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06-3480 (RPL)t P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00003480 Property Address: 61186 FIRE BARREL DR APN: 764-280-999-41 -300235- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 24000 T4ht 4 4 Qumm Applicant: Architect or Engineer: r, BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- CENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury th I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busines and Professionals Code, and my License is in full force and effect. License Class: C8 C27 C29 LicenseNo.: 656128 d ntractor. \amxempt ER-BUILDER DECLARATION I hereby affirm under penalty of perjury that from the Contractor's State License Law for the following reason (Sec. 7031.5, Business andions 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 ($500).: (_ 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 property who builds or improves thereon, and who contracts for the projects with a contractors) licensed pursuant to the Contractors' State License Law.). ( ) 1 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: IO UDSEN 61186 FIRE BARREL DRIVE LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/27/06 D Q Contractor: CALIFORNIA'POOLS & SPAS P.O. BOX 1280 SEP 2 9 1006 COACHELLA, CA 92236 (760) 398-9222 CITyOF� Lic. No.: 656128 F�P1A?dCED�njRi1A ------------------ 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 workforwhich this permit is issued. My workers' compensation insurance carrier and policy number are: .Carrier SEABRIGHT Policy Number BB1060510 I certify that, in the performance f the work for which this permit is issued, I 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 bec me subject to the workers' compensation provisions of Section 3700 of the Labor Code I s fo with comply with those provisions. Da,ff. Pli. nt: /WARNING: FAILURE TO SECURE WORKERS' C MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE CO 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. 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 this ermit. 2. Any permit issued as a result of this applicati n becomes null and void if work is not commenced within 180 days from date of issuance of su ' permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that th ove information is correct. I agree to comply with all city and county or finances and state laws relating to buil c truction, and hereby authorize representatives of tNs'cydnty vo%er upon th ,ebove-mentioned prope ec con purposes. (Applicant or Agent): r40 Application Number . . . . . 06-00003480 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 243.00 Plan Check.Fee 157.95 Issue Date . . . . Valuation 23680 Expiration Date . . 3/26/07 .Qty Unit Charge Per Extension BASE FEE 45.00 22.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 198.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/26/07 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 3/26/07 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 . . . .Valuation 0 Expiration Date . . 3/26/07 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 Application Number . . . . . 06-000.03480 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee .00 Issue Date Valuation . . . . 320 Expiration Date 3/26/07 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 362.00 .00 00 362.00 Plan Check Total 183.95 .00 .00 183.95 Grand Total 545.95 .00 .00 545.95 LQPERMIT Bin # Qt . O f • La QUlnta Building U Safety Division Permit #P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 Vl Building Permit Application and Tracking Sheet ProjectAddress:'(62 �- ���� �3�cr Owner's Name:����� A. P. Number: Address: 6 1- Z O Legal Description: City, ST, Zip: (� Contractor•' `; Telephone: ..... ....... Address: i!�, � Z Project Description: Spm City, ST, Zipm6ap Cf , 2_23 Telephone- 760) ST? -72Z Z ,� �/ , t CFTC State Lie. # : Z City Lic. #: Arch., Engr., Designer: Address: City, ST,'Zip. Telephoner Constrqction Type: Occupancy: State Lie. #: Project type (circle one): Add'n Alter Repair' Demo Name of Contact Person:�� Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: Estimated Value o�Projec �i . . (.;0 s+"%'^"I. f arnitC OKLMYV Inw u116e # Submittal ' Plan Sets Req'd - Rec•'d TRACING • PERMIT FEES P1an.Check submitted Item Amount structural Coles. -Reviewed,-ready for corrections Plan Check Deposit Truss Calcs. Caked Contact Person• . Pian Check Balance Energy Cates, Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°' Review, ready for correctiousPissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up SALL H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctionsrissue Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. App'r . Date of permit issue School Fees -Total Permit Fees .214 000 320 j -A I-- 7 A., a0l C�1_ L k­ Az N,Om4em�� I 4_9 OWNER TO. (1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION (2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF LOCAL BUILDING. DEPARTMENT AT TIME OF ISSUANCE OF PERMIT (3) WIZ7 DOWN CONCRETE SHELL -AT -LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED (4) AGREE T14AT CALIFORNIA POOLS IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS, AND ANY DAMAGE TO CURBS, SIDEWALKS. DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA (5) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE PRIOR TO PRLPLASTER INSPECTION (6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS -- DO NOT USE RUBBER HOSE) (7) TAKE NOTICE THAT THIS DRAWING IS THE SOLE: PROPERTY OF CALIFORNIA POOLS AND .THAT MY USE WITHOUT WRITTEN PERMISSION CF CALIFORNIA POOLS, INC IS PROHIBITED BY LAW. OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE SIGNATURE(S) DATE SVV1M_-M1,NG POOL PLAN FOR: KNS -! NAME U.Q$EN RE E;N STREETt, ',-�SG Fk le NOB ADDRESS 6$RES � �y�f 56 .: OFFICE a,/,j":1 LOT � 0 TRACT PAGE, 'BOOK MAP BOOK PAGE NO. CITY MAIL ADDRESS CONSTRUCTION OFFICE PHONE N 0. SCALE DATE DRAWN BY SOLD BY CHECKED APr- JOB# Z//Zd> REVISIONS DATE A CITY OF 2 r%2 211 T%Ikl - it FqAFETY DELEPT_ 3 APPROVED 4 F01 I Oq 51 DATE ' SFLECTIONS CONSTRUCTION AUTHORIZAT104 STONE I P; e, I a_, SALES FIELD TILE A). VA- rz,/v'Z_, DIG BOULDERS DECK COLOR PRE—GUNITE _ /,4o\) 1 - A <7 k) UNDERGROUND JANDY J J k PEBB./PLAS 'a ek, MASONRY DECK SIGNATURE NOTE: Drainage and irrigation for planters and pots, by PRE —PEBBLE E r_ others, unless otherwise noted. V) Ln cc ro N 00 or M co N to 0 0 z Ln N Uj (m (0 I z W < Go 01 0 to 00 m W z W tj .rr ,z U) Q z a]