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06-3912 (RPL)P.O: BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: 06-00003912 60907 FIRE BARREL DR 764-280-999-61 -300235- POOL - RESIDENTIAL MEDIUM HIGH DENSITY RES 23000 T4t(t 4 4 Q*& Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ------------ - - - - -- I ------------------------------- LIENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of petsh m licensed under provisions of Chapter 9 (commencing with Section 00) of Division 3 of the nd ofessionals Code, and my License is in full force and effect. Lic e CIlass: C8 C27 C2License No.: 656128 Date: !��ntractor:: OWNER -BUILDER DECLARATION I hereby affirm under penalty of peI am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Burofessions Code: Any city or county that requires a permit to construct, alter, improve, demolishny structure, prior to its issuance, also requires the applicant for the permit to file a signed statement this 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 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 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 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 1 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: LQPERA11T Owner: KILKENNY 60907 FIRE BARREL DRIVE LA QUINTA, CA 92253 Contractor: CALIFORNIA POOLS & S P.O. BOX 1280 Cr1ACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/07/06 NOV 0 9 zoos 1., CITY OF LA QUINTA ----------------------------------------------— 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 nui if or are: Carrier SEA13RIGHT licy Number BB1060510 I certify that, in the performanc ork for which this permit is issued, I shall not employ any person in any manner so to come ubject to the workers' compensation laws of California, . and agree that, if I shout beco a subje t to the workers' compensation provisions of Section 3)00 of the Labor Cod ,#shal �rthwit comply with those provisions. WARNING: FAILURE TO SECURE WORIZL'R3� OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE IDST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTERES , 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 *forection 2. Any permit issued as a result of this applicasull and void if work is not commenced within 180 days from date of issuance ofr essation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that ma 'on is correct. 1 agree to comply with all city and county ordin ces and state laws relating to btio , and hereby authorize representatives of this county to en' pon the above-mentioned propion purposes. te,/((II gnature (Applicant or Agent): Application Number . . . . . 06-00003912' Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 234.00 Plan Check Fee 152.10 Issue Date . . . . Valuation . . . . 22680 Expiration Date 5/06/07 Qty Unit Charge Per Extension BASE FEE 45.00 21.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 189.00 Permit. . . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date 5/06/:7 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 5/06/07 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 -Valuat-ion--.- - 0 - Expiration Date 5/06/07 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 Permit . . . . . WALL/FENCE PERMIT LQPERMIT LQPEFN11T Application Number . . . . . 06-00003912 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . Valuation . . . . 320 Expiration Date 5/06/07 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA, 20 L.F. 4' EQUIPMENT WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 353.00 .00. 00 '53.00_ Plan•Check Total 178.10 .00 .00 178.10 Grand Total 531.10 •.00 .00 531.10 Bin It City of. 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 Permit # /� Project Address6Q p Owner's Name: \< JLC 12,C-5- - A. P. Number: Address d F t - &f- R R.6L, Legal Description: City, ST, Zip: L,/-..., Contractor \ C7C l S Telephone: Address: O ( Z CP Project Description: City, ST, Zip• ' C 2-23 ---I sle M--:CS� Telephone: '%60 'Ml �- f ZZ 1 "L q� State Lie. # : % 9 . City Lie. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: Construction Type: Occupancy: Project type (circle one): Add'n Alter Repair Demo _ Name of Contact Person: p Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project - 4.2, S, C, Q APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING. PERMIT FEES Plan Sets Plaa Check submitted Item Amount Structural Cates. 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 2" 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:- ''" Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 0 3