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06-0952 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: "`&tv144Q" 06-00000952 54425 EAST RESIDENCE CLUB DR 775-390-999-27 -31627 POOL - RESIDENTIAL MEDIUM DENSITY RES 12000 Architect or '7 P—/ BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -F AR 0 9 2006 En- KY0F AQUM A Pula 19 ®end: 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 ank Professionals Code, and my License is in full force and effect. LicenseClass: C8 C27 C29 License No.: 656128 Contrac/ O NER-BUILDER DECLARATION I hereby affirm under penalty of perjury th71amempt 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).: (_) 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(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 . Owner: NADADOR, LLC 78120 CALLE ESTADO, SUITE 203. LA QUINTA, CA 92253 Contractor: CALIFORNIA POOLS & SPAS 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 [09/06 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 becom subject to the workers' compensation provisions of Section 3700 of the Labor Cade, I s II hwith comply with those provisions. D�eE�pplicaaf WARNING: FAILURE TO SECURE WORKERS' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL ES 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 entt rryu/gyp . the above-mentioned propert r in a tion purposes. Dat 1grfature-(Applicant or Agentl: / Application Number . . . . . 06-00000952 Permit . . . BLDG POOL PERMIT a„ Additional desc . Permit Fee . . . . 135.00 Plan Check Fee 87.75 Issue Date . . . Valuation . . . . 11760 Expiration Date 9/05/06 Qty Unit Charge Per Extension BASE FEE 45.00 10.00 9.0000 --------------------------------------------------------------------==------ THOU BLDG 2,001-25,000 90.00 Permit MECH POOL - 'Additional desc . Permit Fee . . . . .26.00 Plan Check.Fee .6.50 Issue Date . . . . Valuation . . . . 0 - Expiration Date, 9/05/06 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 9/05/06 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 . . . . 27.00 Plan Check Fee 6.75 Issue Date Valuation . . . . 0 Expiration Date 9/05/06 QtyUnit Charge Per Extension BASE FEE 15.00 1.00 --- 6.0000 EA PLB FIXTURE 6.00 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 Permit . . . . ... WALL/FENCE PERMIT LQPERMIT Application Number . . . . . 06-00000952 Permit WALL/FENCE PERMIT Additional desc . . Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 240 Expiration Date 9/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 --"--------------------------------------------------------------------- Special Notes and Comments ----- SPA ONLY. 15 LF 4' EQUIPMENT BLOCK WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. Fee summary Charged, Paid Credited Due Permit Fee Total 248.00 .00 .00 248.00 Plan Check Total 112.25 ..00 .00 112.25 Grand Total 360.25 .00 .00 360.25 LQPERMIT Bin # Permit # O � `Slob Project Address-511- A. ddress:511A. P. Number: Legal Description: Address: �� ©�• 12— C4 City, ST, ZipC4!2)aCk (A t 9 Telephone: %6j, 39 I Zz State Lie.#:�`�j�iZ� Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: Name of Contact Person: Telephone # of Contact Person: # Submittal Plan Sets Structural Cales. Truss Calcs. Energy Calcs. Flood plain plan Grading. plan' Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees City of. La Qu►nta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet " tZ Owner's Name: L Address: City, ST, Zip: Lie. #: Project Description: 65791U1'0,�41-PM4- CJS l/ `/9 IV C4 -Y � o,P z ,QppucgTjo^%5 XAM 11 Total Permit Fees q0 11160 DATA= BY Construction Type: Occupancy: Elm, o Project type (circle one): Add'n Alter Repair Demo Sq. FL: # Stories: # Units: Estimated Value of Project:. % Z, o o C) 50— �� �� APPLICANT: Recd DO NOT WRITE BELOW THIS LINE TRACEING . PERMrr FEES Item Amount Plan.Check submitted 3'8 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 S.M.I. Plans picked up Plans resubmitted Grading Review, ready for corrections/issue Developer Impact Fee Called Contact Person A.I.P.P. XAM 11 Total Permit Fees q0 11160 DATA= BY