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06-2976 (PC)'�1 P.O. BOX 1504 VOICE (760)777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 +,: BUILDING &SAFETY DEPARTMENT ' e INSPECTIONS (760) 777=7153 BUILDING PERMIT r • Date: -8/24/06 Appli6ation Number: 06-00002976 Owner: �- Property Address: 45200 .WASHINGTON ST CENTRE POINTE DEV 6 APN: 604-040-012- - - 77-564 COUNTRY CLUB DR. Application description: POOL - COMMERCIAL PALM DESERT, CA 92260 Property. Zoning: PARKS .& RECREATION (760)36.0-8001 UG 3 Q 2006' Application valuation: 100000 ' Contractor: CITY OF Q4l11TA Applicant:- Architect or Engineer: CROCODILE CONSTRUCTION FINAN ERIPT 52121 FILLMORE STREET. THERMAL, CA 92274 ' (760)360-5895 Lic. No.: 840210 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION hereby affirm under -penalty of perjury that I am licensed under provisions of Chapter 9 Icommencing WitA I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full rte and t. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License lass: -C-C8 License No.: 8 0 -for by Section 3700 of the Labor Code, for the performance of the, work for which this permit is 1 issued. - �Date: V- r!" Contractor: r C4 _ I have and will maintain workers'. compensation insurance, s quired by Section 3700 of the Labor - Code, for the performance of thew for which this rmi is issued: My workers' compensation OWNER•BUILDER DECLARATION insurance carrier and policy numb ar :. - - I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND P y Number 1715211-4005 following reason (Sec. 7031 .5, Business and Professions Cade: Any city or county that requires a permit to _ I certify that, in the pe ante of ork r hich t is per it s issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant far the person in any,man er' a_s to be om s II -o the orke ' mpensation 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 / shou ' becom s je t t wor rs' c p n anon provisions of Section T License Law(Chapter9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or " 3700 of the I V e I shall f r wit c p ,wit tho pro Bions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by 4kV1/ l any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001.: Date. i U �Applicant: - ( 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and , - - t 'the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNI G. FAILURE TO SECURE WORK RS' CO ENSATION OvE GE 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 ENALTIES AND CIVIL FINES 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 COMPENSATI0 , 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, 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 1 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 contractorls) 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 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 beco s null and void if k is not commenced _ within 180 days from date of issuance o uch per it or cessation of or f r 180 days will subject - CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm sunder penalty of perjury that there is a construction tending agency for the performance of the I certify that I have read this application and state t Uor m io is corr ct gree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.): city and county ordinances and state laws relating t ti n, d her y ut orize representatives ' " of this ount to enter upon the above-mentioned -0 pur ose's.Lender's Name: -Date: Signature (Applicant or Agent): Lender's Address: _ - - .j __•� -- r - LQPERA11T ` I Application.'Number' . . . 06-00002976 Permit BLDG POOL PERMIT Additional desc,. Permit Fee 639.50 Plan Check Fee .'.' 415.68 Issue Date Valuation 100000 Expiration Date 2/13/07 Qty Unit Charge Per Extension BASE FEE 414.50 50.00 4.5000 THOU BLDG 50,001-100,000 225.00 _ Permit MECH POOL Additional desc . Permit Fee' 48.00 Plan Check Fee 9.25 Issue Date Valuation . . 0 Expiration Date*. 2/13/07 Qty Unit Charge Per Extension' BASE FEE 15.00 3.00 11.0000.EA -------------------------------- MECH FURNACE >100K --------"-------------------------------------• 33.00 Permit . . . ELEC-MISCELLANEOUS �- Additional desc Permit. Fee . . . . 71.00 -Plan Check Fee-. 15.88` i Issue Date Valuation 0 Expiration Date 2/13%07 Qty Unit, Charge Per Extension BASE FEE 15.00 5.00 7.5000'EA ELEC PWR APP >1 TO <=10 37.50 1.00 18.5000 EA ELEC SVC <=60OV/<=200A 18.50 Permit . . . PLUMBING Additional desc . Permit -Fee 45.00 - Plan Check Fee 9.75 Issue Date. Valuation _ 0 . Expiration Date 2/13/07 Qty Unit Charge Per Extension. BASE FEE 15.00 4-.00 6.0000 EA, PLB FIXTURE 24.00 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 COMMERICAL POOL/SPA'WITH WATER FEATURE LQPERDIIT - Bin # C3+` `Ciof La :Q. uin � � Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and. Tracking Sheet Permit # Project Address: t N Owner's Name: A. P. Number: Address: " Q W ",4d - Legal Description: [ Contractor: ��CD t Ie, t City, ST, Zip: Telephone: �---• ._ Project Description: Address: S ( � / S City, ST, Zip:. L [, � Telephone:)'OP S- f l ©'7 State Lic. # :, City Lic. #: Arch., Engr., Designer: YO-OLtF. 264 tU Q Address: City, ST, Zip: Telephone: E :..a x / Construction Type: �Od� A t Occupancy: a,),Vtf)", < State Lic. #: Project type (circle one): New Add'n ' Alter Repair Demo Name of Contact Person: I�-Ils �/ C Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: O Estimated Value of Project: 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 Cor corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. t Plans picked up Construction Flood plain plan Plans resubmitted Mechanicals �o Grading,plan 2"d Review, ready for correctionslssue Electrical•S r Subcontactor List Called Contact PersonpRi;�7 Plumbing Grant Deed Plans picked up S.M.I. S 'I' 14 H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue a t t 1 School Fees r PT• v� LOING rqk vlo Total Permit Fees DATES jam`.