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06-2343 (RPL)♦�l P.O- BOX 1504 ._ ^' VOICE (760) 777-7012 4400 78-495 CALLE TAMPICO FAX (760) 777-7011 LA.QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT _ Date: 6/12/06' Application Number: '.06-00002343 Owner: Property Address: 481:23- STILLWATER DR IVANHOE LA QUINTA COVE APN: 658-140-999-110'-29436 - C/O R BARRY MCCOMIC Application description: POOL - RESIDENTIAL 7979 IVANHOE AVE STE 550 , Property Zoning:- LOW DENSITY RESIDENTIAL LA JOLLA, CA 92037 Application valuation: 23000 J Contractor: JUN l q Applicant: Architect or Engineer: CALIFORNIA POOLS & SPAS f V 5 2006 P.O. BOX 1280 COACHRT,LA, CA 922 36 CITY OF LA QUINTiq '1 (760) 398-9222 FINANgjgDE Lic. No.: 656128 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 d 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: C8 C27 C2 License No.: 656128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is / issued. ate �• ontractor: 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 WNER-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 forthe - Carrier SEABRIGHT Policy Number BB1060510 - 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 shout 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 Cod shall forthwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7631.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: D plicant: ' (_) 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 WARNING: FAILURE TO SECURE WORKE ' COMPENSATION 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 (_ 1 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 request and 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, (_ 1 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 ab a information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances andstate laws relating to building nstruction, and hereby authorize representatives of this c nt to en, upon t above-mentioned pro ection purposes. , Lender's Name: _ D - ' ature (Applicant or Agent): Lender's Address: LQPERMIT - LQPERMIT Application Number 06-00002343 Permit BLDG POOL PERMIT Additional desc . Permit Fee 234.00 Plan Check Fee ". .152-.10 Issue Date . . . . Valuation . . . . 22632 Expiration•Date 12/09/06 Qty Unit Charge Per Extension BASE FEE 45.00 21.00 9.000-0 ------------------------------------------ THOU BLDG 2,001-25,000 ---------------------------------- 189.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/09/06 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 3.75 Issue Date Valuation 0 Expiration Date 12/09/06 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 12/09/06 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 Permit WALL/FENCE PERMIT Application Number . . . . . 06-00002343 Permit . . . WALL/FENCE PERMIT , Additional desc . Permit Fee . . . . 15.00' Plan Check Fee" .00 Issue Date -" Valuation 368 Expiration'Date 12/09/06 Qty Unit Charge Per Extension BASE FEE 15.00 ------------- Special Notes and Comments POOL/SPA, 17 L.F. 54" EQUIPMENT WALL, CITY STANDADRD ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. Fee summary Charged Paid Credited Due Permit. Fee Total 353.00. .00 .00 3E`.-00 Plan Check Total 170.60 .00 .00 170.60 Grand Total 523.60 .00 .00 523.60 —a i e c __.__ __ __ ___ __ —__ ___ r; : r City of La' Qurnta ;'Butlding Safety, Division �PePmlt # � P O Box 1504, 78 f4Q5 Calle Tarnp012ico ;. u= la 51 u�nta,,_CAQ2253 777 7 g dPermit, ln Apphcatlon -and Tracking Sheet - �. k, � ~-� �T.\ �i w�-E•ec : �� 'Owner's Name Address: Legal"D�escrtpton; - ... ' ' t� Zip: Contraetor.�\ . Telephone i Address77 Protect Description:- , z \ F y - �Ctty; ST, zip { � CJS• � `� , ��+��;��,yT��:U� � �� CLQ• � r;;.� ��Zr23 ; Tele hone x.fi ' �•St"a� teaLtkcF�'# . �t ,�_�sl�Z �". `h # , 1 CityLtc T , iiTy 1�1 ). . Rich «' Engr Dest Address t.r City ST, Zip•. - - Telephone 4 Construction Type Occupancy: ' ,r:.• - State�Ltc # - .Project type_(circle one): Add'n. Alter Repair" Demo'• ' ' �. i'Name'of Contact Pers ''' ` On 1 Asx suaan Mtie, OSq Ft : #Stories # Units: �Telephone�ti#iof Contact Person, p2' j � L� C��- «� - Estimated Value of Pro ect: 2 �LS�a p C APPLICANT DO`NOT WRITE BELOW THIS LINE , `Reed #`'iSubmittal Req'd TRA CHIN G. 'PERMIT FEES • : ,::,. PIan,Sets PIan.Check submitted ' Item Amount Strtt¢turaCCalcs i Reviewed, ready for corrections Plan Check Deposit ` ikbTruss Calc's - ~ `"Galled Coutatt Person . �' Plan Check Balance" Energy Calcs.. Plans picked up Construction • � Floodrplatn plan ?Plans resubmitted Mechanical :G"' -di ; 2 "Review, ready for corrections/issue Electrical Subcontactor List -Called Contact Person Plumbing .` G'fant Deed Plans picked up S:M.L HOA Approval Plans resubmitted Grading Developer Impact Fee Review; ready for corrections/issue ' Planning Approval Called Contact Person .,., A.LP.P. :Pub Wksc.Appr,. Date "of permit issue , 'School Fees'. . Total Permit Fees