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06-2214 (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: 06-00002214 58047 CARMONA 764-200-006-4 -316811- POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 31299 T4ht44Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: DOWNIE 58-047 CARMONA LA QUINTA, CA 922 Contractor: CALIFORNIA POOLS P.O. BOX 1280 COACHELLA,' CA 922 (760)398-9222 Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/31/06 - ------------------------------------------------------------------------------------------ - - - - - - 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 d Professionals Code, and my License is in full force and effect. License Class: C8 C27 C29 License No.: 656128 `Date: T 9 r 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 (5500).: (_ 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 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 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: JA LQPERMIT WORKER'S COMPENSATION DECLARATION 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 carribr and policy number are: Carrier SEABRIGHT 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 come subject to the workers' compensation provisions of Section //'' 3700 of the Labor Co II forthwith comply with those provisions. Date6_(P`6 �tApplicant: 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 (5100,000). 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 thea ov ormation is correct. I agree to comply with all city and county ordinances and state laws relating to buil co tru 'on, and hereby authorize representatives of this county to enter upon the above-mentioned property f m n rposes. Dater 40�__-Z" 'Signature -(Applicant or Agent): Application Number . . . . . 06-00002214 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 297.50 Plan Check Fee 193.38 Issue Date. Valuation . . . . 31299 Expiration Date 11/27/06 Qty Unit Charge Per Extension BASE FEE 252.00 7.00 ---------------------------------------------------------------------------- 6.5000 THOU BLDG 25,001-50,000 45.50 Permit . . . MECH POOL Additional desc . . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/27/06 Qty Unit Charge Per Extension BASE FEE 15.00, 1.00 ---------------------------------------------------------------------------- 9.0000 EA MECH FURNACE <=100K 9.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/27/06 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 . . . . 39.00 Plan Check Fee 9.75 Issue Date Valuation . . . . 0 Expiration Date 11/27/06 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 6.0000 EA PLB FIXTURE 18.00 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 . . . . . 06-00002214 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 31.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 1299 Expiration Date.. . 11/27/06 Qty Unit Charge Per Extension BASE FEE 15.00 8.00 2.0000 HND BLDG 501-2,000 16.00 ----------------------------------=----------------------------------------- Special Notes and Comments POOL/SPA & WATER FEATURE PLUS 60 LF 5' HIGH BLOCK WALL CITY STANDARD Fee summary Charged --------------------------- Paid Credited Due ---------- Permit Fee Total 436.50 ---------- .00 ---------- .00 436.50 Plan Check Total 220.38 .00 .00 220.38 Grand Total 656.88 .00 .00 656.88 LQPERMIT CIryy 4 ofar Y� Fina BztHISafe = :;D•: 4.;.:.nta 'GA.,92253•=. 7G0 .7 ' 1 ! 1 .g'. ..::,: Appiicat�on�and�Tracki�t; . ,;.:.:......:.:..:.:.:.:::.. :.. . . Soh J ddress: 0 C \ Q, ei O A 'P. Nuinbe 7-7 77 r: � ',,Address:, . c AAddress: ::,, } a•, :ta,.,,f;,n•.,\ , PCOJCCt:Descnatio, n , t:Yx .i:;;,c:,,•y� i>t " "Telcphone 7(D 3g92 :State Ltd, # s �� -,>•+•<m �4�' 45''` , . , .:.; _12 1A,� co--7TH kA: .::........ .... . !! . . 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T'lans resnb�tted Grading '� - > y for,correctioas%�ssge . pereloper. t Fee Planning Approval rCalled ContaFt Person {♦l I p p 11 Pie wl. Appr . Y Date of pe m� -issue Schaal Fees .. " �' ';Total Perm.'itFees '