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06-3721 (RPL)fi P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: L-06-00003721 Property Address: 612`75"PORTUUACA"DR APN: 764-280-999-162 -300235- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 21500 Applicant: TUY/ BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: 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 and Professionals Code, and my License is in full force and effect. License Cla : C,lt3 +'� License No.: 866518 Date W Contractor 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: Anycityor 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 1$5001.: (_) 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/24/07 Owner: ADELLLE & RON MONTGOMERY 61275 PORTU A. 922511 � 2001 CA 92241 -0251-8945 Lic. No.: 866518 ------------------ 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 STATE FLTND Policy Number 1837911-06 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 37,00 of the Labor Code, I shell forWwith comply with those provisions. WARNING: FAILURE TO SECURE W6RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,0001. 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 applicatioA, 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. 4 I certify that I have read this application and state that the above information is correct. I agree to comply with all city and countordinances and state laws relating to building construction, and hereby authorize representatives of this countylo enter upon the above-mentioned property,4gp r specgon purposes. Application.Number_ . . . . . 06-00003721 LQPERMIT Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . •225.00 Plan Check Fee 146.25 Issue Date . . . . 10/23/06 Valuation 21500 Expiration Date 4/21/07 Qty Unit Charge Per Extension BASE FEE 45.00 20.00 9.0000 THOU BLDG 2,001-25,000 ----------------------------------------------------------------------------- .180.00 Permit . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date 10/23/06 Valuation. 0 Expiration Date 4/21/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 C% --------------------------------------=----------------------- -------------- Permit . . . ELEC POOL PERMIT -RES -Additional desc''. Permit Fee 45.00 Plan Check Fee 11.25 Issue Date 10/23/06 Valuation 0 Expiration'Date 4/21/07 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 . . . . 10/23/06 Valuation . . 0 Expiration Date 4/21/07 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 5. POOL/SPA ALARMS/BARRIERS SHALL BE IN LQPERMIT LQPERMIT Application Number . . . 06-00003721 ---------------------------------------------------------------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED.ON 1-24-07 CHANGE OF CONTRACTOR TO GARY & SONS January 24, 2007 3:39:35 PM erandall -----------------------'----------------------------------------------------- Other Fees . . . . . . . . . CHANGE OF CONTRACTOR 4.50 Fee summary Charged. --------------------------- Paid ---------- Credited Due Permit Fee Total 329.00 329.00 -------------------- .00 .00 Plan Check Total 172.25 172.25 .00 .00 Other Fee Total 4.50. .00 .00 4.50 Grand Total 505.75 501.25 .00 '4.50 Bin # Permit # oject Address: . Number: Address: 697—(OS 7 City, ST, Zip: �, s Telephone: State Lic. # : Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone # of Contact Person: # Submittal Plan Sets Structural Cafes. Truss Calcs. Energy Calcs. Flood plain plan Grading plan Subcoutactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees - City Of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet V t) v C /j ner's Name: " City, ST, Zip: #/ Ll ti .V elephone: 61 c)Se n, Project Description: 2 e of Cv� 7'c v City Lic. #: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories:# Units: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE I TRACKING. PERMIT FEES submitted 7ItemAmount Reviewed, ready for corrections Deposit Called Contact Person Plan Check Balance Plans picked up Construction Plans resubmitted Mechanical 2" Review, ready for correctionsrssue Electrical Called Contact Person Plumbing Plans picked up S.M.I. Plans resubmitted Grading Review, ready for. corrections/issue Developer Impact Fee Called Contact Person A.I.P.P. Date of permit issue Total Permit Fees 1 y TO': CITY, OF LA QUNTA I ALEX ESQUIBEL OWNER OF ACE POOLS IN INDIO WOULD LIKE TO TAKE MY LICSENSE NUMBER OF A PERMIT. ATTACHED IS A COPY OF THE PERMIT AT THE MONTGOMERY RESIDENTS AT 61275 PORTULACA DR IN TRILOGY. THE POOL IS AT GUNITE AND TO MY KNOWLEDGE NO OTHER WORK HAS BEEN PERFORMED BY MY COMPANY. THANK YOU FOR YOU TIME. ACE POOLS C53-89106. ' i r, r r P.O: BOX 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 Application Number: Property Address: APN: - Application description: Property- Zoning: Application valuation: 06-000.0372.1- -•) 61275-PORTULACAyDR -7 28.0,ti9.99t_1-62'1ZF, 00235 - POOL - RESIDENTIAL MEDIUM HIGH DENSITY RES 21500 Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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. License Class: C53 License No.: 869106 Date: Contractor: 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 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 contractorls) 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 ' 1 hereby affirm urider 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: I,QPERMIT Owner: ADELLE & RON MONTGOMERY VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/19/06 61275 PORTULACA DR LA QUINTA, CA 92253 Contractor: ILI' ACE POOLS �x 42116 PITCHFORK RD ; INDIO, CA 922038 (760) 578-8780 Lic. No..: 869106' 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 STATE FUND Policy Number 22906 _ 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 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 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 ($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. 