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06-2668 (RPL)t`- P.O. BOX 1504 4 VOICE (760) 777-7012 .78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/13/06 _I Application Number: _ 06-00002668i Owner: Property Address: 54303 AVENIDA JUAREZ POWER FINANCE APN: 774-232-014-3 -000000- P O BOX 134 Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIAL Application valuation: 17000 Contractor: D A Applicant: Architect or Engineer: PICAZO POOLS & SPAS NIA WCC: STATE FUND JUL 13 2006 1pb WC: 1828357-2005 09/01 6 n ^ CSLB: 836900 04/30 08 CITY OFLAQUINTA 1�1 J1_J FINANCE DEPT. ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: _ _ _ __ __ _ ___ License No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is t 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 ISec. 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 ISec. 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. 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 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 C53 Policy Number - - - - - - - - - - - - - - - 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, 1 II forthwith comply with those provisions. .� 0 Date: fi Pplicant:i� lel WARNING: FAILURE TOSECURE 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 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 relatingto building construction, and hereby authorize representatives of this ccoou�n�ty, to enter upon the above-mentioned property f inspection purposes. Date: Signator tpgen �_�,�Q�. Application Number . . . . . 06-00002668 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 180.00 Plan Check Fee 117.00 Issue Date . . . . Valuation . . . . 17000 Expiration Date 1/09/07 Qty Unit Charge Per Extension BASE FEE 45.00 - 15.00 9.0000 THOU BLDG 2,001-25,000 ----------------------------------------------------------------------------- 135.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50, Issue Date . . . . Valuation 0 Expiration Date 1/09/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K ---------------------------------------------------------------------------- .11.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . _ Valuation . . . . 0. - - Expiration Date 1/09/07 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 8.25 Issue Date Valuation 0 Expiration Date 1/09/07 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 - --------------------------------------------------------------- Special Notes and Comments ------------ POOL & SPA ONLY. ALARMS/BARRIERS SHALL LQPERMIT Application Number . . . . . 06-00002668 ---------------------------------------------------------------------------- 3 Special Notes and Comments BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. k' Fee summary Charged Paid Credited Due ---------- ---------- ---------- Permit Fee Total 284.00 .00 .00 284.00 Plan Check Total 143.00 .00 .00 143.00 Grand Total 427.00 .00 .00 427.00 LQPERMIT or ot fk v---5rA/be,.C,K AJCFA 4-ro a W- 7 Mown APPI FW DATE S,,NnVflWING POOL SPECRFICATIONS POOL SPECUICATIONS size: llu XK— surface area:_I(,e�p.erimetcr 2� depths: min --a!i-C—) Max. S,- 0 SPA SPECIFICA'T'IONS size: loo Xsurface area 3_ 3rimeter. dam wall width:_LZL­Iength: spa raised:.& s -liway type: ype:_!JffG�J of jets: notes: . t, EXCAVATION / STEEL type of dig: bcliy access: Q P -E elevation: wall/fence removed by: wall/fence type conc.removal: sod removal. ftwisturn removal: 6"r.b.b. ie 12"r.b.b. — 18"r b.b. surcharge. bench/loveseat: tanning shelf water depth: GUNYTE 6-r.b.b. 12-,.b.b.� _l 3-r. b.b. bench/lovescal: — - - extended 2d step: spa dam wall wid FIT spillway type: -r-% Cs DECX3NG SQ.FT.—BICr4-finish: color. cantilever _expansion joints: steps* type: deck drains: decco-drain: curb core: —sand&visquecn: TILE & MASONRY coping type: CA wrTl3 IF I I spillway typ I L r- 6-r.b.b ' c _7- v- 2"r.b.b. — 18"r.b.b. r.b.b. facing: -T-( L, trim tile: tile type: equipment FLUMBMG & ELECTRICAL plumbing size: fill line: skimmer type: CoA, 'E - gas line: Y S clect.fine: SC heater f size: filter a size*: pool pump: F -L&7) size: 1.904 jet pump: —sin: sub -panel: time clock: GFIC. extra GFIC pool light &; ej� � _spa light' gas stubs: lectshibs- plaster. color. pebble: color. Job address' 7). -1' -:)C- --2 City: scale: I% date: