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06-3686 (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: 10/16/06 Application Number: 06-00003686, Owner: Property Address: 6121`6—TOPAZ DR LIZANTI APN: 764-280-999-159 -300237- 61216 TOPAZ DRIVE -Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 "FINANiCEDEPT Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 24000Contractor:Applicant: Architect or Engineer: CALIFORNIA POOLS & SPASP.O. BOX 1280 LA COACHELLA, CA 92236 •'� /� (760)398-9222 nJ/ Lic. No.: 656128 U ENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury tha am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the 'us, Professionals Code, and my License is in full force and effect. License Cla s: C8 C27 C29 License No.: 656128 ate% '? ontractor: \aexempt NER-BUILDER DECLARATION I hereby affirm under penalty of perjury that from the Contractor's State License Law for the following reason (Sec. 7031.5, Business andssions 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 1$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 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 1, 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 _ 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: P LK 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. 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 SEABRIGHT Policy Number BB1060510 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 to become subject to the workers' compensation laws of California, and agree that, if I sh ecome subject to the workers' compensation provisions of Section 3700 of the Labor de, I s all forthwith comply with those provisions. ate: ! pplicant: WARNING: FAILURE TO SECURE WORK S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL W04 NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. 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 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 su h permit, or cessation of work for 180 days will subject permit to cancellation. Icertify that I have read this application and state that ove information is correct. I agree to comply with all city and county ordinances and state laws relating to uildi truction, and hereby authorize representatives of this county to eater upon the above-mentioned pr rty r ins tion purposes. (Applicant or Agent): Application Number . . . . . 06-00003686 Permit BLDG POOL PERMIT Additional desc . Permit Fee . . . . 243.00 Plan Check Fee 157.95 Issue Date Valuation . . . . 23520 Expiration Date 4/14/07 Qty Unit Charge Per Extension BASE FEE 45.00 22.00 9.0000 -------------------------------------------------------------- THOU BLDG 2,001-25,000 198.00 ------------- Permit . . . MECH POOL Additional desc . . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date 4/14/07 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 4/14/07 Qty . Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 -----------------------7----------------------------------------------------- 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 4/14/07 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 Permit . . . . . . WALL/FENCE PERMIT LQPEPA11T Application Number . . . . .. 06-00003686 Permit . . . WALL/FENCE PERMIT Additional desc _ Permit Fee 15.00 Plan Check'Fee .00 Issue Date . . . . Valuation . . . 480 Expiration Date 4/14/07 Qty Unit Charge Per- Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA, 30 L.F. 4' EQUIPMENT WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE-PLASTER.INSPECTION.- Fee summary Charged Paid Credited Due Permit Fee Total 3162.00 .00 .00 362.00 Plan Check Total 183.95 .00 .00 -183.95 . Grand Total 545.95 .0.0 .00 545.95 LQPER 11T l� �-..� tiUALt DA I E I DRAWN ,BY SOLD BY UHEUK %""ti".."" eS ;:. JoE3 REVISIONS DATE a ..... — �. 41 1 5 SELECTIONS ' CONSTRUCTION AUTHORIZATION STONE TILE i '.�.- 4 ',� � - . v P (,! SALES FIELD BOULDERS .�- W - DIG PRE--GUNITE DECK COLOR,..�.. ,. �, .�... UNDERGROUND JANDY PEBB./PLAS-.--.' MASONRY SIGNATURE ,... DECK PRE -PEBBLE DRAINAGE NOTE. Drainage and irrigation for planters and pots, by _- ethers, unless otherwise noted. Bin # i City of. La Quinta Building & Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address:6 \-21(, Z-0�{�2 0,C2— Owner's Name: L,% -Z, b.-� A. P. Number: Address: ^ 6 :2. Legal Description: City, ST, Zip: 1, Qv�ty'C/L Total Permit Fees 01q000 ,-o� 235 L-) Contractor \; vc �• l S Telephone: " Address: % © Z CP Project Description: City, ST, Zipcco- Telephone: %�aD ?jq�% f ZZ Z • � • G'rc ST State Lic. # : 2 City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy* P y State Lic. #: Project type (circle one): Add'n Alter Repair Demo Name of Contact Person: Sq. Ft # Stories: #Units: Telephone # of Contact Person:L C r SD - 5 Estimated 'L LI Value of Project: cr u O APPLICANT: DO NOT WRITE BELOW THIS LINE # *� Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan.Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading. plan 2°a Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. \Vks. Appr Date of permit issue School Fees Total Permit Fees 01q000 ,-o� 235 L-)