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05-3045 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T-i&t " BUILDING & SAFETY DEPARTMENT Application Number: [05-00003045 ✓ , Property Address: 80250 VIA CAPRI APN: 772-440-071- - Application description: POOL - RESIDENTIAL Property Zoning:- LOW DENSITY RESIDENTIAL Application valuation: 29500 Applicant: Architect or Engineer: O ' 1 al`s&7oP BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/20/05 Owner: PICKRELL, FLOYD 80'-250 VIA CAPRI LA QUINTA, CA 92253 lb QQ� Co�ttractor: ox\ 2 CANYON VIEW POOLS, INC. WCC: AU- INS C: 00500024508 01/01/06 CSLB: 779165 05/31/06 ------------------------------------ ------------- 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 ss: License No.: Date: SContractor.. ut NER-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).: 1 _ 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 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 contractorls) 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: LQPERIIEIT ------------------ 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. x. 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 A -B Policy Number - - - - - - - - - - - - - - - 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 me ct to the workers' compensation laws of California, and agree that, if I should be m u act the kers' compensation provisions of Section �' 3700�e Labor Code, I all rt o w' h those visions. ate: /Applicar✓ WARNING: AILURE TO SECURE ORKERS' OMPENSATION OV AGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI NAL PENH IES AND CIVIL 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 abov of m tion i rrect. I agree to comply with all city and county ordinances and state laws relating to building oust on, hereb esentatives of this co y to enter upon the above-mentioned property r ins o pos D ignature (Applicant or Agent): O 4117 Application Number . . . . . 05-00003045 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 284.50 Plan Check Fee 184.93 Issue Date . . . Valuation . . 29500 Expiration Date 1/16/06. Qty Unit Charge Per Extension BASE FEE 252.00 .-5.00 6.5000 ------------------------------------------------------------------------ THOU BLDG 25,001-50,000 32.50 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date 1/16/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 ---------------- w ------------------------------------------------------------ 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 1/16/06. 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 Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/16/06 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 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA ONLY. ALARMS/BARRIERS SHALL LQFERMIT Application Number 05-00003045 _ _--------- Special Notes ------ ----- and Comments BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED -IN PERMIT. Fee summary Charged Paid v Credited Due .Permit Fee Total 388.50 .00 .00 388.50 Plan Check Total 210.93 .00 •00 210.93 Grand Total 599.43 .00 .00 599.43. s . g0 -a 50 LOL Qf ry To: Ed or Kay Page 2 of 3 2005-07-20 17:53:44 (GMT) 17604065836 From:- Jay Bishop oil) # City of La Quint'a Building 8r Safety Diviglon - P.O. Box 1504, 78-495 Calle Tampico 0 Wnta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 05-3 a r PrQiccT Addtv= 80-250 VIA CAPRI PICKRELL, FLOYD &YVFTTI:-i A. P. Number: 777-100-072 Address, PO BOX 1972 Legal DescItion, LOTS 52/53 TRACT 29894-2 City� ST, ZiP: RANCHO SANTA FE, CA 92067-1972 Coutrartor; CANYON VIEW CONSTRUCTION, INC. Telephonc; (619) 807-7511 Address; 3465 (,.A CAMPANA WAY #4 Project Description: GUNIT(z-� POOL& SPA City, �,T, Zip: PALM SPRINGS, CA 92262 Telephone; 778-2700 , . �; _ Statc; Lic, Pr:. 779165 City Lic. .9; Arch!, Umgr, Designer: DENISE POELTLER ___ Addre$s.' 73-611 HWY 111 #13 City, ST. Zip: 'PALM QE§ T CA 92260 7�9-0405 State Lic. 33446 Name of Contact. Person; MICHELLF SISFIQP Consirtiction'l.�pe: NEW ()ccupncy: SFR P rojeclAXpe(circteone) New Add'n. Alicr Repair De.ino # storics: 11 units Teleplione 11 (if -Ont=t Pers011: 760-M-1254 1_6 stify14t�dVojuefpvqicct; 29,500.00 APPLICANT.-, 09 NOT WRITE BELOW THIS LINE Submittal ReWd Ree'd TRACKM, PERMIT FEES Plan Sefiz Plan Check subaiitted Item Amount Structural CaIcs. ReAwed. ready lot- correctiom; PIR11 C.%'eck Deposit Called Contact Pmon Plan Check Balance. ,ritte u coics. Phku% picked tip Flood plain plan Plans resubmitted Grading plan 21d aqVieW. ready for torrCtionSji28Ue Eirk.triesd Offled Contact Person Grant Deed Plans piched up S.M), ".().A. Approvnj Plans resubmitted Grading IN HOUSF,�- 311 Re:�Lew, ready fin- correctionslissue. Developer Impact.Pee Planning Approvol Called conlatt PC1,3011 A.I.P.P, Pub, Wk�. Appr bate of permit Issue School Fees Total Permit Fevs