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06-0134 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: ,,06-00000134/ \80620 VIA PORTOFINO 772-490-012- - - STRUCTURES OTHER THAN BUI LOW DENSITY RESIDENTIAL 5000 Tay/ 4 4 Q" BUILDING & SAFETY DEPARTMENT ,.BUILDING PERMIT Architect or Enginee ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under. penalty of perjury t t I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine - and Professionals Code, and my License is in full force and effect. License Class: C8 C27 C29 LicenseNo.: 656128 D 1__1_1_29QContractIBusiness OWNER-BUILDER DECLARATION I hereby affirm under penalty of am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, 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 1$5001.: (_ 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 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 rrnpnrry a hn r;;lildo yr impre.ve lherean, aad ..GG w,d,wtd fuh the phuICU13 with a t.VuuauLUllS) 11WIISeU pursuant to the Contractors' State License Law.). I—) 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 Owner: MOSHIER 80-620 VIA PORTOFINO LA QUINTA, CA 92253 Contractor: CALIFORNIA POOLS & SPAS P.O. BOX 1280 COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-701t INSPECTIONS (760) 777-7153 Date: 1/11/06 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. 7XI 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 HRH INS Policy Number BB1060510 I certify that, in the performance of the work for which this permit is issued, 1 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 sh orthwith comply with those provisions. te: 1-1('oce Applicant: WARNING: FAILURE TO SECURE WORKERS' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL IES 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. 'I. 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 relatin uil onstruction, and hereby authorize representatives of this coyylty to enter upon the above-mentione pr ' spection purposes. Oat e//ems'( 1 Signature (Applicant or A entl: Application Number . . . . . 06-00000134 Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 72.00 Plan Check Fee 46.80 Issue Date . . . . Valuation . . . . 5000 Expiration Date . . 7/10/06 Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 27.00 Permit ELEC-MISCELLANEOUS Additional desc . . Permit Fee . . . . 15.75 Plan Check Fee 3.94 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/10/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 .7500 ---------------------------------------------------------------------------- PER ELEC DEVICE/FIXTURE 1ST 20 .75 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 18.00 Plan Check Fee 4.50 Issue,Date . . . . Valuation . . . . 0 Expiration Date . . 7/10/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments BARBEQUE AND FIREPIT PER APPROVED PLANS ------------------------------------------=--------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 4.68 Fee summary Charged Paid Credited --------------------------- Due Permit Fee Total ------------------------------ 105.75 .00 .00 105.75 Plan Check Total 55.24 .00 .00 55.24 Other FeeOtal 4.6A nn .00 4:G0 Grand Tota 165.67 .00 .00 165.67 LQPERMIT Bin # j/I Total Permit Fees i City ®f La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # a/ 3 Project Address'FC)- V l� QOM Owner's Name: 11C. , Address: $' �j Z� U4 O� City, ST, Zip: A. P. Number: Legal Description: Contractor• 1 ' ` Address: ; �s� EW Telephone: Project Description: City, ST, Zip: / (j� �jG �7 D'7,222 Telephone: 760 3W-(7,22 State Lic. # "a" . " 3 City Lic. #: �^ i \ Arch., Engr., Designer: Construction Type: Occupancy- ccu anc P Y- Address: City, ST, Zip: Telephone: State State Lic. #: h Name of Contact Person: q01 -G-, o Je e- Project type (circle one): New Add'n Alter Repair Demo S Ft.: 9• #Stories: #Units: Estimated Value of Project: Telephone # of Contact Person: 26-0-41(1-2, APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted / /0 Item Plan Check Deposit Amount Structural Calcs. Reviewed, ready for corrections Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction S Flood plain plan Plans resubmitted Mechanical Grading plan 2"d Review, ready for corrections/issue Electrical otT1(ETS Subcontactor List Grant Deed Called Contact Person Plans picked up Plumbing d;its c'rtlt.TS S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3rd Review, ready for correctionsfssa I Developer Impact Fee A.LP.P. Planning Approval Pub. Wks. Appr Called Contac a sonQ`� �� t `�� ate o . it c P�� 1 � • School Fees j/I Total Permit Fees i AS SHUTOFF ALVE GRAVEL OCATED ►1THIN 36" GAS LOG F UNIT LIGHTER FYP.) F.S. -� _ _ .•_ _ METAL GAS RISER --ji DRAIN OR PROVIDE 12" DIAM. )PENING IN FOOTING GAS LINES. SHALL BE INSTALLED PER CPC FOR: DEPTH, COURSE COVERAGE, AND PLACEMENT. SAND WATER PROOF MEMBRANE i -- STONE CAP #4 TIE STEEL - #4 BAR VERT. AT 32" O.C. 8x8x8 CMU; SOLID! GROUT G 3l # CLR TU GRAVEL SUMP PPR E . 3 CU. FT. CRUSHED ROCK 7A OUTDOOR FIRE RING STONE CAP #4 TIE STEEL AT TOP COURSE GAS FIRE RING: /g I.C.B.O. ANSI # BTU —;;' v U.L. APPROVED. 36" DIAM. NSIDE DIMENSION WATERPROOF MEMBRANE SURFACES) lOR — #4 BAR VERT AT 32" O.C. (TYP. ) 7A A7B PIP�/� 6x8x8 OR LENGTH OF GA5 � a 8x8x8 CMU DIAM. OF GAS PIPE SOLID GROUT OUTDOOR FIRE- RING 12" 4r 3211 m m 31II �' D a - .. . 3V < G) ON -Pm xx ocn D o--Ip os z � � = O rn f D n �A �C 0 � rnD r� m � v) r _ 0 _U -I Z Cf) D o z m m r n f� o UO I a z l GA G) 0 Ri rn u� m x rn I I �> rn_ . �� • > rn � �0 ic -o N n D Or • ncn v U) m m r VARIES m Z z G7 0 0 0 N z l z m r v D f11- 0 o z VARIES 4-3-1/2" N �m rn oM 0 0 r� m z G� �D co r— c cn ? 4#0C Ll oQ, C cn rnmn 70 o O NIJ X me r-cn t- 9000 _ mi -o 0 0 "n u FIZ c-) -I V' 7 OF--C U1(!) [n 2- �mm F-z m O r m 0) n m -o � zQ --AEJa �m za;;o --i oILI �(n 0 mzrn JMo D m