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06-4224 (RPL)*J P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 06-00004224 78035 CORONADOS CIR 646-210-005- - - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 16000 T4ht 4 -4 Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: KEN NELSON 78035 CORONADOS CIRCLE LA QUINTA, CA 92253 Contractor: AMERICAN POOL CONSTRUCTION INC VOICE (760) 777-7012 FAX (760) 777-7011 T 7-60) 777-7153 Date: DEC 112006 :'A'IOFLA 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 (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: 1/+ LQPERMIT 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 ove information is correct. I agree to comply with all city and county rdinances and state laws relating to buil construction, and h by authorize representatives of this cou y t enter upon the above -m ntioned pro for inspe rposes. [e: Si ture (Applicant gent): P.O. BOX 11996 PALM DESERT, CA 92255 (760)340-2588 LiC. No.: 518742 ------------------------------------------------------------------------------------------------- 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 hereby affirm under penalty of perjury one of the following declarations: Section 70001 of ivision 3 of the Business a 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 Cla, 3 1;eertSe No.: 518742 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is !I ,, �� te: Vl Q tracto V '� `� issued. V_. 1 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: 1 hereby affirm under penalty of rjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 0001188-2006 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the. person in any manner so as to me subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State an agree that, if I should be m subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 00 of the Labor orthwith�pmryll*7CRh those provisions. 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 155001.: ate: pplica 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. WARNING: AILURE TO S CUR ORRS'KECOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER T IMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ' and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 (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: 1/+ LQPERMIT 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 ove information is correct. I agree to comply with all city and county rdinances and state laws relating to buil construction, and h by authorize representatives of this cou y t enter upon the above -m ntioned pro for inspe rposes. [e: Si ture (Applicant gent): 1), Application Number . . . . . 06-00004224 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 171.00 Plan Check Fee 111.15 Issue Date . . . . Valuation . . . . 16000 Expiration Date . . 6/05/07 Qty Unit Charge Per Extension BASE FEE 45.00 14.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 126.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/05/07 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 6/05/07 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 . . . . 27.00 Plan Check Fee 6.75 Issue Date Valuation . . . . 0 Expiration Date 6/05/07 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 ------------------------------------------------------------------------=--- Special Notes and Comments . RE -MODEL: NEW GUNITE SPA & NEW . LQPERNIIT I Application Number . . . . . 06-00004224 ---------------------------------------------------------------------------- Special Notes and Comments EQUIPMENT. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 269.00 .00 .00 269.00 Plan Check Total 135.65 .00 .00 135.65 Grand Total 404.65 .00 .00 404.65 LQPERMIT 12/05/2006 14:52 7606749438 � J O2 0 AMERICAN POOL CONST N AIX CD S a a o0 km R °° w d r mail o $t I. PVT i.. T o a ®!©©Q®T D®OND w 0 PAGE 02/03 �j w� CL D 4 �w Al 3 A S PAGE 02/03 AMERICAN POOL CONST PAGE 01/03 438 12/05/2006 14:52 7606749, Bin #City of La Quinta- Building u Safety Division Permit HP.O: BOX. 1$04, 78,495 Calle Tampico ���,►�. La Quinta, CA 92253 -.(760) 777-7012 Building Permit Application and Tracking Sheet FA�- ject Address: ' 01_;S Q 4 (Q Owner's Name: 411 S0 % l ,l/ . Nutnbcr Address: - 'G3f ..,� � A c,,2J Descriptio -p: _ _ city, ST, Zip: L d�--roalif1if-A , (�dy ' , �� 2• $ Contractor. ?Co Address: city, ST,zip:. TelephotiC:'T�p�''��fj'�,. submittal Project Description: �e% .d J' •• State tie. # : city UC, 0: Plan Mck aubkitted Item Amount Arch., F4W , Dcsi$tlt r. Structural Calcs. Revitwed, ready for corrections Platt Cheek Deposit Address: Trus4 Coles. Called Contact Person Platt Check Salancn City, ST, Zip: irntegy Cala. Plaaa.bicked up construction Telephone: Flood plain plan Construction 71YpC: Occupancy: State Lic: #: Grading p[sa• Project typo (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. FL: # Storie77s: # Units: Tolcphonc # of Contact Person: Estimated Value of Projt to Q� i Pions picked up 'APPUCANT.Dd NOT WRITE•8ELOW THIS UNE ILO -A- Approval q submittal Reo'd Wd memo% PF.ItMTrVEES Plan Sets Plan Mck aubkitted Item Amount Structural Calcs. Revitwed, ready for corrections Platt Cheek Deposit Trus4 Coles. Called Contact Person Platt Check Salancn irntegy Cala. Plaaa.bicked up construction Flood plain plan Platta resubtulttcd itfccl�aaical Grading p[sa• 2"t Review, ready [or eorreetiDwosue Electrical Subenntaetor List Called Contact Person Plumbing. Grant Deed Pions picked up ILO -A- Approval Plans resubmitted Grading W HOUSE.- '"' Review, ready for coacctions$iaae Developer Impact Fet Planning Approval Called Contact Person A.LPX. Pub. Wks. Appr Date of permit issue School Fees TatAt r'eroult Feea Y =SL.ANDS' HOMEOWNERS ASSOC2AT=ON NO _ 1 ..................................................................................... • : P. 0.. Box 1271 La Quinta CA 92253 : August 18, 1993 Building and Safety Division CITY OF LA QUINTA P. 0. Box 1504 La Quinta CA 92253 RE: Folquet Residence 78-035 Coronados Circle : Gentlemen: : The Board of Directors/Architectural Committee of Islands Homeowners : Association No. 1 has reviewed plans submitted by Lazlo Sandor for above : referenced home and find them in compliance with the guidelines setforth in the CC&Rs. We have also obtained approval from adjoining neighbors for proposed remodel, and do therefore, have no objections to said construction. : If you have any questions, please contact the office at 564-2177. Yours truly, Edwin F. Steen, Jr. • President by : Anne Tuttle Secretary A:"!*kA:A'A:"A: A:A:A:,k A*,&:A:A*,&*,I�A,i:iA7A�kA,i�i /t`r Cnt