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06-4142 (CONR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number,:' �.-06-=00-0.0-4'1 Property Address: 4310-0 ALM ROYALE DR APN: 609-051-010- - - Application description: NEW COMML - OTHER NON-RESIDENTIAL Property Zoning: - HIGH DENSITY RESIDENTIAL Application valuation: 20590 Applicant:. Architect or Engineer: ------------------ 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 Bu��LlLenseNo.: ode, and my license is in full force and effect. License Class: B 825987 m, -Dater_ Contractar. 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.). (_) 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 ) 1 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: LQPE&NIIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/30/06 Owner: 'DUTCH PARENT NV 38 NEWBURY ST 6TH FL BOSTON, MA 2116 D LM a DEC 0 4 2005 Contractor: � WPM CONSTRUCTION -CA. P CITyOFLAQUINTA 1000 EAST 80TH PLACE #555FIiNANCE DEPT. MERRILLVILLE, IN 46410 (219)680-5000 Lic. No.: 825987 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. _ 1 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 ZURICH AMERICAN Policy Number WC930464404 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 shout ecome subject to the workers' compensation provisions of Section 3700 of the Labor Code I hall forth h ply with those provisions. 'r'Da' l�'L`a106 APPlicanm . 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 perfoimed'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 Ouinta, 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 buildin onstruction and hereby authorize representatives of this c•�ouu yo enter upon the above-mentioned property r i pectin s. Date:� i t'" Sgneture_(ApplicantoiAgent):— Application Number ....-06-00004142 Permit BUILDING PERMIT Additional desc .. POOL CABANA Permit Fee 216.00 Plan Check Fee 140.40 Issue Date . . . . -Valuation 20590 Expiration Date 5/29/07 Qty Unit Charge Per Extension BASE .FEE 4.5.00 19.00 9.0000•THOU .BLDG 2,001-25,000 171.00 Permit ELEC-NEW COMMERCIAL Additional desc . Permit Fee 20.58 Plan Check Fee 5.15 Issue Date Valuation 0 e Expiration Date 5/29/07 Qty Unit Charge Per Extension BASE FEE 15.00 279.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 5.58 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 28.00 Plan Check Fee 7.00 Issue Date . . . . Valuation 0 Expiration Date 5/29/07 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.5000 EA MECH VENT FAN 13.00 Permit. . . . PLUMBING Additional desc . Permit Fee,'. 121.50 Plan Check Fee 30.38 Issue Date . . . . _ Valuation 0 Expiration Date 5/29/07 Qty Unit Charge Per Extension BASE FEE 15.00 11.00 6.0000 EA PLB FIXTURE 66.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 2.00 7.5000 EA PLB WATER HEATER/VENT 15..00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 7.5000 EA PLB OTHER BACKFLOW <=2 INCH 7.50 LQPEILMIT Application Number 06-00004142 Permit . . GRADING PERMIT Additional desc . Permit Fee . . . 15.00. Plan Check Fee .00 Issue Date -Valuation . . . . 0 Expiration Date 5/29/07 Qty Unit Charge Per Extension BASE FEE 15.00 9peeial Notoo,and Commonto FOUNDATION ONLY PERMIT FOR POOL CABANA 279 SF. B OCC. TYPE V -N CONSTRUCTION 3 hi OCCUPANTS. 2001 CBC,CMC,CPC, 2004 CEC, 2005 ENERGY CODES. ci Other Fees .. . . . . . ACCESSIBILITY PLAN REVIEW 14.04 ART IN PUBLIC PLACES -COM 82.95 DIF CIVIC CENTER - COMM 43.52 ENERGY REVIEW FEE 14.04 DIF FIRE PROTECTION -COMM 12.55 STRONG MOTION (SMI) -.COM 4.32 DIF STREET MAINT FAC -COMM 29.57 DIF TRANSPORTATION - COMM 734.32 Fee',summary Charged Paid.. Credited Due Permit Fee Total 401.08 .00 .00 401.08 Plan Check Total- - 182.93 ---:00 __ ._.- - - -:00 182.93 Other Fee Total 935.31 .00 .00 935.31 Grand Total 1519.32 ..00 .00 1519.3.2 LQPEI4\•IIT - - -