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05-4263 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-0.0.0.04263 _ Property Address: 80715 VIA PORTOFINO e'' _.. APN: 772-490-017- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 40000 T a -y/ °F 4 Q" Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ----------------- - #'----------------------------- DONTRACTOR'S DECLARATION I hereby affirm under penalty of per' at I Iic nsed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the usi ess a d r essionals Code, and my License is in full force and effect. License ClCl s: License No.: ate: i Contractor: 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 ($500).: (_ 1 1, 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 didnotbuild or improve for the purpose of sale.). 1 _ 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.). I—) 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/21/05 Owner: WILLIAMS, ANDY 80-715 VIA PORTOFINO O LA QUINTA, CA 922531 Contractor: C1OR �5 DOCAN CONSTATETFUND J.A. F�NA�CF �f,NT,� WC: 0020047-2005 01/01/06 CSLB: 645369 05/31/06 WORKER'S COMPENSATION DECLARATION 1 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 B Policy Number - - - - - - - - - - - - - - - I certify that, in thePPENALeTIES rk r which this permit is issued, I shall not employ any person in any mbe a su ct to the workers' compensation laws of California, /and agree that, ibjec to the workers' compensation provisions of Section X3700 of the Labl hw' comply with those provisions. Date: 7 / G / Applicant:WARNING: FAILURE TO SECURCOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CLTIES 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 issuan*permit,or c ation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state rma ' n is correct. I agree to comply with all city and county ordinances and state laws relatingucti , and hereby authorize representatives of this coun to enter upon the above-mentioned i purposes. Da/ Z Signature (Applicant or Agen 171 Application Number . . . . . 05-00004263 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 317.00 Plan Check Fee 206.05 Issue Date . . . . Valuation . . . . 35000 Expiration Date 3/20/06 Qty - Unit Charge Per Extension BASE FEE 252.00 10.00 6.5000 THOU BLDG 25,001-50,000 65.00 7 ---------------------------------------------------------------------------- Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . Valuation . . . n Expiration Date . . 3/20/06 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 3/20/06 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 3/20/06 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 Permit . . . . . . WALL/FENCE PERMIT LQPERMIT Application Number . . . . . 05-00004263 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 72.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 5000 Expiration Date 3/20/06 Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 THOU BLDG 2,001-25,000 27.00 . ---------------------------------------------------------------------------- Special Notes and Comments POOL, SPA & FOUNTAIN. 200 L.F. 6' BLOCK WALL, CITY STANDARD. 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 493.00 ---------- .00 ---------- .00 493.00 Plan Check Total 232.05 .00 .00 232.05 Grand Total 725.05 .00 .00 725.05 LQPERMIT L "X -NEE , NOR r•� • ?i O� J� �i°i°OOOi`i°i°O.�°i°i°Oi°s°i �i°•°i°•`i`i0`•.' ^ Ifl' iIMA PIE °•�°ai >i°•��°°%i,�•�� ;°�i°i°i°i°i°i°i i0 i°i°i°i`i°i°i`i°°°i°i°i`i`i i°i°i i°i°i°i°i`i°i°i°i� i ` �� ij�a�ii. .e�•a�•♦r°�`•i• �°�`0°�°•�i�°, �i.'��2�� `�`�`�`�`O�°�°�y��4��°�°� ��°�°��°0��°��°�� I� � y:��l■■■�� ♦•°•♦•i�•• •:.. �� z+ • ....° \ ►.°°.• , Iii■1{9�■�■M■ ♦♦�.!� °' \\ Oi0`°`i'OOi'O♦D �'�°� �� 1� �� MEN MEMO Billion ►,�tl �� 1 ■°°' @`' _ ream .■■■■■ II �► OEM ■■ r1, a, WON Ublic g■■■■x■■■■A■■■■, ■i■■■— \`� I. 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A" a,u�uza 'ice es+ -mi e�ea FOR: KRISTI HANSON ARCHITECTS INC. PALM DESERT CALIFORNIA