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05-5565 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Numb-er.�_ Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 05-00005565 79811 JOEY CT 649-520-998-20 -29053 POOL - RESIDENTIAL LOW DENSITY RESIDENTIA 22000 Architect VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 12/27/05 Owner: AGDELMALEK 79-811 JOEY COURT. Id3033NVNid LA QUINTA, CA 92253 V1Nino vi :jO um SON � � 1330 Contractor: er. CALIFORNIA POOLS & SPAS P.O. BOX 1280 COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 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 rofessionals Code, and my License is in full force and effect. License Class: C8 C27 C29 License No.: 656128 _tSatel7 Z Contractor:, 0 NER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am ex pt 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).: (_ I 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.). ( 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 WORKER'S COMPENSATION DECLARATION I 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 SEABRIGHT INS tee icy Number BB1050510 _ I certify that, in the performwork for which this permit is issued, I shall not employ any person in any manner some subject to the workers' compensation laws of California, and agree that, if I shoulject to the workers' compensation provisions of Section 3700 of the Laboorr Cod h 'th comply with those provisions. ate: �Z�i7 ApplicanCWARNING: FAILURE TO SECURE WORPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINALS AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, 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 ission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes nul and void if work is not. commenced within 180 days from date of issuance of such permit, or s ation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above in a n is correct. I agree to comply with all city and county ordinances and state laws relating to buildi g co tru i n, and hereby authorize representatives of this county to enter upon the above-mentioned prop y f r ' spe i p rposes. Dat ey '"' ;ignature (Applicant or Agent): I Application Number . . . . . 05700005565 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 225.00 Plan Check Fee 146.25 Issue Date Valuation . . . . 21920 Expiration Date 6/25/06 Qty Unit Charge Per Extension BASE FEE 45.00 20.00 ---------------------------------------------------------------------------- 9.0000 THOU BLDG 2,001-25,000 180.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date 6/25/06 -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 . . . . 15.00 Plan Check Fee 3.75 Issue Date . . . . Valuation 0 Expiration Date .. 6/25/06 Qty Unit Charge Per Extension ------------------------------- BASE FEE -------------------------------------------- 15.00 Permit ... . PLUMBING Additional desc . Permit Fee 33.00 Plan Check Fee 8.25 -Issue Date . . . . Valuation . . . . 0 Expiration Date 6/25/06 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 Permit . . . WALL/FENCE PERMIT Additional desc . LQPERMIT Application Number . . . 05-00005565 Permit . . . . . . WALL/FENCE PERMIT Permit Fee 15.00 Plan Check Fee .. .00 Issue Date . . . . Valuation . . . . 80 Expiration Date 6/25/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes.and Comments POOL & SPA ONLY. 5 L.F. 4- EQUIPMENT WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. Fee summary Charged Paid Credited Due Permit Fee Total 314,.00 .00 .00 314.00 Plan Check Total 164.75 .00 .00 164.75 Grand Total 478.75 .00 .00 478.75 r LQPERMIT . Bin # Permit # D,5'- 55.55 (o Project Address: A. P. Number: ?I? g Address: Y- 0 Zoy i 29® City, ST, Zip: <� C Telephone: 766) -39, �-y'22 Z State Lic. # : (-51co _ Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: O`G� Telephone # of Contact Person: ,�� # Submittal Plan Sets Structural Calcs. Truss Calcs. Energy Calcs. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees City ®f La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Owner's Name: ,�\ `� Address: 11 1 e City, ST, Zip: S Telephone: Project Description: Q� ty Lic. #: - - - -� L -iC ' p Je55� Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Estimated Value of Project:; 2 D d C'% �sy APPLICANT: p0 NOT WRITE BELOW THIS LINE Recd TRACKING PERMIT FEES Plan Check submitted 2� Item Plan Check Deposit Plan Check Balance Amount Reviewed, ready for corrections Called Contact Person Plans picked up Construction Plans resubmitted Mechanical ------------------- 2"a Review, ready for corrections/issue Electrical Called Contact Person Plumbing Plans picked up S.M.I. Plans resubmitted Grading 3'a Review, ready for corrections/issue Developer Impact Fee A.I.P.P. Called Contact Person Date of permit issue ' I Total Permit Fees 0U /7A