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06-3748 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPIC0 LA QUINTA, CALIFORNIA 92253 ceitit 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00003748 Owner: Property Address: 53372 VIA PISA NRI CCP I APN: 772-530-065- - - 81100 AVE 53 Application description: STRUCTURES OTHER THAN BUILDINGS LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 3000 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: Applicant: Architect or Engineer: CALIFORNIA POOLS & SPAS P.O. BOX 1280 D COACHELLA, CA 92236 (760)398-9222 Lic. No..::666656128 I LICE SED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a Professionals Code, and my License is in full force and effect. License Class: CB /C27 C29 License No.: 656128 te: Z 411111'y ontractor: NER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am a mpt 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).: (_ 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 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.). (_) 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 contractorls) licensed pursuant to the Contractors' State License Law.). ( 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: LQPERMIT Date: 10/20/06 u U OCT 2 31006 - - - CITY OF LA QUIN-T�► _ _ — ,F4;diaC��EPT. WORKER'S COMPENSATION DECLARATION ^���-; I hereby affirm under penalty of perjury one of the following declarations: _ I 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. 1 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 insurance carrier and policy number are: Carrier SEABRIGHT Policy Number BB1060510 _ I certify that, in the performance o the work for which this permit is issued, I shall not employ any person in any manner so as come subject to the workers' compensation laws of California, and agree that, if I shnuld .rn a .. �hjer,.t to the workers' compensation provisions of Section �� ,� 3700 of a Labor Code, tall orth ith comply with those provisions. af? te: (.(//Zry Applicant: WARNING: FAILURE TO SECURE WORKERS' C PENSATION 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, INTEREST, 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 cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the abov information is correct. I agree to comply with all city and coun�ty ordinances and state laws relating to b ing uction, and hereby authorize representatives of this Gnty to enter upon the above-mentioned prope cti urposes. ate% G ignature (Applicant or Agent): Application Number . . . . . 06-00003748 Permit . . . BUILDING PERMIT " Additional desc . . Permit Fee . . . . 54.00 Plan Check Fee 35.10 Issue Date . . . . Valuation . . . . 3000 Expiration Date . . 4/18/07 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 9.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . . 1 Permit Fee . . . . 15.00 Plan Check Fee 3.75 Issue Date . . . . Valuation . . . . 0 Expiration Date . . "/18/07 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 Permit . . . PLUMBING Additional desc . . Permit Fee . . . 21.00 Plan Check Fee 5.25 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/18/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 ---------------------------------------------------------------------------- Special Notes and Comments COURTYARD FOUNTAIN, PER APPROVED PLANS ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 3.51 STRONG MOTION (SMI) - RES .50 Fee summary Charged --------------------------- . Paid ---------- Credited ---------- ---------- Due Permit Fee Total 90.00 .00 .00 90.00 Plan Check Total 44.10 .00 .00 44.10 Other Fee Total 4.01 .00 .00 4.01 Grand Total 138.11 .00 .00 138.11 LQPERMIT Bin # k. City of. La Quinta Building & Safety Division Permit # I Q� P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Track* ng Sheet Project Address: s -s_ E2Z v.%Ak. Pt Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor ``,COY -,;r, l� T-1Pn1.nnn- Address: �?Q . SiL 2 City, ST, Zip C Telephone: State Lie. # : 2 Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: Name of ContactPerson: Telephone # of Contact Person: �f # Submittal Plan Sets Structural Cales. Truss Cales. Energy Cales. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees r Req'd -I Ree'd ?"3G� Lic. #: Project Descriptior C.p,,, Total Permit Fees ' w - VrLt.•�►C EI�G F•�� Plurr►� FtN At; Construction Type: Occupancy: Project hype (circle one): Acd'n Alter Repair Demo Sq. Ft.: # Stories: # Units: ` Estimated Value of project:. LICANT: DO NOT WRITE BELOW THIS LINE TRACING • PERMIT FEES Plan.Check submitted �C Item Amount Reviewed, ready for corrections Plan Check Deposit Called Contact Person Plan Cheek Balance Plans picked up Construction Plans resubmitted Mechanical 2" Review, ready for corrections/issue Electrical SEftc IC4 Called Contact Person Plumbing Plans picked up S.M.I. Plans resubmitted Grading 3'' Review, ready for corrections/issue Develop --r Impact Fee Called Contact Person Date of permit issue C! N. 1 /" • JVI Total Permit Fees '