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05-1839 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4t�l 4 4 Q" Application Number:�05-00001839 Property Address: 1,60233 KATIE -CIR APN: 764-270-999-162 -300233- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 18000 Applicant: . Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT --------------------- ------------------------- LICEN D ONTRA TOR'S DECLARATION hereby affirm under penalty of perjury that I am 'ce sed and pro�:. hapter 9 (commencing with Section 7000) of fK_isio��—.�zf.the 6 in s and Pr sional Codeif in II ce and effect. License7cCla � �.:/ icense �� [ �� ate: `' Contract OWNe6-auw6ER DECLARATION I hereby affirm under penalty of perjur 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.). (_) 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: 5/13/05 Owner: SHEA LA QUINTA BP C/O JEFF MCQUEEN d 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 V MAY1670 Contractor: Cnti �5 CALIFORNIA POOLS & SPAS WCC BB1o50510 BRIGHT INS 01/01/06 NANCe FpTTA CSLB: • 656128 10/31/06 ----------------------------------------------- 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 numb6are�,,r"u"nner C8 C27 C29 C53 PbI certify that, in the performance of tr which this permit is issued, I shall note loy any person in any manner so as to bect to the workers' compensation laws of California, and agree that, if I sthd0Jd becomethe workers' compensation provisions of Section 37,00 of the Labor/fodq, I shayfomply with those provisions. WARNING: FAILURE TO SECURE WORKERS' COMPE ON COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES D C VIL 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 ouinta, 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 n 'f work is not commenced within 180 days from date of issuance of such permit, or ce tion of w k for 180 days will subject permit to cancellation. I certify that I have read this application and state that thea a informati i correct. I agree to comply with all city and county ordinances and state laws relating to bu"di g Instruction, nd reb authorize representatives of thii u ty to rte n the above-mentioned prope for mspe ion p pose D e: 1(/�/_(/, ignature (Applicant or Agent) Application Number . . . . . 05-00001839 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 189.00 Plan Check Fee 122.85 Issue Date Valuation . . . . 17167 Expiration Date 11/09/05 Qty Unit.Charge Per Extension BASE FEE 45.00 16.00 --------------------------------------"-------------------------------------- 9.0000 THOU BLDG 2,001-25,000 144.00 Permit• . . . MECH POOL Additional desc . . Permit Fee . . . . `26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/09/05 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 11/09/05 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 7.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/09/05 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 Permit . . . WALL/FENCE PERMIT Additional desc ~ Permit Fee 23.00 Plan Check Fee .00 _ LQPERMIT a LQPERMIT Application Number . . . . . 05-00001839 Permit . . . . . . WALL/FENCE PERMIT Issue Date . . . . Valuation . . . . 833 Expiration Date . . 11/09/05 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 2.0000 HND BLDG 501-2,000 8.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA ONLY. ELECTRIC/GAS STUB ONLY FOR FUTURE APPLIANCES. 25 L.F. 4' BLOCK WALL AND 20 L.F. 5' BLOCK WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 316.00 .00 .00 316.00 Plan Check Total 148.10 .00 .00 148.10 Grand Total 464.10 .00 .00 464.10 Bin # City of La Quinta Building 8t• Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # o S - �3 Project Address: &0— 033— (?6tZCL Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: C L D I O L.s � Telephone: P one: Address: o 8ox izcz0 Project Description: City, ST, Zip: COC46A e - to �� 3 ooL 5 ' Telephone: hon e. State Lic. # C) City Lic. #; Arch., Engr., Designer: Address: City, ST, Zip: Telephone: hone: Lic. # S apf LF 0„ �0 r< L�— CT ✓�7.� Construction ' hon Type: Occupancy: Y• ProJeStoto ct cl e n e . Ne � type (circle r Add' n Alter Repair pair Demo Name of Contact Person: D a j,A55& Sq. Ft.:#Stories: # Units: Telephone # of Contact Person: r ����, j'=�6� Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 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:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees