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06-3441 (RPL)'J P.O. BOX 1504 f 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 • ,- :. :_� Dater 9/25%06 Application Number: Y '-_06-,00003441 _ Owner: Property Address: 78330 WINTER COVE CT ' MAGALLON SERGIO y , APN:- 770-031-017,-18 -28019 78330 WINTER COVE CT Application description: POOL - RESIDENTIAL LA QUINTA •CA 92253 •, Property 9: {MEDIUM DDENSITY DENSITY-RES --------------------------------- Application valuation: 7OO- J Contractor: D a. Applicant: Architect or Engineer: Owner k . OCT 112006 LIQ-- - - - -!---- - - - - -- 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 ofttie following declarations: - Section 7000) of Division 3 of the Business and 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: License No.: for. by Section 3700 of the Labor Code, consent the performance of the work for which this permit is issued. , Date: Contractor: - - _ I have and will maintain workers' compensation insurance, as required by Section 3700'bf the Labor • Code, for the performance of the work for which this permit is.issued. My workers' compensation _ OWNER-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 Policy Number • following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to I certify that, in the performance of 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 to become subject to the workers' compensation laws of California, - permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State - • and agree that, if I should become subject 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 .3700 of the Labor Code-I shall forthwith 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 - any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: Applicant•��!•'1titiQ (_) 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: FAILURE OT SECURE WORKERS' 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 PENALTIES 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 THE 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, INTEREST, 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 _ 1 I, 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 y 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.. - e ; property who builds or improves thereon, and who contracts for theprojectswith a contractorls) licensed - 1. Eachperson upon whose behalf this application is made, each person at whose request and for - .pursuant to the Contractors' State License Law.l� - whose benefit work'is performed under or pursuant to any permit issued as a result of this application, i 1 II 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 ' ^ +�. . i of La Quinta, its officers, agents and employees for any act or omission related to the work being ,. S - performed under or following issuance of this permit. Dated Owner: yY' V Aa �j� V71�b M(�Q/},k ©v1 • 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 _ CONSTRUCTION LENDING AGENCY v 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 above information is correct. Iagree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). - ' city anis county ordinances and state laws relating to building construction, and hereby authorize representatives • , of this county to enter, upon the above-mentioned property for. inspection purposes. Lender's Name: - bate: -L0 Signature (Applicant or Agent): ` Lender's Address: LQPERi111T , Application Number 06-00003441 Permit . . . :- . BLDG POOL' PERMIT: Additional desc . Permit Fee . . 265.00 Plan Check Fee 172.25 Issue Date . . . . ..Valuation 27000 Expiration Date 3/24/07 Qty Unit Charge Per Extension BASE FEE 252.00 2.00 6.5000 THOU BLDG 25,001-50,000 13.00 Permit MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation 0 Expiration Date 3/24/07 Qty Unit Charge Per Extension BASE FEE 15.0.0 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 3/24/07 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 3/24/07 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 J 1.00 3.0000 EA PLB GAS. PIPE 1-4 OUTLETS 3.00 -------------------------------------------------------.-------- Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN LQPERNI[T - . Bin # City of La Q uinta Building u Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # LA\ Project Address: Owner's Name: A. P. Number: Legal Description: Address: g , /1_ /1 1 City, ST, Zip: 4 � �3 Contractor: i• YJ Address: Telephone: h '� Project Description: City, ST, Zip: Sf Cl` Telephone: p r. State Lic. # : City Lic. #: Arch., Engr., Designer. +, Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Adc.'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 5eXM a 7tqbS Estimated Value of Project: r 0 O APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING. PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading.plan 2°" Review, ready for correctionslssue Electrical Subcoutactor 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 correctionslissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees tq— CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB ADDRESS -1g- �''p. W %Y\arCr Cove PERMIT NUMBER (o3LLJ I OWNER Ser5\O !Ma C lon BUILDER Scra\_o a\kor This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only.persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not ;an acceptable response. sificatio Trade /. Classification C ontractor ' '. :: %:::>:::: '.<:::State:::Contractot's License :::. .'':: ::.. ke' Com ensationarsur"n' `' ::: Wo. s... a. ce:.:'': :::::: ::: ... .. C y it'. Business License::. Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name le.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx). Exp. Date (xx/xx/xx) EARTHWORK (C-12) :.:; QU.\�C�► OuX1Cf COfdCRETE. W78)':: �(,�1�C�►\�fl . Glut) Vi . : FRAMING .(C-5) `.;' Q(A%1d►\n 0 LovNeir M STRUCT.:STEEL (C-51) ' o\n Owner c MASONRY46-29) PLUMBING (C-36) n `pp�tNVd1\ OV�11f��. -aMfj PLASTER (C-35) 1\G vw�\ C-- 5'.r 5-(A55 2 3 77ff DRYWALL (C-9) .:... HVAC. (C-20)-.:..-. . ELECTRICAL.1C=10) &A\kdt Q wrtc+r $HEFT METAL FLOORING (C'=:15)%. GLAZING (C -17-)"w '> INSULATION' (C-2) . SEWAGE DISP. (C-42) .'::w PAINTING (C=33) ' CERAMIC TILE :(C-54) CABINETS IC -61 FENCING (C1713) LANDSCAPING.: (C=27)..:' `n I / POOL (C-53) CAft% - -� G-53 1i$`�?J` -�--3i-cr' S4•o►�.� U\d �Ol�ti-" Oip