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05-3796 (RPL)P.O. PDX 1504 78-495.CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: C:: 5:57 O:OAU96� Property Address: 47625 STILLWATER.DR APN: 658-140-999-51 -29436 Application description: ' POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 25000 Applicant: Architect or Engineer; 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SE -P 18 2005 --------------------------------------------------- LICENSED C NTRACTOR'S DECLARATION - I hereby affirm under penalty of perjury that I m 'tens d under provisions of Ch ter 9 (commencing with Section 7000) of Division 3 of the Business a ofes ionals Code, and my LF, se is in full force and effect. Licens/e� ass: License No.: ate- 1 Contractor: WNER-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 offeredfor sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to -an -owner of -property -who -build& 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 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: ��LQPERMIT 7-625 STILLWATER A QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 gAHUILLA POOL CONSTRUCTION INC CC: STATE FUND WC: 0010153-2005. 01/01/06 CSLB: 692059 - 07/31/06 Date: 8/26/05 ----------------------------------------------— 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 C53 Policy Number - - - - - - - - - - - - - - - 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 beco a subject to the workers' compensation laws of California, and agree that, if I +=ndPesu ject to the workers' compensation provisions ofSection 700 ofthe Laborrth ith comply with those provisions. D AppliWARNING: FAILURE TO SECURE MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIES 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 no 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 buil ing on ruction, and hereby authorize representatives of this dunty to enter upon the above-mentioned prope fo ins ction purposes. _ Da Signature (Applicant or Agen g Application Number . . . . . 05-00003796 Permit BLDG POOL PERMIT Additional desc . Permit.Fee . . . . 252.00 Plan -Check Fee--.-. 163.80 Issue Date . . Valuation 25000 Expiration Date.. 2/22/06 Qty Unit Charge Per Extension BASE FEE 45.00 23.00 9.0000 THOU BLDG 2,001-25,000 ----------------------------------------------------------------------------. 207.00 Permit MECH"POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue'Date . . . . Valuation 0 Expiration Date 2/22/06 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 2/22/06 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 2/22/0'6 Qty Unit Charge Per Extension BASE FEE 15.00 2._0,0_ ... ....,,- - -6 . A0.00_,EA_, _... .PLB..F.IXTURE . . . ..............-- - , ,. ,_,._.. 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 ONLY. ALARMS/BARRIERS SHALL. LQPERMIT 1 Application Number 05-00003796 Special Notes and Comments BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due Permit Fee Total 356.00 .00 .00 356.00 Plan Check Total 189.80 .00 .00 189.80 Grand Total 545.80 :00 .00 545.80 LQPERMIT 19nnacle Design Compang '14020 ALESSANDRO,SUITE E PALM DESERT, CA 92260 160-340-4529 FAX 160.113.5615 EMAIL:FDCfDFINNACLE-DE5IGN.COM 0~ O f � ` o z lu OL � vW Zt, ale t \vl 0- 71-16 w w _ l(Y- M �• oa • a� o cri�sd� — ,� m Gl r O LA QUINTA - -� BUILDING &SAFETY DEPT. APPROVED F /D-1B.....s c _ 6 _ -_ roc% �� `''� • IVr cry'' , - �_ s , --n0- 777, ov- AA ET bio: D�X1- A-V NORTH SPECIFICATIONS SHEET El BOOK � FOR CONSTRUCTION PROJ. Mr -31R. KA DRAWN: JA y GNEGKED: KA PROJ. NO: X DATE: I1 -ml -(a4 SCALE: REVISIONS: 0 0 0 0 0