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06-2204 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: T-itivl aF4vw 06-00002204 z79967�RANCHO LA QUINTA DR 649-740-007- - - STRUCTURES OTHER THAN BUILDINGS LOW DENSITY RESIDENTIAL 5000 Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: AUDETTE 79-967 RANCHO LA QUINTA DR 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: • 5/30/06 IPe jUlal 012006 CITY OF 1-A QY.11, TA FlfdAt�C� �E�� - - - - - - - - - - - - - - - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — LIC CONTRACTOR'S DECLARATION Iher!by affirm under penalty of perjury that I .ie .sed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busss a r fessionals Coand my License is in full force and effect. License Class: C8 C227�7 C29 ' Lde,icense No.: 656128 ate: yContractor OWN -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, alsu'iequires 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 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 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 WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: • I have and will maintain 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. 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: /r- rier SEABRIGHT P ticy Number BB1060510 I certify that, in the performance of e k for which this permit is issued, I shall not employ any person in any manner so as to b ome's bject to the workers' r,.ompensgrion laws of California. and agree that, if I s Id becom ubje t to the workers' compensation provisions of Section 3700 of the Labor o e, 1 all f t th comply with those provisions. /bate: VLr/frr/ApplicanT WARNING: FAILURE TO SECURE WORKERS' OMPE ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL ND 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, essation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above in orma on is correct. I agree to comply with all city and county ordinances and state laws relating to bui cons ti , and hereby authorize representatives of this cou y to nter upon the above-mentioned prop y or insp ct purposes. 661.e: 5 3 ature (Applicant or Agent), p.W ir- Application Number . . . . . 06-00002204 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 72.00 Plan Check Fee 46.80 Issue Date' Valuation . . . 5000 Expiration Date 11/26/06 Qty Unit Charge Per Extension BASE FEE 45.00. 3.00 9.0000 THOU BLDG ----------------------------------------------------------------------------- 2,001-25,000 27.00 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 17.25 Plan Check Fee 4.31 .Issue Date . . . . Valuation . . . . 0 Expiration Date 11/26/06 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 2.25, ---------------------------------------------------------------------------- Special Notes and Comments BAR -B -Q ONLY Z21-58-1995 Fee summary Charged, -----------=-------- Paid Credited -------------------- Due ----------------- Permit Fee Total 89.25 .00 .00 89.25 Plan Check Total. 51.11 .00 .00 51.11 Grand Total 140.36 .00 .00 140.36 LQPERHIIT 1 �, t.!, .. ::% . . t . .::..::::. . .... ........:.... . ;Bin'# .. E� ,: < - `' *Bul��ing11.8tF4SaFety ®�►utston . , <Permit # P O Box 1t5Qt4, 78` 445 Calle Tampico • 4 �• �/'� La Quetta, CA\92253 (76Q) ,777.=7012. . i:::, i,4, t v s., ul4Ya; ��ryygX\a>---:"t, �, >; :,;: -`� . . ii. 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