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06-3246 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00003246 Property Address:52165 SHINING STAR LN APN: 1 767 -200 -999 -11 -312022 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 15000 Applicant: Architect or Engineer: i LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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. LicenseClass: C53 LicenseNo.:878400 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 (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).: I— 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 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 , 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.). , 1 _ 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/06/06 Owner: BRAD LUTZ 52165 SHINING STAR LANE LA QUINTA, CA 92253 (760)777=9920 Contractor: SEP 07 2�QC U J-SKEEN POOLS SPA WATERF AT E P.O. BOX 11349 INDTO, CA 92203 CITY OF LAQUINTA FINANCE (760)766-5554 DEPT. Lic, No.: 878400 ------------------ 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 EXEMPT Policy Number EXEMPT 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 Lab ode, I shall forthwith comply with those provisions. ate: 6�G 'cant: C� k�.ei WARNING: FAILURE TO SECUR ORKERS' 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 relating to build' g construction, and hereby authorize representatives ;ofthis county to enter upon the bove•mentioned property or inspection rposes. e: _ S' ature (Applicant or Agent): - -s Application Number . . . . 06-00003246 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 162.00 Plan Check Fee 105.30. Issue"Date . . . . Valuation 15000 F'srnir�tinn T1nta "2/n r./n7 _ Permit . . . "1 Additional desc'. -s Application Number . . . . 06-00003246 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 162.00 Plan Check Fee 105.30. Issue"Date . . . . Valuation 15000 F'srnir�tinn T1nta "2/n r./n7 _ Permit . . . MECH POOL Additional desc'. .-Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/05/7 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 3/05/07 Qty -Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL ---------------------------------- 30.0.0 Permit . . . PLUMBING Additional desc . Permit Fee 33.00 Plan Check Fee ._ 8..25 \ Issue Date . . . . Valuation . . 0_ Expiration Date 3/05/07 _ 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.Q0 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS• 3.00 ' Special Notes and Comments _ POOL/SPA AND 1 GAS LINE & STUB OUT FOR LQPERAI IT - Application Number . . . . . 06-00003246 _-------------------------------------- ---------- ------------- --------------- % Special Notes and Comments FUTURE APPROVED APPLIANCE. ALARMS/BARRIERSSHALL BE IN PLACE AT ' PRE-PLASTER INSPECTION.'EQUIPMENT ' ENCLOSURE NOT INCLUDED J Fee summary Charged ---------- Paid Credited -------------------- Due --------------------------- Permit•Fee Total 266.00 .00 .00 266.00 Plan Check Total 131.30 .00 .00 131.30' Grand Total 397.30 .00 .00 397.30 LQPERMIT d o h P _ s a-16 ,S 1-4/oa/N6-75 �qa QuWA-A cp. Bin # City of La Quinta Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # '' ``11 nn a�w 3 Project Address:' 5'A_14 , Q!a Owner's Name: '-' Address: 65utncv r J City, ST, Zip: A. P. Number: Legal Description: Contractor: - 5 �:�£'!