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06-0261 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&ht 4 4 4" Application Number: 06-00000261 Property Address: 53501. AVENIDA DIAZ APN: 774-111-013-1 -000000- Application description: POOL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 19000 Applicant: Architect or Engineer: %Vl aJ ----------------- 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 and Professionals Code, and my License is in full force and effect. License Class: B3 -C„53 LicenseNo.: 483498 I�e: G'ZeContract 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 ISec. 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.). (_) 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.). f 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 Owner:U 53=501GULBAUAVAND AND ENOIDA. A J0 3 0 2006 LA QUINTA, CA 9 5 �1 1 1l AF �a1JINt pINANe��' Contractor: PURRFECT POOLS & CONSTRUCTION P.O. BOX 1524 PALM DESERT, CA 92261 (760)568-4963 Lic. No.: 483498 ------------------ WORKER'S COMPENSATION DECLARATION VOICE (760) 777-7012 FAX (760) 777-7011 ,1JQNS (760) 777-7153 late: 1/26/06 I 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. J� 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 1680230-2005 _ 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 /� 370 of the Labor Code, I shallforthwithwith those provisions. I.e: pplicant� 6 1 L q 7 WARNING: FAILURE TO SECURE WORKERS' 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. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this countyy tooyenter . upon the above-mentioned prop y for ' specti.o��n purposes. Dt;eeA (Applicant or Agent.L3�_.-1t1 4 Application Number . . . . . 06-00000261 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 198.00 Plan Check Fee 128.70 Issue Date Valuation 19000 Expiration Date 7/25/06 Qty Unit Charge Per Extension' BASE FEE 45.00 17.00 9.0000 THOU BLDG 2,001-25,000 ---------------------------------------------------------------------------- 153.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 " Issue Date Valuation 0 Expiration Date 7/25/06 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 . . . . 27.00 Plan Check Fee 6.75 Issue Date Valuation 0 Expiration Date 7/25/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA- PLB FIXTURE 6.00 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 ONLY (NO HEATER). ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE. NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited -------------------- Due ------------------------------------- Permit Fee Total 270.00 .00 .00 270.00 Plan Check Total .146.70 .00 .00 146.70 Grand Total 416.70 .00 .00 416.70 LQPERMIT ' 01/17/2006 15:22 760-360-9829 PURRFECTPOOLS PAGE 03/05 01/17/2006 15:22 760-360-9829 PURRFECTPOOLS PAGE 02/05 Bin g` City of La Quinta . Building ez Safety Division P.O. Box 1504, 78-49S Calle Tampico Permit La Quinta, CA 52253 - (760) 777-7012 6261 Building Permit Application and Tracking Sheet ProjectAddress: 53 5G i . A. P.'Nutnber: Address' S.s�� !i jD/Iz, 1-ev.al Description: Cit,. ST. Zip: � �Af Gt Contractor: bGt 5 �` .Cl FTelet•honc: ' Address: proi(,-ct nescriptim Cirp. 57". Zip: -1�-' T �y)-. Telephone: ��o gl q (43 ». -w� .,. •. State L,ie. Citti Lic. �: Asch.. Engr.. Designer: :address: ., City- 5T- Zip: , Construction Type: /��e�'l`L� ()ccupancv : Telephone: State Lic. #: Project type Icircle ont): NC%,,' Add'n Alter Rcpair Demo Name of Contact Person: .Cle- JA) Sq. I t;;(g SitiriGs: Units: Telephone x of Contact Person: EStUnated Value of Prgiec : L APPLICANT: Da NOT WAIT!_ BELOW THIS LINE 0 Submit[N9 RCp'd Itcc'd TR.,kCKING PFIMIT FEES Plan sets Plan Check submitted /7/t�e Item Amount. $tructurai CaICs. Reviewed. read)• for corrections PlAn (:heck Deposit Truss Galas. Called Contact Person I'lan (.'heck Balanct Energy C:alcs. plans picked up C'onstructian Flood plain plan Plans resubmitted ^' Rtrchanical Gradine plan 2"Review. ready for corrections/issue Electrical 5ubcnntroctor list Called Contact Person _ Plumbinv, Grant Deed Plans picked up T S.M.t, H2O.A• Approval Plans resubmitted ..Grading 1'%'H0VSE:" )H Review. ready for corrceti->nsiisauc Developer Impact Fee Planning Approval Called Contact Person Pub, Wks. Appr pate of permit issue SchoolFees Totat Ptrmit Fees I I