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06-1033 (RPL)P.O: BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 06-00001033 78681 DEACON DR E 770-230-008- - - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 80000 Tiht 4 4 QgA& Architect or Engineer: I`C23 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. Licensee Class: C53 ___�License No.: 518742 x6atei7 i 5 Q Contractor^—� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions 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).: (_) 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 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 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: GREYSTONE CONSTRUCTION 78-681 DEACON DRIVE E LA QUINTA, CA 92253 Contractor: AMERICAN POOL CONSTRU P.O. BOX 11996 PALM DESERT, CA 92?55 (760)340-2588 Lic. No.: 518742 y,. VOICE (760) 777-7012 FAX (760) 777-7011 r, INSPECTIONS (760) 777-7153 Date: 3/14/06 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 number are: Carrier STATE FUND Policy Number 0001188-2005 I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, nd agree that, if I should become subject to the workers' compensation provisions of Section / L 700 of the Labor Code, I sha orthwith with those provisions. Date: Applicar4f WARNING: FAILURE TO SECUR RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST 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. I . 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 permit. 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 permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building c I�struction, and hereby authorize representatives of this `coou ty t enter upon the above-mentioned propert fo '/�spe n-pnrposes. Da�✓ S Signature (Applicant or Ag Application Number . . . . . 06-00001033 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 549.50 Plan Check Fee 357.18 Issue Date . . . . Valuation . . . . 80000 Expiration Date 9/10/06 Qty, Unit Charge Per Extension BASE FEE 414.50 30.00 4.50.00 -------------------------7-------------------------------------------------- THOU BLDG 50,001-100,000 135.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . 26.00 Plan Check Fee 6.50 Issue Date . . Valuation . . . . 0 Expiration Date 9/10/06 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 9/10/06 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 9/10/06 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 r' Application Number . . . . . 06-00001033 r ---------------------------------------------------------------------------- Special Notes and Comments BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged' Paid ------------------------------------- Credited Due Permit Fee.Total 653.50 .00 ---------- .00 ---------- 653.50 Plan Check Total 383.18. .00 .00 383.18 Grand Total 1036.68 .00 .00 1036.68 LQPERMIT ` 03/14/2006 14:20 7606749438 AMERICAN POOL CONST PAGE 01/02 Bin City of La Quint, Building u Safety Division Permit # P.O. Box. 1504, 78-495 Calle Tampico' La Quinta, CA 92253 -.(760) 777-7012 �� /0 33 Building Permit Application and Tracking Sheet Project Address.(�� 1/ Owncx's Name: A: P. Number: Address; r t —il S l /l 5-1- I(— V/5z Legal Description: City. ST, zip: Contractor:( di f ! G -C_ "-444 Telephone:` — � Address: G 6 �1( •�' /' Project Description: 1� �"•) City, ST, Zip: ��j�j-�•j2 �[ j t�.�.. Telephone:` 01 3,,2-9 State Lib. # City Lie. #: Arch., Eng-, Designer: ' Address: City, ST, Zip: Telephone: Construction Typo: Occupancy: State Lie. #; Project typo (circle .one): New Add'n Alter Repair Demo Namc of Coatact Person: Sq. Ft -:#Stories: # Units: Telephone # of Contact Petsoii: /" Estimated Value of ProJect_ APPUGANT: DO NOT WRITI=,BELUW T141S LINE # Submittal Ptq'd Reed TPACMG. PS1NPFEIN Plan Sets Plan Cheek submitted .3%16 [t,,* Amount Structural Cales. Rcvltwcd, ready for corrections Nan Check Deposit ' Truss Cales, Called Coutact Person plan Check Balance Energy Coles. Plaus.picked up Comtruction Flood plain plan Plans resubmitted Mechanical Grading,plAn 21" Review, ready for'correctionsrasue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. ELOJL Approval Plaas resubmitted Gradidg IN IIOXISE:- DW Review, ready for correctiona%sue Developer Impact Fee Planning Approval Called Contact person A.LF.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Vets