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06-2657 (RPL)P.O. BOX 1504. �^� VOICE 760 777-7012 78-495 CALLE TAM.PICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA. 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/12/06 Application Number: 06-00002657 Owner- Property Address: 52955 AVENIDA VILLA GARY ARCE APN: 773-333-026-13' -000000 52-955 AVENIDA VILLA Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIAL Application valuation: 15000 DG Contractor: Applicant: Architect or En J-SKEEN POOLS SPA WATERFEATURE r JULP.O. BOX 11349 j 1 � L 13 2006 INDIO, CA 9220 qpa' (760) 766-5554 C11'OF Lit. No.: 878400 �IfV�AAI Pr%Q ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury oneof the following declarations: Section 7000) of Division 3 of 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 License Class: C53 l Cv Lice�nse)No.: 8710 8400for by Section 3700 of the Labor Code, for the performance of, the work for which this permit is /`s CJ ?( �Contr t r: �} y� `-�"�� ^� �_ { S JPA . _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor 7 i 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 Carrier EX MPT Policy Number EXEMPT following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to 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 should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of. Division 3 of the Business and Professions Code) or 3700 of the LaborCode; I shall forthwith comply with those provisions. • - that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by f / �''7�- - any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date' �3�� Appicant: - �1 AW�S (_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and f i the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The { �iWARNING: FAILURE'. TO SECURE WORKERS' 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 EMPLOYER TO CRIMINAL 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.). APPLICANT ACKNOWLF,DGEMFNT (_ 1 I, uo _ lei uf die NIupei Ly, am exclusively cuntraeting witrl iiemsea Contractors to construct the project (Sec. jMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 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 contractor(s) 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. for this reason 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. Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that 1 have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). - - - city and county ordinances and state laws relating to builds construction, and hereby authorize representatives of this county to enter upon the-above-mentioned he,abo ev mentioned property r ins trio purposes. " Lender's Name: Date 7 /3 DLsignature (Applicant or Agent): Lender's Address: LQPERMIT - - w 'Application Number 06-00002657, Permit . . . ELEC .POOL PERMIT. -RES Additional desc . Permit Fee 45.00 Plan Check "Fee 11.25: Issue Date Valuation . . . . 0 Expiration Date 1/08/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 162.00 Plan Check Fee 105.30 ` Issue Date Valuation 15000 Expiration Date 1/08/07 Qty- Unit Charge Per Extension BASE FEE 45.00 13.00 9.0000 THOU BLDG 2,001-25,000 ------------------- --------------------------------------------------------- 117.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 27.00 Plan Check Fee 6.75 Issue Date Valuation . . . . 0 Expiration Date 1/08/07 Qty Unit Charge Per Extension ' BASE FEE 15.00 1.00' .6.0000 EA PLB FIXTURE 6.00 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 ONLY, ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged Paid,.._, Credi-ted -. Due _ Permit Fee.Total 234.00 .00 .00 234.00 Plan Check Total 123.30 .00 .00 123.30 - Grand Total 357.30 .00. ..00 357.30 LQPERMIT - Bin # City of La Quinta; Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico la Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit:# Project Address:' n Owner's Name: ` lT A. P. Number: S2 Cj�j T V( Fi V , (tr'r WS Legal Description: ��0. Q.aO Contractor: _ .S KE�� Address: . _ Q SS— L L_ A City, ST, Zip: ,J ` C , Telephone: Address: _ DG - f,6w* i i , Oct J City, ST, Zip: r-C(U w•n n- '_� .• Project Description: /J A O Telephone: 16 2L_.� State Lie. # : City Lic. #: %D Arch., Engr., Designer: Address: City, ST, Zip: Telephone; State Lic. #: Name of Contact Person: Construction Type: ��; Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: 06 # Stories:. # Units: Telephone # of Contact Person: Estimated Value of Project: ©0 . APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKINGPERMIT FEES Plan Sets Plan Check submitted .Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan CSieck Balance Energy Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading.plan 2"" Review, ready for'correctionsrssueElectrical Subcontactor.List Called Contact Person Plumbing Grant Deed 4picked Plans up S M.L H.O.A. Approval ' Plans resubmitted Gradin IN HOUSE:- ''" Review, ready for correctionsorissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. I.Pub. Wks. Appr Date of permit issue School Fees Total_P1_rmit Fees 3 ` W A E-I;~;PECTION F EE Ol X30 BE CHARGED IF THE APPROVED Pl ; dS A 1D JOB CARD ARE OT .=t T,I SITE FOR A SCNE ULED CITY OF LA QUINTA SUB -CONTRACTOR LIST .."JOB ADDRES � � �'� �� / /� PERMIT NUMBER OWNER &AA -i ��� � BUILDER LES 1, ,C-�L) fino 15, S/> s This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place.. Only persons appearing 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 /'Class�hcat�on. Contractor. :::::::::.:: ::::.::; . State::Contracto► s. cense :. ; .::::: eis....ompensat�on::.nsurance:° ..: qty.. 6smess. License:::.:: Company Name Classification (e.g. A. B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number: (Format Varies) Exp. Date . (xx/xx/xx) License Number.' Ixxxx) Exp. Date (xx/xx/xx) EARTHWORK IC -121 :.: nC Y� C,3ti. �3i 6 �� CONCRETE (C-8)' FRAMING IC -51. STRUCT. STEEL (C-51) } C)- O . ( -00106 1B 0//0,1/67 6 ;�-Ab g � 6 MASONRY.(C-29) PLUMBING: '(C-36) 5 FA C5 3 2 % R ({DO S 3/ 6 �X C ��G o C 3c9 7 WTH; PLASTER (6-35): key la- �a kv`4 C-31- 6 '1V 93 5 %A-- ,,, c -A3138 e - 313 8 `i 3o 7 . DRYWALL (C-9) .::..: HVAC.IC-20)< '.'.':.':. ELEGTRICAL.(C-10)' : ... II. -S �E/.� !'c� S3 U �� C�)C� S 3/ e X Ce vL(, ROOFING' (C=39):.:.::::'::: . SHEET METAL (C43) FLOORING (C7:15): GLAZING (C-171: INSULATION:(C-2) . .:. — SEWAGE.DISP. (C-42). PAINTING (C=33) CERAMIC TILE (C-54)5 to .. S i} 0� J' o ExceVV, G G 3c� CABINETS (C-6) FENCING (C713) LANDSCAPING (C=27). POOL (C-53) o� FROM SLADDEN PALM DESERT GHU) APR 1 2004 1:044, Sladden Engine• ed" 005336 6782 Stanton Ave, SURA; Buena park, CA 39.726 Garand Ln., Suite G, palm t)eaert, CA 90821 92211 (714) 523,0952 Fax (714) E23-1369 (780) 772.3893. Fax (76d) 772-3895 Date ` - K Job Wo. MELD MEMO Project Name ez4ae Site Address 1 2 -S .S � C►lent: Ave PtIlk Job Phone , Work Daae . Pa 4-&r�— Test Summary / Footings inspected Tost No. Location • �•c 1Jr�t-fes Elev. Dry Moist ' % Relative Ref, Max Moi$t Density % Compaction pot % ]]py•� .5% I !7-2•-- Field Tech, Super. or Agent . 7 24 hour notice requested to schedule Field Technician. Thank you for the opportunity to be of service. . t