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05-2153 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: -05-00002153 Property Address: 50745 EL DORADO DR APN: 772-250-999-174 -30357 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 18000 Applicant: Architect or Engi T4ht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: TOLL CA V -�-as- VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 C/O KEVIN D DUERMIT 8901 E MOUNTAIN VIEW 200 /a1 SCOTTSDALE, AZ 85258 JUN oContractor: � �oOJ CALIFORNIA POOLS & SPAS WCC: SEABRIGHT INS CFyo,,64 lllyT WC: BB1050510 01/01/06 —�EPr A CSLB: 656128 10/31/06 -------------------- -- -- ------------------------ LICENSED C TRAC R'S DECLARATION I hereby affirm under penalty of perjury that I am license under ovisions of Chapter 9 (commencing with /lection 7000) of D�ionn �.af i e Busine a `/ d Profess i n s C e, and.iy �k i in �ulFfor d effect. / License Class: / J L rise Ne. / (� Date: [ �! Contractor: OWNER- R 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).: (_ 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.). ( ) 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 Date: 6/03/05 ----------------------------------------------— 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 vvhich 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 Aforthco Carrier C8 C27 C29 C53 er--------- - - - - - - I certify that, in the performanco which this permit is issued, I shall not employ any person in any manner so as to the workers' compensation laws of California, and agree that, if I u behe workers' compensation provisions of Section 3700 ��of the Labo Cod I so ply with those provisions. Da . / O,�Applican WARNING: FAILURE TO SECURE ORKERS' C NSATIO COVERAGE IS UNLAWFUL, AND SHALL 'SUBJECT AN EMPLOYER TO CRI INAL PENALTIES L 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 becomAnd*d'd if work is not commenced within 180 days from date of issuance of such permito work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the ove inrr t. I agree to comply with all city and county ordinances and state laws relating to bu' in constr y authorize representatives o�uny`�o epte on the above-mentionep rty f r insp ate: (/ (/ nature (Applicant or Ag t): G Application Number . . . . . 05-00002153 Permit . . . BLDG POOL PERMIT Additional desc . . Permit .Fee . . . . 189.00 Plan Check Fee 122.85 Issue Date . . . . Valuation . . . 17920 Expiration Date . . 11/30/05 Qty Unit Charge Per Extension BASE FEE 45.00 16.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 144.00 Permit . . . MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/30/05 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 11/30/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 -----------------------7---------------------------------------------------- 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 . . 11/30/05 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 Permit . . . . . . WALL/FENCE PERMIT LQPERMIT Application Number . . . . . 05-00002153 Permit . . . WALL/FENCE PERMIT . Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 80 Expiration Date 11/30/05 Qty Unit Charge Per• Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA ONLY. GAS STUB FOR FUTURE APPLIANCE. 5 L.F. 4' BLOCK WALL CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INLCUDED IN PERMIT. a Fee summary Charged Paid - ---- ---------- Credited ---------- ---------- Due ----------------- ----- Permit Fee Total 308.00 .00 .00 308.00 Plan Check Total 148.85 .00 .00 148.85 Grand Total 456.85 .00 .00 456.85 LQPERH4IT Bin # Permit # 05-2153 Project Address: , 0— y� A. P. Number: Legal Description: Contractor: 6aLi Address: P D 81AC 21" City, ST, Zip: e ESA Telephone: State Lic. # Arch., Engr., Designer: Address: City., ST, Zip: Telephone: State Lic. #: Name of Contact Person: D iJ Telephone # of Contact Person: City Of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet R_ Owner's Name: Address: City, ST, Zip: . Telephone: Project Description: MoL & .s DA- 4-- 64-5' S Lic. M. ItFk 1/9"8k061<UJta, L Construction Type: Occupancy: ';q??>i: fix 5. `-:C! '}'_ i+.','%�+%fpi:}ji%S{viin;.S:i+�+•,: Project type (circle one): Ne Add n Alter Repair Demo Sq.Ft : #Stories: #Units: . Estimated Value of Project:. 9,0 OD APPLICANT: DO NOT WRITE BELOW THIS LINE r l Req'd Recd TRACHING PERMTT FEES Plan Check submitted Item Amount al Cales. Reviewed, ready for corrections Plan.Check Deposit lcs. Called Contact Person Plan Check Balance Calcs. Plans picked up Construction ain plan Plans resubmitted D4echanical wA w • uraumg pian c ncvtcw, rcaay for correcnonsnssue r lectrtcat Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''" Review, ready for correctionsf'issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees r•