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06-1113 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:i06-00001113_ Property Address: 49900 PATTI CT APN: 649-520-99871 -290533- Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 23000 Applicant: Tu!t 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: 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: C8 C27 C29 License No.: 656128 /ate: Contractor/ NER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I A0assions xempt from the Contractor's State License Law for the , following reason (Sec. 7031.5, Business and 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 _ 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(sl 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: - LQPERMIT Owner: PM RENAISSANCE, LLC 9968 HIBERT STREET, STE. 102 SAN DIEGO, CA 92131 Contractor: CALIFORNIA POOLS & SP P.O. BOX 1280 COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 VOICE (760) 777-7012- FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/17/06 B MAR 2'0 2006 nY OF LAQUINTA WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 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. X 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 insurance carrier and policy number are: Carrier HRH INS Policy Number BB1060510 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, if4WORKER e subject to the workers' compensation provisions of Section ���3700 of the Laborthwith comply with those provisions. e:'// L -L— Applicant WARNING: FAILURE TO SECUROMPENSATION 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 Ouinta, 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. 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 buildin struction, and hereby authorize representatives of this c my to enter upon the above-mentionedgrope y r ' s ction purposes. e: Daf`�- Signature (Applicant or AgenU. LQPERMIT Application Number . . . 06-00001113 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 234.00 Plan Check Fee 152.10 Issue Date . . . . Valuation 23000 Expiration Date 9/13/06 Qty Unit Charge Per Extension BASE FEE 45.00 21.0.0 .9.0000 THOU BLDG 2,001-25,000 189.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date 9/13/06 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 9/13/06 Qty Unit Charge Pet 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 9/13/06 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. . . . 06-00001113 ----------------------------------------------------------------- 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 338.00- .00 .00 338.00 Plan Check Total 178.10 .00 .00 178.10 Grand Total 516.10 .00 .00 516.10 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 Perini # 04P / Project Address: y I /0t7 1 +4-l. Owner's Name: -V, 0,3 e Address: City, ST, Zip: Telephone: p _ A. P. Number: Legal Description: Contractor:&` �• l Address: P0 © (2-36P Project Description: City, ST, Zip• co- • CA, . 1 �Z J oC t7` Telephone: City Lie. #: State Lie. # : Z Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: Name of Contact Person: Construction Type: Occupancy: . Project type (circle one): Add'n Alter Repair Demo Sq. Ft.: # Stories: #Units: Estimated Value of Project.. Telephone # of Contact Person: pZs©— Ll 2 'i�;_ APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG tERMTI FEES Plan Sets Plan.Check submitted j 7 Item Amount Structural Cales. Reviewed; ready for corrections Plan Check Deaosit Truss Cales. Called Contact Person Plan Check Ba=adce Energy Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading• plan tad Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing S.M.I. Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review, ready for corrections/issue Developer Impact Fee A.I.P.P. Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees Total Permit Eees