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06-0933 (RPL)T4hf 4 Qawm' 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: 3/08/06 Application Number: 000000933_J Owner: Property Address: 49865 PATTI CT SCWIFKIN APN: 649-520-998-7 -290533- 49-865 PATTI COURT Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: - LOW DENSITY RESIDENTIAL Application valuation: 22000 Contractor: Applicant: Architect or Eng D '�~ y CALIFORNIA POOLS & SPAS ��P.O. BOX 1280 MAR A � t_ COACHELLA, CA 92236 (760) 398-9.222 i LiC. No.: 656128 ----------------- ------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided ' License Class: C8 C27 C29 License No.: 656128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is �/ ��issued. ate 7_0/` Contractol/ 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 OW R -BUILDER DECLARATION insurance carrier and policy number are: ' I hereby affirm under penalty of perjury that I am exe pt from the Contractor's State License Law for the Carrier HRH INS _ Policy Number BB1060510 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any - r construct, alter, improve, demolish,. or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should be ome subject to the workers' compensation provisions of Section - License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, forthwith comply with those provisions. l 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).: Date:` Applicant/ 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 WARNING: FAILURE TO SECURE WORKE ,S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL ' Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND _ and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). - APPLICANT ACKNOWLEDGEMENT (_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whoserequestand for pursuant to the Contractors' State License 6w.1. whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for theperformanceof the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: — Lender's Address: LQPERMIT 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 i e purposes. Date: 3�� Signature (Applicant or Agentl: X Application Number . . . . . 06-00000933 - Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 225.00 Plan Check Fee 146.25 Issue Date . . . . Valuation . . . . 22000 Expiration Date 9/04/06 Qty Unit Charge Per Extension BASE FEE 45.00 20.00 9.0000 THOU BLDG 2,001-25,000 180.00 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date x;'04/06= 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 9/04/06 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 9/04/06 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 LQPERMIT - Application Number . . . . . 06-00000933 - --------- --------------------------------- 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 329.00 .00. .00 329.00 Plan Check Total 172.25 .00 .00 172.25 Grand Total 501.25 .00 .00 501.25 LQPERMIT ' Bin # ' Permit # D 6 i33 Project Address:' A. P. Number: Legal Description: Contractor:\a C)CY-,• Address: City, ST, Zip• t Telephone: %� 3q I ZZ �- State Lic. # : ,2 - Arch., Arch., Engr., Designer: Address: 1 - . City, ST, Zip: Telephone: T . State Lic. #: Name of Contact Person: Telephone # of Contact Person: # Submittal R. Plan Sets Structural Calcs. Truss Calcs. Energy Calcs. Flood plain plan Grading. plan' Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees City of. La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet �C \ Owner's Name: Address: _ City, ST, Zip: Telephone:TO 0 Project Description: `1 2- 2-3 G /-. Lic. #: 211 Construction Type: Occupancy: Project type (circle one): 6w, Add'n Alter Repair Demo .IV, Q Sq. FL: # Stories: # Units: ©— Q �� 2 S! Estimated Value_of Prc ject:.-5 Z Z i .: 00, APPLICANT: DO NOT WRITE BELOW THIS LINE d Recd TRACKING Plan.Check submitted 3 /8 Reviewed; ready for corrections Called Contact Person Plans picked up Plans resubmitted 2"d Review, ready for correctionsfissue Called Contact Person Plans picked up Plans resubmitted ''" Review, ready for correctionslissue Called Contact Person Date of permit issue EERMIT FEES Item Amount Plan Check DeB osit Plan Check Bahuce Construction Mechanical Electrical Plumbing S.M.I. Grading Developer Impact Fee A.I.P.P. Total Permit Foes ____. _- - _.- .._..._�L . _ _ �.� ... i