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05-4550 (RPL)P.O. BOX 1504. VOICE (760) 777-7012 78-495 CALLE_TAMPICO FAX (760) 777-7011 LA QUINTA,- CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 10/11/05 Application Number:055- 0 5:5.0_x.. Owner: Property Address: 78290 VIA PAVION MARRO ti APN: 604-032-999-18 =305212- '78-290 VIA PAVION Application description: POOL - RESIDENTIAL LA QUINTA,.-CA t Property Zoning: LOW DENSITY RESIDENTIAL LA QUINTA, CA 92253 Application valuation: 14000 . r Contractor. Applicant: Architect or Engineer: Owner OCT 13 2005 ;. - � ®301161 E4" • - • LICENSED CONTRACTOR'S DECLARATION SCE DE" ORKER'S COMPENSATION DECLARATION.' _ ` I hereby affirm under penalty of perjury that I am licensed under provisions ofChapter9 (commencing with un er penalty of perjury one of the following declarations: ~;:s+ Section 7000) of Division 3o the Business and Professionals Code, and my License is in full force and effect. I have and will maintain a certificate of consent to self-insure for workers' compensation, as provided i:. License Class: License No.: - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is • ' issued. Date: Contractor. - 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 OWNER-BUILDER DECLARATION ._ - insurance carrier and policy. number are: - hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the t Carrier - - - -.- - - - - - - - - = - -`- -'-Policy Number - following reason (Sec. 7031.5, Business. and Professions Code: -Any city or county that requires a permit tor _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the - person'in'any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I sho ome subj to the'workers' compensation provisions of Section . License Law (Chapter 9 (commencing with Section 7000) ofDivision 3 of the Business and Professions Code) or 00 of the Labo de, I s all _ p ylyl with those provisions. that he or she is exempt therefromandthe basis for the alleged exemption. Any violation of Section 7031.5 by - /fA`�? ©� . any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date/ V J Applic t: . 1 _ 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 WARNING: FAILURE TO' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State license Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLQT.9C INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does•the work himself.or herself through his or her own employees, provided that the 'DOLLARS ($100,000) IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. , .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.). ,. ' i` APPLICANT ACKNOWLEDGEMENT (� I I; as owner of the property, am exclusively contracting with licensed contract ors to construct the project (Sec. IMPORTANT ,Application is hereby made to the Director of Building and Safety for a permit subject to the j 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractorls) licensed - - 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). - _ _ whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. f s reaso the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City. ' of La Quints, its officers, agents and employees for any,act or omission related to the work being ., O / performed under or following issuance of this permit: _ Date:/ •J .Owner• 2. Any permit issued as aresult 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 , COUCET.0. AGENCY permit to cancellation. hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify thatILhave read this application and state that the above information is'torrect.' I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C:1.- > city and county ordinances and state laws relating to building uction, nd hereby author' representatives ' - , of this coun to ter upon the above-mentioned props r in set r os - - Lender's Name: , 22 /may - te: �� �J �u/Signature (Applicant or Age . Lender's Address: ell,' LQPERMIT Application_Number 05700004550 Permit BLDG POOL PERMIT Additional desc . Permit Fee . . . 153.00 Plan Check Fee 99.45 Issue Date Valuation.•. 14000 Expiration Date 4/09/06 ,. Qty Unit Charge Per - Extension BASE -FEE 45:00 12.00 9.0000 THOU BLDG 2,001-25,000 108.00• Permit MECH POOL Additional desc- Permit Fee 26.00 Plan Check.Fee 6.50. Issue Date Valuation . . 