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05-3960 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 005"00003960 Property Address: 79772—JOEY CT APN: 649-520-998-26 -290533- Application description: POOL - RESIDENTIAL . Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 20000 . '4-4Q BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: PM RENAISSANCE, LLC 9968 HIBERT STREET, STE. 102 SAN DIEGO, CA 92131 .VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: Applicant: Architect or Engineer: CALIFORNIA POOLS & SPAS WCC: SEABRIGHT INS WC: BB1050510 01/01/06 Yvl d CSLB: 656128 10/31/06 ISEP 15 2005 LICENSED CONTRACTOR'S DECLARATION /�'—/� I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (com encing wAff LA Section 7000) of ivisio 3 of he Business an Professionals Code, and _y Licens isjnjyll r e and effedF.INANCE License Class. License No.: �o- ,A!rate: �C — Contractor OWNER -BUILDER DECLARATION I he 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 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 Date: 9/13/05 r WORKER'S COMPENSATION DECLARATION Pereby affi 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 willmaintainworkers' 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 C8 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 (� ,337700 Df the ✓Loor Code, I shall forthwith comply with those provisions. a'D te.gl_ Z Applica 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). INADDITIONTO 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 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 thi aunty.to�enter upon the above-mentioned prop y for inspection purposes. ateIVVO' Signature (Applicant or Agent): Application Number . . . . . 05-00003960 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee' 207.00 Plan Check Fee 134.55 Issue Date' Valuation . . . . 20000 Expiration Date 3/12/06 Qty Unit Charge Pet Extension BASE FEE 45.00 18.00 9.0000 THOU BLDG 2,001-25,000 162.00 --------------------------------------------------------------------------- Permit . . . MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/12/06 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 3/12/06 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 3/12/06 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 LQPERMIT Application Number . . . . . 05-00003960 ---------------------------------------------------------------------------- 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 311.00 .00 ---------- .00 311.00 Plan Check Total 160.55 .00 .00 160.55 Grand Total 471.55 .00 .00 471.55 LQPERMIT 1 Bin. # City of La Quinta ' Building 8r Safety Division Permit # . s - 3 9'G a P.O. Box 1504, 78-495 Calle Tampico {a Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: Owner's Nami w Gv A. P. Number: .; Address: Legal Description: Contractor: C L COLS S City, ST, Zip: Telephone: Address: 0 8®x aw Project Description: - City, ST, Zip: La 92-930 i t Telephone: ���'" �� 2 � "�'Y��•`:`sA:#;�?:`<`>>'��:�:>z'::;:z::<:,,�:::;::t><•<>:: State Lie. # Arch., Engr., Designer: City Lic. #•. s Address: City., ST, Zip: Telephone: - State Lic. #: < € .; <># > -?' y ' ;<. �'. r••�'r}:?}:?}{Jj�a';•i'!}ii:%•:: ..!4i 'nay{r';:7 #>s%:'•••"=''s`?t<fi.'•.>:><z%%l;s>{:``: Construction Type: Occupancy: Project Ne a circle one : Add'n Alter Repair Demo Name of Contact Person: ' 1j-4K54d;- Sq. Ft.: # Stories: #Units:. Telephone # of Contact Person: .2 ? S'41& �,�'=�% t/ A Estimated Value of Project:' 2CD. © D APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd T'RACIUNG PERMIT FEES Plan Sets Plan Check submitted CY I It. Amount Structural Cales. 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. I%: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 pejrmit issue School Fees Total Permit-Fees