�� 1 SPA Address: t (� g� I� Telephone: 9/9 Sac) 99 `7 Project Description: City, ST, Zip: w -v 0ca CA . Ct a d3 Telephone:: )Z6- ` . - S- - State Lic. # : City Lic. #: f �� Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: AMES S k-e� Construction Type:Cs n.. d ;t Occupancy: C Project type (circle one): New Add% Alta Repair Demo Sq. Ft : p # Stories: F# units - Telephone # of Contact Person: 7 6 o - 7c, C, -mss _ Estimated. Value of Project: % Qdn APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACtMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Pian Cheek Balance- alanceEnergy EnergyCalcs. Plans picked up " Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°' Review, ready for-correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Pians picked up SALL H.O.A. Approval ` Plans resubmitted Grading IN HOUSE:- ''' Review, ready for correctionslissue Developer Impact Fee - Planning Approval Called Contact Person A.LP.P: Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees _ S, Lr,.. CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB ADDRESS S a'- 6:5PERMIT NUMBER OWNER--- S^ted 1_ a?2 BUILDER -� ' SKeeti% P®aL5- SPAS This form shall be posted on the job with the Building Inspection Card at all times in a can place. .Only persons appearing'on. this list or their employees are authorized to work on this job. Any changes to this list must be approved by the' Building Division prior to commencement of work. Failure to comply will .result, in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. Classifica;Trad ntrctorsUcets a,ione ...: . • nsu�ance:'Contractrn , , ' Bus pegse ense:_.:;:: Ct : Company Name Classification le.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date . (xx/xx/xx) License Number' Ixxxx) Exp. Date (xx/xxixx) EARTHWORK (C•121 :: c �'- ��� ^rO���S(�H�-S3. 0 �-3 L- P—x—cery P - _20- CONCRETE (C-8) 7. FRAMING :1P-5).:: STRUCK'. -STEEL IC -51) �- C �� xN c- �3 3 13 i -,� �-� u a - o� - j S MASONRY 1C-29) PLUMBING IC -36) ' n 5 ��L �� l' A C-:5-3 8, 7 • '-/On 5--3 - E. x ce. LAIN: PLASTER (C -351W Ll 5 Z y 36 �`�4 is a a 6. DRYWALL JC -9). 7. HVAC. ELECTRICAL. (CA 0)' :'• . -. P1 EXC 2 Wt J NEET METAL (C. =43)' FLOORING (G�:16l: GLAZING (C-17): INSULATION' (C-21: .; SEWAGE.DISP IC -42), PAINTING IC -3j) 1 CERAMIC-TIIE' (C-54) 9C0 CABINETS IC -6) FENCING (C-13) LANDSCAPING (G27) :.' (lG el'�S r t� (�^ / r7 e / 3 ! 763 (1/3 � � `G��/-� Ah ® © � ff POOL (C-531 Csu ��-z • �' � q -U � � 2NC �^ G` � 3 � t OCT -03-2006 TUE 09:31AAM DESERTELITE FAX,NO, X09/13/2006 14:31 FAX, 760'862 1210 DESERT MANAHMENT 08/22/2006 14:24 FAX Iso est 1210 DESERT MANA®EVENT 7607779918 - P. 02 @ 003/008 ® 003/007 ARCHITECTURAL IMPROVEMENT .APPLICATION AND AGREEMENT • DAVE /3 —c.• t U NAME (s) �.e OPS STREET ADDRBss 2 ; n� ► ^•� s, •� C e� LOCAL PHONE F 1' 9 9 2-. �J7 k OTHER PHONE RBQUESTED IMPROVEMENT NS+/►mac, na s Z- �5 Com c...� c��cic A til t-0.0 K wA_s_= Approval is requested for the above improvement according to the plass attached, Wo have attached two (Z) -sets of plates outlining the work to be done along witb a complete description of the matesiab and colors to be used. ' If we are using a contractor(s), we ' enclose copies of the Contractor's Liaease, Attaclu:sents: 1. Two copies of the Architochual Improv%=t Application 4 2. Two sets of plans with muateriale and colors to be used. Note: One out is for the managammt office; tate other set to bo returned to you es "Approved". , 3, Contractor's name Lmd copy of eoutmotor's -license.' (Not required if the improvement is udder $300.00 or if "Owner Builder"). 4. Brochures (2) and/or color samples of manufactured products to he used, We have read the Arehiteomral Committee Rulea and Guidelines sad have famished copies to all contractors to be engaged by us sad we agree to comply with those Rules and Guidolines. We also understand that it is our responsibility to insure that our Conhictor(a) eoruply,with said Rules, We acknowledge that Building Permits for home improvements may be required by the City if Indio. •1i cost of permits, responnibility for obtaining them, and the subsequent inspections will be our reaponsibility. In all cues we recosrAft the requiement to be to compliance with applicable buildins codes including, but not limited -to, those adopted subsequent to the original completion and aeooptauce of our dwelling.