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06-1594 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00001594 Owner: Property Address: 53510 DEL GATO DR FIRESTONE APN: 770-'370-001- - - 53-510 DEL GATO DRIVE Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL D Application valuation: 30000 MAY® Contractor: Applicant: Architect or Enginee . FAMILY POOL CONSTRUCTION + P O BOX 283 LA QUINTA, CA 92247 (760) 564-3655 Lic. No.: 658996 I hereby affirm under penalty of pe Section 7000) of Division 3 of the / Date✓ - I I Contractor: CONTRACTOR'S DECLARATION psed under provisions of Chapter 9 (commencing with essionals Code, and my License is in full force and effect. M License No.: 658996 ONER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am Aempt 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 1$500).: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure isnot 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.). I—) 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) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/20/06 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� 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 1344032-06 I certify that, in the performance the worpor which this permit is issued, I shall not employ any person in any manner so as tb4pwrersubject to the workers' compensation laws of California, and agree that, if I should b subject to the workers' compensation provisions of Section 3700 of the Labor Code, rthwith comply with those provisions. D�te Applicant: / WARN G FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENH TIES 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 w commenced within 180 days from date of issuance of suc a it, or cessatio ork for 180 days will subject permit to cancellation. I certify that I have read this application and state that the o ormation is correct. I agree to comply with all city and unty ordinances and state laws relating to buildi co truction, and hereby authorize representatives of th' o n o enter upon the above-mentioned prope s ection purposes. D e: Signature (Applicant or Agent) Application Number . . . . . 06-00001594 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/17/06 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 . . . . 15.75 Plan Check Fee 3.94 Issue Date . . . . Valuation . . . . 0 _. Expiration Date 10/17/06 Qty !Unit Charge Per Extension BASE FEE 15.00' 1.00 --------------------------------------------------- .7500 PER ELEC DEVICE/FIXTURE 1ST ------------------------- 20 .75 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 284.50 Plan Check Fee 184.93 Issue Date . . . . Valuation . . . . ' . 30000 Expiration Date 10/17/06 Qty Unit Charge Per Extension BASE FEE 252.00 5.00 ------=--=------------------------------------------------------------------ 6.5000 THOU BLDG 25,001-50,000 32.50 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee. 45.00 Plan Check Fee 11.25 Issue Date . . Valuation 0 Expiration Date . .' 10/17/06 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 9.75 LQPERMIT Application Number . . . ... 06-00001594 Permit . . . . . . PLUMBING Issue Date . . . . Valuation . . . . 0 Expiration Date .., 10/17/06 : 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 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 21.00 Plan Check Fee 5.25 Issue Date Valuation . . . . 0 Expiration Date 10/17/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL, SPA & FOUNTAIN. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due --------------------------- Permit Fee Total ------------------------------ 425.25 .00 .00 425.25 Plan Check Total 221.62 .00 ..00 221.62 Grand Total 646.87 .00 .00 646.87 LQPERMIT