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06-3667 (PAT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00003667 Property Address: 81953 DANIEL DR APN: 764-270-999-41 -300232- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 35000 Tit!t 4 4 Q" Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ----------------- -------------------------------- 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 and Professionals Code, and my License is in full force and effect. Licensje CI ss::( 53 License No.: 518742 Date: `� �'" G ntracto 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 (5500).: (_) 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 sate. 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 am exempt under Sec. , BAP.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 1 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: wly LQPERMIT Owner: JAY & FLORA JACKSON VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/16/06 81.953 DANELD DRIVE LA QUINTA, CA 92253 D ot 006 Contractor: AMERICAN POOL CONSTRUCTION I TyOFLAQUINTA P.O. Box 11996 FINANCE YET PALM DESFR.T, CA 92255 (760)340-2588 Lic. No.: 518742 ------------ ----- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 �t issued. Y` I have and will maintain workers' compensation insurance, as requir4by 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 / �( �j7f0�0 of the Labor Code, shall for h(w' comply with those provisions. ate:l� �V "e plicant:led1 WARNING: FAILURE TO SECUR ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 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 this c to liter upon thea ve-mentioned property f inspection pur osas. D i re (Applicant or Agent): Application Number . . . . . 06-00003667 Permit BLDG POOL PERMIT Additional desc Permit Fee . . . . 317.00 Plan Check Fee 206.05 Issue Date . . . . Valuation . . . . 35000 Expiration Date . . 4/14/07 Qty Unit Charge Per Extension BASE FEE 252.00 10.00 6.5000 THOU BLDG 25,001-50,000 65.00 ----------------------------------------------------------------------------- Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 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 30.0:000 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 EA PLB GAS PIPE 1-4 OUTLETS 3.00 -------------------------------------------------•--------------------------- Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN LQPERAIIT Application Number . . . 06-00003667 Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED .Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 421.00 .00 .00 421.00 Plan Check Total 232.05 .00 .00 232.05 Grand Total 653.05 .00 .00 653.05 LQPERAI IT m m Ld CITY OF LA QUI �T� �vrEs= -�iM�EC%1 DING BULL®ING SAF SAFETY'DEPT. Q' f �^ IQ APPROVED a d/ n �dUlA11 /l/�e 7n �-1C�L ' 3 F+� CONSTRUCTION . �• IZ o-• , DATE '1,446: J a^,, r V: .S-�5�1�•Sru c�,ay • hlli►�� i�a z o - F.:. ew 11 zLd _ O �AREA MAP kk • JT - I . r1 - r C.' S 8711 _ ..... a:... M _. . LO A SOOLE • 1' - Or LA Qu4 . Cii - UIT BL= ----= tYu -;-{WLITY May POLE Q AocnoN wx g �e6 moo+ c TEL.hs E . 3'h' m ; T FWM OeMff.T M uomAo" ©cmc in FwL sos wT6 ' OWNER wa ER LEMM® lrf FtTOt CRAB PVC owRrt GAS, ��1 LD 4-c- uo cis ua� a *cw SLUE e6Pa1 MAW Q VAM DEPTH FOOTE WM GAVE WUNE Q W`M ® MW MW THERAW -. AERATnit "- ORA° Pw.s "ODER = p BO 19196 ---- m� OWERWAD.TELE _V7 RAf� = SVATCH P TRAP o PtW Gly tali ri �� RT, CA. (760)340-2586 \ ELFCG PEDESTAL &XESS[ ® MMEMACLE -1 sTue tCLW W EEE IOTES LO m 10/16/2006 06:01 7606749438 AMERICAN POOL CONST PAGE 04/06 Bin # _ kY of La Quinta- Building & Safety Division Permit # ^ P.O. Box, 1504, 78-495 Calle Tampico La Qulnta, CA 92253-.(760) 777-.7012 Building Permit Application and TTacking Sheet Project Address:' -1 Owner's Name: A. P. Number: Address: Legal Description: qty, ST, Zip: �� l ✓� /�, %1 r,4 Contractor. Address: City, ST, Zip:ell�sl-S Telephone: State Lie. # : 519 zr~ Gjty Lic, #: Arcli.,Engn. Designer: Address: City, ST, Zip: Telephone: State Lic: #: Name of Contact Person; Telephone # of Contact Petsoa: Congruction Type: O pancy: Project typo (citcle one): New Add'n Alter Repair Dcmo Sq, Ft., # S' torics: # Units: Value of Project APPUCANT_ DO NOT WPJTF-BELOW THIS UNE # Submittal • Req'd Ru!d TR+1CiCt1YYG Plan Sets Plan Ckeek subinitted Structural Cites. Renewed, racy for torreQNons ------------- puss G Ica. Called Contact Ptraon Energy Cato. ?law. Wcked up Flood plain plan Pians resubmitted Grading pian 21' lieview, ready for torreetlawAsaac Subcvntactor List • Called ContAet Person Grant Deed Plana picked Up ELOA. A. Approval Plans resubmitted IN HOUSE: Review, ready for eorrectlotu ume Planning Approval Called Contact Person Pub. Wks. App, Date of permit Issue School Fees PERMIT FEES Item Amount Plan Cheek Deposit Plan Check balance Construction Kedunical Electrical Numbing SALL, Grading Developer impact Fee A.li.h•P. ' Totat permit Fees 4