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06-1125 (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: 106-0�0001125? T,i'&t 4 stP Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 58265 CARMONA 764-200-006-15 -316811- STRUCTURES OTHER THAN BUILDINGS LOW.DENSITY RESIDENTIAL 5000 FFD Architect or Engineer: .4,IA,J Owner: WERTIN 58-265 CARMONA LA QUINTA, CA 92253 1 20�� Contractor: 2 MAR CALIFORNIA POOLS & SPAS P.O. BOX 1280 �� LJ��BlIIW7A COACHELLA, CA 92236 P1NANCEDePi (760)398-9222 Lic. No.: 656128 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 Class: CB C27 C29 License No.: 656128 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).: (_ 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 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: 3/20/06 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. X 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 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 Cod I shall forthwith comply with those provisions. D t� eApplica 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. I certify that I 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 authorize representatives ofthis county to enter upon the above-mentioned property for in pection purposes. D3te:3/.Z'D Signature (Applicant or Agent):—.-/ ` Application Number . . . . . 06-00001125 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 72.00 Plan Check Fee .. 4_6.80 Issue Date . . . . Valuation . . . . 5000 Expiration Date 9/16/06 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 Fee4.31 Issue Date Valuation . . . . 0 -- Expiration Date 9/16/06 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 .7500 ---------------------------------------------------------------------------- PER ELEC DEVICE/FIXTURE 1ST 20 2.25 Permit . . . PLUMBING Additional desc . Permit Fee 18.00 Plan Check Fee 4.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/16/06 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 BARBEQUE (Z21-58-1995). ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 4.68 Fee summary Charged --------------------------- ---------- Paid Credited ---------- Due Permit Fee Total 107.25 ---------- .00 .00 •107.25 Plan Check Total 55.61 .00 .00 55.61 Other Fee Total 4.68 .00 .00 4.68 Grand Total 167.54 .00 .00 167.54 LQPERMIT Bin # City of, La Quinta Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit d ! Project Address: $ g Z6 Owner's Name: W e A. P. Number: Address: -2 (o Cae O Legal Description: City, ST, Zip: (� '�+Z..s h Contractor 6`� ,�• ` Telephone: _ Address: POS 2 Co Project Description: City, ST, Zip• c? Q, 2— �P l t Z.Z k—S'$— 19 Y Telephone: %fes 39� JZZ Slate Lic. # : Arch., Engr., Designer: City Lic. #: Address: City, ST, Zip: Telephone:Construction Type: Occupancy: Project type (circle one): Add'n Alter Repair Demo State Lic. #: Name of Contact Person: Sq. Ft : #Stories: _T# Units: Telephone # of Contact Person: Estimated Value of Project:.' p p APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACING. PERMTT FEES Plan Sets Plan.Check submitted 3' ( Item Amount Structural Cales. Reviewed; ready for corrections Plau Check Deposit Truss Cales. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction SO-rB Flood plain plan Plans resubmitted Mechanical Grading plan' 2"" Review, ready for corrections/issue Electrical 13- F.xT0W5 Subcontactor List Called Contact Person Plumbing4o rg 1-�{ ouTl�i Grant Deed Plans picked up S.M.I. H.O:A. Approval Phns�bm�ted �� --� _ Grading IN HOUSE:-Rev vr' �i�e�dy"ltd corA�xe�clh Developer Impact Fee Planning Approval Called Contact Person 1 2 t.J A.I.P.P. Pub. Wks. Appr ruts V IVb 1 UU 11011 I Date of permit issue School Fees DATF BY Total Permit Fees GRILL LIGHT STAINLESS STEEL SINK STONE OR TILE (COUNTER 0 0 (D 0 0 PRE=HUNG 74 o o S.S. DOORS LENGTH VARIES FREE-STANDING OUTDOOR KITCHEN - F_ LIGHT GRILL FREE-STANDING OUTDO PROVIDE VENT, WASTE, AND PLUMBING: FOR SINK ON SkPARATE CONSTRUCTION DOCUMENT. I Lf /Zi - CSTUccO OR STONE VENEER )NT -ELEVATION U) ' ui czXZ3 REF. IS I gm, GFII ADAPT mmi=Kt(zvw(z KITCHEN - PLAN # TO FIT APPLIANCES 1/211=1 1-0" . X, 6X8XI6 CMU; GROUT CELLS WITH. STEEL #4 BARS VERT. AT 24" 0. C. (TYP.) [_ucn 'S MAY VARY. clf 'E & REINF. ARE TYPICAL. VARIES GFI OUTLET 81 - LIGHT SWITCH (WATERPROOF) I BBQ: u;v) +cLq e- 1. ANSI BTU 657,000 U. L. APPROVED. of 1-Ntt-S I ANL)IN6 OUTDOOR KITCHEN - FOUNDATION PLAN 1/2"=1'-0" STONE CAP, TILE OR POURED CONC. #4 BAR HORIZ. AT 32" 0. C. (TYP.) 6X8XI6 CMU GROUT CELLS WITH STEEL #4 BAR VERT. AT 24" O.C. (TYP.) . "' 4 72 #, 2-#4 BARS HORIZ'. CONT. 6" VARIES 611 FREE-STANDING STANDI BBQ ISLAND -SIDE - ELEV. Ic F REE -STANDING BBQ - WALL SECTION D 1 (D 1/2"=1 -011t 112"=1'_0