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06-3866 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00003866 1 Property Address: 58033 CARMONA APN: 764-200-006-3 -316811- Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 27000 T4ht 4 4 Q" Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ----------------- ------- ----------------------- ED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury at am nsed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bus' ss d Pro sionals Code, and my License is in full force and effect. License Class: C8 27 C29 License No.: 656128 Date/ i O Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury th I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business a d Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repa any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or he is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with ction 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the b is for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applica to a civil penalty of not more than five hundred dollars 155001: (_) I, as owner of the property, or my empl ees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale ISec. 7044, Business and Professions Code: The Contractors' State License Law does not applytoan 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.). 1 _ I 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: 10/31/06 Owner: BIANCHI RESIDENCE 58033 CARMONA PFNo-vco LAQUINTA, CA 9225312006 Contractor: CALIFORNIA POOLS & SPAS CITY P.O. Box 1280 Fltt COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 ----------------------------------------------- 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 num er are: Carrier SEABRIGHT olicy Number BB1060510 _ I certify that, in the performance of he work for which this permit is issued, I shall not employ any person in any manner so o e subject to the workers' compensation laws of California, and agree that, if I shoul beco a su ' ct to the workers' compensation provisions of Section 370 f the Labor Cod , I shal f rthwi comply with those provisions. Date: 0 Applicant: WARNING: FAILURE TO SECURE WO KER C ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI INA E LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. IN ADDITION TO TH COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTE EST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANTApplication i h r m h it r f Building and Safety for permit subject to the 0 s hereby ode to t�D Director o u g y p 1 conditions and restrictions set forth on this appNation. 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 o this permit. 2. Any permit issued as a result of this app .tion becomes null and void if work is not commenced within 180 days from date of issua su ermit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application ands to th the above' formation is correct. I agree to comply with all city and county ordinances and state laws relnny): ld g cons coon, and hereby authorize representatives of this county toe upon the above-mentir inspe ion purposes. -Dae r Signature (Applicant or A Application Number 06-00003866 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 265.00 Plan Check Fee 172.25 Issue Date . . . . Valuation . . . . 27000 Expiration Date 4/29/07 Qty Unit Charge Per Extension BASE FEE 252.00 2.00 6.5000 ---------------------=---- THOU BLDG 25,001-50,000 -------------------------------------------------- 13.00 Permit . . . MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation 0 Expiration Date 4/29/07 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 4/29/07 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 4/29/07 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 . . . . . 06-00003866 Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 369..00 .00 .00 369.00 Plan Check Total 198.25 .00 .00 198.25 Grand Total 567.25 .00 .00 567.25 LQPERMIT r Bin # City of. La Quinta 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 Perm'# l l U Project Address: _,C�Gs;z Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor:\\ �• Telephone: Address:�o. �© Z Project Description: (7 City, ST, ZipcLQLZZ 3 Telephone: 7039�92Z I?— City Lie. #: 7 State Lie. # : % 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. Fit: #Stories: #Units: Telephone # of Contact Person: p2 �Q— �% C� Z Estimated Value of Project:. 2 -4 o O 0 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec•'d TRACKING. PERMIT FEES Plan Sets Plau.Check submitted 1� Item Amount Structural Calcs. Reviewed; ready for corrections Plan Check Deposit Trans Calcs. Galled Contact Person Plan Check Balance Energy Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading. plan' 2" Review, ready for correctionsfissue Electrical Subcontaetor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O:A. Approval Plans resubmitted Grading IN ROUSE:- ''' Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees