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05-4852 (SOTB)• ���f�I{I�� P.O. BOX 1504 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: X0-5-0 0 0 0 485 2-- Owner: Property Address: 80620 VIA PORTOFINO NRI CCP I APN: 772-490-012- - - D 81100 AVE 53 Application description: STRUCTURES OTHER THAN BUILDINGS LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL O Application valuation: 5000 *oY Y 0,9 2v) Applicant: Architect or Engineer: cFryoF 004` CALIFORNIA POOLS & SPAS N.tI�cLQ®(� WCC: SEABRIGHT INS ) �OFpNTq WC: BB1050510 CSLB : 656128 -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: License No.: Contractor: WNER.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 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, 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) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/31/05 01/01/'06 10/31/06 ----------------------------------------------- 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 C8 C27 C29 C53 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. Applican� 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 0100,0001. 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 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 of this county to enter upon the above-mentioned property for inspection purposes. Dat • �! Signature (Applicant or Agent): y s� Application Number . . . . . 05-00004852 Permit BUILDING PERMIT Additional desc.. Permit Fee . . . . 72.00 Plan Check Fee 46.80 Issue Date . . . . Valuation 5000 Expiration Date 4/29/06 Qty Unit Charge Per Extension BASE FEE 45.00 BLDG 2,001-25,000 27.00 --------3_00--------9_0000-THOU --------------------------------------------- Special Notes and Comments SURGE TANK. ---------------------------------------------------------------------------- Other Fees . . . . ... . . . ENERGY REVIEW FEE. 4.68 Fee summary -- - - - - - - - - - - - - - -- Charged Paid ---- - - - - - Credited - Due Permit Fee Total ----- - - - 72.00 - ------ - - .00 - --- .00 --- -- - - - - 72.00 Plan Check Total 46.80 .00 .00 46.80 Other Fee Total 4.68 .00 .00 4.68 Grand Total 123.48 .00. .00 123.48 LQPERMIT Bin # Permit # ' r Project Address: v • GV ®f La Quinta Building U Safety. • Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Ot Owner's Name: � CACV A. P. Number: Address: Legal Description: City, ST, Zip: Contractor vC a� 'ti.Wr�'1�d'�� Telephone: Address:` d. 1 v©. Project Description: City, ST, Zip: ��QC ` SG ut' Telephone2�i ,1-22— State Lic. # : t�j LM I -M City Lic. #: LJ Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair ` Demo State Lic. #: Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Z [�/�/�,5 s� 7lJ d2���% Estimated Value -ofProject: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING. PEEMIT FEES Plan Sets Plan Check submitted �o�Z, Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Depos-t Truss Calcs. Called Contact Person Plan Check Balance Energy Cales. Plans picked up Construction 7 Flood plain plan Plans resubmitted Mechanical Grading plan 21° Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`d Review, ready for correctio 'sue 3/ Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue a PATRELL ENGINEERING GROUP, INC. 751 Sunny Grove Ln. • Glendora, CA 91741 PH: (626) 335-4362 • FAX (626) 963-4812 ENGINEERING CALCULATIONS AND DETAILS FOR SURGE CHAMBER POOL MOSHIER RESIDENCE 80620 VIA PORTOFINO I N D I O, CA CO � Z � p No.C32994 r m * Exp, 6/06 101 q�OF CAL\�� DA,TE-.._--- OCTOBER 7, 2005 ENGINEER: 4 . FERRELL RCE # 32994, CALIFORNIA 751 SUNNY GROVE LANE GLENDORA, CA 91741 (626) 335-4362 CITY OF IL-1 QUI NTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION By 7- Project: PATRELL ENGINEERING Client: GROUP, INC. Engineer: _ 651 E. Northridge Ave. PH: (626) 335-4362 Glendora, CA 91741 FAX: (626) 963-4812 Date: _ 0! o� Sheet_ of Cr2tcs'q ("`w< 7YFV_m_' r?e i"T OA f � °'Pt4_tM_ "CSD C— 5 L6A_r� 10 lL PGS ( & `-o N CO LU p No.C32994 Pik Exp. 6/06 CIVIL q�OFCAL 1F go Project: PA�I'RELL , p' ENGINEERING Client: C C GROUP, INC. Engineer:' �As�ca- 651 E. Northridge Ave. PH: (626) 335-4362 Glendora, CA 91741 FAX: (626) 963-4812 Date: k c> 8 o S Sheetof '2,2 z - p 7k TfV 'fl -7 31 GLR Hale• TfP. PL.OiOR b' Tyr. - V ►y,rN CIR ESSIpN G . - � pk-C-c,� No.C32994WL rr-- Exp. 6M CIVN F CAS Project. r PATRELL ENGINEERING Client: GROUP, INC. Engineer: 651 E. 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