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05-2024 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO - - LA QUINTA, CALIFORNIA 92253 Application Number: 6 - �i 2-4 Property Ad'dress: Li cl No.: gju,�,gand t14'1\1— APN: 80310 TORREON WY App lication description: 772-2-50-997-98 -31349 Property Zoning: POOL - RESIDENTIAL Application valuation: LOW DENSIT '-Applicant: Architect or 4, 14 4-Q BUILDING & SAFETY DEPARTMENT BUILDING PERMIT . VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTION& (760) 777-7153 Owner: --------------------------------- TOLL CA V C/O KEVIN D DUERMIT 8901-E MOUNTAIN VIEW 200 Contractor: ------------- ------------------- CALIFORNIA POOLS & SPAS WCC: SEABRIGHT INS WC: BB1050sio . 01/01/06 Lic. No.: --------------- Date: 5/26/05 ------------ 7 ----------------------------------------------------------------------- LICENS� 06LTR CTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION ereby affirm under penalty of perjury that I e provisions of Chapter 9 (commencing with Section 7000) of ir the Business and Pro Code, and M>11� effect. TVLsicense 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 Li cl No.: gju,�,gand t14'1\1— I for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. .te:4W�'.5—C.ntract.r:4 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 OWNERIWILDER DECLARATION insurance carrier and policy number are: I hereby affirrq under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier 656128 10/31/06o'ic mber C8 C27 C29 C53 B "' c m following reason ISec. 7031.5, Business and Professions Code: Any city or county that requires a permit to I certify that, in the performance ol e k r which this permit is issued, I shall not employ any I he construct, alter, impro%�e, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to b�e`com� ubj to the workers' compensation laws of California, om� permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agre kers' compensation provisions of Section I shouldAecome sub' to he wor a that, s lb 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 l5enalty of not more than five hundred dollars ($500).: 37,00 of the Lab rC a Mall forth h c ply with those provisions. ate or �il 4 : pplic.n 1 1, 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, Buiiness and Professions Code: The WARNING: FAILURE TO 0 .. S. COMPE SATION COVERAGE IS UNLAWFUL, AND SHALL SEC Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL 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, 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 am exempt -under Sec. B.&P.C. fo� 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 JSec. 3097, Ci%r. C.). Lender's Name: Lender's Address: LQPERMIT APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restricti ons set forth on this application. 1 . Each person upon whose behalf this application is m ade, 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 ha rmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under & 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 readthis application and state that the above inform i n i correct: I 6agree to.comply with all st city and county ordinances and state laws relating to bu 'Id' construct n,, hereby authorize representatives I of :h:!,�,p7tPter upon the above -mention( d pope f r inspecti n pur ses. - _1 Dq� (Applicant or Ag Application Number . . . . . . 05-00002024 'Permit . . . . . . BLDG POOL PERMIT Additional desc Permit Fee 189.00 Plan Check Fee -122.85 Issue Date . . . . Valuation 17760 Expiration Date 11/22/65 Qty Unit Charge Per Extension BASE FEE 45.00 16.00 9.0000 --------------------------------- THOU BLDG 2,001-25,000 ---------- ------------------------- 144.00 Pei-mit . . . . MECH POOL Additional desc Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date .11/22/05 .Qty Unit Charge -Per Extension BASE FEE 15.00 1.00 11.0000 - --------------------------------------- EA MECH FURNACE >100K 7 -----------L -------------------------- 11.00 Permit . . . . . . ELEC POOL PERMIT -RES Additional desc Permit Fee . . . . 45.00 Plan Check Fee.. 11.25 Issue Date Valuation . . . . 0 Expiration Date 11/22/05 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'. 11/22/05 Oty 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 . .. . . . . WALL/FENCE PERMIT- �QPERMIT Application Number . . . . . 05-00002024. Permit . . . . . . WALL/FENCE PERMIT Additional desc Permit Fee 15.00 Plan Check Fee .00 Issue -Date Val'ation u . . . . 240 Expiration Date 11-/22/0S Qty Unit Charge Per Extension BASE FEE 1S.00 -------------------------------------------------------- Special Notes and Comments 7 -------------------- POOL & SPA ONLY. 15 L.F. 4- EQUIPMENT 13LOCK WALL,, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. Fee summary Charged' Paid Credited Due. ----------------- ---------- ---------- Permit Fee Total 308.00 ---------- .00 ---------- .00 308.00 Plan Check Total 148.8S .00 .00 148.85 Grand Total 456.85 .00 -..00 456.85 LQPERMIT Bin # City of La Quinta Building ff Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 05-202 Proi ect'Address:<M -31() -rC:>gQLCrpA) Vi Owner's Name: -TDZ,� RJPO.S� A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: Crai*emla POOLS tSDqS Telephone: Addre ss: 8ox I -n Project Description: City, ST, Zip: -Telephone: State Lic. # City Lic. 29 wym Z&F Arch., Engr., Designet: Plans resubmitted Address: EV; wa 640,0< Wi+LL City., ST, Zip: Telephone: State Lic. #: Construction Type: Occupancy: Project type (circle one):(S� Add'n Alter Repair Demo Nalne of Contact Person: D4AJ Sq. FL: i �ton` es Electrical Telephone #of Contact Person: Estimated Value ofP'roject:--A9M APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec1d TRACKING PERMIT FEES Plan Sets Grant Deed Plan Check submitted I I Item Amount Structural CaIcs. H.O.A. Approval Reviewed. readv for enrrertinm Plans resubmitted PI.. rk—At I Grading qo Truss CaIcs. Called Contact Person Plan Check Balance Title 24 CaIcs. Plans picked up Construction' Flood plain plan Plans resubmitted Mechanical Grading plan 2 d Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing 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 Total Permit Fees qo