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06-3668 (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: 06-0 _Q036.6_8 81924 DANIEL DR 764-270-999-14 -300232- POOL - RESIDENTIAL MEDIUM HIGH DENSITY RES 38000 Architect or Engineer: alp BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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 CClla : CC53 / License No.: 518742 ate: f/ i T V�Contr or: / 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).: (_ 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 _ 1 1, 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 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.I. Lender's Name: Lender's Address: LQPERMIT Owner: RON BOYANSKY 81924 DANIEL DRIVE LA QUINTA, CA 92253 Contractor: D AMERICAN POOL CONSTR P.O. BOX 11996 PALM DESERT, CA 9225 (760)340-2588 Lic. No.: 518742 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/16/06 e ON INC. 1 2006 Gic I CITY AF, LA 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 STATE FUND Policy Number 0001188-2006 _ 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 �j /3700 of the Labor Code, I11?nall forthvi. s mply with those provisions. WARNING: FAILURE TO SECURE—WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TD 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 1 have read this application and state that the above information is correct. I agree to comply with all city and cgunty ordinances and state laws relating to buildin construction, and hereby authorize representatives . of this ro�u tyyto nter upon h15 above-mentioned property r inspectioD,Aurposes. ate:. 0 1 gnature (Applicant or Agen : ' Application Number . . . 06-00003668 Permit . . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 336:50 Plan Check Fee 218.73 Issue Date . . . . Valuation . . . . 38000 Expiration Date 4/14/07 Qty Unit Charge Per Extension BASE FEE 252.00 13.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 84.50 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.0.0 Plan Check Fee 6.50 Issue Date Valuation 0 Expiration Date 4/14/07 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 4/14/07 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 4/14/07 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 --7 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ------------------------------------------------------------------- Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN LQPERMIT Application Number . . . . . 06-00003668 Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged' Paid Credited Due ------------------------------------------------------_-- Permit Fee Total 440.50 .00 .00 440.50 Plan Check Total 244.73 .00 .00 244.73 Grand Total 685.23 .00 .00 685.23 LQPERMIT - P„ w � C 7 Z O U J O O 0- z Q U W Q r THW! • / �� � �' "' �• � ' S. � 1 ��f. .ice I1 ° .1I u M r ' �i' 1♦ i'� � di i �� � !r a fr • Ifo • i.. � i �i w ► Li r� f . p-- - - - \� D 5287 lzr m v-A— (V SfEAotwIG S{»NE� / LnCD Lo 1C� r $ 2 Front —tul g& �awds+u s v -E v r • o LaT au= sEG_ _ ®�vsE,ete •j DBOK TEtE W TELE __._-.-- .tR�ft EASEMENT ® MJDr- waEi ® aD q.i L!E —i u�r AREA oRAN P EG991ff TIFE /� ® AMERICAN t16"'E-f— /MOl31G�I W ET.EG Gas wrER o 1AI m ® FLIER -+ Ut .•. PVC ORAN Dt)OI m '-'G•-G-- OCIE PARDI" GAS { IAAJa( fiE71pTE 1As_YE O WATER R6tAPY �B R:Af S 6 Lo 0MgKAD ELEL- ® VATER OEM � GATE NAVE mA& roux AERATOR � LAMB � � i PAl1vS CA. m ELE Pc oDEs SWITCHfP IRaa v PLOP [] Gas c;Au11 (760) 340-2588 m dOCES5O� ® REIEPTACiE�g H CUP ©SEE fUTES Lo Maul 113mNoo'd%loil 03AO ldd '1d30 AA:J dS V Mums ®� �� diwino d -i :jo uio AMERICAN POOL CONST PAGE 01/06 .10/16/2006 06:01 7606749438 >3ln City ofla • Quinta• . Building a Safety Division Permit P.O.* BOX. 1504, 78.495 Calle Tampico �tpV La Quinta, GA 92253 -.(760) 777-.7412 _ 3 Building Permit Application and Tracking Sheet Project Address: GZ owncesName: (I A. P. Number: _/0? loeV-9.� Legal Description: City, ST, Zip: Contractor: /�((/� �/, Telephoae: Address: `� j�Ctji Projoa Description: f— S City, ST, Zip:i, Telephone: 3'{{% 2j State City Arch., Engr., [*Signa': Address: VJ City, ST, Zip: Telephone: Cortwitolon Typo: Occupancy: State Lic: #: Raject type (circle one): New Add'n Alter Repair 1501110 Name of Contact Person: PL: #Stories: #Units: Telephone # of Gontaet Petsoix_��(% _ Estimated Valu* of Projbct �� GD___ AP'PUCANT: Db NOT MUTF-HELOW THIS LINE # Submittal Rcq'd Read TRACKRiG . PERMIT FEES Plan Sets Plan Cheek suluitltted Item Amount Structural Caleb. RtAcwed, rtttdy fgr eorrectlont Piro Check Deposit Truax Codes, Called Contact Ptnon Plau Check Balance Energy Cala. Plans•ficked up Construction . Flood plain plan Pians resubmitted MeehwC*1 Grading plan' 21, Review, ready for correetions/lasue Electrical Subcontactor Use Called Coataet Person Yluasbing Grant Decd Plans picked up SMI. R.OA. Approval Picas resubmitted Grading W HOUSE:- Review, ready [or correctionslissue Dcyeloper Impact'Fte Pianning Approval Called Contact Person Pub. mks. Appr Date of permit Issue 5chool.Fces TwAt I'ermlt Fees