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06-1492 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: `06-00001492 Owner: Property Address: 80598 VIA PESSARO GROVER APN: 772-500-014- - - 80-598 VIA PESSARO Application description: STRUCTURES OTHER THAN BUILDINGS LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 7000 VOICE (760) 777=7012 FAX (760) 777-7CJ,4 INSPECTIONS (760) 777-7153 Date: 4/13/.06 Contractor: Applicant: Architect or Engineer: AINSWORTH POOL CONSTR, ROB a 40900 GLENMORE DRIV� PALM DESERT, CA 922' Cr�� ✓ (760)200-2800 Lic. No.: 598681 APR 1 Q 2006 GI TY ov ---------------------------------------------------------------------- - - - - -- fsul --------� LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjur th I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bu mess an P ofessionals Code, and my License is in full force and effect. Licen a Class: C 3 ense No.: 598681 ; Contractor. WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury t t I a 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 70001 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 _ I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Bmine is and Prnfessinns Cnda; The Onntrarmrs' State. I irense, I ew rines not ennly in an nwner 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 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 CALIF INS Policy Number 46-0030110101 _ I certify that, in the perfo a e of the work for which this permit is issued, I shall not employ any person in any manne so as o become subject to the workers' compensation laws of California, and agree that, if I s uld be ome s ject to the workers' compensation provisions of Section D�£/�� / / 3700 of the Labor C e, I s II fo ith c ly with those provisions. e: '� Applicant: WARNING: FAILURE TO SECURE WORT ' C PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA P NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION T HE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, TEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the rnnditinns and rrstrirtinns set fnrth nn this ennliratinn 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 Ouinta, 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 t ab a information is correct: I agree to comply with all city and county ordinances and state laws relating to b ding c nstru n, and he�eliy authorize representatives of this co my t e ter upon the above-mentioned prop y for i spa io purpo �s. Dp� Signature (Applicant or Agent): Application Number . . . . . 06-00001492 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 90.00 Plan Check Fee 58.50 Issue Date . . . . Valuation . . . . 7000 Expiration Date 10/10/06 Qty Unit Charge Per Extension BASE FEE 45.00 5.00 9.0000 -------------------------------------------------------------- THOU BLDG 2,001-25,000 45.00 -------------- Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 18.00 Plan Check Fee 4.50 Issue Date . . Valuation . . . . 0 Expiration Date 10;10/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0000 ---------------------------------------------------------------------------- EA ELEC PWR APP <=1 3.00 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 21.00 Plan Check Fee 5.25 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/10/06 Qty Unit Charge Per Extension BASE FEE . 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 ---------------------------------------------------------------------------- Special Notes and Comments ENTRY FOUNTAIN ONLY. ---------------- ----------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 5.85 Fee summary Charged =-------------------------- Paid Credited Due Permit Fee Total ---------- 129.00 ---------- .00 ---------- .00 129.00 Plan Check Total 68.25 .00 .00 68.25 OfhPr FPP Tntal 5.85 .00 .00 5,05 Grand Total 203.10 .00 .00 203.10 LQPERMIT l` Apr'41 06 01:09p Robert Ainsworth 760 200-0040 p.2 01/1b/1bt14 1b: 117 IbUff1/011 La QUINTS ►. �wc ui.vt of a_ r A K A -- - City Of La Quinta &"dit at Safety Division Fa„1it y P.O. Dox 1 SO4, 78-495 Cage Tan*ko l q�% ✓U QUk ta, CA 922S3 - (760) 777-7012 Building �- Permit Application and Tracidng Sheet trreper A*W"S e[� 1 G / x A. P. N umber J _ { \i i 1� P l S Si� 2 U Address LerdvDtserpteon. City. ST. Zip' L,� (AIA Conlrwctoe• � ; ,vS � � (t' }� ply) i (` � iidepAore: - +' Ate: L4 U CAc .LN rw -,OR 'Irproica Dcxnpuon1Y� 27 Lo (nA(j city. ST. Zip: Vn L OrVL Tcicabeac.1 _ . O U State Loc. e `� 1 City Loc. 49' Asth.. Ewer., Dctrfseer. Amesu. POD L . o City, ST. Zip. 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