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06-0415 (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: 06-00000415 79719 PARKWAY ESPLANADE 609-590-004- - - POOL -.RESIDENTIAL LOW DENSITY RESIDENTIAL 24000 T4tyl °F4Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: BOWEN 79-719 PARKWAY LA QUINTA, CA 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: C8 C27 C29' License No.: '656128 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 countythat requires a permit to construct, alter, improve, demolish, or repair anystructure, prior to its issuance, also requires the applicant -for the permit to file asigned statement that he or she is licensed pursuant to thepro"visions 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 ($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 Coder 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.). ( ) 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 ESPLANADE 92253 IFORNIA POOLS & SPAS BOX 1280 CHELL'A, CA 92236 0)398-9222 . No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760)' 777-7153 Date: 1/26/06 ----------------------------------------------- WORKER'S -COMPENSATION DECLARATION I hereby affirm under penalty of.perjury one of the following declarations: I have and will maintain a certificate of c6nsent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor C_ode,'forthe performance of the work for which this permit is , issued. —Al 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.a_nd policy number are: Carrier HRH INS 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 �7 3700 of the Labor Code, shall forthwith comply with those provisions. Date•1•'a0-OO& 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 whoselbehalf this application is made, each person at whose request and for whose benefit work is performedunder 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 1 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 riding construction, and hereby authorize representatives ofpi.-C.- nty to enter upon the above-mentione roperty for 'nspection purposes. ate: L -w-coSignature (Applicant or Agent): Application Number . . . . . 06-00000415 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 243.00 Plan Check Fee 157.95 Issue Date . . . . Valuation . . . . 24000 Expiration Date 7/25/06 Qty Unit Charge Per Extension BASE FEE 45.00 22.00 9.0000 ------------ --------------------------------- THOU BLDG 2,001-25,000 198.00 . . . MECH POOL .Additional desc.. Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . Valuation . . 0 Expiration Date 7/25/06. Qty Unit Charge Per Extension BASE FEE 1500 1.00 11.0000 ---------------------------------------------------------------------------- EA MECH FURNACE >100K 1T.:00 Permit ELEC POOL PERMIT -RES Additional desc . Permit -Fee 45.00 Plan Check Fee 11:25 Issue Date: Valuation . . . . 0 Ekpiraton Date 7/25/06 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 7/25/06 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 LQPERMrr .Application Number . . . . . 06-00000415 ------------- -------------------------------------------------------------- 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 347.00 .00 .00 347.00 Plan Check Total 183.95 .00 .00 183.95 Grand Total 530.95 .00 .00 530.95 LQPERMIT Bin #( Gtv of La Quinta R a - Building &T Safety Division Permit #�I P.O. Box 1504, 78-495 Calle Tampico 7.1.) is Quinta, CA 92253 (760).777-7012 U Building Permit Application and Tracking Sheet Project Address:79 19 Owner's Name: A. P. Number: Legal Description: �p�a SO✓�C` Address: IlC WC's. City, ST, Zip Contractor Address: Telephoner » R�z�r 5� Project Description: City, ST, Zip: C/ r7 z Telephone:76(� '3 D�,G '7�2 l C� State Lic. # : 605 -co ( 2 Y City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Co"nstruction Type: Occupancy: • Project type (circle one): New Add'n Alter Repair Demo S Ft.: Sq. # Stories: # Units: Value of Project. G Telephone # of Contact Person: tj Q --T 7 S 1/ —��Estimated # Submittal Plan Sets Structural Calcs. APPLICANT: DO NOT WRITE BELOW THIS LINE Req'd Recd TRAC'.QNG PERMIT FEES Plan Check submitted t 2 Item Amount Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up ' Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Jrd Review, ready for corrections/issue Developer Impact Fee A.I.P.P. Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees