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06-3798 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06=00003798 Property Address: 57265 PENINSULA LN APN: 762-150-008- - - Application description: POOL - RESIDENTIAL Pronerty Znnina: LOW DENSITY RESIDENTIAL Application valuation: 25000 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT - -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION 1 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: C53 _ License No.- 614611 ate: 7 6 ntractor. 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 70001 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, 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 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: , LQPERn9IT VOICE (760) 777-7012 FAX(7650)777.7011 INSPECTIONS (760) 777-7153 Date: 10/24/06 Owner: BELLA OCEANA LTD PARTNERSHIP WOODROW DEVELOPMENT 57265 PENINSULA LANE LA QUINTA, CA 92253 Contractor: MCINTYRE POOLS- 83695 AVENUE 45 INDIO, CA 92201 me 0 (760)342-3612 LL�a 44�� Lic. No.: 614611 ------------------ 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. 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 020060333601 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, if I should become subject to the workers' compensation provisions of Section 00 of the Labor Code—I shall forthwith comply with those provisions. Dat cant: c 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 0100,0001. 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 state laws relating to building constru tion, and hereby authorize representatives of this cout enter upon the ab entioned prop yinparposes. e: C nature (Applicant or Agent)iJ Application Number . . . . 06-00003798 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 252.00 Plan Check Fee 163.80 = Issue Date . . . . Valuation . . . . 25000 Expiration Date.. 4/22/07 Qty Unit Charge Per Extension BASE FEE 45.00 9.•0000 ---------------------------------------------------------------------------- -TI -IOU BLDG 2,001-25,000 207.00 Permit 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 33.00 Plan Check Fee 8.25 Issue Date Valuation 0 Expiration Date ." 4/22/07 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 . . . 06-00003798 Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION.. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ------- 7 -- Permit Fee Total 356.00 .00 .00 356.00 Plan Check Total 189.80 .00 .00 189.80 Grand Total 545.80 .00 .00 545.80 LQPERMIT f" # Submittal Plan Sets Structural Coles. Truss Cales. Energy Cales. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE%. Planning Approval Pub. Wks. Appr School Fees Arr,U�.ANT: 00 NOT WRITE BELOW THIS Reed TRACKING Plan Cheek submitted Reviewed, ready for corrections Called Contact Person Plans Oleked up Plans resubmitted 2' Review. ready for corrections/issue Called Contact Person Plans picked up Plans resubmitted Review, ready for eorrections/bsue Called Contact Person Date of permit issue NE PERMIT FEES 3 item I Amount Plan Check Deposit Plan Check Balance Construction Mechanical Eketrieal Plumbinb SALL Grading Developer Impact Fee A.1.P.P. Total Permit Fees i West" City of La Quinta Building et Safety Division P.O. Box 1504, 78.495 Calle Tamp co Permit # U Quints, CA 92253 • (760) 777.7012 1� Building Permit Application and Tracking Sheet Project Address: — ; S Owner's Name: U/ ot-77i 60.etm�-D A. P. Number. Address: Legal Description: City, ST, Zip: -Ac ,��[tA '�� Contractor.M7 G1�T � ,` S ;Telephone: 00— Jr. •.7 ,':`�`^��:: •... - •_I>tr'i`t Address:L fn Project Description: )C City, ST, Zip: :17hl1�jb f 0 a Telephone.. (a A State Lie. # : 6t City Lic. Arch.. Engr., Designer: no-r(sAddress: _City. ST, Zip: 3�41,6,sfimalcd Telephone: Occupancy: �k`''" struction T��; State Lic. �Ype ject type (circle one): New Add'n Alter Repair Demo Name of Contact Person: {�}� L Ft.• N Stories• N Units• Telephone # of Contact Person: 737 - SSimated Value of Pr ject: 2 _ , # Submittal Plan Sets Structural Coles. Truss Cales. Energy Cales. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE%. Planning Approval Pub. Wks. Appr School Fees Arr,U�.ANT: 00 NOT WRITE BELOW THIS Reed TRACKING Plan Cheek submitted Reviewed, ready for corrections Called Contact Person Plans Oleked up Plans resubmitted 2' Review. ready for corrections/issue Called Contact Person Plans picked up Plans resubmitted Review, ready for eorrections/bsue Called Contact Person Date of permit issue NE PERMIT FEES 3 item I Amount Plan Check Deposit Plan Check Balance Construction Mechanical Eketrieal Plumbinb SALL Grading Developer Impact Fee A.1.P.P. Total Permit Fees i