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06-2443 (SOTB)- I W P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT r I . Application Number: 06-00002443 Property Address: 81271 -STONE CROP LN APN: 764-27.0-999-69 -300233- Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: . . 5000 . Applicant: Architect or Engineer: A�VK LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business andierofessionals Code, and my License is in full force and effect. License Class C8 C27 C29 LicenseNo.: 656128 �te: ontractor: Oampt ER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am from the Contractor's State License Law for the following reason ISec. 7031.5, Business and Profons 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 ($500).: (_ 1 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" 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.). (_ 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: LQPERAITT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/19/06 Owner: SOLOMON 81-271 STONE CROIP LN LA QUINTA, CA 92253 D D A Contractor: CALIFORNIA POOLS & SPAS JUN 20 2006 P.O. BOX 1280 COACHELLA, CA 92236 CITY OF LA QUINTA (760)398-9222 FINANCE DEPT. LiC. No.: 656128 ------------------ 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. 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 as to become subject to the workers' compensation laws of California, and agree that, iAWORK co a subject to the workers' compensation provisions of Section / 3700 of the Laba / hwith comply with those provisions.�Applicant: WARNING: FAILURE TO SECURCOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CLTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN ADDICOST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR R ST, 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 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 ab v information is correct. I agree to comply with all city and county ordinances and state.laws relating to bui n co ction, and hereby authorize representatives of this coun Y er upon the above-mentioned prope i pec . n purposes. . Date: l Signature (Applicant or Agent): LQPER\IIT Application Number, . . . . . 06-00002443 Permit . . BUILDING PERMIT Additional desc . Permit Fee . . . . 72.00 Plan Check Fee 46.80 Issue Date . . . Valuation 5000 Expiration Date 12/16/06 Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 THOU BLDG 2,001-25,000 27.00 Special Notes and Comments BBQ (Z-21-58-1995 PER APPROVED PLAN . Fee,summary Charged Paid Credited Due Permit Fee Total 72.00 .60 .00 72.00 'Plan Check Total 46.80 .00 .00 46.80 Grand Total 118.80 .00. .00 118.80 LQPER\IIT , 1. BmY# ti. utnta Q. :. .Y.tfiZ Sum iri' g l Safety DIVIsi6n Permit # P.O Box 1504, 78 495 Calle Tampico `` la "wnta,,..CA,.92253 777- .7012. Building Permit Application and Tracking Sheet �P,ro�ect Address �12,� , +L 4,(' 1Address��-� F Lega.g escgiption t �- � City, ST, Zip: � ' V . ! =+:'• � ;.;;;�`:.:,,;:;, Contractor.\ ,� - . Y\ Telephone: Adiress © Z -' (P Project Description: Ctty;ST„Z�p ' �- .2oI�J bx"`t-cr PF 6wg,+X, TelephonO.B. <, ,.?J �State3Im Arch �+Engr Destgnei Address • , . 44City ST, Zip+. � �s:Telephone o � h onstrachon.Type Occupancy: C `� upancy. �StateyLic�# ; . Project type (circle one): Add'n' Alter. Repair, Demo Name` of Contact Person . . ' Sq. Ft Ft.: # StoCles. # Units: ,�Trelephonet#rofjContact Peison C C a2J`^. I.: :: ” • Estimated �\ �v� �: Value of Project:. S APPLICANT DO' NOT WRITE -BELOW THIS LINE �s +_` tiro ufi�� �tiSabmittal ..R'ea'd ^ ' R�,d . . TRACKUNG PERMIT FEES . ' Plan;Sets .' Plaii.Check submitted' Structural Calcs s Reviewed, ready for corrections 'Item Plan CheckDeposit Amount Trans Gales Called Coutasf Person Pian Check Balance Energy Calcs. Plans picked up C,. onstructionans �%Flood+plain pl an �/ Pl resubmitted Me 14 rad'. lan , • ready for correchoasTssue Electrical 3 ^'S Subcontactor List .<� •Called Contact Person Plumbin g -; Grant DeedyPlans picked up Approval Plans resubmitted Grading NINHOUSE", Review, ready for correctioiis/�ssue ' Developer Impact Fee Plaiiiiirig Approval Called'Contact Person A.I:P.P . Pub Wks Appr< ate.of perm it issue 'School Fees � • Total Permit Fees