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06-2828 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 06-00002828 80630 VIA PESSARO 772-500-012- - - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 20000 Architect or Engineer: pip 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. Licen S. 053 License No.: 614611 at tractor: JM C I A4 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_ I 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, 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 1 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: PA LQPERMIT Owner: HOWARD 80630 VIA PESSARO LA QUINTA, CA 92253 n IJ Contractor: MCINTYRE POOLS & SPAS, 83695 AVENUE 45 INDIO, CA 92201 (760)342-3612 Lic. No.: 614611 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/27/06 AUG 0 2 2006 CI'ff OF LA QUINTA 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 permk is V�/ 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: i Carrier HRH INS Policy Number 020060333601 _ 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 700 of the Labor e, I shallforthwith comply with those provisions. 1� plic at pant: L.�J JL / ` c Y�r 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 ($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 above information is correct. I agree to comply with all city an my rdinances and state laws relating to building construction, and hereby authorize representatives of /Holy en er upon t above-mentioned pr ope r inspection purposes. ate. v nature (Applicant or Agent): (`� Application Number . . . . . 06-00002828 Permit . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 207.00 Plan Check Fee 134.55 Issue Date . . . . Valuation . . . 20000 Expiration Date . . 1/23/07 Qty Unit Charge Per Extension BASE FEE 45.00 18.00 9.0000 THOU BLDG 2,001-25,000 162.00 ---------------------------------------------------------------------------- Permit . . . MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/23/07 c 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 . . 1/23/07 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 1/23/07 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. ALARMS/BARRIERS SHALL BE IN LQPERMiT Application Number . . . . . 06-00002828 ---------------------------------------------------------------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 311.00 .00 .00 311.00 Plan Check Total 160.55 .00 .00 160.55 Grand Total 471.55 .00 .00 471.55 LQPERMIT XT MOM uuuuuuuu IIiPilif191Ellil r::.%:.i n I M "T c, 7' 9AA �A [Ulh II11MADD R Uff m W MIEMT n 'o IA &L It E3 POOL E3 POOL SIZE POOL SJL 0, POOL PER. r CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED.. FOR CONSTRUCTION DATE_Z.� �-Cb BY 71 .11 POOL PUMP irk HEATER., MOM ap 423 SPA WE SPA PER. 2z SPA S.A. a; 56. pr SPA DEM 'm'° JETS JET PUMP DECK AREA Ims" Permit # 040 A 1f Project Address: A. P. Number: tt Submittal Plan Sets Structural Cala. Truss Coles, Energy Cala, Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval 1N HOUSE:. Planning Approval Pub. WILL Appr School Fees City of La Quinta Building rat Safety DW10n P.O. Box l SO4, 78-49S Calle Tampico U Quinti, G 922S3 - (760) 777.7012 Building Permit Application and TrackingSheet et i OWner's Name „ _ , S n . ..'•. 1• . at_ Lie. #: City. ST. Zip: .per - �• •�:� ISL( ctn 2� f Telephone: Project Description: conmction . Occupancy; Project type (circle one): New Add Alter Repair Demo Sq' fit 0 Stories: N Units: stimated Value of Project: "2l) A�rLt�ANT: 00 NOT WRITE 13ELOW THIS LINE Reed TRACKrNG Plan Check submitted Reviewed, ready for corrections Called Contact person Plans Oicked up Plans resubmitted 2" Review. ready for corrections/issue Called Contact Person Plons picked up Plans resubmitted Review, ready for co rnetions/lssue Called Contac�per"son��. Date of permi PERNItT FEES tem Amount Plan Check Deposit i Plan Check Balance Construction Mechanical Electrical Flurnwng SAM. Crading Ceveloper Impact Fee A-I.P.P. Total Permit Fees 1 � �� --fes, ..G,cnptton: Contractor. MG�1 x Address: City, ST, Zip:�� Telephone:. -J q State Lic. # : I Arch.. Engr., Designer: Address: City. ST. Zip: Telephone: State Lic. # 1C Name of Contact Person: X [Telephoneontact Person tt Submittal Plan Sets Structural Cala. Truss Coles, Energy Cala, Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval 1N HOUSE:. Planning Approval Pub. WILL Appr School Fees City of La Quinta Building rat Safety DW10n P.O. Box l SO4, 78-49S Calle Tampico U Quinti, G 922S3 - (760) 777.7012 Building Permit Application and TrackingSheet et i OWner's Name „ _ , S n . ..'•. 1• . at_ Lie. #: City. ST. Zip: .per - �• •�:� ISL( ctn 2� f Telephone: Project Description: conmction . Occupancy; Project type (circle one): New Add Alter Repair Demo Sq' fit 0 Stories: N Units: stimated Value of Project: "2l) A�rLt�ANT: 00 NOT WRITE 13ELOW THIS LINE Reed TRACKrNG Plan Check submitted Reviewed, ready for corrections Called Contact person Plans Oicked up Plans resubmitted 2" Review. ready for corrections/issue Called Contact Person Plons picked up Plans resubmitted Review, ready for co rnetions/lssue Called Contac�per"son��. Date of permi PERNItT FEES tem Amount Plan Check Deposit i Plan Check Balance Construction Mechanical Electrical Flurnwng SAM. Crading Ceveloper Impact Fee A-I.P.P. Total Permit Fees 1 � ��