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06-3910 (RPL)ry P.O.. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application. Number: -06=00003910 Property Address: 79835 -WESTWARD HO DR APN: 649-061-006-6 -2190 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 35000 Applicant: I hereby affirm under penalty ofperjur' that I ar Section 7000) of Division 3 of the Bu nTs and Licenses: 1053 i +��� Architect or Engineer: I BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: AFRICA ROLAND 79835 WESTWARD HO LA QUINTA, CA 922 Contractor: INTERNATIONAL GUN 75153 MERLE DRIVE PALM DESERT, CA 9 (760)034-1350 Lic. No.: 875547 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date:y 11/07/06 5 NOV 13 2006 I C 0 UTEdftY0FLAQU1NTA 22 1 FINANCE DEPT i CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION ensed under provisions of Chapter 9 (commencing with _ I hereby affirm under penalty of perjury one of the following declarations: fessionals 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 No.: 875547 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 0 ER -BUILDER DECLARATION - insurance carrier and policy number are: ' I hereby affirm under penalty of perjury that a e empt from the Contractor's State License Law for the Carrier J WARLIN INS Policy Number 229003373006 following reason (Sec. 7031 .5, Busine an Professions Code: Any city or county that requires a permit to _ I certify that, in the pe ormance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or pa any structure, prior to its issuance, also requires the applicant for the person in any marine so as to ecome subject to the workers' compensation laws of California, permit to file a signed statement that h or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I s uld beco a subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing Section 7000) of Division 3 of the Business and Professions Code) or , 3700 of the LgAor C G, I shall orthwith 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).: 1—) 1, 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 _ 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: LQPER111IT WARNING: FAILURE TO SECURE WO 2RS' C PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAE�L I AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,b001. IN ADDITION T T E COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, I T REST, 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 ermit.- 2. Any permit issued as a result of this applicati beco as null and void if work is not commenced within 180 days from date of issuance of su h permi , or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this applicat and state that the bove in rmation is correct. I agree to comply with all cit an co t ordinances and a laws relatin to buildi onst ction, and hereby authorize representatives Y y� Y 9oj Y P of this unt to enter upon above-mentioned property spe tion purposes. (Applicant or Agent): ,.Application Number . . . 06-00003910 Permit . . . . . . BLDG'POOL PERMIT ;. Additional desc . Permit Fee . . '317.00 Plan Check Fee 206.05 Issue Date . . . . Valuation 35000 Expiration Date 5/06/07 Qty Unit Charge Per Extension BASE FEE 252.00 10.,00 6.5000 THOU BLDG 25,001-50,000 65.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation 0 Expiration Date 5/06/07 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'. 5/06/07 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 _ 5/06/07 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 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN LQPERDIIT Application Number 06-00003910 ---------------------------------------------------------------------------- Special Notes'and Comments .,PLACE AT PRE -:PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT "INCLUDED Fee summary Charged Paid Credited Due Permit Fee Total 421.00 .00 .00 421.00 Plan Check Total 232.05 .00 .00 232.05 Grand Total 653.05 :00 .00 653.05 LQPERAIIT i � 1 Q ♦ io L I� I . • T <V r 8 •ju Tin ffCity of LaQ 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 # (\`0 Project Address: .7 7 Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: �-rt am ��yf � � �I Address: % % �3 �� �i2 S l,Ai? 8 ,.Telephone: Project Description: City, ST, Zip: ?�,.iQ/r✓'> �'ZZ j Telephone: �7 _5110 nn(60 State Lic. # :"'9- �S� S�`T City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Q lam^� Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add -:n Alter Repair Demo Name of Contact Person: Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: • 1�� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd . Rec'd 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 .Cales. Plans picked up Constructon Flood plain plan Plans resubmitted Mechanical Grading,plan 2'4 Review, ready for corrections/issue Electrical 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 corrections/issue Developerlmpact Fee. ; Planning Approval Called Contact Person A I p p Pub. Wks. Appr Date of permit issue. School Fees - . Total Permit Fees .