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06-1857 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T-4wt 4 4 Q" Application Number: 06-00001857'. Property Address: 81154`SANTA ROSA CT APN: 764-270-999-26 -300234- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Fro Application valuation: 50000 Applicant: Architect or Eng i eer BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: MOORE 81-154 SANTA ROSA COURT LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 U MAY 1 01006 Contractor: AMERICAN POOL CONSTRUCTION INC P.O. BOX 11996 ITYOf LA Q TA PAI:,M DESERT, CA 92255 (760)340-2S88 Lic. No.: 518742 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 1 of ivision 3 of the Business a Professionals Code, and my License is in full force and effect. License Cla C 3—Ncense No.: 518742 Da Contract: . 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 _ 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 _ 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 contractorls) licensed pursuant to the Contractors' State License Law.l. (_ 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 Date: 5/08/06 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. 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 STATE FUND Policy Number 0001188-2005 _ 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, ad agree that, if I should become subject to the workers' compensation provisions of Section MINGI.11'11ETOSEC��RE 0 of the Labor Code, I s I forthwith co m I ith those provisions. DatApplican WARKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TOI R VIMA, 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 of 5s;Y*�"%ignature cou y to nter upon the above-mentioned property for ins coon purposate: (Applicant or Agent): / Application Number . . . . . 06-00001857 Permit . . . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 414.50 Plan Check Fee 269.43 Issue Date . . . . Valuation . . . . 50000 Expiration Date 11/04/06 Qty Unit Charge Per Extension BASE FEE 252.00 25.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 162.50 Permit . . . MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 �- Expiration Date 11/04;-'06 Aa 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 11/04/06 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 . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/04/06 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 ONLY. ALARMS/BARRIERS SHALL LQPERMIT Application Number . . . . 06-00001857 ---------------------------------------------------------------------------- Special Notes and Comments ` BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary ----------------- Charged Paid -------------------- Credited -------------------- Due Permit Fee Total 518.50 .00 .00 518.50 Plan Check Total 295.43 .00 .00 295.43 Grand Total 813.93 .00 .00 813.93 LQPERMIT 05/08/2006 12:26 7606749438 AMERICAN POOL CONST PAGE 01/02 Bin # City of La Quinta, Buildinz & Safety Division Permit # M P:O.'BOX ,1504, 78495 Calle Tampico La Quinta; CA 92253 -.(760) 777-7012 06".1 QUI lding Permit Application and Tracking Sheet Project Address:' �Y Owner's Name:�� A. >?_ Number: Legal' Description: Address: Rzz$--rYY�l Contractor: City. ST, Zfp: Tclephone: &- • Address: Project Description: f— city, ST, Zip:. �i4�dy �P ' Telepbone. State I.IC. # : _57City:Llc #: Akb.i ! •. Designer.: Address: City, ST, Zip: Telephone; Construction Type: p�p�n,. State Lie. #: Name of Contact Person: pmjea>yix (circle one): New Add'n Alger Repair Demo Sq.a., # Stories: # Units. Telephone # of Contact Person: ZS Estitnt w Value a pm,: c, .'APPUCANT: DO NOT WRITE-S'ELOW THIS UNE Sabmtttal Req'd Recd IMACKING Platt Sets , Plan Check Submitted �6 * T'Fl(iMTT FEES ]tem Structural CAIc$: Reviewed, feady for correction$ Plan C4cck Deposit ' Amount Truss Cities. Called Cobtaet Person ' - Plan, Check 13AIanCE Energy Calta. Plans.i ickod up Construction blood plain plan Plans resubmitted Mecbanleal Gradiggplau' 2" Review, ready tor'corrections/Isstme Electrical Subeontattor List Called Contact Person ' Plumbing. . Grant Deed flans picked up H.O.A. Approval Plans resubmitted Grading IN HOUSE: -'a Review, ready for eorrectlons/issue • Developer Impact Fee Ylattnlgg Approval Called Contact Person Pub. Wks. Appr Date of perntit issue School Fees Total Permit )Fees NOTES: 316 hlk,e • l•��l.0 Rg@ Ac�,Prw�a o i`LIM w A44 S4,1 O -221- OA kf DET I LS NTA EuJgaw LYK&W - Z4Aj&1Ak �i IJUCTION �a , u YL _ wAL- Urr�� /�Z4rrmA+c-ll ert WALI-5. r IselaNdy G✓h��� -n, zo d7 T_ 1J--- u►,�o o o.. Nje• I.5um o - • AM k f9 c Zee Asee.4 \ o AREA MAP KEY &w Na -3`1zro�2 0+ 13 B V�Lnr 0 k - 17-! r Ro�E . O -221- OA kf DET I LS � lyfy//� �tPTE LIC # 518742 NAX JO*V -10 �9V "00RE AMR 8//'S4� SAN7•R �A2SE GT. - ��''SXza'' V-0 SCALE e" - �, - o• BLOCK. SEC aNIAJ4 3'U M p UTIM POLE p ., MTM WX ® HOSE .W8 •� SEER OWWORAIN F -- •-- -- UTLITY EASEMENT Q age AAAEL ® MDWER -- fL L LK �1 L G4T � AREA ORAS ,� p EV I CAN �— T 1MtTFR f f1TER - at tiET1i�N . & P11C �� . p CAS MEQ O b - cow. m�x;T1oN ice. --+E—E— ELFc & BENCH mac arrF v%LvE ITER TF nPr_ c ae wys 3�. P O. e 11996 Avouarc E�i.Er ®" DEPTH. "TE v�vE MANCAS oww -• aEw►Toa u�ooER S' "" PAULA RT. CA. -� o� . TEL.E. = swrr0i p P TRAP o P GAScRLL (760) 340-2588 ® ELEC. PEDESTAL AccEssc:> 0 RECEPTACLE —3 STUD d CLP!ANC>M c SEE NOTE NTA DEPT. �i IJUCTION �a � lyfy//� �tPTE LIC # 518742 NAX JO*V -10 �9V "00RE AMR 8//'S4� SAN7•R �A2SE GT. - ��''SXza'' V-0 SCALE e" - �, - o• BLOCK. SEC aNIAJ4 3'U M p UTIM POLE p ., MTM WX ® HOSE .W8 •� SEER OWWORAIN F -- •-- -- UTLITY EASEMENT Q age AAAEL ® MDWER -- fL L LK �1 L G4T � AREA ORAS ,� p EV I CAN �— T 1MtTFR f f1TER - at tiET1i�N . & P11C �� . p CAS MEQ O b - cow. m�x;T1oN ice. --+E—E— ELFc & BENCH mac arrF v%LvE ITER TF nPr_ c ae wys 3�. P O. e 11996 Avouarc E�i.Er ®" DEPTH. "TE v�vE MANCAS oww -• aEw►Toa u�ooER S' "" PAULA RT. CA. -� o� . TEL.E. = swrr0i p P TRAP o P GAScRLL (760) 340-2588 ® ELEC. PEDESTAL AccEssc:> 0 RECEPTACLE —3 STUD d CLP!ANC>M c SEE NOTE 05/08/2006 12:26 7606749438 AMERICAN•POOL CONST PAGE 02/02 s 44 Jlli UN WO®© coo • In � ov� c1 Z � -n �� c vi l�c Zm v� —I