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06-3518 (RPL)P.O.- BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: 'r06-00003518 48171 STILLWATER DR 658-140-999-112 -29436 - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 30260 TAty' C , BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architector Engineer: Owner: BRUCE IWAMOTO' 4.8171 STILLWATER DRIVE LA QUINTA, CA 92253 • . z~ Contractor: MASTER POOLS AND S 73555 HIGHWAY 111 PALM DESERT, CA 92 (760)346-6115 Lic. No.:•238947 . VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/02/06 OCT 0 4 2006 CITY OF LA QUINTA LQPERn1IT -------------------------------------------------- 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 Licens Cla s: C53 License No.: 238947 for by Section 3700 of the Labor, Code, for the performance of the work for which this permit is 1 ; 2 ate:�d 3 i� Contracto f l/ 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 OWNER•BUILDER DECLARATION insurance carrier and policy number are: - I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License Law for the Carrier CLARENDON Policy Number 01KR0033017 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 I shall forthwith comply with those provisions., 700 of taRIMIN4L that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section •7031.5 by 3 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: I, as owner of the property, or myemployees with wages as their sole compensation, will do the work, andthe structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAIL RE TO ERS' 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 EMPLOYERPENALTIES 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. - ,4 - one year ofcompletion, 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, 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 and5punty ordinances and state laws relating to building construction, and hereby authorize representatives of this ount to ter upon•the above-mentioned property for inspection purposes. - Lender's Name: � � ate: ignature (Applicant or Agent l' -rrtiu Lender's Address: _ - LQPERn1IT Application Number . . . . . n6-OO003s�8 ' Permit . - . . . - ' BLDG gooL PERMIT ' Additional deoc . . Permit Fee 284.50 Plan Check Fee.. . ' 184.93 � Issue Date . . . . � Valuation'. . . . 29960 ' ExpiratibuDate . . 3/31/07 - ' ' Qty Unit Charge rer ' Extension ' BASE FEE . 252.00 5.Oo 6.5060 ----------------------------------------------------------------------- THOU aLDo 25,001-50, 000 32.50 eermit . ' ' . . . MECH POOL ' Additionaldeoo . . ' Permit Fee ' . . . 26.00 Plan Check Feel. . 6.50 - Issue Date . ... . � vaIva�iou . . . . O oxpiratfoo Date . . 3/31/07 � 0t}, Unit Charge Per _ Extension ' BAoE FEE 15.00 1.00.. 11.0000 '---`--------------------------------------------------------F------ EA mECH FURNACE >100K 11.00 Permit . . . . . . ELoc eooL eosu«IT-oEf, Additional deac . . Permit Fee . . . . «s.00 Plan Check Fee . . 11'25 Issue Date . - . . Valuation . , . . o - Expiration Date . . 3/31/07 Qty Unit Charge Per Extension ' , 'BASE FEE is. ,00 1.00 30.0000 --------------- r----------------------------------------------- EA o��C �a�n��'�wz�m�mG POOL 3O.00 eermit . . . . . . PL{nmozmG ` Additional deoo . . - Permit Fee . . . . 33.00 Plan Check Fee ' ' 8.25 Issue Date . . . . Valuation . . . . O -- Expiration Date . . 3/31/07 Qty Unit Charge Per - Extension BASE FEE 15. 00 . 