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06-2322 (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: 06700002322 79691 PARKWAY ESPLANADE N 609-380-998-63 -293232- POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 2:3000 Architect or Engineer: f/lk ----------------- LICENSED CONTRACTOR'S DECLARATION 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that 1 am licensed under, provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business d Professionals Code, and my License is in full force and effect. License Class: C8 C27 C29 License No.: 656128 fDate: C q-0 Contractor: v 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):: r ( 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and L\ 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: LQPERMIT VOICE (760) 777-7012 FAX (760),777-7011 INSPECTIONS (760) 777-7153 Date:' 6/09/06 , Owner: LUMBERG 79-691 PARKWAY ESPLANADE N. LA QUINTA, CA LA QUINTA, CA 92253 Contractor: CALIFORNIA POOLS & SPA n P.O. .BOX .1280 JUN a 9 2006 COACHELLA, CA 92236 (760-) 398-9222 CITY OFIA®�II�ITA Lic. No.: 656128 efuw.r..c..»�_ 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 SEA13RIGHT 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, if I should become subject to the workers' compensation provisions of Section 370((0// of the Labor Code, 1 shall ith comply with those provisions. 'Date:6_ /_0F_pplic6nt: WARNING: FAILURE TO SECURE WORKERS' CO PENSATION 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 bove information is correct. I agree to comply with all city and county ordinances and state laws relating to b ' onstruction, and hereby authorize representatives of this county to enter upon the above-mentioned pro or ' spection purposes. � - r Date('Q_—.0 "B - "'Si'gnature�lApplicant or Agent): Application Number . . 06-00002322 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 234.00 Plan Check Fee 152.10 .Issue Date . . . . Valuation 23000 Expiration Date 12/06/06 Qty Unit Charge Per Extension BASE FEE 45.00 21.00 9.0000 THOU 'BLDG 2,001-25,000 189.00 Permit . . .. MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee'. 6.50 Issue Date . . . . Valuation 0 Expiration Date 12/06/06 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 12/06/06 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 12/06/06 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 ALARMS/BARRIERS SHALL BE IN •Application•Number 06-00002322 Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION EQUIPMENT ENCLOSURES NOT INCLUDED. Fee summary Charged Paid Credited Due - ------- ---------- ---------- ---------- Permit Fee Total 338.00 .00 .00 338.00 Plan Check Total 178.10 ..00 .00 178.10 Grand Total 516.10 .00 .00 516..10 Bin # .. .,' C�t�y of La B II u Id n 8L Sa DW46n 1 1, g fety . Permtl # P:O Box 1504; 78 495 Calle Tampico'' 1- �vj 1/ La Qulnta, CA 92253 (760)',777-.012 �.:� Bulldln p g ermlt App(IcAtron and Track�r:g Sheet ,P,ro�ect Address - Owner s NamenL " A P Number Address ?-C/- C/ z� 'r i Legal Description City; ST, Zip: R c{ Com.: 1.y�.:wz.: k• Contractor`` a Telephone ... Y i •Sig} � D ° s 4 _ .: - © Z CP , Pro�ectDescription: City, ST,1Zip Z23 � �© aw t lc ta;-rg F '^\1 -rt l—�..,.: n, i. • , ,7s_�c+' .tui ��. _ Telephone %� "'° I G 5 173 City,Lic t � ,ti'''p � F • . .wEngr Designer .: ... Address ^ � x Ibi Q ST, Zip Telephone Construction Type: "Occupanc s� K Y '''StateLicU# - ' Project type (circle one): Add'n Alter Repair Demo Z`Naine of Contact Person O. Stories Unit:Sq Ft : # # iu a Telephones#sof Contact PelsonS Z. L L / Estimated Value of APPLICANT W) NOT WRITE BELOW THIS LINE; im'4 �z`•r.-F,r{1 .. .. q`tSubm�ttal Req'd Recd TRACI�YG PERMTT- PIan;Sets PIari.Cbeck submitted Item Amount Structural Calcs 4s ; F Reviewed, ready for corrections ! Plan Chect Deposit ,Trass Calcs Called Contact Person ,. - . Energy Calcs: Plan Chest Balance PI 'I picked up ' Constructbn Flood Alam. plan Plans resubmitted Grading plan _ an Zo° Rewew, ready for coreectiousfissue anis v' r Mechanical Electrical Subcontactor List 'Called Contact Person ' Plumbing - GrantDeed Plans picked up S:M.L Ii 0A Approval Plans resubmitted Grading r:.lIN DOUSE 'r°Review, ready for'eorrectioiisrssue Developer Impact Fee ' i Planning Approval Called Contact Person .. A.LP.P, :Pub Wks Appr,. ,.:-, Date of permit issue �':. '.. ,School Fees. • c r Total Permit Fees