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06-3710 (SOTB)
T-,Wf 4 4 Q-" - - '' P.O.' BOX 1504 VOICE.(760) 777-7012 -" 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 10/18/06 . Application Number: 06=00003710 Owner. Property Address: 52205 -WHIRLAWAY TR MUNOZ APN: 767-200-999-42 312021-' 52205'WHIRLAWAY TRAIL Application description: STRUCTURES OTHER THAN BUILDINGS LA QUINTA, CA 92253' Property Zoning: LOW DENSITY RESIDENTIAL ( Applicatjon.valuation: 7000 Contractor: 'Applicant: Architect or Engineer: CALIFORNIA POOLS AS P.O. BOX 1280 T y C COACHELLA, CA 922 0 1 1 �0�[1 i- (760)398-9222 Lic. No.: 656128 CITY OF LA QUINTA FINANCE DEPT. ——--—--——--------------———-—----—------—----------------——---------—-------------——————----------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION - I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business_420 Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C8 C27 C29 License No.: 656128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is _ issued. ate: !6 tractor. �`FAave 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 NER-BUILDER DECLARATION insurance carrier and policy number are: _ I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier SEABRIGHT Pnliry Njimher BRI.06051 0 following reason (Sec. 7031.5, Business'and Professions Code: Any city or county that requires a permit to- _ I certify that, in the performance f the work for which this permit is issued, I shall not employ any construct, alter; improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as tc ecome subject to the workers' compensation laws of California, permit to file a signed statement that he or*she is licensed pursuantto the provisions of the Contractor's State - and agree that, if I should b ubject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or _ 370 of the Labor Code, I orth ith comply with those provisions. - that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by /1' any applicant for a permit subjects the applicant to.a civil penalty of not more than five hundred dollars ($500): 1 l 71 any nt:' 1 _ 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 WARNING: FAILU E 70 SECURE WORKER 'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL _ Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PE LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO TH COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTE ST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT , 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractors) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application, (- I I am exempt under Sec. - B.&P.C. for this reason - _ 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. Date: Owner: - 2. Any permit issued as a result of this application be es null and void if work is not commenced within 180 days from date of issuance of such p nit, or cessation of work for 180 days will subject CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction. lending agency for the performance of the I certify that I have read this application and state that the formation is correct. I agree to comply with all WON for which this permit is issued (Sec. 3097, Civ. C.). - . _city and county ordinances and state laws relating to buil i on ction, and hereby'authorize representatives of this coun to ter upon the above-mentioned grope Po cn purposes. Lender's Name: Dat ` t�Signa (Applicant or Agent): . .. Lender's Address: , LQPERMIT Application Number . . . . . 06-00003710 Permit BUILDING` PERMIT Additional desc . Permit Fee 90.00 Plan Check Fee 58.50 Issue Date- Valuation . . . 700.0 Expiration Date 4/16/07 Qty Unit Charge Per Extension BASE FEE 45.00 5.00 9:0000 THOU BLDG 2,001=25,000 45.00 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 17.25 Plan Check Fee,. 4.31 Issue Date . . . . Valuation 0 Expiration Date 4/16/07 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 .7500 PER. ELEC DEVICE/FIXTURE 1ST 20 2.25 Special Notes and Comments BBQ ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 5.85 STRONG MOTION (SMI) - RES .70 Fee summary Charged Paid Credited Due Permit Fee Total 107.25 .00 .00 107.25 Plan Check Total 62.81 .00 .00. 62.81 Other Fee Total 6.55 .00 .00 6.55 Grand Total . 176.61 .00 .00, 176.61 o LQPERMIT '. Fees FOR CONSTRUCTION EA MZiC Y Bin # City of. La Quinta �Po 2o�Z Building U Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico P La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracki:ig Sheet Project Address: Owner's Name: My A. P. Number: Address: 52_ 2pS- W ��QLAw Legal Description: City, ST, Zip: ,(_ ,fA, Q N z Contractor. c Y-\'l� Telephone: OE. . Address: ?tom© i2 -)C0 Project Description: City, ST, Zip CA.1 2 -2 --SG Z> Q Telephone: SCK-nz State Lic. # : Z City Lic. #: Arch., Engr., Designer: Address: ` City, ST, Zip: Telephone: Constrgction Type: Dccupancy: State Lic. #: _ Project type (circle one): 6w, A' &'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: p2S0— L Estimated Value of Project: 7;;L p APPLICANT: DO NOT WRITE BELOW THIS LINE . # Submittal Req'd Recd TRACKING Plan Sets . PERMIT FEES Plan.Check submitted Item Amount Structural Calcs. Reviewed; ready for corrections Plan Chest Deposit Truss Calcs. Called Contact Person d . Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading.plan` god Review, ready for correetionsrissue Electrical Subcontactor List Called Contact Person J$I Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval • Plans resubmitted Grading IN HOUSE: - 3" Review, ready for corrections/issue DeveloperImpact Fee Planning Approval Called Contact Person A.I.P.P. Pub. \Vks. Appr Date of permit issue School Fees Fees FOR CONSTRUCTION EA MZiC Y