0 - Expiration, Date 4/09/06 Qty Unit Charge Per Extension - BASE FEE 15.00 1.00 11.0006 EA MECH"FURNACE >100K 11.00 Permit. ELEC POOL PERMIT -RES Additional desc . Permit 'Fee 45.0.0 Plan Check Fee 11.25 Issue Date Valuation . . . . 0' Expiration Date,. 4/09/06 - 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_. 4/09/06 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 Special Notes and Comments POOL & SPA ONLY. ALARMS/BARRIERS SHALL - LQPERMIT Bin # I City of, La Quints Building & Safety Division P.O. Box) 504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 ; Building Permit Application and Tracking Sheet Permit # cc S� Project Address'92 (�4 iQ 1-1 "0N s Name: A. P. Number: s: Z Legal Description: T, Zip: L « �: �'/ G 2,( r� . FTee .. p- Contractor: O ne: /% — L _ AZO., ,� Address: Description. -WI YL, I kp(,-_ City., ST, Zip: "'' . . Telephoner City Lic. #: State Lie. # Arch., Engr., Designer: : ` Address: City, ST, Zip: Telephone: 7.1 Construction Type:.5r p Occupancy: State Lie. #: 'Project ,type (circle one): (!ew Add'n lter Repair Demo Name of Contact Person: , Sq. Ft.:�(j0 Stories: �•' #Units: Telephone #.of Contact Person: e 5/,Y/- — Estimated Value of Project: I y 000 !P APPLICANT: DO -NOT WRITE BELOW THIS LINE. # Submittal Req'd Rec'd TRACKING. ` PERMIT FEES 2. Plan Sets .Plan Check submitted Item Amount Structural Calcs. Reviewed; ready for corrections Plan Check Deposit \ Truss Calcs. Called Contact Person 1 Plan Check Balance . Energy Calcs. Plans picked; ups ` Construction Flood plain plan Plans resubmitted Mechanical Grading plan' 2n' Review, ready for corrections/issue Electrical ,SubcontactorList Called Contact Person Plumbing, Grant Deed' Plans picked up S.M.I. " H.O.A. Approval— - - Plans resubmitted Grading " IN HOUSE:- '"' Review, ready for corrections/issueDeveloper Impact Fee Planning Approval Called Contact Person A.LP.P. P Pub. Wks. Appr Date of permit issue , School Fees # Total Permit Fees r, I MCI nnnc I n. n- ^r tact An -%Ai I A r1l ITL MA rlAl KAr- fn A I -r n nett nt; ng 10-47a Tahans Smith 1 4 :l7,�) i t t p0- 4 1"- n*. P� 144- w W: -w m-100 Valyag UW —.0 -va 5K go VOL IML 33 *W !rr . .0mwo", D or no maw vf Pwf, 9" 7,i "."P, U TW,r . W. -40,9% ,!Atwuw. !"law ! - —¢aaram.,aea`5-1-1.. —I--- -*,-- I L- = - - -- — � — =L. :.!q ._+►t -L -ft iGiri® F,rripVCAriTB n�,- 1. g UP9 —.— —, m4- 257- CITY OF LA QUINTA SUB -CONTRACTOR _ JOB ADDRESS PERMIT NUMBER 65,4975.0'� vWNfR. 'BUILDER This form shall be posted on the job with the' Building Inspection Card at all times in a conspicuous place. Only persons ppearing on this list or their employees are authorized,to work, on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply Will result in a stoppage of work and/or the voidance of building permit: For each applicable. trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. - Trade / Classification : • Contractor - >< :::>.::.> :::: : :. : : ::..:::: State....Contractor s_ License... .: ....: :..: WOrkeis Com ersati0ransurarice.:.,>:``.:,::<':., :,::.:., City. Business License:<;..:. Company Name Classification License Number Exp. Date Carrier Name Policy Number Exp: Date License Number Exp. Date (e.g. A, B, C-8) (xxxxxx) (xx/xx/xx) (e.g. State Fund, CalComp) (Format Varies) (xx/xx/xx) (xxxx) (xx/xx/xx) EARTHWORK (C712) .. ' RI STA 2 / 7 S� / S%4•r[ t'v+ /9� a 6 �� CONCRETE (C-8)'::....::. ' STRUCT STEEL (C-57) /$7&7 (,S3 MASONRY -6 * 5v er�Or eco Tt1 e�'co2S C ;3 . 7F07o 'n4/ n6, ST f -e, �v� ' ����'���" 6� D� Z 3i v r. PLUMBING (C-36) 1 �f :.. l - ��i l _ 4t_�_I') 2_tMf l i ll/„�/__ �,�fs,� . t!� rte.A f% 7� Vo t, 2-0 a%/ IIy -� � ! - LA"i PLASTER (0735)`- CJ�t,LvAT'(U� 9015��o I'%u %�/c% �Z�13 ��: T7 gs"7 DRYWALL (C-9) .: ... , HVAC. (C-20) ELECTRICAL. (C-10)' ROOFING SHEET METAL IC -43) :: k •.. FLOORING IC=:151:' GLAZING (C- 17Y:.' INSULATIOW(C-2) . SEWAGE DISP (G-42) PAINTING (C-33) : • f CERAMIC TILE 1C-541 CABINETS (C-6) FENCING (C-13) LANDSCAPING IC=27)..'; .. • . //, f POOL (C-53) �IV/� �� 2 N l t C _ I LZ� !o 3/ Ob s� >✓�d OOQp `!6 ` o�U -ov �a610,T. 3� ys g O