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06-2522 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-000025221 Property Address: 60741 OROURKE CIR APN: 764-270-999-14 -300231- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 31500 Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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: C53 LicenseNo.: 238947 A C3f� Dat4.---'; 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 _ 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, 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(sl 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 Owner: . ELAYNE RAIL 60741 O'ROURKE_ CIR LA QUINTA, CA 92253 Contractor: MASTER POOLS AND SPAS 73555 HIGHWAY 111 PALM DESERT, CA 92260 (760)346-6115 Lic. No.: 238947 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/26/06 --------------------------------- -------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 0014573-2005 _ 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, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shag. forthwi comply with those provisions. Date ApplicanT WARNING: FAILURE TO SEC WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER T 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 of this county to enter upon the above-mentioned property or inspection purposes. Date::: Signature (Applicant or Agent) Application Number -06-00002522 Permit BLDG POOL PERMIT 'Additional desc : Permit Fee' . . 297.50 Plan Check -Fee 193..38 ; Issue'Date Valuation 31500 -Expiration Date 12/23/06 , Qty Unit Charge Per Extension BASE FEE 252.00 7.00 6.5000 THOU BLDG 25,001-50;000• 45.50 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/23/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.'0000 EA MECH FURNACE <=100K 9.00 Permit ELEC POOL PERMIT -RES ' Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date Valuation . . . . 0 Expiration Date 12/23/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.0'0 Permit PLUMBING Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . 0 Expiration Date 1.2/23/06 ' - - Jr/CC:1 Cl 1, LVV l.CS cL11U I.VIIIIIICll L.75 POOL/SPA ALARMS/BARRIERS SHALL BE IN LQPERMIT - - Application Number 06-00002522 -----Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION EQUIPMENT.ENCLOSURES INCLUDED. Fee summary Charged - - Paid %Credited Due ----------------- Permit Fee Total 399.50 00 .00- 399'.50 Plan Check Total 218.88 .00 .00 218.88 Grand Total 618•.38 .00 .00 618:38 L # 68899LL09L'. slood J9aSeV\I!V4cJ£IE:: t !90-9z-9 M Otypf'La ,Quinta.' a Safety Division P.O. Box 1504 --78-495 Calle Tampico - La Quinta, CA 92253 Building Permit Application and Tracking She6t Project Address: 0'40 U,9 K-07 C:i P Owner's Name: L A YN Rlf L A. P. Number: Address: Legal Description: City,ST, Zip: L 4 Q V/t-4 7;* Contractor: MC Telephone: reg_' Project Description: toe, e EC-1-1 kcT A• I f_24, 10 Telephone State Lic.- City Lic. #: Arch.. Engr.. Designer: % Address:. City. ST.Zv'.. Telephone: X: X v., .......... .. Construction Type: Occupancy: :\°., I x • State Lic. Project type (circle one): New Add'n Alter Repair Demo Name 6 . f Contact I Perso, n:q. 'S F�,: # Stories: mnits. Telephone Wof Contact Person: -60-- t IS_ Estimated Value of Project: *!X W S TW .. .... 10 al GO If 11 11 -A M r. . n'X z1% ...........•......... I .............. .. .%.... ..... ai . . . . . . . . . . . . U, ............ . J 0-i-i.M ............. ;,2• .... ...... 3 X X 0. "M -3�� \.(„- igj, NA-1 W, M W ...........is x0'.v. .R. U U, H, U, �110 X X.X .... ...... -g i'M ft: ....................... ... xn W ........... .. .... ..... . . . . . . . . _X -.0 'M M 0 W IX IkR N N'.Ex. iiiiii:iM: ....... X. ....... X: g, 0111 I-- wX A,t-X ..... ......... i �5,777*777 L # 68899LL09L'. slood J9aSeV\I!V4cJ£IE:: t !90-9z-9 M % l I A RE -INSPECTION. FEE OF $30 CITY OF IA Q, NTA ILL BE CHARGED IF THE APPROVED BUILDING AFETY EPT. LANS:AND JOB CARD ARE NOT ON :FOR PP OVIE� HE SITE FOR A SCHEDULED CON TRUCTiO SPECTION. --------- ---------- DA y (� NO FXGERTIONS-1 JJ� o -111 ' O --------, wouvx�l . MCI I� MASIER PM&SMO Designers & Bu Ilaws since 1858 S 73655 F( .Y 117 /JwanS Slapph0 Cancer P -h Dema, Glf w 97200 (700)340.0115 � 9mm Lmene �Cl0.t5Bi4) r $ ELAYNE RAIL z n ¢ 60-141 O'ROURKE GIR LA GUINTA, CA. q=55 z TRILOGY i ,Z� /Z # - 688S9L.L09L' - - stood .Ja�se(nl.: (yd££ b :90=9Z.-9