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05-4302 (RPL)P.O. BOX 1504 ' 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: `0`_500004302 Property Address:' 80300 VIA PESSARO APN: 772-550-003- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 56000 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: . NANCE, BEN 80-300 •VIA PESSARO LA QUINTA, CA 92253 VOICE (760) 77777012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 4 Contractor: Applicant: Architect or Engine C & M POOLS INC ,(ten WCC: EXEMPT WC.: EXEMPT 05/31/06 CSLB: 838188 05/31/06 .. ti�Fo�Nrq ---------------=-------------------------------- uc liE/D CONTR R'S DECLARATION I hereby affirm under penalty of perjury thatar�TrVyllicensed u er rovisions of Chapter'9 (commencing with Section 7000) of Division 3 of the Busin s of rofession Is Ccpe, and my License is in full force and effect. License Class: Lice se No.: te: ` Contractor. _ OWNE -BUILDER ECLARATION Thereby affirm under penalty of perjury that I am axe pt from the Coritractar's Stale 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.). 1 _ 1 1, 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 ISec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT Date: 9/26/05 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. 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: Carrier C53 Policy Nu rll----- ---- - - - - -- _ (certify that, in the performance of the or or which this permit is issued, I shall not employ any person in any manner so as become bject to the workers' compensation laws of California, and agree that, if I shout orae subj ct tote workers' compensation provisions of Section 3700 of the Labor C , 15hall forth rth co ly with those provisions. D.Applicant: WARNING: FAILURE TO. SECURE WORKERS' C MPENSATION CLERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,0001. 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 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 aresult of this application becomes(Idoid if work is not commenced within 180 days. from,date of issuance of such permit, o^ of work for 180 days will subject permit to cancellation.I certify that I have read this application and state that the ove infocorrect. I agree to comply with all city and county ordinances and state laws relating to bui ingQ construhereby authorize representatives of this county to enter upon the above-mentioned prop y f6r • specses. D - r �Signature (Applicant or Agent Application Number . . . . . . 05-00004302 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . 441.50 Plan Check Fee 286.98 Issue Date . . . . Valuation 56000 Expiration Date 3/25/06 Qty Unit Charge Per Extension BASE FEE 414.50 6.00 4.5000 ---------------------------------------------------------------------------- THOU BLDG 50,001-100,000 27.00 Permit . . . MECH POOL_ Additional desc Permit Fee . . . . 26.00. Plan Check Fee 6.50 Issue Date . . . . -'Valuation . . . . 0 Expiration Date 3/25/06 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 3/25/06 - 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 Valuation 0 Expiration Date 3/25/06 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 -------------------- POOL, SPA & WATERFEATURE ONLY. LQPERMIT Application Number 05-00004302 ---------- ---- Special Notes and Comments ALARMS/BARRIERS SHALL -BE IN PLACE PRIOR ' TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due Permit Fee Total 545.50 .00 .00 545.50 Plan Check Total 312.98 .00 .00 312.98 Grand Total 858.48 .00 .00 858.48 ` LQPERMIT CITY* OF LA QUINT SUB-CONTRACTOR LIST w i JOB ADDRESS �o--3ooy(��� ��° PERMIT NUMBER 1 OS- 'SU �,. OWNER. �2,\. � c Q- BUILDER . '. This form shall belJosted on the job with the Building Inspection Card. at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. Trade / Clas srfrcatr Contractor ::;:::;.:.:.:.;::.State::Contractor.s License,.. ::.. :. ::: Workers.Com e6sation;Insurance:°:<'^:^ • ::;:.: City.. Business License: =.:: Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xx2xx) Exp. Date (xx/xx/xx) ARTHWORK (C-12).:.: r•C�' Q(6-k. C�tC' ✓J �o/l . �j- 0$02_1 o-7 1 0 7���Q k�,�c�. —Oo/per /� Dl 0! OG �f-� J ) 3 3r o CONCRETE (C-8)':: FRAMING'(C-5) .::; TRUCT::STEEL' (G-51) MASONRY (C-29) PLUMBING (C-36) TH; PLASTER (C.35) 9- 6`\r Wt �al� +Q� S.CgiceS L // // t, // lOAq DRYWALL (C-9) .:...: HVAC. (C-20)`::.:. ELECTRICAL. (C=10)':.:..:.. ROOFING SHEET.METAL (C=43)`. GLAZING (C-171::: INSULATIOW(C-2) . SEWAGE DISPr IC-42)' PAINTING (C-334`: CERAMIC TILE (C-54) ' : I, �El� (�Q ��C,� S G (0 { �o T e o Ci1���o rv�iSc:�a�c: �/vt , I, G `"t�C o ! b0 b CABINETS (C-6) FENCING (C-13) C=27) .? LANDSCAPING (C=27),..%­ POOL IC-53)� "�� (aCAki LQ LL Q pG I-e Ung 00 O (�- O� Ll"1(� Bin # City. of U Quinta - 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 # 3 Project Address �(� I�i�c�A `� Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: / Contractor: � 4 cn� 00 (� -Till( Telephone: Address: i , J'�� r)a t�1(iJa �� r Project Description: City, ST, Zip•. Q ` (I t G L0 i un: Telephone *4`1, State Lic. # : `^L t City Lic: #: Arch., Engr., Designer: Address: ' City, ST, Zip: Telephone: Construction TyP ' MWIM 1 fy,% Occupancy: �= State Lic. #: Project type (circle one) . ew Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 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 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan' 2"u Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing M Grant Deed Plans picked up S.M.I. 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 School Fees Total Permit Fees AM --R BEDROOM [aigi acl Mw mr PROPOSED HIDEAWAY RESIDENCE FOR Iwo 80300 VIA PESSARO, THE HIDEAWAN AU. • ► • Sf Ag F All ��i► �© r Im m BEDROOM #2 .Y .t CONSTRUCTION • REPAIRS • SERVICE CITY BUILDI DA M-7 io 'go! va-ed I F LA QUINTA G & SAFETY DEP &LA N 0 1 T T S u SAFETY F T PROVED S CT I CONSTRUCTION /* LOT #190 TRASH PAD -1017.3 ENCLOSURE 1999 PROPOSED HIDEAWAY RESIDENCE FOR: A 0 RE > I 8030 . 0 VIA PESSAR01. THE HIDEAWAY -"\ 1.. LA QUINTA, CALIFORNIA 92253 0.0 Lv %g:jarpgpmrm Mil 0 Rd Cdl Corgy Angulano ucimin (760) 360-6254 IF La oulnU CA 92U7 P.0.113=1263 04 /777� 0 9! A I 70, LOT #189 PAD=1016.9 178.861 �. LOT #188 A �.A 1 LOT #190 TRASH PAD -1017.3 ENCLOSURE 1999 PROPOSED HIDEAWAY RESIDENCE FOR: A 0 RE > I 8030 . 0 VIA PESSAR01. THE HIDEAWAY -"\ 1.. LA QUINTA, CALIFORNIA 92253 0.0 Lv %g:jarpgpmrm Mil 0 Rd Cdl Corgy Angulano ucimin (760) 360-6254 IF La oulnU CA 92U7 P.0.113=1263 04 /777� 0 9! A I 70, LOT #189 PAD=1016.9 178.861 �. LOT #188 A �.A