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06-3376 (SOTB)P. BOX 1504 78O 95 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&t!t 4 4'Q" --Appljcation Number: 06-00003376 f Property-Addressi__ 58355 CARMONA APN: 764 -200 -006 -18 -316811 - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 10000 Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I qP licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a fessionals Code, and my License is in full force and effect. License C/la/cgs:C88 CC27 C29 License No.: 656128 Date:Contractor: 1 _ WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am xempt 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.). (_ 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 7.77-7011 INSPECTIONS (760) 777-7153 Date: 9/20/06 Owner: FILICE 58355 CARMONA LA QUINTA, CA 92253 D Contractor: SE � O 2006 CALIFORNIA POOLS & SPAS P.O. BOX 1280 CIN OF LA QUINTA COACHELLA, CA 92236 FINANCE DEPT. (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 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 m#WORKER come subject to the workers' compensation laws of California, and agree that, ie subject to the workers' compensation provisions of Section _ ,700' of the Labhwith comply with those provisions. DaterZ�49r Applicant: WARNING: FAILURE TO SECUROMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP YO 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 in mation is correct. I agree to comply with all city and county ordinances and state laws relating to buildi s nd hereby authorize representatives ofthis co ty to enter upon the above-mentioned propert fo on purp s. Date U Signature (Applicant or Agent): F Application Number . . . . . 06-00003376 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 117.00 Plan Check Fee 76.05 Issue Date . . . . Valuation . . . . 10000 Expiration Date . . 3/19/07 Qty Unit Charge Per Extension BASE FEE 45.00 8.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 72.00 Permit . . . ELEC-MISCELLANEOUS Additional desc . . Permit Fee . . . . 17.25 Plan Check Fee 4.31 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/19/07 Qty Unit Charge •Per Extension BASE FEE 15.00 3.00 .7500 ---------------------------------------------------------------------------- PER ELEC DEVICE/FIXTURE 1ST 20 2.25 Permit . . . PLUMBING SEWER Additional desc . . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 10000 Expiration Date 3/19/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 ---------------------------------------------------------------------------- Special Notes and Comments BBQ & FIREPIT PER APPROVED PLANS ONLY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 7.61 Fee summary Charged --------------------------- Paid ---------- Credited Due Permit Fee Total 164.25 ---------- .00 ---------- .00 164.25 Plan Check Total 80.36 .00- .00 80.36 Other Fee Total 7.61 .00 .00 7.61 Grand Total 252.22 .00 .00 252.22 LQPERMIT • � Z1 Bin # City of. La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 BuildingPermit Application and Trackin Sheet pP g . Permit # Project Address:Z5g, 3sS Com` >Js�- Owner's Name: �- A. P. Number: Address: zSr6'-3 S S . cp-T-,�o Legal Description: City, ST, Zip: CAzA-- Contractor:\" Telephone: Address: :i?o , 4;?S© Z Co Project Description: City, ST, Zip C� . Z 23 Telephone: 765 ST?- ZZ Z- `� �z� P�C-�A�- `l C, State Lic. #: 6,C%7Z City Lic. #: Arch., Eng., Designer: Address: - City, ST, Zip: Telephone: State Lic. #: Construction Type: Occupancy: Project type (circle one): Add'n Alter Repair Demo Name of Contact Person: \^ Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: 1;?_i5©— C`� Estimated Value of Project:. /C-",D0 0 c .'1a APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACKING. PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed; ready for corrections Plan Check Deposit Truss Calcs. Galled Contact Person. Plan Check Balance Energy Cales. Plans picked up Construction [-3 Flood plain plan Pians resubmitted Mechanical Grading plan' 2" Review, ready for corrections/issue Electrical Sub contactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L ILO:A. Approval Plans resubmitted Grading IN HOUSE:. ''" Review, ready for torrectionslissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Apgr Date of permit issue School Fees Total Permit Fees lD Jr+o ba eW'OAB `13U�o �r,J.s L /000 0*Ar4ti l f in.v�L