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06-0254 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00000254 Property Address: 45095 SUMMERBROOK CT APN: 604-413-009-18 -23995 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 35064 Applicant: Architect or Engineer: t BUILDING & SAFETY DEPARTMENT JAN 18 2006 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 and Professionals Code, and my License is in full force and effect. License Class: C/53 L' ens No.: 833392 Date:/— Pw Contractor: c. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5. Business and Professions 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).: I —1 1, 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 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: LQPERMIT IT Owner: M/M FRAILEY 45-095 SUMMERBROOK COURT LA QUINTA, CA 92253 Contractor: DUFFY, INC. 41951 CORPORATE, WAY, SUITE A PALM DESERT, CA 92260... (760)341-6206 Lic. No.: 833392 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/18/06 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 STATE FUND Policy Number 1795679-2006 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, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, ode,, I shall forthwith comply with those provisions. Date: .'/ (x/Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). 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 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Datl3is/: 0_dj� Signature (Applicant of Agent): ra{/ Application Number 06-00000254 Permit. . . . . MECH POOL Additional desc . Permit Fee . . 24.00 Plan Check Fee 6.00 Issue Date . . Valuation . . . 0 Expiration Date 7/17/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH-FURNACE <=1OOK 9.00 Permit BLDG POOL PERMIT Additional desc . Permit Fee . . . . 317.00 Plan Check Fee 206.05 Issue Date . . . . Valuation . . . . 35000 Expiration Date 7/17/06 Qty Unit Charge Per Extension BASE FEE 252.00 10.00 6.5000 -----=---------------------------------------------------------------------- THOU BLDG 25,001-50,000 65.00 Permit' ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 3.75 Issue Date . . . . Valuation 0 Expiration Date 7/17/06 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 . . . . 36.00 Plan Check Fee 9.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/17/06 Qty Unit Charge Per Extension BASE FEE 15.00 2_00 .6.0000 EA PLB FIXTURE 12.00 3.00 3.0000 7 --------------------------------------------------------------------------- EA PLB GAS PIPE 1-4 OUTLETS 9.00 Permit WALL/FENCE `PERMIT Additional desc . LQPERMIT Application Number . . . . . 06-00000254 Permit WALL/FENCE PERMIT, Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 64 Expiration Date 7/17/06 Qty Unit Charge Per Extension BASE FEE 15.00 --------------------------------------------------------- Special Notes -and Comments POOL & SPA. 4 L.F. 4' EQUIPMENT WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. Fee summary Charged Paid Credited Due ----- ---------- ---------- Permit Fee Total 437.00 .00 ---------- .00 437.00 Plan Check Total 224.80 .00 .00 224.80 Grand Total 661.80 .00 .00 661.80 LQPERMIT Bin # City of La Quinta Building Safety Division Permit # P.O. Box. 1504, 78-495 Calle Tampico O ,QZS La Quinta, CA 922.53 -.(760) 777-.7012 Building Permit Application and Tracking Sheet Project Address: qS -06) SU^,L„ ��-D�C,IG Owner's Name: E)01�- l (r-- A. P. Number: Legal Description: Contractor: ft Address: 7 (p i (n1 l r:L Loyvl e, City, ST, Zip: ,p� �IP?-W&7 c G,6 • TZ—Z 69' Telephone: (p 0 - 32? . 7 (07 ( p State Lic. # : 03 -331q - Arch., 3331'- Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: Name of Contact Person: Telephone # of Contact Person: '%0D- 333- 633b APPLICANT: DO N( # Submittal Req'd Recd 2 Plan Sets Plan Check submit Structural Calcs. Reviewed, ready fo Truss Cates. Called Contact Per Energy Calcs. Plans. Picked up Flood plain plan Plans resubmitted Grading, plan 2"" Review, ready L Subcontactor List Called Contact Per Grant Deed Plans picked up H.O.A. Approval Plans resubmitted IN HOUSE:- Review, ready fa Planning Approval Called Contact Per Pub. Wks. Appr Date of permit issu School Fees GT, , Address: t5-045 . 5 -LA -uu g�G CT - City, ST, Zip: LD.> Telephone: '9 (00 - 345 --:2 q f Z Project Description: S tjl y4lp t ,� � X r 4,Jl�L - CGIT. STIP . AI f4 j -17 Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: #Units: J--Estirn;ed Value of Proiect: -3<(L)60.* 'T WRITE BELOW THIS UNE TRACKIIYG . PERMIT FEES gedItem Amount Plan Check Deposit Plan Check Balance Construction Mechanical Electrical on Plumbing Grading corrections/issue Developer Impact Fee on Total Permit Fees 9 R UP r ST,614LIES S - k k T Y vow. w/ bLawe" `�p-tyawl.�� IE)jl) I •�P s+V'1�r+�t%• 4'rmA- i .. .�� A RE. -INSPECTION FEE OF $30 WILL BE CHARGED IF THE APPROVED ON PLANS AND JOB CARD ARE THE SITE FOR A SCHEDULED INSPECTION. • NO EXCEPTIONS! CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTIO DATE '1 0 4 BY Mir tt Gam• L? • lf3Z L t a 611016 •'° alAwN ar a ► :11 -t -O$ wt wIWuA,*s ad - u. 91.. DRAWING NUAA