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06-0779 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c %'4XPQ" Application Number: -06-00000779 Property Address: 58131 CARMONA APN: 764-200-006-10 -316811- Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2000 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 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the taProfessionalsonals Code, and my License is in full force and effect. LicenseClass: C8 C27 C29License No.: 656128 /Date: ac.ntracto :-BUILDER DECLARATION I hereby affirm under penalty of pept from the Contractor's State License Law for the following reason (Sec. 7031.5, Bus 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 15500).: 1 _ I 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 1 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: HORMANN 58-131 CARMONA 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) 7771'7011 INSPECTIONS (760) 777-7153 Date: 2/23/06 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ 1 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 o become subject to the workers' compensation laws of California, and agree that, if I shout ome subject to the workers' compensation provisions of Section 3700 of the Lab/Co e, I hall f hwith comply with those provisions. Dille. Z�Z3"O Applicant: WARNING: FAILURE TO SECURE WOR ERS' 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 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 infor at is correct. I agree to comply with all city and county ordinances and state laws relating to buildi constr ion, and hereby authorize representatives of this county to enter upon the above-mentioned grope r inspec o urposes. Date: Signature (Applicant or Agent): Application Number . . . . 06-00000779 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 45.00 Plan Check Fee 29.25 Issue Date . . . . Valuation . . . . 2000 Expiration Date . . 8/22/06 Qty Unit Charge Per Extension BASE FEE 15.00 15.00 2.0000 HND BLDG 501-2,000 ---------------------------------------------------------------------------- 30.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 18.00 Plan Check Fee 4.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/22/06 = Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments FIREPIT ONLY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 2.93 Fee summary Charged Paid ------------------------------------- Credited -------------------- Due Permit Fee Total 63.00 .00 .00 63.00 Plan Check Total 33.75 .00 .00 33.75 Other Fee Total 2.93 .00 .00 2.93 Grand Total 99.68 .00 .00 99.68 LQPERMIT Bin # 1 City of La Quints Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address:,5'?— 1 \ Owner's Name: A. P. Number: Address: t ( CG Legal Description: Contractor: �• �o S City, ST, Zip: L_C, Telephone: Address:9, cpx (253 inProject Description: City, ST, Zip:Coa b •> U0, 22.3 (p Called Contact Person Telephone:760) S9 !?— 9 2 2 7- Plumbing 223 , State Lic. # : G56 ( 2—,3 City Lic. #: Arch., Engr., Designer: Plans picked up Address: S.M.I. City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: N�il!✓� t� e b5 a Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: OZ Y Y Estimated Value of Project:"— APPLICANT: DO NOT WRITE BELOW THIS LINE Developer Impact Fee Req'd Recd TRACKING PERMIT FEES Called Contact Person A.I.P.P. Plan Check submitted Item Amount l Calcs. rEnergy Reviewed, ready for corrections 'Z/y� Plan Check Deposit lcs. Called Contact Person '�� Plan Check Balance Calcs. Plans picked up Construction in plan Total Permit Fees Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees City of La Quinta Plan Check Corrections Date: 2-21-2006 Project Address: 58-131 CARMONA Project Description: FIREPIT Applicant: CALIF POOLS/SPA - Status: First Review Plan Checked by :Steve Traxel (760) 777-7018 Respond in writing to each .correction below, noting where correction can be found. Return this list and all red -marked plans with next submittal. Revise plans as necessary, reprint and resubmit two complete sets of plans, wet -signed by the person who prepared them. 1. PROVIDE DETAIL FOR TYPE OF CONSTRUCTION 2. SHOW GAS SHUTOFF WITHIN 36" OF APPROVED APPLIANCE .3. SHOW SLEEVED GAS LINE AT ENTRY UNDER STRUCTURE. (PROVIDE DETAIL) . As further information is provided and reviewed, additional corrections may be required. Returned for correction: Required for resubmittal: END CORRECTION LIST Page 1 of 1 A 10 City of La Quinta Plan Check Corrections Date: 2-21-2006 Project Address: 58-131 CARMONA Project Description: FIREPIT Applicant: CALIF POOLS/SPA Status: First Review Plan Checked by :Steve Traxel (760) 777-7018 Respond in writing to each correction below, noting where correction can be found. Retum this list and all red -marked plans with next submittal. Revise plans as necessary, reprint and resubmit two complete sets of plans, wet -signed by the person who prepared them. 1. PROVIDE DETAIL FOR TYPE OF CONSTRUCTION 2. SHOW GAS SHUTOFF WITHIN 36" OF APPROVED APPLIANCE 3. .SHOW SLEEVED GAS LINE AT ENTRY UNDER STRUCTURE. (PROVIDE DETAIL) As further information is provided and reviewed, additional corrections may be required. Returned for correction: Required for resubmittal: END CORRECTION LIST A/o .404G4710,0 5*.A a, rAlvAriod 0 Page 1 of 1 N 71—e� Ade,ck- Rod '-Car-:C S0L-j I MMENDED,Y.