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06-3499 (RPL)4 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: 9/29/06 Application Number: 06-00003499 Owner: Property Address: 81562 RICOCHET WY _ NED LUKE APN: 767-200-999-54 -312022- 81562 RICOCHET WAY Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 .Property Zoning: LOW DENSITY RESIDENTIAL (3 10) 953-1280 Application valuation: 15000 Contractor: (� Applicant: Architect or Engineer: J-SKEEN POOLS SPA WATERFEAT E OCT O 3 2006 P.O. BOX 11349 1 % I 92203 CITY OF (760)760) 766-6- 5554 FINANCEUINTA )l�)� Lic. No.: 878400 DEPT LICENSED CONTRACTOR'S DECLARATION I hereby affirm underpenalty 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 1 License No.: 878400 Date+ C4 3 " 4; Contractor: 1 S bQ 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 fora 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, 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.). (_) 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 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 EXEMPT Policy Number EXEMPT 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 33700 of the Labor Code, I shall forthwith comply with those provisions. Date -13 `v Applicant: 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 1$100,0001. 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 construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for i -pectin pur uses. Date 3_� Signature (Applicant or Agent): r Application Number . . . 06-00003499 Permit . . .. BLDG POOL PERMIT Additional desc . Permit .Fee 162.00 Plan Check Fee 105.30 Issue Date . . . . Valuation, 15000 C� Expiration Date 3/28/07 Qty Unit Charge Per Extension BASE FEE 45.00 13.00 '9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 117.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date 3/28/07 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 3/28/07 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 3/28/07 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 . . . 06-00003499 --------------------------------------------------------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. FUTURE BBQ GAS STUB APPLIANCE APPROVED PER PLAN. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged Paid Credited Due Permit Fee Total 266.00* .00 .00 266'.00 Plan Check Total 131.30 .00 .00 131.30 Grand Total .397.30 .00 .00. 397.30 LQPERMIT v; 1 J3 -1-% Bin # City of La.Quinta Building 81 Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit .# (� J Project Address: ,_ 2,,,- A. P. Number: Legal Description: Owner's Name: Address: 9L-6-6 a c t� City, ST, Zip: tA Ut,J _ Contractor:- -� "� I'C e C ►J o o d P� � Address: - goo ua P, City, ST, Zip: i�21�✓v� �/1 Telephone: Project Description - Pon Telephone: 760 - 7665-.S5-14 - ,q State Lic. # Lion City Lic. #: it Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle New one): Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: '5 OL OF APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec°d TRACKING PERMIT FEES Plan Sets Plan Check submitted q Item Plan Check Deposit Plan Check Balance Amount Structural Cates. Reviewed, ready for corrections Truss Calcs. Called Contact Person Energy Cates. Plans picked up Construction Flood plain plan' Plans resubmitted Mechanical Grading, plan' r. Review, ready for correctionsrssue Electrical Subcontactor. List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''" Review, ready for correctionsrssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees . OCT -03-2006 TUE 09:32 AM DESERTELITE FAX NO. 7607779918 .,'09/26/2006 12:16 FAX 760 862 1210 DESERT MANAGEMENT 09/21/2006 09:00 FAX 780 682 1210 DESERT MANAGEMENT ti r ARCHITECTURAL IMPROVEMENT APPLICATION AND AGREEMENT AATB NAME(S) STRRET A LOCALPRONE OTHMPHONB ' i Approval is requested for the aW vo i>mprovvment aoovrding to do plana attached. We have alteched two (2) seas of plans eutiining the wo* to be done along with a complete description of the materials and colors to be used. If we are Uft a colatractor(s), we euclese copies of the Contractor's lacenrae, Attaobmemb: 1. Tiro copier of the Ambitmbu'al Impsov=mt. Application 2. Two acts of plat» with materials and colors to be ured, Note: One set in for the mauagcment office; the other set to be tettlmad to you as "Approved" 3. Contractor's rAme sud copy of contra wes Bees. (Not required if the improvement iv under 8300.00 or if "Owner -Buil, 4. Bwchwva (2) and/or colot samples of inen'ufaatured products to ,ba used P. 10 '@'00 1 /007 0002/000 We have read the Architectutat Committee Rules and OaideU= said have fumishsd copies to all eontracton to be engaged by us and we agree to comply with those Rules and Guidelines. We also understand that it is var responsibility to insure that our Conuutor(s) eom* with said Rules. We achy owladge that Building Pezmits for home improvements may be required by the City if Indio. The cost ofperrnits, responsiiWity for obtaining thein, and the subsequml kupectious will be our responsibility. In all cases we reoopin the rvyutmme:nt to be in campliance with applicable building codes including, but not hmited to, thuae adopted subsequent to the original completion and acvgtsaoe of our dwelling.