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05-4452 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00004452 Property Address: 77777 CALLE COLIMA APN: 774-131-001-24 -000000- Application description: POOL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 14000 Applicant: Tuyl 4'e(P Q" Architect or Engineer- - __ . qo-') BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: ,� , .— n ^- License No.: alai `'�.P Contracto . I'tY6" \�®`1` 1 —,-x(`('C-� 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 ofSection 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.). (_ 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 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 ISec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT Owner: SCHENKMAN GEORGE VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/04/05 Contractor: TORRES CONSTRUCTION, A.O. WCC: SUPERIOR INS WC: 9369780 02/10/06 CSLB: 550498 12/31/06 WORKER'S COMPENS TIO DECLARATON 2005 1 hereby affirm under penalty of perjury one of the following d clara ons: I have and will maintain a certificate of consent t self-insur ensation, as provi ed for by Section 3700 of the Labor Code, for t performance ��hi rmit s issued. ANCE D I have and will maintain workers' compensation insurance, as require 00 of the L or Code, for the performance of the work for which this permit is issued. My workers' com tion insurance carrier and policy number are: Carrier B Policy Number - - - - - - - - - - - - - - - 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 1 should become subject to the workers' compensation provisions of Section c 33.700 of the Labor Code, I shall forthwith comply with those provisions. APPIicgpe' _, i,�, WARNING: FAILURE TO SECURE WORKERS' 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date y Signature (Applicant or Agent):,-� \ � Application Number . . . . .. 05-00004452 Permit . . . BLDG POOL PERMIT BASE Additional desc . 15.00 1.00 11.0000 -------------------------- EA . MECH ----------- Permit Fee . . . . 153.00 Plan Check Fee 99.45 Issue Date . . . . Valuation . . . . 14000 Expiration Date 4/02/06 Permit Fee . . . . 45.00 Qty Unit Charge Per Issue Date . . . . Extension Valuation BASE FEE 45.00 12.00 9.0000 -------------------------"-------------------------------------------------- THOU BLDG 2,001-25,000 108.00 Permit . . .. MECH POOL - BASE Additional desc.. 15.00 1.00 30.0000 ----------------------------'------------------------------------------------ EA ELEC Permit Fee 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date . 4/02/06 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 4/02/06 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 4/02/06 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. ALARMS/BARRIERS SHALL LQPERMee Application Number . . . . . 05-00004452 ---------------------------------------------------------------------------- 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 257.00 .00 .00 257.00 Plan Check Total 125.45 .00 .00 125.45 Grand Total 382.45 .00 .00 382.45 I- LQPERMIT Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # y y �� 0 Project Address: 77— 7 7 7 Co&g Cy Owner's Name: A. P. Number: Address: -sb r d v c. th (SLG Legal Description: City, ST, Zip: Contractor:b- �aQ Telephone: Address: 91 _ pl V _,f'# Project Description: City, ST, Zip: SNDS22-0/ pb S Telephone: '2 7 '2— 1/ Y State Lic. # Y City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: c r rr,s Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: .DO a• APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING. PERMIT FEES Plan Sets Plan Check submitted 1013 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 2nd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' 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 A.O. TORRES CONSTRUCTION CO. 81301�1l�t�il1E�0, J�V�Q I�2201 Licenses and Permits POOL 77-777 CALLE COLIMA 9/29/2005 4847 382.45 a.o. torres const 382.45 /P- 06-aS -7CLN'(.4oijr:3 sore