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06-2532 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T --&t 4 4 Q" Application Number: 06-00002532' Property Address: 81835 EAGLE CLAW DR APN: 764-280-999-119 -300235- Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 1500 Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I m licensed under provisions'ofChapter 9' (commencingwith Section 7000) of Division 3 of the Business a Professionals Code, and my License isinfull force and effect. License Ciass: C8 C27 C29 License No.: 656128 Date Contractor: - -- - - -- OWNER-BUILDER. DECLARATION' I hereby affirm under penalty of perjury thatlm exempt from the Contractor's State License Law for the following reason (Sec. 7031..5, Businessofessions 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 ($600).: (_) I, as owner of the property, or my employees with wagewas their sole compe-nsationi 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, thebuilding or improvement is,sold within one year'of completion, the owner -builder will have the burden.of proving the t•he or she, did not build or improve for the purposeof sale.). (_ 1 I, as owner of the property, em'exclusively contracting with.licensed contraCtors'to construetthe project (Sec. 7044, Business and Professions Code: The Contractors' State,Ucense 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'.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: HOCK 81-835 EAGLE CLAW DR. LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/27/06 FEj---- (.760)398-9222 r uContractor:OIFOR I12POOLS & SPAU6N 2 9 2005Itl L it COACHELLA, CA 92236 CITY OF LA QUINTA Lic. No.: 656128 FINANCE DEPT: 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 BB1060510 _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in anymanner so to become subject to the workers' compensation laws of California, and agree that, If I shout ecome subject to the workers' compensation provisions'of Section x337700 of the Labor Cod 11 forthwith compiy-with those provisions. Date: t. G'b Applicant:' WARNING: FAILURE TO SECURE WOKERS' COMPENSATION, COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND.CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100;000). IN ADDITION, TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN- SECTIOR3706 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 harmlessithe City of Le Quints, 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 l have read this'application and state that the abo information is correct.. Vagree to comply with all city and county ordinances:and state laws relating to build, ion, and hereby authorize representatives of this cou tyto.enter upon the above-mentioned propert r i sectio ,purposes: Dater Signature (Applicant or. Agent): ' _ 1 Application Number . . . . . 06-000025.32 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 35.00 Plan Check Fee 22.75 Issue Date . . . . Valuation . . 1500 Expiration Date 12/24/06 Qty Unit Charge Per Extension BASE FEE 15.00 10.00 2.0000 HND BLDG 501-2,000 20.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 18.00 Plan Check Fee 4.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . 12/24/•06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 --------- - - Special:Notes and Comments - ----------------- - -Special FIREPIT ONLY PER APPROVED PLAN Fee summary Charged Paid Credited Due ---------------------------------------- Permit Fee Total 53.00 -------------------- .00 .00 53.00 Plan Check Total 27.25 .00 .00 27.25 Grand Total 80.25 .00 .00 80.25 LQPERMIT' Bin # , •� y •r.nI I r 3�i i,. 1� .. .. , ,r Q B�ul�dinB;Bt Safety Dlyfslon . - ' _ _ Penfilt #1.504,78 495 Calle Tampico ��., e�.�z l.a Qumta, CA 92253 60)777-70 2 Building Permit Application and Tracking Sheet 3S l Pro ca:Address:g 9's Name, A. P. Number: Addressr g:Ss t7a Gia •• tatty, ST, Zip (�- `�, �/�. �� " Contractor�� + I ,.r w:,..�: , I ..�:•��f, ��a,._. Qr `,, F Telephone Address y� Project 1)escripUon. ', City, ST, Zip Cid 3. iZ.,ba a.. ASC: Mfg: . . - '� U tai` �Lic. #. � �;�; -�,•� , $tate Lie- Ait fingr, I)estgner; — • ' City, —..�A�fi13 ''4'a�': �!� 3 rte.-S•�. r`�.A 1•i.- . Telephone .' -- - �%Constntchon p�p��y . I' ,State Lia # . � � Proj type (ctt+cie one) Add'n Alter Repair 'Demo • Name of Contact Person S9 #Stones # LTntts ':Telephone # o><:�Contact Person ' Es4matpd Value o�Proj O ) PV�.DO JNQ�T4W1fwTF ilo"Hl's UNE Sabmttbu rRegt l�ec,d � ) 3 TICACtfliV s G , per FEES Plan'Seta' �PlanCheckanbmittal� I -+ ` ... `.;` ... .. ,Item : Amoaat . Stractpral Cala. Devi . ewed, ready for eorra tions Plan Check Aepos[t Tress `Galled+ContaefPeraon .. ..' Plan Cheek Balance Energy Cala. � Pians p[cked np ------------Coaadu coon So 7 _Flood plain plan ;Plana resab ` ted ` � . .. hMechanical - �� G_ra�ingplaa' Ii rnew, ready for correcftona/issne Electrical Sabtontactor List I ed C Ca CalldPerson .- _ _ _ Plam6[ug _ GrantDlia picked np ,Plans H:OA 'Ooroval Piaas'reaubnitttal: Grad�ag IPF HOUSE:- ?^' Review, reAdy foreotrectlons/issue ' • .:; Developer Impact Fce "Canal Ylannfng Approval Contact Peraoo A,LP P. Pub Wks. Appr Date of oe School Fees C OT. E -. .;::....:.: :.. ,rnn STR CTIO .; Total' ermlt Fees - DA's BY GAS -SHUTOFF GAS LINES SHALL BE INSTALLED VALVE GRAVEL PER CPC FOR DEPTH, LOCATED COURSE COVERAGE, AND PLACEMENT. WITHIN 3b" GAS LOG SAND WATER PROOF OF UNIT LIGHTER MEMBRANE (TYP.} STONE CAP 3-1/2 #4 TIE STEEL ;o #4 BAR VERT. AT 32" O.C. 8x8X8.CMU; SOLID GROUT _t F.S. CLR METAL GAS RISER GRAVEL SUMP 2" DRAIN OR PROVIDE -12" DIAM. - 3 CU. FT. OPENING IN FOOTING. CRUSHED ROCK 7� OUTDOOR FIRE RING - STONE CAP - 112" =1'-0" ?PIP £ 1 �TLi �pC7 u.�. �eRoVeo: