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06-3740 (RPL)511 P.O. BOX 1504 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00003740 (— Property Address: 149815 RANCHO' SAN FELIPE APN: 649-610-025-61 -28964 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 15000 Applicant: Architect or Enginee 1 • ID a� ��tIIB��� LICE ED CONTRACTOR'S DECLARATION 1 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 o ionals Code, and my License is in full force and effect. License Class CS 4J7 C29 License No.: 656128 e,OA: WNER-BUILDER DECLARATION I hereby, affirm under penalty of perjury that I aexempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Pro essions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any tructure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is I ensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for a 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 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 (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: Owner: BROCK CLAUDE W 49815 RANCHO SAN FELIPE LA QUINTA, CA 92253 Contractor: CALIFORNIA POOLS & SPAS P.O. BOX 1280 COACHELLA, CA 9223E (760)398-9222 Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/24/06 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. K I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performancker for which this permit is issued. My workers' compensation insurance carrier and polic:Carrier SEABRIGHT umber BB1060510 I certify that,in the performark for which this permit is issued, I shall not employ any person in any manner so subject to the workers' compensation laws of California, and agree that, if I shouldct to the workers' compensation provisions of Section �0 of the Labor Code.t omply with those provisions. Dat plicant: WARNING: FAILURE TO SECURE WORKERS' SUBJECT AN EMPLOYER TO CRIMINAL PENAL DOLLARS ($100,000). IN ADDITION TO THE C SECTION 3706 OF THE LABOR CODE, INTERE: IPENSATION COVERAGE IS UNLAWFUL, AND SHALL S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ;T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN AND ATTORNEY'S FEES. APPLIVANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Dir ctor of Building and Safety for a permit subject to the conditions and restrictions set forth on this applicati n. 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 II defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employ y act or omission related to the work being performed under or following issuancerd.ernton 2. Any permit issued as -a result of this aes 11 and void if work is not commenced within 180 days from date of issuanct, or ssation of work for 180 days will subject permit to cancellation.I certify that I have read this application and state tformati is correct. I agree to comply with all city and county ordinances and state laws relatinguction, d hereby authorize representatives of this reiin)v to en r uoon theabove-mentioned 'on Doses. (Applicant or Agent): LQPERMIT 1 iS Application Number . . . . 06-00003740 ' Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 162.00 Plan Check Fee 105.30 Issue Date . . Valuation . . . 15000 Expiration Date . . 4/22/07- Qty Unit Charge Per Extension BASE FEE 45.00 13.00 9.0000 ------------------------------------------------- THOU BLDG 2,001-25,000 : 117.00 MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 expiration Date-. 4/22/07 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 4/22/07 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 4/22/07 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 ---------------------------------------------------------------------------- Special Notes and Comments REMODEL 300SQ. FT POOL ADDITION. POOL LQPERn1TT t Application Number . . . . . 06-00003740 " Special Notes and Comments - - ------------ ALARMS/ BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. Fee summary Charged ------------------------ Paid Credited Due - -• Permit Fee Total .260.00 ---------- .00 ---------- ---------- .00 260.00 Plan Check Total 129.80 .00 .00 129.80 Grand Total 389.80 i . .00 .00 389.80 LQPMIIT � f I -------- - - - - - ,� � I � �� ,�"" i Total Permit T` ��• , -. � �l � C.� �"� .� , • Bin # : C Y: La a Permlt # .. P.O..Box a 5A4, 78445: Ca((e Tampico La .Q_uinta, CA 92253.= X760) 777-701.2.. BuildingPermit:." Ap.p(tcadon and Trac Ing Sheet •,' f - p Project Address:"L� l' .: •r' ::-s .:..:...:< .:::. U Owner's Name: t�.2� G A P. Number. Address: 1Y9L�N0.SA . :Legal Description: :City, ST, Zip:777777 Contractor OA,t Vi ` Telephone: :.. .o. © Z .G. P rojed Description: 'i�s C1ty, STZip , moo' .� Telephone: 7(�j 3 .._ �.. q� ,•. - -922 2- -State Lic. �.� - •City Lic. #: � ... �—•,,.,,�� Arch., Engr., Designer: aaare�• : � • .. a: •T a►S �) City, ST, Zip: :.'..::.: ' • , t;: `"„ 'OI1Stt11 iY<.• V�LU � ! eleph T .. .. .. one• p ;. �� ,State Lic ;Projedtype (circ le.one): Add'n Alter Repair Demo Nsme orContact Person: _. . Ft.: - - . #Units• - Telephone. # of Contact _ onta Petco n• L s y,.:. �: �;.`::., :Esa�►ae� vain �: � ... •... • : ' - . . .... ..:..... . .. .00� PPLU :.. Submittal '., Req d ' Rec d77 - ;CI;,7NiG . PEICtMIT FEES Plan Sets - 1...' IP1an.4= - -t ec#c sgbmitted i , , .. „ ... - tem Amount . :•:...::.: :::. :.:.: Structural Coles. Reviewcd,'ready for.corrections Trgs Coles. : ,.... , ...... Elan Check Deposit - Galled Contact Person .' Plan Check Balance Energy Coles. Plan�$ielced up - Construction Flood plain plan Plans resubmitted Mechanical Q Gradingplan' : ;- Review, ready for correctionslissue Electrical - Subcontactor List Called Contact.Person ' :Plumbing ✓' Grant Deed Plans picked up . SALL H O:A: Approval Plans resubmitted Grading INHOUSE:- NFHOUSE:- 7r°.Review, ready for corrections/issue -------- • Developer ImpacEFee ' Planning Approval Called Contact Person • A.LP.P. Pub. Wks, Appr Date of permit Issue School Fees Total Permit •,' f -