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06-1279 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO . LA QUINTA, CALIFORNIA 92253. Tiht " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00001279 Property Address: 54185 EAST_RESIDENCE CLUB DR APN: 775-380-999-23 -31627 - Application description: STRUCTURES OTHER THAN BUILDING Property Zoning: MEDIUM DENSITY RES Application valuation: 1500 JIU Applicant: Architect or Engineer: ------------------- LICENSED CONTRACTOR'S DECLARATION VOICE (760) 777-701.25 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/30/06 Owner: NADADOR, LLC 78120 CALLE ESTADO, SUITE 203 LA QUINTA, CA 92253 n12006Contractor:CALIFORNIA POOLS & SPAS P.O. BOX 1280 ly—FLAQUINTA COAL ELLA, CA 92236 FINANCE DEOT. (760)398-9222 ' Lic. No.: 656128 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. LicenseCllawas/mss: C8 C27 C29 LicenseNo.: 656128 Contractor/ OW ER -BUILDER DECLARATION I hereby affirm under penalty'of perjury that I am exe pt 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 for a 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.). (_) 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 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 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, if I should be me subject to the workers' compensation provisions of Section 3700 of the Labor Code, I``orthwith comply with those provisions. - D O AppIicafSt: _ WARNING: FAILURE TO SECURE WORKERS' OMPENSATION 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 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 co truction, and hereby authorize representatives of this county to enter upon the above-mentioned property pec ' purposes. aD te:t(: � Signature (Applicant or Agert Application Number . . . . . 06-00001279 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 35.00 Plan Check Fee 22•.75 Issue Date . . . . Valuation. . . . 1500 ,Expiration Date 9/26/06 Qty Unit Charge Per Extension BASE FEE 15.00 10..00 2.0000 HND BLDG 501-2,000 20.00. -----------------------7---------------------------------------------------- Special Notes and Comments FIREPIT (AGAL 496). ------------------------------ Other Fees . . . . ---------------------------------------------- . . . . ENERGY REVIEW FEE 2.28 Fee summary Charged --------------------------- ---------- Paid Credited Due Permit Fee Total 35.00 ---------- .00 ---------- .00 35.00 Plan Check Total 22.75 .00 .00 22.75 Other Fee Total 2.28 .00 .00 2.28 Grand Total 60.03 .00 .00 60.03 LQPERMIT Bin City of. La Quints Building U Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico J /, 9 La QuintA, CA 92253.- (760) 777-7012 Building Permit Application and Tracking Sheet Project Address:51-/ lirS �. ,' � Owner's Name: N � � Qv • Qac - A. P. Number: Address: Legal Description: City, ST, Zip: ContractorTelephone: 1\ (�C Yom• S Address: EQ© _ Z Co Project Description: City, ST, Zip • C� Telephone: State Lic. # : Z City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy': State Lic. #: Project type (circle one): Add'n Alter Repair Demo Name of Contact Person: Sq. Ft : # Stories: # Units: Telephone # of Contact Person: Estimated value of Project:' p d APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING . PERMIT FEES Plan Sets Plan.Check submitted Item Amount Structural Cates. Reviewed; ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction T� Flood plain plan Plans resubmitted Mechanical A Grading. plan` 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing ti I A Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Perso w A I.P.P. Pub. Wks. Appr Date of pe. O F LL IN School Fees BUILDING & b l -C I r -s P1 a p IC ; A t- ritCTR ION IIron Total Permit Fees I 1 DATE BY