2.00 6.0000 EA eLB FIXTURE 12.00 1.00 3.0000 EA rLB vmxrER ZmSz/aLT/REP 3.00 1.00 � 3.0000 ----------------------------------------------_-------------------- EA -PLo GAS rzeE 1-4 0lrrLET8 3.00 ----,----- Permit . . . . . . � ` ' WALL/FENCE eoRMzr _ ' ' ` LQPERMIT \ ` v LQPERn1IT Application Number . . . ... 06-00003518 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue -Date . . . . Valuation 300 Expiration Date 3/31/07, " Qty• Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments POOL/SPA,12 L.F. 6' BLOCK WALL, ORCO SYSTEM. ALARMS/BARRIES SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. Fee summary Charged Paid ------------------------------------- Credited ---------- ---------- Due Permit Fee Total 403.50 .00 .00 403.50 Plan Check Total 210.93 .00 .00 210.93 Grand Total 614.43 .00 .00 614.43 v LQPERn1IT 9-29-06: 4:35PM:Master Pools r ;7607765889 # Owner's Name: 9 A. P. Number -Address: .. ......... o a uInta' �y. C ...'f L 2c?4 :3& L_'c, -T_ X. 'Building 8z Safety Division Telephone: :•v,•;'.:: '::r P.O. Box 1504 . . . . . . . . . . . . .......... . -78-495 Calle Tampico Project Description: C Zip: rp La Quinta, CA 92253 qp Telephon Building Permit Application and Trackinz Sheet . . . . . . . . . . Project Address: lj /7-1 7-) 1- L 0'.4 Owner's Name: 9 A. P. Number -Address: 13 1' _5 '77- 1- ;4 710 Legal Description: 2c?4 :3& L_'c, -T_ City'ST', Zip: 1- 4 iboo,tractor: CF—ILAS S M— Telephone: :•v,•;'.:: '::r . . . . . . . . . . . . Address: Project Description: C Zip: rp E—% F_ It 7 CA • f_-7-6- 0 qp Telephon • . . . . . . . . . . Stale Lic.-ff: Z -_,5M -9-4j 7 City Lic..#: Arch., Engr., Designer. . . . . . . . . . . . . . . Address:. Room ................ .. e -.sr % ..... . . . . . . . . . . --g Telephone: 0, Ms. M Construction Type: Occ Upancy-c. State Lic. . . . . . . . . . . . ect type (circle one): New Add'n Alter Repair Demo;. i4ai7neok'to'p'ta"c"t-P"-e'r's**o'n':-" Sq. Ft.: # Stories: # UILitS: . . . . . . . ... X. . . . . . . . . . . . . . X I.. .............. ;x.•Z, .7 Telephone N of Contact Person: '71 &0__to Estimated Value of Project: -1 ........... I .............. ....... I ......................... I ...... ----------------------------- --- . . . . . . . . . . . . tN . . . . . . . . . . . . ... ....... I . I .. .. ......... ... ... I . .................. M MEK.' ......... U M. _2 MIM" " M IIN 500 K. . . . . . . . . . . . . . . . . ...... :•v,•;'.:: '::r . . . . . . . . . . . . ............... . . . . . . . . . . . . . . . . . . . . . . . .. . .. . ....... § WX MM qp • &M: -.f I •M RNMEW ................ ::....f).•.: . . . . . . . . . . . . . . K.z Room ................ .. e -.sr % ..... . . . . . . . . . . --g MOM 0, Ms. M X0 .,iii 0_ "'M W., N��.,.' M 'i� - R - W MEN ..... . .. • .......... .. . 'tK.M %k. 8111111111. WNW N' .W,g, M*W<Q%ff*W.. x R. -:'M M . M K 'k, . . . . . . . ... X. . . . . . . . . . . . . . X I.. .............. ;x.•Z, .7 X: ...... w. ..... ... X.. . .. ....................................... :X __ T2 . . . . . . . . . . . . tN 500 r} N m co co N r r 0 r jr, 0 0 a m 4J m a U) M 0 m N W 1 5'-2u111PMF LOCATION IC NEW BLOCK EQUIPMENT WALL 11'6°L X 5'W WALL SYSTEM I . I 1 ROCK WAS MAX Sb° TALL 5'1'-b" TO RL Q -y 641 S.F. \ --------------- a------------------------- �Ir�r�� / IJ/�I,4MnTn CITY OF LA QU09VTA .: LANDLLUST A.FURNITURE PCR ILLV5TR,iTION ONLY : z BUILDING & SAFETY DEPT.. NOT INOLLOW—IN:CONTRACT. WITH MASTER r.COLS s WAS .. � -�y+<: ; STEVE Nwetna►aa APPROVED 8Y� FOR CONSTRUCTION L •� 8 m JDA�� BY -&L' }' ROCK WAS MAX Sb° TALL 5'1'-b" TO RL Q -y 641 S.F. \ --------------- a------------------------- �Ir�r�� / IJ/�I,4MnTn