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05-4367 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 05� 00_0_0"4_3.6-7 43276 PARKWAY ESPLANADE W 609-380-997-67 -293233- POOL -. RESIDENTIAL; LOW DENSITY RESIDENTIAL 10000 Architect or Engineer: 4..4WQ�«rw BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION ' I hereby affirm underpenalty of perjury that I am licensed under provisions of Chapter9 (commencing with Section 7000) of Di pn_1_QQhe Business and Professionals Code, and myc 'cense js'i? Jut).f a and effect. - License Class: 7. License No.: (o / G [Contra ✓ OWNER -BUILDER DECLARATION I hereby affirm under penalty of, perjury that. 1, 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars 05001.: (_ 1;1, as owner of.the,property, or my employees with wages as their sole compensation, willdothe work, and - .the structure is not intended or offered for sale (Sec. 7044, Business and -Professions Code: The Contractor's' State License Law does not apply to an owner, of property who builds or improves thereon, andwho.does the work himself or herself through hisorher 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 licensedcontractors 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 contractors) 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: LQPERAUT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/28/05 Owner: LENNAR HOMES OF CALIFORNIA 78401 HIGHWAY 111, STE C LA QUINTA, CA LA QUINTA, CA 92253 Contractor: CALIFORNIA POOLS.& SPAS WCC: SEABRIGHT INS WC: B91050510 01/01/06 CSLB: 656128 10/31/06 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury -oneof.the following declarations: _ I have and will maintain`a ertificate of consent to self -insure for workers'• compensation, as provided for by Section 3700 c of the Labor Code, for the performance of the work for which this permit is Ix/I 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 CS C27 C29 C53 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 become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section ��C�/ 377000 of the Labor Code, I spell forthwith comply with those provisions. au te: r -O\ 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 (5100,0001. 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, indemnity 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 ' spection purposes. ' Dace:1��Signature (Applicant or Agent Application Number . . . . 05-00004367 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 117.00 Plan Check Fee 76.05 Issue Date . . . . Valuation . . . . 10000 Expiration Date . . 3/27/06 Qty Unit Charge Per Extension BASE FEE 45.00 8.00 9.0000 THOU BLDG 2,001-25,000 72.00 ---------------------------------------------------------------------------- Permit . . . MECH POOL Additional desc . . Permit Fee . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/27/06 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 3/27/06 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 . . . . 27.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/27/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 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 ONLY. ALARMS/BARRIERS SHALL BE IN LQFERMIT Application Number . . . . . 05-00004367 ---------------------------------------------------------------------------- Special Notes and Comments PLACE PRIOR TO PRE -PLASTER INSPECTION ONLY. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 215.00 .00 .00 215.00 Plan Check Total 99.80 .00 .00 99.80 Grand Total 314.80 .00 .00 314.80 LQrERMrF Bin # C�/ of , La Q%uinta Building' •B - WS ty Division P.O. Box 1504, 78=495 Calle Tampico,, La Quinta, CA 92253 = (760), 777-7012 Building; Permit Application and Tracking Sheet Permit # Project Address:�3 ;Owner's Name: A. P. Number: ,. ,, Address: Legal Description: ;;City, ST; Zip: Contractor ` Telephone i Address: 1'� (7� . Project'Descrtption; City, ST, Zip: C©CSC:. � : ' G 4 Telephone' State Lic. # City Lia #: Arch., Engr., Designer: Address: F City, ST, Zip: Telephone: -'Construction Type: R Occupancy: State Lic. #: i • Project type,(circle one):`,New Add'n . Alter Repair Demo Name of Contact Person: �1�� Sq. Ft.: #Stories: 1 # Units: Telephone # of Contact Person: %' /�/i�s .7�J�' d2�� ' Estimated Value of Project:. Q Q ') APPLICANT:MNOT WRITE BELOW THISUNE_ # Submittal, Req'd • Rec'd ' :TRACKING . PERMIT FEES Plan Sets Plan Check submitted w q Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. i _ Called Contact Person .Plan Check Balance Energy Calcs. -Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for corrections/issue, Electrical Subcontactor List Called Contact Person Plumbing Grant Deed'. Plaris.picked up S.M.U. i H.O.A. Approval Plans resubmitted , _; Grading IN HOUSE:- '`d Review, ready for,corrections/issue -Developer Impact Fee Planning Approval ` Aor Called Contact Person t. 'A.I.P.P. ' Pub. Wks. Appr ] '.Date.of permit issue ., School Fees " Total Permit Fees