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06-1649 (SOTB)`.r P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00001649 Property Address: 48685 FULL MOON WY APN: 658-140-999-131 -29436 - Application description: STRUCTURES OTHER THAN BUIL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 8000 Applicant: Architect or Engil X /� ) Tit!t 4 XP Qum& BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: TRENT 48-685 FULL MOON WAY :R2 LA QUINTA, CA 92253 6 2006Contractor: a TA CALIFORNIA POOLS & SPAS P.O. BOX 1280 COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 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 Pre sionaI Code, and my License is in full force and effect. LicceenseClass: C8 C27 C29 LicenseNo.: 656128 ✓bate: size r�`1 Contractor: OWNER- UILDER 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.). (_ I 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.). I—) 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.I. Lender's Name: _ Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/26/06 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. V I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor —P" Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: r Carrier SEABRIGHT Policy Number BB1060510 _ I certify that, in the performance of 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 become subject to the workers' compensation provisions of Section 3700 of the Labor Cod shall forthwith comply with those provisions. Dat�2C —04 Applicant: WARNING: FAILURE TO SECURE WOR 'ERS' 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. 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 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 co tion, and hereby authorize representatives of this rcJoy�nJty/rto enter upon the above-mentioned property jo i p cti n purposes. Date: /C —26 Signature (Applicant or Agent)' / Application Number 06-00001649 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 99.00 Plan Check Fee 64.35 Issue Date Valuation 8000 Expiration Date 10/23/06 Qty . Unit Charge Per Extension BASE FEE 45.00 6.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 54.00 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 17.25 Plan Check Fee 4.31 Issue Date . . . . Valuation. 0 Expiration Date 10/23/06 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 2.25 ---------------------------------------------------------------------------- Special Notes and Comments FIREPIT (AGAL 496) AND BARBEQUE (Z21-58-1995). -------------------------- ------------------------------------------------- Other Fees . ... . . . . . . ENERGY REVIEW FEE 6.44 Fee summary Charged Paid Credited Due Permit Fee Total 116.25 .00 .00 116.25 Plan Check Total 68.66 .00 .00 68.66 Other Fee Total 6.44 .00 .00 6.44 Grand Total .191.35 .00 .00 191.35 LQPERMIT � r WSJ 0 C Bin It City ofla Qulnta Building U Safety Division Permit # P.O. Boz 1504,78-495 Calle Tampico La'Quinta, CA 92253 - (760) 777-7012 Building Permit;•Application and Tracking Sheet Project Address: cl(� �� O 0 .<Owner's Name: A. P. Number: Address: �lg_ ) C,Jc- �. Legal Description: City, ST, Zip: ContractorC&\,\ Y1 : Teleplione: Address: �© (Z3C ;, Project Description: City, ST, ZipY9 (f Telephone: 760) State Lie. # Z City Lie'. #. Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lie. #: Project•type (circle one):, 6e.W, Add'n Alter Repair Demo Name ofContact Person: p ; Sq.•Ft : #.Stories: #Units: Telephone `# of Contact Person: Estimated Value of Project:. Q d • f APPLICANT: MO; NOT;WRIMBELOW, THIS LINE, `. #' "Submittal .. Req'd Recd .. :. TRACIONG. PERMrf FEES Plan Sets -PIan.Checksubmitted Item Amount Structural Cates. Reviewed; ready for corrections Plan Check Deposit. Truss Cates. Called Contact Person Plan Check Balance Energy Cates. Plans picked up Construction SO TQ Flood plain plan 'Plans resubmitted Mechanical Grading plan V Review, ready for corrections/issue Electrical 3 - �,iXTihZES Subcoatactor List Called Contact Person `Plumbing N Q Grant Deed Plans picked up S.M.L H.O:A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for correctionstiissue Developer impact Fee Planning Approval Called Contact Person A.I.P.P. ITA Pub. Wks. Appr Da e of u QUIf School Fees BUILDING & SAFE APVhuvr- FM C01-457 ITotal Permit Fees LDATE-- �Y