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05-4394 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application . Number: 0 5- 0 0 0 0 4 3 94 Property Address: 47045—VIA7ANTIBES APN: 643-160-016-142 -26152 Application description: REMODEL - RESIDENTIAL Property Zoning: LOW ,DENSITY RESIDENTIAL Application valuation: 15000 Applicant: T -i4 -4 XP Q" Architect or Engineer: ,DIP BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: _PUCELLI DINO 47045 VIA ANTIBES LA•QUINTA, CA 92253 NOV 0 205 Contractor: POOL CONSTRUCTION SERVICES CITY ofLA(�UWTA 84105 58TH AVENUE p11N"A1NGEQEPT. HERMAL, CA 92274 (760)399-1081 Lic. No.: 838113 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. Licen a Class: C553 ' License No.: 838113 Date: ±L1 A ontractor: '/-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).: (_ 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 Contractors' State License Law does not apply to anowner 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 (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 contractorls) licensed pursuant to the ContractorsState 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: 11/01/05 ----------------------------------------------- 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 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 1830485 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 t> Labor Code, I shall Y, rthwith comply with those provisions. pplicant: /WARNING: FAILURE TO SECURE WO RS' OMPENSATION 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 relating to building construction, and hereby authorize representatives o/f t/h1'Slcounty to enter upon the above-mentioned property fRe p 'on purposes. IDate: 1 � � � � gnature (Applicant or Agent): I - f -LQPERMIT CAS Application Number . . 05-00004394 Permit . . . BUILDING PERMIT Additional desc . Permit.Fee 162.00 Plan Check Fee 105.30 Issue Date Valuation . . . . 15000 Expiration Date 4/30/06, Qty Unit Charge Per Extension BASE .FEE 45.00 .13.00 9.0000 THOU BLDG 2,001-25,000 117.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 17.25 Plan Check Fee 4.31 Issue Date . . . Valuation 0 Expiration Date 4/30/06 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 2.25 Permit . . PLUMBING Additional desc . Permit Fee . . . . 21.00 Plan Check Fee 5.25 Issue Date Valuation . . . . 0 Expiration Date 4/30/06. Qty Unit Charge Per Extension BASE FEE 15.00 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 free standing fireplac and waterfeatureOctober 31, 2005 10:44:34 AM JJohnson ------------------------------- 'Other Fees . . . . . . . . ENERGY REVIEW FEE 10.53 Fee summary Charged Paid Credited Due ------------------------- Permit Fee Total 200.25 .00 00 200.25 Plan Check Total 114.86 .00 .00 114.86 Other Fee Total 10..53 .00 .00 10'.53 Grand Total 325.64 .00 .00 325.64- f -LQPERMIT C City of La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 3 Project Address: D IA S V I A >tl l 1 GF5 Owner's Name: p1/4r3 U COU --1 A. P. Number: ?j — O _ r Address: Legal Description: Go% 29/,S- Z City, ST, Zip: Contractor: 2s. Ccjf,S, . S4cs . Telephone:%J.W,,3 — L 2,0 2 - Address: Address: 5- g p S S<ff 45 Project Description: City, ST, Zip: Telephone: 160 — J 13 — Gu 2.. State Lie. # : k3 Fs I City Lie. #:-- Arch., Engr., Designer: L \ !tEj2� Address: 1'ZO ILII• Tt tS W City, ST, Zip: 7 l ,1 M Gj�- j�� �� Qti�, Telephone: State Lie. #: b 5 b Name of Contact Person: —} V O �- �s��—� Construction Type: Occupancy: Project type (circle one): New' Add'n Alter Repair Demo, Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: 1b0 —3 `] 2_0 Z Estimated Value of Project: F APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING. PERMIT FEES Z Pan Sets er we r'47/ r y� r p Plan Check submitted 7 tem Amount Structural Cales. O Reviewed, ready f corrections Joblo Plan ,Week Deposit Truss Calcs. Called Contact Person Ian Check Balance Energy Calcs. Plans picked up 6 pj Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready f correc io Electrical Subcontactor List Called Contact Person WF /o/11 Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review, ready for correions/issue ()s Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue , Q School Fees Total Permit Fees !0/ z __001 1 �vs is V OU RE.-INSPECT'10 wil I BE CHARGED If SOUS INSPECTION. SITE VUtk-R CONSTRUCTION INSPECTION. N No EXCEPT October 1st - Apra0 Monday -Friday: 00 ILM. to 5:30 P -M 5:00 p.m. Saturday: 8.00 a.m. to None Sunday. Holidays UI60kL fjE-�>l I —_NcE.. Government Code May 1st - September 30th I Friday: 6:00 a.m. � Monday - P 6 *.0xjCN 8:00 a.m. to As sitilrday*- None - Sunday'- V.MAP. HoUdsys'. M-4`� AXVTI�6T F LA QUINTA 0 OF $30 131 LA Q OV u T 13UILDINCG BU k'o PPROVED P 04 =X -AP cU 04 OR C L FOR CcTiON {EDUL DAT E 7r. �84%,nr4 Wqui3Oool P)Ah notes. V covernInVul, - Ki ADEQUATELY V SIZED_DEM UUMMI—R& 7D, �e- beci riLoTt—z4-� .......... ... . . ........... .. .......... .. li - IS REQUIRED ON THE JOB SITE DORRWALI PHASES OF CONSTRUCTION AND MUST BE E 19 1 IED AS NECESSARY FAILURE TO DO SO :­YCA %--..USE THE CITY TO HAVE THE CONTAINER PE I AT THE EXPENSE OF THE OWNER/ Inc. 4Kl( + I wAlk, it f>UAYk-FAt S - a �w CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED CONSTRUCTION AUE" BY ►v'Lf-oS LIS j 9 Z Z 0 0 0� C>::) 0 0 Um o r � Q,