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06-3170 (RPL)P.O. BOX 15p4,'',�^� 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: 8/30/06 Application Number: - 06-00003170' Owner: Property Address: 48583 STILLWATER DR WIGGER APN: 658-140-999-128 '-29436 48583 STILLWATER DRIVE Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 22000 D Contractor: 0 Applicant: Architect or Engineer: - CALIFORNIA POOLS & A SEP Q ��++ P.O. BOX 1280 V 200$ COACHELLA, CA 9223 I (760) 398-9222 C1 OF ` Lic. QUI No.: 656128 IV QU1DepTr�4 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjurAaa ensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busfessionals Code, and my License is in full force and effect. License CI s: C8 C27 C29License No.: 656128 - ' Date: tractor: ' WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury exempt from the Contractor's State License Law forthe following reason (Sec. 7031.5, Business and Pro ssions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any s ucture, 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, 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 herown 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 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.). ( ) 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: • � 1 LQPERMIT + ------------------ 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. 1 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 SEABRIGHT Policy Number BB1060510 certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any mann Aro as to become subject to the workers' compensation laws of California, and agree that, if I ho Id become subject to the workers' compensation provisions of Section 3 000 of the L ode, I s forthwith comply with those provisions. ate: 7 G G/ pplica WAR ING: FA LURE TO SECUR RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND,CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000)• IN ADDITION T THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN - SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Applicationis hereby made to the Director of Building and Safety for a permit subject to the conditions and iestrictions 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 inf rmation is correct. I agree to comply with all city and county ordinances and state laws relating to building const ction, and hereby authorize representatives ;ofthisu y t mer upon the above-mentioned property for' p cto purposes. te: / Si ture (Applicant or Agentl: t. LQPERMTT J Application_Number . . . . . 06-00003170 :Permit . . . BLDG•POOL PERMIIT Additional desc . Permit•Fee 225.00 Plan Check Fee 146.25 Issue Date. Valuation 22000 Expiration Date 2/26/07 _ Qty Unit Charge Per Extension BASE FEE 45.00 20.00 9.0000 -------------------------------------------------------------- THOU BLDG 2,,001-25,000 - 180.00 -------------- Permit . . . MECH POOL Additional desc . Permit -Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date 2/26/07 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 2/26/07 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 2/26/07 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 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------=-------7---------------------------------------------------- Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN r Application Number . . . . . 06-00003170 -- - - -- -- --- Special Notes and Comments -PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged, Paid Credited Due ------------------------------------- Permit Fee Total 329.00 .00 -- .00 ---- 329.00 Plan Check Total 172.25 .00, .00 172.25 Grand Total ; 501.25 .00 :00 501.25 " r , LQPERMIT ., .. Bin # Permit # Project Address:'( -/1? -,5 g� !> A. P. Number: Legal Description: Contractor Y,\. Address: 2z 12— City, City, ST, Zip - Telephone: 7 3q� ZZ L_ State Lie. # Z 4 Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone # of Contact Person: # Submittal Re Plan Sets Structural Calcs. Truss Calcs. Energy Calcs. Flood plain plan Grading plan' Subcontactor List Grant Deed H.O.A. Approval INHOUSE: - Planning Approval Pub. Wks. Appr . School Fees City of. La Quinta Building u Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet as t Owner's Name: C -N Gz ez%� S• t Address: City, ST, Zip: Telephone: Q Project Description:��� S�f� 1 7 7_7, _ Lie. #: Total Permit Fees 1 501. Construction Type: Occupancy: Project type (circle one): Add'nAlter Repair' Demo C Sq. Ft.: # Stories: #Units: ©— C C f Estimated Value offroject . ZZ O a G APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACMG . PERMIT FEES ' Plan.Check submitted Item Amount Reviewed; readyor eorrec ' [� Q Plan Check Deposit balled Contact Person Plans picked up 8�.3b . Plan Check Balance ' Construction Plans resubmitted Mechanical 2" Review, ready for corrections/issue Called Contact Person Electrical Plumbing Plans picked up S M.L Plans resubmitted Review, ready for corrections/issue Called Contact Person Date of permit issue Grading Developer Impact Fee A.I.P.P. Total Permit Fees 1 501.