1 certify that 1 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 authorizerepresentatives of this county to enter upon the above-mentioned property for inspection purposes. . Date: Signature (Applicant or Agent): P.O. BOX 1504 i8-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tity/ 4 4 Q" Application Number: 06-00003721 Property Address: 61275 PORTULACA DR APN: 764-280-999-162 -300235- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 21500 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under revisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professi ode,-6910etmy License is in full force and effect. License Class: C53 License 186 .Date: r"Contractor: OWN -BUILDER ECLARATION I hereby affirm under penalty of perjury at I am exemp a Contractor's State License Law for the - following reason (Sec. 7031.5.,, Riisiness a d -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.). (_ 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(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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/19/06 Owner: ADELLE & RON MONTGOMERY 61275'PORTULACA DR LA QUINTA, CA 9225ol d Contractor: OI T 2.3 2006 ACE POOLS U 42116 PITCHFORK CITYOFL,AQU1NTq INDIO, CA 92203 F1N�(dCLeDE�r (760)578-8780 Lic. No.: 869106 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 "STATE FUND Policy Number 22906 _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person In any rnaimui so as to become subject to the workers' compensation laws of California, and agree that, if Id become sublet workers' compensation provisions of Section rf� 3700 of the Lab Co , I shall forth th comply ith those p ' ions. Date: lV - Applicant: WARNING: FAILURE TO SECURE WORKES' COMP SATIO COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANBTYVIC FINES UP TO ONE HUNDRED -THOUSAND DOLLARS ($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. 21 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. 1 agree to comply with all city and county ordinances and state laws rel ' to building constructio d reby autti rize representatives of this county to enter updn the above -menti rie property for inspe n purposes. Date: IKE Signature (Applicant or gen ' Application Number . . . 06-00003721 j Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 225.00 Plan Check Fee . 146.25 Issue Date . . . . Valuation 21500 Expiration Date 4/17/07 Qty Unit Charge Per Extension BASE FEE 45.00 20.00 _ 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 180.00 Permit . . . MECH POOL Additional desc . Permit Fee. . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/17/07 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 4/17/07 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 pate 4/17/07 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 LQPERMrr Application Number . . . . . 06-00003721 Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. - Fee summary Charged Paid Credited Due ------------------ -------------- - ----- ---------- ---------- Permit Fee Total 329.00 .00 .00 329.00 Plan Check Total, 172.25 .00 .00 172.25 Grand Total 501.25 .00 .00 501.25 LQPERMrr . Bin If City of La Quinta Building u Safety Division Permit ff P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address:— pv f -T UI P} wner's Name: 2UN ,� v`T UMS2 A. P. Number. Address: (1 1 Legal Description: City, ST, Zip: A- 6DU I'/, Contractor: C, t p6c)1 . S � � Telephone: •'�' ' Address:� � +e t� City, ST, Zip:22C',S . , Project Description: (DcX) l Telephone: 5 City Lie. #: State Lie. # (Z9, i 0 (1111z., Arch., Engr., Designer. Address: Construction Type: (J ce- v..J . Occupancy: City,: ST, Zip: Telephone:A State Lic. #: Project type (circle one . w Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: #Units:' Estimated Value of Project: 2 I 5 �- Telephone # of Contact Person: 5 0 of Submittal Req'd. APPLICANT: Recd DO NOT WRITE BELOW THIS LINE TRACKING .. PERMIT FEES ZPlan Sets Plan Check submitted b Item Amount ( Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Pians resubmitted Mechanical Grading.plan 2"' Review, ready for corrections<issue Electrical SubcontactorList Called Contact Person Plumbing . Grant Deed Plans picked up $.M.I. H.O.A. Approval Plans resubmitted . Grading Developer Impact Fee: ; IN HOUSE:- "Review; ready for correctionsrssue Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees ..,..:: ; ::....: •,<.::.: •., ... .:....:: .. ....... . , . .... .. .. Total Permit. Fees .•.: _ LV El ;40 v