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06-3935 (RPL)- T�4P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA"CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: T 06-00003935' Owner: Property Address: 51980 AVENIDA VILLA MARCO A. RAMI'REZ APN: 773=183-011-13 -000000- 7704 LONGS'PEAK DR. Application description: POOL - RESIDENTIAL RIVERSIDE, CA 92509 - Property Zoning: _ -.-- COVE- RESIDENTIAL,- D — . _(909)489-6444 'Application valuation: 12000 G Applicant: i Vv� Architect, or. Engineer Ilk Mop 14 INTERNATIONAL GUNITE INC ?00� 75153 MERLE DRIVE,.SUITE B PALM DESERT, CA 92211 A QVC (760)034-1350 FQFlq. Lic. No.: 875547 VOICE (760) 777-7012 -FAX (760) 777-7011 INSPECTIONS (760) 777-7153, Date: 11/09/06 ' LICENSED'CONTRACTOR'S DECLARATION r 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 one of 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 CI License No.: 875547 for Section 3700 of the Labor Code, for the performance of the work for, which this permit is ed issued. � C"- Contractor: — I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor - _ __ • 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: - I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier J WARLIN INS - Policy Number 229003373006- -�` 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 1 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 beco a a- 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 - - ' that'he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by .3700 of the Labor s f ith cort;y with those provisions. �..� _ - any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date:: Applicant: , 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 SECURE WOR ERS' COMPENSAN COVER GE 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 C P 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 ACKNOWLEDGEMENT ' (_ 1 I; as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT 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, I am exempt under Sec. , B.&P.C. for this reas the owner, and the applicant, each agrees to, and shall defend, iridemnify and hold'harmless the City - - _ of La Quinta, its officers, agents and employees for any act or omission related to the work being CC + - performed under or following issuance of this permit. Date: Y 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 A CY permit to cancellation. • I hereby affirm under penalty of perjury that there is a construction lending a encs for he performance of the I certify that I have read this application and state that the abov rn rma ' 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 b F(diri nstr' ct' and hereby authorize representatives - - of this cou t4t.nter upon the above-mentioned' rt f purp4es.'Lender's Name:Date.,ignature-(Applicant or Agent .Lender's Address: LQPERMIT Application Number 06-00003935 Permit `BLDG POOL PERMIT Additional desc_. Permit Fee . . . 135.00 Plan Check Fee 87.75 Issue Date •. Valuation 12000 Expiration Date 5/08/07 Qty Unit Charge Per Extensiorr BASE FEE 45.00 10.00 9,0000 THOU BLDG 2,001-25,000 --------------- - 90.00 Permit . . ...MECH POOL Additional-desc — Permit Fee . . . . . 26.00 Plan Check,Fee 6.50 Issue Date Valuation 0 Expiration Date 5/08/07 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 5/08/07 Qty Unit Charge Per Extension" BASE FEE .1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 Permit . . . PLUMBING-. Additional desc . Permit Fee*.. 27.00 Plan Check Fee 6.75 _ Issue Date Valuation . . . . 0 Expiration Date 5/08/07 Qty. Unit Charge Per Extension BASE FEE 1.00 6.0000 EA PLB FIXTURE .15.00 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, 3.0.0 ------ Special Notes'. and Comments POOL ONLY PER APPROVED PLANS. BARRIERS LQPERMIT - - . CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB ADDRESS PERMIT NUMBER OWNER BUILDER 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. :.:.:::.::::.::....:.;: Cit . Busries License::::.':: __. Fir, rade_ _Classification_ _ _ �:.. _.Contractor_::' _:::::<::;:z::_::::: 3tate;:Contractor .s. License... .; ..: Workers.Com ensation;tnsurarice " '' T I —_ 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) le.g. State Fund, CalComp) (Format Varies) (xx/xx/xx) (xxxx) (xx/xx/xx) EARTHWORK ICA 2) ..;. ' CONCRETE (C -S)'::-' FRAMING :IC -5) $TRUCT.-STEEL MASONRY (C-29) PLUMBING (C -36j ' LATH; PLASTER (Cs35) DRYWALL (C-9) HVAC. (C-20)`..::.:'..: ELECTRICAL (C-10)' R0000G`.(C?391'.;;;;;::' SHEET METAL 1C. 43) FLOORING (0='15Y. GLAZING (C-171 ` INSULATION lC-2i . SEWAGE DISP--: (C-42)- PAINTING C-42) PAINTING (C-33) CERAMIC TILE (C-54) CABINETS (C-6) FENCING (C-13) LANDSCAPING (C=27.). ' t POOL (C-53) S .. �, • � _ G. t ,' ` `,� - - 4. ice: ' • _ � i ? �_ '� r <',,:•� My_ w r ,_ - a.- •,,, is �_�..,, . y p • / y - ♦ .Y t 7- SS a ` Y r s 1 •4 _ a t , L Irk � f.- a • '' ,.,; t��r _•� � � ,t . t , .} y - ,:�� � r �, } . • M • • i ' Bin if n jJ N 7 City of La Q uinta 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 Permit # n n� Project Address: - �"j $'O Owner's Name: C� �� 7 A. P. Number: Address: -7'70 Legal Description: ''" — 83 Q (� — l� - pQ© City, ST, Zip: A 2S-1 Contractor: , U Telephone: (rjn( _ (o 444- = �. X-0- Address:AU� � e ' ( LA(A Project Description: City, ST, Zip: Telephone: Y. Poo(—' 13.1 State Lic. # : City Lic. #: Arch., Engr., Designer - Address: City,. -ST, Zip: Telephone: 3 Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter 'Repair Demo Name of Contact Person: Sq. Ft.: # Stories: #Units: Telephone # of Contact Person:Q Estimated Value of Project: I 2rip APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd. Rec'd TRACKING. PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy .Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading,plan V Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S hq I H.O.A. Approval Plans resubmitted. Grading IN HOUSE:- Review, ready for corrections/issue Developer Impact Fee.. ; Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees :...>.. . Total Perms Fees..:.:.,:..:. . IV b�da WupnUISNOO a0-4 lrdV •M30 AAJdS V ONiO'lins ViNino ti =lo u10 C L Ild3OX3 ON 'NO1103dSNI V 803 31IS 3H1 M 80( GNb SNV1d L 310398VHO 38111M N01103dSNI-38 d REVITIONS: DATE: BY: DATE: BY: DATE: BY: DATE: BY: DATE: BY: DATE: BY: DESIGN BY: DRAWN BY: FRANCISCO FRANCISCO JOB No: II w DATE: U ct) sCALE: 1'=1 /4" SHEET: Am co 0 � Q U U Q Z U) W LU a � J Ucco Q ~ Q0 I— U W N 2 Ooi O - O z V Z Q � Q LL Q J W l N J cr— rr- J Q Q Q z I 0 J OU z rr .. Q W0 O o J O a � J w J< f" LLJ V T Lodd W Z O Q a f" In W W N DESIGN BY: DRAWN BY: FRANCISCO FRANCISCO JOB No: II w DATE: U ct) sCALE: 1'=1 /4" SHEET: Am co 0 Q U Q Z W LU a � J Ucco Q ~ Q0 rnQ 00 U N 2 Ooi O - O C) V Z Q LL DESIGN BY: DRAWN BY: FRANCISCO FRANCISCO JOB No: II w DATE: U ct) sCALE: 1'=1 /4" SHEET: Am