LF 5' EQUIPMENT BLOCK - WALL, CITY STANDARD. ALkRMS/BARRIERS SHALL BE IN.PLACE PRIOR TO PRE -PLASTER _ INSPECTION. Fee summary ----------- Charged Paid Credited -- Due -- Permit Fee Total ----------------- 326.00 -- .00 ------------ .00 -------Permit 326:00 Plan Check Total 160.55 .00 .00 160.55 Grand Total 486.55 .00 00 486.55 LQPERMrr Bin # City of La Quinta Building a Safety Division P.O. Box 1504, .78-495 Calle Tampico La Quinta, CA 9225.3 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # I f3� Project Address: O i — 9,541 COU I C S &r Owner's Name: `C14 A. P. Number: Address: O I— 5 U U -- C Legal Description: City, ST, Zip: f. A 2S3— Contractor: G Address: — Telephone: Project, Description: City, ST, Zip: I—A 4 r Telephone: Q. G 31 State Lic. # : ,2,3 City Lic. #: Arch., Engr., Designer: e Address: City, ST, Zip: 1� Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of.Project: APPLICANT: DO NOT WRITE BELOW THIS LINE Req'd Recd TRACING. PERMIT FEES Plan Check submitted % Item Amount l Calcs. rEtnergy Reviewed, ready for corrections PIan.Check Deposit. lcs. Called Contact Person Plan Check Balance alcs. Plans ticked up Construction Flood plain ptan Plans resubmitted Mechanical Grading plan Y" Review, ready for correctiougmue 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 correctionsirmue Developer Impact Fee Planning Approval Called Contact Person, A.I.P.P. Pub. Wks. Appr Date,of permit issue School Fees J. Total Permit Fees 0 JOB ADDRES Any changes to this list must CITY OF LA_QUINTA SUB -CONTRACTOR, LIST �' lv v�`f SAF E AWKS . PERMIT NUMBER 4G • / Ll-; 9, OWNER lRu—M V ► r' ll BUILDER &Y4 0, /cO'A Ic Building Inspection Card at all times in a cg snicuous Rlace. Only persons appearing on this list or their emp ogees are a thorized to work approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance all information reauested below mbst be completed by aoDlicant. `On File" is not an acceptable response. a CITY OF BUILDING E 3 APR: L) FOR CU1,; riuICTION DATE 4-I.lo(, BY-iO- I AM. nomu PNNTA4Sr NO. 1S6A-l$X240l975