06-2333 (RPL)P.O. BOX 1504 ^' VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT '
Date: 6/09/06
Application Number: 06-00002333 Owner:
Property Address: �48415•-STILLWATER DR IVANHOE LA QUINTA COVE
APN: 658-140-999-122 -29436 - C/O -R BARRY MCCOMTC
Application description: POOL RESIDENTIAL 7979 IVANHOE AVE STE 550' .
Property Zoning: LOW ;DENSITY RESIDENTIAL LA JOLLA,, CA 92037
Application valuation: 23000 D
~ Contractor: IUA� 1 � 2006
Applicant: Architect or Engineer: CALIFORNIA POOLS & SPAS JUN
P.O. BOX 1280
r' COACHELLA, CA' 92236 CITY OP QUINTA
,w�11 (760)398-9222 FIFD�I��
LiC No.: 656128 N
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• LICENSED CONTRACTOR'S DECLARATION e - 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 Busine and Professionals Code, and my License is in full force and effect. _ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C8 C27 C29 License No.: 656128 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
Dat ontractor. �Lhave 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 t\tam exempt from the Contractor's State License Law for the Carrier SEABRIGHT Policy Number - BB1060510
following reason (Sec. 7031.5, Business rofessions Code: Any city or county that requires a permit to - _,1 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 shou 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 L r C s II forthwith 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).: e:� plicant: '
I 1 I, as owner of the property, or my employees with wages as their sole compensatinn, 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 WORK S' 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 NALTIES 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 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. `
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 co my ordinances and stat aws relating to building construc on, and hereby authorize representatives
of this unty to enter upon th ove-mentioned property for inspect urposes.
Lender's Name: t
ate: ature (Applicant or Agent):
Lender's Address:
LQPERMIT
Application Number .
. . . . 06-00002333
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
23.4.00 Plan Check.Fee
152.10
Issue Date . . . .
Valuation .
. 23000'
Expiration Date
12/06/0.6
Qty Unit Charge
Per
Extension
BASE FEE
45.00
21.00 9.0000
THOU BLDG:21,001-25,000
189.00
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--------------------
" Permit
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date
Valuation . . .
. 0
Expiration Date
12/06/•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 .
Fee . . . .
45.00 Plan Check Fee
11.25
'Permit
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
12/06/06
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 Cheek Fee
8.25
Issue Date
Valuation . .
. 0
Expiration Date
12/06/06
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
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Special Notes and Comments
POOL/SPA. ALARMS/BARRIERS
SHALL BE IN
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Total Permit Fees'.