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06-3576 (RPL)4 V P.O. BOX 1504 �VOICE 760 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT ` Date: 10/10/06 Application Number: 1`06-00003576_ Owner: Property Address: 81579 RANCHO SANTANA DR CARPENTER APN: 767-200-999-57 -312022- 81579 RANCHO SANTANA DRIVE Application description: POOL - RESIDENTIAL LA .QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL (760) 777-9920 Application valuation: 20000 D Contractor: 2U06 Applicant: Architect or Engineer: VACATION POOLS INC w 1 2 U 83900 AVE 45 STE C LL! INDIO, CA 92201 CITMOf: I„AQUINTA (760) 775-0468 FINANCEDE Lic. No.: 856835 -------------------------------------------------- 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. Licen;e Cla;s: C53 - tl"Mense No.: 856835 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 ($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 _ 1 1, 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. 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: LQPERA11T ------------------ 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. 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 STATE FUND . Policy Number 1795938-2006 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 I should become subject.to the workers' compensation provisions of Section 700 of the Labor �Code, /If shall fQorthwi�with those provisions. te: lscant: 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 tate laws relating to building constructio �aA hereby a uthoriz9.4epresentatives of this county o e er upo a above-mentioned property fo ' specti pur es. �gnatwe (Applicant Or e t qE Application Number . . . . . 06-00.003576 Permit . . ELEC POOL PERMIT -RES Additional desc . Permit Fee :. . . . 45.00 Plan Check Fee 11.25 Issue Date Valuation 0 Expiration Date 4/08/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 --------------------------------------------------------------------=------- EA ELEC PRIVATE SWIMMING POOL 30.00 Permit BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 207.00 Plan Check Fee 134.55 Issue Date Valuation . . . . 20000 Expiration Date 4/^8/07 Qty Unit.Charge Per Extension BASE FEE 45.00 18.00 9.0000 -------------------------- THOU BLDG 2,001-25,000 -------------------------------------------------- 162.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 27:00 Plan Check Fee 6.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/0.8/07 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 POOL ONLY. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged --------------------------- Paid Credited Due Permit Fee Total ------------------------------ 279.00 .00 .00 279.00 Plan Check Total 152.55 .00 .00 152.55 Grand Total 431.55 .00 .00 431.55 a LQPERAIIT OCT -10-2006 10:55A FROM:VACATION POOLS INC 17607750469 R TO:97777011 P.3 OCT -10-2006 10:54A FROM:VACATION POOLS INC 17607750469 i Lail= WA kvr i . I s �bF� ��a, /1 i (z� 2 �► GJ'Si�N1 �5 � 011J TLe7Ut�:.} i i 1ti'l 1'M�f .ri►�IGj . �QTIG rl r, li TO:97777011 P.2 4 jC' OCT -10-2006 10:54A Bin # PermltiY ��p FROM:VACATION POOLS INC 17607750469 TO:97777011 P.1 y ��. Citi Of La Q uin to - Building at' Safety Division P.O. Box 1504, 78-495 Calle Tampico�.�_.—�D.l t La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet .� Project Address:) 5 . L 0 Owner's Name: �+ Address: 5 A. P. Number: b Q0 6 Z.. 9City, Legal Descripti Contractor: I �; . ST, Zap: �,., ZZ 3 WIN Tel hon Project Description: Address: -� G �.. City, ST, Zip: 1.. Telephone b D 110 G Z40 ?,7 6 f State Lic. 4: City Lia #c Arch., Eogr., D finer: Address: I City, ST, Zip: Telephone::){.>c:. I ✓...... Construction Type: Occupancy: Add'n Alger Repair DemoProjctype Lic. #: Name of Conta} Person: y� j Sq. FL: # Stories: #Units: Telephone # ofl. ntact Person: Z y Estimated Value of Project. ip00 APPLICANT: DO NOT WRITE BELOW THIS UNE # Sabmittai Req'd Reed TRACKING PERMIT FEES Plan Seta I Plan Check submitted Item Amount Struetur Calcs. Reviewed, ready for corrections rlan Check Deposit Truss Called Contact Person Plan Check Balance Titic 24 . ' Ica. Plans picked up Construction V n plan Plans resubmitted Mechanical Flood p Gradin •las 2'' Review,.ready for correctionw1wac Electrical Subeon . for List Called Contact Person Plumbing Creat D ,, ILOA. I d proval Plans picked up S.M.L Plans resubmitted Grading ''� Review, ready for correcdonsflssue Developer Impact Fee IN HO E:- P laaain ' iApproval Called Contact Person A.LP.P. Pub. Appr Date of permit issue School ' es Total Permit Fees