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06-3038 (RPL)tf P.O. BOX 1504 4 VOICE (760) 777-7012 78-495 CALLE`rAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 8/21/06 Application Number: 06-00003038 Owner - Property Address: 60988 DESERT ROSE DR SHEA LA QUINTA APN: 764-270-999-191 -300233- C/O JEFF MCQUEEN Application description: POOL - RESIDENTIAL 8800 N GAINEY CENTER 350Property. Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258Application valuation:, 22000 Oq'I 79C= Contractor: c� AUGG 221006Applicant: Architect or Engineer: ® CALIFORNIA POOLS & SPAS rs. P.O. BOX 1280 MYOF1. ( I�11T�1 V COACHELLA, CA 92236 F (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 an Professionals Code, and my License is in full force and effect. License Cl s: C8 C27 C29 License No.: 656128 Date Contractor: DECLARATION I hereby affirm under penalty of perjury that I amemptom the Contractor's State License Law for the following reason ISec. 7031.5, Business and Pr�WWNEFI-BUILDER ssions 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 Codel 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 15500).: (_ 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.l. ' (_ 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 ISec. 3097, Civ. C.). Lender's Name: _ Lenders Address: LQPER1t1IT ----------------------------------------------- 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 Policy Number laws of California, and agree that, if I shotPENATIES ject to the workers' compensation provisions of Section ��f the labor Coith comply with those provisions. Date: G Applicant: WARNING: FAILURE TO SECURE WOENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000) IN ADDITIONOF 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 Ouinta, 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 i formation is correct. I agree to comply with all city and county ordinances and state laws relating to buildin ' n, and hereby authorize representatives of this counW to ente ethe above-mentioned propert or i ection p oses. Date:_ Signature (Applicant or Agent): i '(,4 LQPERMIT Application Number 06-00003038 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 225.00 Plan Check Fee 146.25 Issue Date Valuation 22000 Expiration Date 2/17/07 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 2/17/07 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 2/17/07 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 2/17/07 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 ONLY. PERMIT DOES NOT INCLUDE 1. Application Number . . . 06-00003038 ----------------.------------------------------- Special Notes and Comments - EQUIPMENT ENCLOSURE Fee summary Charged Paid Credited Due Permit Fee Total 329.00. .00 .00 329.00 Plan Check Total 172.25 .00 .00 172.25 Grand.Total 501.25 .00 .00 501.25 . LQPERMIT k of - Bin # City of. La Quinta Building U Safety Division Permit #P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 Q� '3 Building Permit Application and Tracking Sheet Project Address: (,C) _ 5 $ S,Owner's Name: 5 A. P. Number: Address: v Legal Description: City, ST, Zip: M� 1 Address: =t?O • Q7©� (23 CP Project Description: City, ST, ZipL=CL� l l „ T Telephone: 760) S7 7—Z L State Lie. Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: Name of Contact Person: Telephone # of Contact Person: Estimated Value of Project: Z Z o o APPLICANT: DO NOT WRITE BELOW THIS LINE I TRACEING • PERMIT FEES n nnn,ne to f"1 Plan.t'.heck submitted l Item Amount FOR CONSTRUCTION Reviewed; ready for corrections Plan Check Deposit Called Contact Person Plan Check Balance Plans picked up Construction Plans resubmitted Mechanical 2'' Review, ready for co rrectionstiissue Electrical Called Contact Person Plumbing Plans picked up S.M.I. Pians resubmitted Grading Review, ready for correctionsrssue Developer Impact Fee Called Contact Person A.I.P.P. Date of permit issue Total Permit Fees n nnn,ne to f"1 ! %l 1 I t %-o v c_ a✓ FOR CONSTRUCTION DATE gy \1� Total Permit Fees