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06-4039 (RPL)a • G P.O. BOX 1504 4VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760)777-7153 MIT © Date: 11/21/06 Application Number: 06-00004039 Owner: Property Address: 57370 PENINSULA LN to 0 ROBERT & LINDA FULLER APN: 762-150-002- - - o Zf: 57370 PENINSULA LANE Application description: POOL - RESIDENTIAL eV �W LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL .-1 00 Application valuation: 28000 SLU Z�LL Contractor: Applicant: Architect or Engineer: CALIFORNIA POOLS & SPAS P.O. BOX 1280 v COACHELLA, CA 92236 �� (760) 398-9222 LiC. No.: 656128 ------------------------------------------'-------------------------------------- - LICE ED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I tic sed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Busines an Prof sionals Code, and my License is in full force and effect. License C ass: CB C27 C29 License No.: 656128 te: —f7 ontractor: `� WNER-BUILDER DECLARATION I herebyaffirm under penalty of perjury that I i m xem t from the Contractor's State License Law for the P Y P 1 Y P following reason (Sec. 7031.5, Business and Prof Bions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any ucture, 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, 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.). I—), I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 1 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: Foy LQPERMIT WORKER'S COMPENSATION DECLARATION 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. V� 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 mber are: ' Carrier SEABRIGHT Policy Number BB1060510 I certify that, in the performan e f the work for which this permit is issued, I shall not employ any person in any manner so asTce ome subject to the workers' compensation laws of California, and agree that, if I shout ubject to the workers' compensation provisions of Section 3700 of the Labor de Iort with comply with those provisions. ,Elate:—scant: WARNING: FAIL RE10 URE WORKER ' SUBJECT -AN EMPLOYER TO CRIMINAL PEN DOLLARS ($100,000). IN ADDITION TO THE SECTION 3706 OF THE LABOR CODE, INTER COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN EST-. AND ATTORNEY'S FEES. ' Y 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 th infor tion is correct. I agree to comply with all city and county ordinances and state laws relating to b ding o structio and hereby authorize representatives ofthis%ounty to enter upon the above-mentioned pro rty for pec ' urposes. 0/ te: ' Fo ' nature (Applicant or Agent): Application Number . . . . . 06-00004039 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee 271.50 Plan Check Fee 176.48 Issue Date Valuation . . . . .28000 Expiration Date 5/20/07 Qty Unit Charge Per Extension BASE FEE 252.00 3.00 6.5000 THOU BLDG 25,001-50,000 19.50 ---------------------------------------------------------------------------- Permit . . MECH POOL Additional desc Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . Valuation . . . . . 0 Expiration Date 5/20/07 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 5/20/07 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 . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation 0 Expiration Date 5/20/07 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. ALARMS/BARRIERS SHALL BE IN LQPERMIT Application Number . . . . . 06-00004039 'Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION.. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 375.50 .00 .00 375.50 Plan Check Total 202.48 .00 .00 202.48 Grand Total 577.98 .00 .00 577.98 0 LQPERMIT - _ Bin It Permit # t A 3� Project Address:_ 7- -ZA?57 A. P. Number: Legal Description: ContractorC6,\� Address: PO ©\ . (Z Co City, ST, Zip• ' C�, Telephone: %W3c-11 /(cJZz r te Lit. # : ch., Engr., Designer: dress: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone # of Contact Person: # Submittal Plan Sets Structural Calcs. Truss Calcs. Energy Calcs. Flood plain plan Gradiug.plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees City of. La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 Building Permit Appiication and Tracking Sheet k -N SvLa. Owner's Name: Address: -._ p c;�)C \�1 �L P• `tai City, ST, Zip:I— Q u X N Lic. #: Project Description: Construction Type: Occupancy: Project type (circle one): Add'n Alter Repair Demo o Sq. Ft.: # Stories: #Units: Estimated Value of Project: J. .ZS o©6 APPLICANT: DO NOT WRITE BELOW THIS LINE Reed TRACKING. PERMIT FEES Plan.Check submitted Item Amount Reviewed, ready for corrections Plan Check Deposit Called Contact Person Plan Check Balance Plans picked up Construction Plans resubmitted Mechanical 2°" Review, ready for corrections/issue Electrical Called Contact Person Plumbing Plans picked up S.M.I. Plans resubmitted Grading ''" Review, ready for corrections/issue Called Contact Person Developer Impact Fee A.I.P.P. Date of permit issue Total Permit Fees