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06-3312 (RPL)3 P.O. BOX 1504. 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 - Application Number: 06-600033.12 Property Address:. 57795 SEMINOLE DR APN: 762-380-015- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 20000 Applicant: Ir Architect or Engineer: BUILDING &SAFETY DEPARTMENT BUILDING PERMIT - . Owner: HARLEM SIMS 57795 SEMINOL DR LA QUINTA, CA 92253 (310)902-4042 f Contractor: D, L A POOL AND PA O 1455.E. SUNNY D PALM SPRINGS, CA 92 (760)318-0075 Lic. No.: 731159 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: _ 9/19/06 1 D SEP lg Zp�6 ROAD '—.4M4A' -------------------------------------------------------------------------------------------------- • 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 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: B-053 License No.: 731159 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ;Da te: 9 Contractor:: _ " ..41 � �iVAI .��� (� issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor t --I 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: - I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier GOLDEN INS Policy Number 184584106 - 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 become 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 and agree that, if I should become 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 3700 of the Labor Code, I shall orthwith comply with 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 ($500).: ��Q Date 4 /� Applicant: (_) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and ' - e 1 the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' C9M ENSATION 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 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.). - APPLICANT ACKNOWLEDGEMENT I, as owner of the property, am.exclusively contracting with licensed contractors to construct the project (Sec.. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. - property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed - 1. Each person upon whose behalf this application is made, each person at whose, requestand for • pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. B.&P.C. for this reason 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. ' Date: Owner: - 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 - CONSTRUCTION LENDING AGENCY - permit to cancellation. - - I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ..C.). - city and county.ordinances and state laws relating to buildipg construction, and hereby authorize representatives of this county to enter upon the above-mentioned property or inspection urposes. Lender's Name: Date: Signature (Applicant or Agent): Lender's Address: _ LQPERMIT Application Number . . . . . .06-00003312' Permit . . BLDG POOL PERMIT Additional desc . Permit.:.Fee I. . 207.00 Plan Check Fee 134.55 Issue Date . . . . Valuation . . . . 20000 Expiration Date 3/18/07• Qty Unit Charge Per Extension BASE FEE 4-5.00 18.00 9.0000 THOU BLDG-2,001-25,000 ---------------------------------------------------------------------------- 162.00 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date Valuation 0 Expiration Date '. 3/18/07 Qty Unit Charge Per Extension BASE FEE 15.00 _)1.00, 11.0000 EA MECH FURNACE >100K ------------------------=---------------------------------------------------- 11.00 Permit . . . ELEC POOL PERMIT-kES Additional desc . Permit Fee . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 - Expiration Date 3/18/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.000,0 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 3/18/07 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 ALARMS/BARRIERS SHALL BE.IN LQPERMIT Application Number .- . . . 06-00003312 ---------------- Special Notes and Comments PLACE -AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged ------- Paid Credited Due ----------------- Permit Fee Total 311.00 :00. .00 311.00 Plan.Check Total 160.55 .00 .00'" 160.55 - Grand Total 471.55: .00 .00 471.55 - - i 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 # jJ,2 U. Project Address: Owner's Name: A. P. Number: Address: c �r a Legal Description: City, ST, Zip: Contractor. G S- � � � G , Telephone: yr k 3 it S� Address: 141Y_5__6 y0, Project Description: City, ST, Zip: o '� Telephone: State Lic. # : ; -'79 It rJ City Lic. #: Arch., Engr., Designer: Cj� .. ! l AM Nom % �, ift�.S 2 -I' Address: City, ST, Zip: Telephone: I'"J - � �' '� ' - Construction Type: Occupancy: State Lic. #: � Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: 0. j1V jr'— 7 ,3%J'Qo7 f Estimated Value of Project: .2_O J(JlJ, u u APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACHING PERMIT FEES Plan Sets Plan Check submitted L Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cities. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan' 2.1 Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 1rd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees License Detail California Home Page 1 of 2 License Detail CALIFORNIA CONTRACTORS STATE LICEN. Contractor License # 731159 DISCLAIMER A license status check provides information taken from the CSLB license data base. Before on this information, you should be aware of the following limitations: . CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below. Click on the lin button to obtain complaint and/or legal action information. . Per B&P 7071.17, only construction related civil judgments reported to the CSLB are disclosed. . Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. . Due to workload, there may be relevant information that. has not yet been entered ont Board's license data base. Extract Date: 09/1.3/2006 * * * Business Information * * * L A POOL AND PATIO 12400 VENTURA BLVD #236 STUDIO CITY, CA 91604 Business Phone Number: (818) 386-0020 Entity: Sole Ownership Issue Date: 01/09/1997 Expire Date: 01/31/2007 :. I * * * License Status This license is current and active. All information below should be reviewed. * * * Classifications * * * Class Description © GENERAL BUILDING CONTRACTOR C53 SWIMMING POOL * * * Bonding Information * * * CONTRACTOR'S BOND: This license files. Contractor's Cash Deposit T150241 in the arr $10,000!on file with CSLB. Effective Date: 10/31/2005 http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Deta*il.asp 9/13/2006 License Detail ' ' l Page 2 of 2 Contractor's Bonding History. * *.* Workers Compensation Information.* *.* This license has workers compensation insurance with the STATE COMPENSATION. INSURANCE FUND Policy Number: 1845841 Effective Date: 04/15/2006 Expire Date: 04/15/2007 Workers Compensation History ' Personnel List License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request , © 2006 State of California. Conditions of Use Privacy Policy 1 r 1 i • F i I- c ' • • I t • r http://www2.cslb.ca.gov/CSLB_LIBRARY/License+De'tail.asp 9/13/2006 • air'.. /• I ��• �.�1,� , y� `, � :��;(�, _ ' , '•�.,._ ��y�! t:�,e•' �°"�`�K= ':�i�-.,;i ,�i�"���t, j}, �.a�..:�•:� '{-"�"'s�cc`�" '�� `'"-�""e1 �w3'+ � _ - j, y^b I s. 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APPR ED FOR fONST UCTION DA u;:? '!"r';{f 7' N, P:4" a' v� , J • }.. ' .t,;:.