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05-2458 (RPL)P.O. BOX 1504, . 78-495 CALLE TAMPICO LA QUINTA,; CALIFORNIA.92.253 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: Q05-00002458 Property Address: osr'_7_847_5eV.-IA�PALOMINO •APN: 604-032-999-116 -305212• Application description: POOL RESIDENTIAL D Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 17000 JUN 2 2 2005 Applicant: Architect or Engineer: CI4�QFi�► UlMTYA - . FIpl�P10E D�� r C}CW J ICACiTO ' LICtDECLARATION R'S DECLARATION I hereby affirm under penalty of perjury that ovisions of Chapter 9 (commencing with Section 7000) of iCfsi the Busine e, and mJ.( nse i i fu 1 r d effect. Licens/e%Clas/: No.��ARATION - 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($500).: (_) 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 _ 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 contractsfor 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 .. 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 - VOICE (760) 777 -7012' - FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/20/05 Owner: IENNAR HOMES OF CALIFORNIA 8401 HIGHWAY 111, STE C A QUINTA, CA A QUINTA, CA 92253 I ntractor: ' C LIFORNIA POOLS & SPAS C: SEABRIGHT INS WC: BB1050510 01/01/06. CSLB: - 656128 10/31/06 • 2 WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following declarations: 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 which 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 w l// rkers' comp ation, / insurance carrier and policy num are: / 'earnerPolicy C8 C27 C29 C53 � Polic N ber •/�L_L! .(��/jjj®®® ! v . I certify that, in the performance of the wo ich this permit is issued, I shall not employ any person in any manner so as to become bject to he workers' compensation laws of California, and agree that, if I sho ecome subj o th orkers' compensation provisions of Section Dat _rr�� 37�0��qofrrthe Labor C d I shall forthwi h c ly with those provisions. z1_?L_ iApplica - f WARNING: FAILURE TO SECURE W KERS' COMPE COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL 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, IN 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 becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or ce 'on of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above inform ios orrect. I agree to comply with'all city and county,oFdinances and state laws relating to buildin nstruc n, an ereby authorize representatives of thisco y to a er upon the above-mentioned property spe pur Date 'gnature (Applicant or Agent): ' _ ";;.Application Number . . . . 05-00002458 Permit . . . BLDG POOL PERMIT _ Additional desc . Permit Fee 180.00 Plan Check Fee 117.00 - Issue Date Valuation 17000, Expiration Date'. 12/17/05 - yQty . Unit.Charge Per Extension BASE -FEE 45.00. -. 15.00' 9.0000 THOU BLDG 2,001-25,000 -------,----.--------------------- ------------------------ ----- ------------------ 135.00 Permit. MECH POOL . Additionaldesc . Permit Fee 26.00, Plan Check Fee 6.50 Issue Date Valuation 0 "Expiration Date 12/17/05 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 12/17/05 Qty Unit .Change 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 12/17/05 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 --- - - - - -- - - -- ---.ti__... Special."Notes and Comments POOL & SPA ONLY. ALARMS/BARRIERS SHALL LQPERMIT - ', Bin #City of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico Quinta, CA 92253 - (760) 777-7012 Building Building Permit Application and Tracking Sheet Permit # J.5'-.2 Project Address: ` — i h,Lo" & C) Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: C L FD I O D L.5 � Te leP h one: Address: Q Box Project Description: .......................................:. City, ST, Zip:. Ccct Telephone: ele hone: Z a State Lic. # Arch., Engr., Designer: City Lic. Address:" _ ---------- -- _ - G'�/% J� TJX City, ST, Zip: Cons truction Type: Occupancy: P Y• Telephone: , State to Lic. #: Ad d n DemoPr Project type �carcleone : N Alter Repair . Name of Contact Person:F �°' ►� Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: ,2 /4 -?-Z-75--0--Z 7 Estimated Value of Project: 00 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 Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for correctionsrssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading .IN HOUSE:- 7rd Review, ready for corrections/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