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07-0406 (CP)P.O. BOX 1504 78-495 CALLE TAMPICO. LA QUINTA, CALIFORNIA 92253 Application Number: 07-00000406. i Property Address: 43100 PALM . ROYALE DR APN: fro Application description: POOL —COMMERCIAL P.O. BOX 1504 78-495 CALLE TAMPICO. LA QUINTA, CALIFORNIA 92253 Application Number: 07-00000406. i Property Address: 43100 PALM . ROYALE DR APN: 609-051-010- - - Application description: POOL —COMMERCIAL Property Zoning: HIGH DENSITY RESIDENTIAL n iirotion %,Aumion: G44Q4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer. --------------------------=-------- --------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I a lice d under provisions of Chapter 9 (commencing with Section 7000).of. Division -3 of the,Business rofession Is Cod , a d my License is in full force and effect. License Class: C8 C53 Lice a 431055 so ..i! omractor:, OWNER-BUILDX DECLARATION 1 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. i 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: Q - Lender's Address: LQPERMIT Owner: DUTCH PARENT NV - 38 NEWBURY ST 6TH FL BOSTON; MA 2116 Contractor: PARZINSKY POOL, INC., P.O. BOX 897 PALM SPRINGS, CA 9226 (760)324-5827 Lic, No.: 431055 PCOL 3 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/06/07 WORKER'S COMPENSATION DECLARATION 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 thispermit 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 0000328-2006 _ 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 t o the workers' compensation laws of California, ' and agree that, if I should'bec subject to workers' compensation.provisions of Section 3700 of the Labor Code, 1 s fo i y wi those provisions. u, ate:>0,15ant: - - WARNING: FAILURE TO SEC RE 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 apermit 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 a above anon is correct. I,agree to comply with all city and county ordinances and state laws relating to b i1 ' g construc n, ereby authorize representatives of this unty to enter upo he above-mentioned pr rty ion prp es. ' ate: ' A-2 ignature (Applicant o Application Number . . 07-00000406 Permit . . . MECH POOL Additional desc Permit Fee . . 26.0.0 Plan Check Fee 6.50 Issue Date Valuation 0 Expiration Date 8/05/07 Qty: Unit Charge Per Extension . BASE FEE. 15.00 1.00 11.0000 EA MECH FURNACE >100K ----=--------------------------------------- ---------------- 11.00. ----------_--- Permit . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . .' 34.50 Plan Check Fee 8.63 Issue Date . . . . Valuation 0 Expiration Date 8/05/07 Qty ..Unit Charge Per, Extension - BASE FEE. 15.00 6.00 .7500 PER ELEC DEVICE/FIXTURE 1ST'20 4.50- . 2.00. 7.5000 EA ELEC PWR APP >1 TO <=10 15.00 Permit . . PLUMBING Additional desc . Permit Fee 27.00 Plan Check Fee 6.75 Issue Date . . . Valuation . . . . 0 Expiration Date .- 8/05/07 - Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 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 Permit . . BLDG POOL PERMIT Additional desc . Permit Fee . . . 459.50 Plan Check Fee 2'98.68 �• Issue Date . . Valuation . . . 600.00 Expiration. -Date 8/05/07 i. Qty Unit Charge Per. Extension. BASE FEE" 414.50 10:00, 4.5000 THOU BLDG 50,001-100,000 45.00 ------------------------------------------ Special Notes and Comments POOL #3 LOCATED NEAR BLDGS.8 & 13. LQPERMIT - .. • Application Number 07-00000406 - ------------------------------- ------.----------'------------------- --`- . Special Notes and Comments ALARMS/BARRIERS SHALL BE IN PLACE AT' PRE -PLASTER INSPECTION. PERMIT DOES,NOT INCLUDE FENCING OR EQUIPMENT WALLS Fee summary Charged Paid Credited Due Permit Fee Total 547.00 .00 .00 -547.00 Plan Check Total 320.56 .00 00 320.56 Grand Total 867.56 00 00 867.56 . `'�' _ —*.� . �� mss■ �i11�i■ ism; v��: r• � �'<��_i��d ` O ,I� , \� �:�- -1=rte:- � / 0�� mA®® ,'`� bio■ ��,� ,I' ♦ � .o°. �.�` �o�. IsomIng ., I MIN MIMM Mediterra Apartmentst.•� � moi► I, ,,�`f:0o � 0i Palm Royale Driv.La Quinta, CA 92253� /14106- I: II O ,,• I e .„ Bin # Permit # Project Address:' V3-/00 A. P. Number: City of La Quinta Building U' -Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, 'CA 92253 -.(760) 777-7012 Building Permit Application and Tracking Sheet Owner's Name: Wpm (:&I. SVV_VC Rn w Address: ChjO C 9,0+1`,Pt , SJl Tom' S'SS /V. City, ST, Zip: r R W I I L U 1 I d Ar - Contractor: R, c a P��z,*J K �L .�sc Address: City, ST, Zip: 4 T I 3 Project Description: e ephone. - A 10 ZI State Lie. # City Lie. #: w � Arch., Engr., Designer: A10 ' ��✓ N m 2 Address: City ST Zip: P I i V. Aw 1DL73 - IFP .2.✓4t' (s � - 3 '(o01C. Telephone: _ �� C y_ Construction Type: O-xupancy: State Lie. #: Project hype (circle one): New Add'r Alter Repair Demo Name of Contact Person:Sq. Ft : # Sto S #Units: Telephone # of Contact Person: 77,) f b i•O �_- ILDING & SAFET'Y DEPT. t 1 . A I W V L4. Notal Permi ! Fees N� �IJC��' G�4itJ FOR CONSTRUCTIOUN DATE BY�� IV Z Estimated Value of Project: , v ;0.p APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd . TRACKING . PERMIT FEES • Plan Sets Plan Check submitted Structural Calcs . Item Amount . Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person . Plan Check Balance Energy Cala Plans picked up Construction . Flood plain plan Plans resubmitted Mechanical q6-A-ra'& Grading.pliin 2" Review, ready for correctionsrmue Electrical 2 SEQ t/lGt?S Subcootactor List Called Contact Person Plumbing MDT Grant Deed Plans picked up- H.O.A. Approval �i?a4t�aS Plans resubmitted Grading IN HOUSE:- Review, ready for.correctionsPissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks.,Appr Date of permit issue School Fees ILDING & SAFET'Y DEPT. t 1 . A I W V L4. Notal Permi ! Fees N� �IJC��' G�4itJ FOR CONSTRUCTIOUN DATE BY�� f n, -3, �7 ,1 ,