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05-3822 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00003822 Property Address: 80100 VIA PESSARO APN: 772-550-021- - - Application description: POOL - RESIDENTIAL. Property Zoning: LOWDENSITY RESIDENTIAL Application valuation: 18000 Applicant: Tuyl 4 4 Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT SPP 01 2005 CITY OF LA QUINTA- -_------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of D'vision 3 of the Business and Professionals Code, and my License i .in full forc(wand effect. License Class: , License No.:/ �c ate: Vgt2o ntract OWNER -BUILDER DECLARATION - 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 1$5001.: (_ 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 workhimself 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.). - (_ 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 VOICE (760) 777-7012: FAX (760)'777-701 i INSPECTIONS (760) 777-7153 Date: 8/29/05 Owner: PRESTWICK DEV P 0 BOX 980 LA QUINTA, CA 92253 Contractor: CALIFORNIA POOLS & SPAS WCC: SEABRIGHT INS WC: BE1050510 01/01/06 CSLB: 656128. 10/31/06. WORKER'S COMPENSATION DECLARATION 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. 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 workers' compensation insurance carrier and policy number are: 9 Carrier C8 C27 C2C53 Policy Number - - - - - - - - - - - - - - - I certify that, in the performance of the work for which this permit is issued, I shall not employ any 'person in any manner so as to become subject to the workers' compensation laws of California, and agree that,,if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I, shall forthwith comply with those provisions. teVi 31'&CApplicant� 7 WARNING: -FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. 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 Quints, 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 above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives oft Is countytoenter upon the above-mentioned property for inspection purposes. ' Date; ry Signature (Applicant or Agent):�T- Application.Number . . . . . 05-00003822 Permit BLDG POOL PERMIT Additional desc . Permit Fee "189.00 Plan Check Fee 122.85` Issue Date Valuation 18000 Expiration Date 2/25/06 Qty. Unit Charge Per Extension BASE FEE 45.00 ' 16.00 9.0000 THOU` BLDG 2,001-25,000 ---------------------------------------------------------------------------- 144.00 Permit MECH POOL Additional desc . Permit -Fee 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date'. 2/25/06 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.. "2/25/06 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 . . . . 0 ,Valuation Expiration Date.. 2/25/06 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 i POOL & SPA ONLY. ALARMS/BARRIERS SHALL LQPERMIT �� LQPERMIT Din. # City Of La Quinti Building g Safety Division Permit # P.O. Box 1 SO4, 78-495 Calle Tampico -La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address. -90—I ©� \ f • e TZ., el Cl>Owner's Name: A. P. Number: Address: Legal Description: Contractor:Telephone: C �..� l f301,5 &SMs City, ST, Zip: Address: o ��(� Project Description: City, ST, Zip: clta 9.2;L 13 0 Telephone: ` °;}; `. •• r.:.. es e State Lic. # : 065 W City Lic. #: Arch., Engr., Designer: ° Address: City., ST, Zip: Telephone: »„>•}..in}. v�:�f>:':�}{.,,:;::}.:.,:�..•::•..::..;:.<.::•:>•.�.::•:.:.:.:�:`•::`• .J}:::iii: }'i}; }_•}'.}':�}.:ri4v:•Y Xs Yti :. } • "i Construction uctionT e: Occupancy: : • Project type circle one Ne Add'n Alter Repair ' Demo State Lic. # Nalne of Contact Person: Sq. FL: # Stories: #Units: Telephone # of Contact Person: Estimated Estimated Value of Project: ' APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted �IpS 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 correctionsrissue Electrical Subcontactor List Called ContactPerson Plumbing Grant Deed Plans picked up S.M.I. R.O.A. Approval Plans resubmitted Grading .INHOUSE:- . '"' Review, ready for corrections/issue Developer Impact Fee . Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of pexmit issue School Fees* - Total PermitTees �4v�. ti�..��� M:`it1YV. ...'.'i'�P'3'.� . �� 35 .r".r...`."!Ci`. .?�'Y f`�',;R!.'�.1. ZetxrCY?ffIng