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06-0369 (RPL)
P.O. BOX. 1504 78-495 CALLE TAMPICO LA. QUINTA, CALIFORNIA 92253 Application Number: /06-00000369 Property Address: '43625 PARKWAY- ESPLANADE APN: 609 -600 -647 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 30000 Applicant: T40ht 4 XP " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: 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 Cltass: 53 License No.: 518742 Date: 2�- (!� Contractor: / / !/L��G��•" - t 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).: (_ 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 nrnncrty mihn Iv-ilnn or improv: se tharaaa, and ..Im —16uua fV1 rhe uwjeuts whit a vontractorm IICtft6d pursuant to the Contractors' State License Law.). (_) 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 ' Owner: MARZICK 43-625 PARKWAY ESPLANADE E LA QUINTA, CA LA QUINTA, CA 92253 D Contractor: AMERICAN POOL CONSTRUC O P.O. BOX 11996 PALM DESERT, CA 92255 (760)340-2588 Lic. No.: 518742 VOICE (760) 777-7012 FAX (760) 777-7011 '•1i INSPECTIONS (760) 777-7153 Date: 1/25/06 n20 qC WORKER'S COMPENSATION DECLARATION 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 0001188-2005 _ 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 Date700 of the Labor Code, I shay3onhwith comply with those provisions. 'Applicant:z< �i f. �O � ` 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 ,sgt forth gn this annljcatinn: 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 coun y ordinances and state laws relating to,buildingconstruction, and hereby authorize representatives of this cou 'Uen the above-mentioned pro/pe/rty for in tion purposes. �l�, Date• Z�nature (Applicant or Agent)/ LQPERMIT Application Number 06-00000369 .Permit BLDG POOL PERMIT Additional desc '. Permit Fee . . . 284.50 Plan Check Fee 184.93. Issue Date Valuation 30000 Expiration Date 7/24/06 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 7/24/06 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 7/24/06 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 7/24/06 Qty Unit Charge Per. Extension BASE'FEE _ 15.00 2.00 6.0000 EA PLB FIXTURE 12,00 1.'00 3.0000 EA PLE 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 LQPERMIT Application Number . . . .. 06-00000369 ------------------------------------ Special Notes ---------------------------------------- and Comments BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary ----------------- Charged Paid -------------------- 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 r LQPERMIT Bin # Permit # 40G- 0139 Project Addressl �i--�zs A. P. Number: : Construction Type: Occu�attcy: Project type (circle one): ip: Sq. Ft: 3 jF-ngr,, ; j . t ., Des ler: Address: APPLICANT: DO NOT WRITE BELOW THIS LINE City, ST. Zip: 'd Telephone: 'IRACIRNG State Lic. #: Name of Contact on., Telephone # of Co t Person: # Submittal Flan Sets Structural Ct Truss Calfs. 'Otte 24 Calcs Flood plain p Grading plan Subcontaetor Grant Deed II.O.A. Apprc IN IIOUSF:- Planning App Pub. Wks. Ap School Fees ._ _._..—----IT..-,-- ,\ City of La Quinta Building 8t Safety Division P -O. Box 1504, 78-495 Calle Tampleo La Quin ta, CA 92253 - (760) 7777012 Building Permit APPlication and Tracking Sheet .q/ Owner's Name: &1 eZj Address: City, $T, dip: Total Permit Fee: Construction Type: Occu�attcy: Project type (circle one): New Add'n Alter Repair ]Demo Sq. Ft: # Stories: # Units: 3 r ZS Estimated Value of Project: UV -0 APPLICANT: DO NOT WRITE BELOW THIS LINE 'd Reed 'IRACIRNG PERMIT FRES Plan Cheek submitted / Z Item Amount Reviewed, ready for corrections Plan Check Depesk Called Contact Person Pifa Check Bala ace ]Tans picked up Construction Plaits resubmitted Mechanical 2" Review, ready for eorrectionsllasue Electrical Called Contact Person Plumbing Plans picked up Plans resubmitted Grading $" Review, ready for corrections/issue Developer Impact Fee Called Contact Person A.I.P.P. Date of permit issue Total Permit Fee: drtiK . 44' IV b NOTES: Fbo i : l 6"x3s,4 Twin Si W w/ "4"breila sref-ve Soo.: -rx 71, 0&,:sed tle S4 S'0 - How f;.sL;Std• T; IL Snter;ar:3►n Pk.stu u F,7 •�.s P • Al • Cl_ O - - 00 %I/AVA $ • • CA tO"d ed ° 16 (9j.� f [�• �j � rj.' j o 3 rh rrarr s �� Imo' �I dS � 1 AREA MAP V/ IEr ww Na 1 CITY OF LA QUll,,-'TA G & SAFETY r )EPT. P^"``£ ��`� �3 �3. i �x�st;r� Deck �V rY���� FOR CONSTRUMI .N F �o BY LIC. 518712 a� - o / `Mo✓, AOOtt4i- �lS Fd_.k _� F �nlar�r!� '_C • f •a iJi RiM ,. �'�•� TIr��Y•t -- -- -- vrtmr EIL9E�EIrt ��.� �y �/y V.�111 rV.i (� fl.EG FIIfEC � y� p/�. Q �A�.R/�M� qM ®BIDW1 t .•PVP�..IGR �pICIRMETURN — FLL 11ELuff p���� �p�/�/���� �fi1.\VK�� AREA DPU#M 3 7FtF360-R�rn yr Tax � GAS r�Eil VWER 0 FLTFA -- F%C VIRA14 S"J� AMFJiICe1N —E—f— c DEPCH MMIC RE:CTE WwevE w HEATER --aW RA -S ICOl�ipIN;T W)()1 IRiC. CVETa��m ELS. wEfafAt].TF1E. _ vE toav C MW ---4 AMTOA i �DOiR PALM ERT_CA. ® ELEC PEOESTAL A�ESS �, i RMEP` Q R�EPTdC7� � p TIS � STUB p p"''p tl QP E''`E NOTGRIE ©SEE NOTES . (760) 340-2588