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06-1859 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tdy BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00001859 Property Address: 52905 CLARET COVE APN: 770-330-004- - - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 850 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 Business and Professionals Code, and my License is in full force and effect. License Class: BLicenseNo.: 451035 —� Date: b.Contractor: Gj X77 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): (_) 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 _ I 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 ) 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: GILBERT 52-905 CLARET LA QUINTA, CA Contractor: DURRETT CONST P.O. BOX 3371 PALM DESERT, (760)774-4368 Lic. No.: 451 COVE 9225 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 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. x I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor T 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 1744606 _ 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 .37 0 ofthe Labor Code, I shall rtM,_, ply with those provisions. DatQ/ Applicana� 7 �.�'Z WARNING: AILURE 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 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 Quints, 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 will subject permit to cancellation. I certify that I have read this application and state that the above info tion is rect. I agr comply with all city and county ord' antes and state laws relating to building co ryeti y au r' representatives of this coun to ter upon the above -men oned property f nspec ' s. XIV oe Date, ignature (Applicant orIle Application Number . . . . . .06-00001859 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 23.00 Plan Check Fee 14.95 Issue Date . . . . Valuation . . . . 850 Expiration Date 11/04/06 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 2.0000 HND BLDG 501-2,000 ---------------------------------------------------------------------------- 8.00 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 18.00 Plan Check Fee 4.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/04/06 - Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments FIREPIT (AGAL 496) ONLY. (INVESTIGATION FEE ASSESSED PER 1997 UNIFORM ADMINISTRATIVE CODE $304.5 FOR WORK BEGUN WITHOUT BUILDING PERMIT.) ---------------------------------------------------------------------------- Other Fees . . . . . . . . ENERGY REVIEW FEE 1.50 Fee summary Charged Paid Credited ----------------- ---------- Due ----------- ---------- Permit Fee Total 41.00 .00 ---------- .00 41.00 Plan Check Total 19.45 .00 .00 19.45 Other Fee Total 1.50 .00 .00 1.50 Grand Total 61.95 .00 .00 61.95 LQPERMIT Bin # City of La Quinta ' Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # U C_1 Project Address: 4S Owner's Name: /G A. P: Number: Address: Legal Desctiption: p . City, ST, Zip: A Contractor: Telephone: & Address: 4O 13 7 Project Description: City, ST,Zip:egzen ZGI- 3 3 % _67ar22ZZ Telephone: , ?ZA 6 B ^ / 60 coo TCL 4 , 464L q y'6 State Lic. # : O City Lic. #: ZS Arch ngr Designer:— Address: City, ST, Zip: 4 ZZ d O Telephone: Construction Type: Occupancy: i State Lic. #: Project type (circle one . ew Add'n Alter Repair '� Demo Name of Contact Pers on:^^��f Sq. Ft.: # Stories: # Units: Telephone # of Contact Persybti L ; -7 4 - 4A.6 Estimated Value of Project: d APPLICANT: DO NOT WRITE BELOW THIS LINE q Submittal Req'd Recd TRACKING . PERMIT FEES Plan Sets Plan Check submitted `5 Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading. plan Zed Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbin _ 14 av-i (f,TS Grant Deed Plans picked up S.M.I. H.O.A. Approval' Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees CITY OF LA QUINT & SATE Total Permit Fees HrrNUVtU FOR CONSTRUCTION DATE By .0P, K Ref C- A 6 M 40, ,o� 0657 -7 2 62 ro ,M*A) 6106/� 94SAkvlotf � no 2 IG'4s �i� °'� � S�✓ice r-- . CITY OF LA QUINTA BUILDING & SAFETY DEFT. APPROVED FOR CONSTRUCTION DAJt' 0 6 By �7 iL�% �c �Er17 ���i�Cj✓,s'E 0 IM4(A) .