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06-2510 (RPL)-ice•. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00002510 Property Address: 81949 IL SERENATA DR APN: 764-010-011-4 -30092 Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 23000 Applicant: . Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 nd Professionals Code, and my License is in full force and effect. License Class: C8 C2��7 C29 License No.: 656128 /Date: ��-✓0ontraetor: f 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).: (_) 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.). I—) 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: 6/26/06 Owner: K. HOVNANIAN FORECAST HOMES 4240 E. JURUPA ST. STE. 402 CHINO, CA 91710 LFINANCE ry �jr I ��Contractor: j� 0 `0NCALIFORNIA POOLS & SPAS P.O. BOX 1280 Y OF LA QUINTA COACHELLA, CA 92236 DEPT. (760)398-9222 Lic. No.: 656128 ----------------------------------------------- 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 prnvided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. LG 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 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 b come subject to the workers' compensation laws of California, and agree that, if I should be c subject to the workers' compensation provisions of Section 3700 of the Labor Code, al ort with comply with those provisions. Date: � /Jplicant:__� WARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL' SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES 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 statethat the information is correct. I agree to comply with all city and county ordinances and state laws relating to bur ing ons coon, and hereby authorize representatives of this county to enter upon the above-mentioned prope spect n purposes. /__ / e: t 21 Signature_(Applicant or Agent): LQPERMIT Application Number . . . . . 06-00002510 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 234.00 Plan Check Fee 152.10 Issue Date Valuation . . . . 23000 Expiration Date 12/23'/06 Qty Unit Charge Per Extension BASE FEE 45.00 21.00 9.0000 THOU BLDG 2,001-25,000 ---------------------=-----------------------------7------------------------ 189.00 Permit . . . . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0' Expiration Date 12/23/06 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 12/23/06 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 12/23/06 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 PERMIT DOES NOT INCLUDE EQUIP LQPERMIT l LQPERAIIT l Application Number 06-00002510 ---------------------------------------------------------------------------- Special Notes and Comments . WALL 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 • i . Bin # Bullding,8: SaFety Permit # 6 P Q:: Box 1504, 78 495 Calle Tampico Quetta, CA 92253 (760) 777 7012 . , �uildrng Permit App,licatlon and Track�n Sheet Project:Addres , O � Owner's Nam a A. P.Numb6r: 8 �- I Yl? �L Zi Contractor` \ �.4 7 ...:...Phone :':•• VAddress' Z ��, e Project Descnpti.on: City, ST, ZtpJ. Rl23 Telephone oo. , ..:.::...... z CityL777777777 :. ic#77 , Arch. En iDes > > 6er: •' R Address:: ..... _ .. , tty; ST; Zip , ;Telephone:: :�; � �,�Construchon Type .Occupancy ,:State Lica#•- ' F; Add, n •Alter Re au Demo ' •Name of : �1 . . , Tu;#.Stories• Tel': e on to ct ..:•, ..:.:,......R .. Pers a-s o• lfiWd:alie;cjf::Project: �.. 'F AP PL Q G AN �• •D T O O WRITE BELOW THIS LINE CiIDY G Plan Sets: .:::' r^ P n:; i Y� N " ` PIan.Crieck spbmttted.' • :...:. It Amount Structural Gales. • ;;Reviewed read forcorrections y'..:., Truss . .:.., ; ...: ......... z/ �-a11ed�Contact Person ` . ,.•• ,.a Plan Check Balance Energy Calcs. 'Plans pickedup7777 C onstruction Flood plain,plan " Plans resu6mUted _ _ 777 77 7777777777-7Mechan►cal Grading plan • 2°" Review, readyioi corrections�ssue `�Electr�cal Subcoutactor Lis t � � _ . :.......... Ga1r�d-Cotttact•Pers w , Grant Deed I�n ick up fVTI- — -" - 777 S M ".. ,. HiO:A Approval ,a rte. t yPi � � \ / Grading Ill HOUSE: y t Ir ue ; , ',Developer Impact Fee Planning Approval Called Contac; Person A.LP.P, Pub. Wks; Appr . ;Date oienn�suBeY School Fees 77-1 "'Total'Permit•Fges - '° -