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06-1339 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application. Number: 06-00001339 Property Address: 48725 FULL MOON WY APN:. 658-140-999-133 -29436 - Application description:' POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 24000 Tityl 4 4 Q" .Applicant: Architect or Engineer: ----------------- LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of pe4Busnerofessionals d under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the nals Code, and my License is in full force and effect. LicenseClass: C8 C27 C299LicenseNo.: 656128 ate: L/(h Contractor:BUILDER DECLARATION 1 hereby affirm under penalty of pet 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 05001: (_) 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 1, 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 _ 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: LQPERDIIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 _ 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 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 m4WORKERS" b come subject to the workers' compensation laws of California, and agree that, isubject to the workers' compensation provisions of Section 3700 of the LabII I with comply with those provisions. ate: AppliWARNING: FAILURE TO SECURC MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CLT ES 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 nformation is correct. I agree to comply with all city and county ordinances and state laws relating to buil ' g c ruction, and hereby authorize representatives of tJ)is county( to enter upon the above-mentioned p9p for ' p ion purposes. - Date: C'r/-z` ignature (Applicant or Agent): Date: 4/03/06 Owner: IVANHOE LA QUINTA COVE C/O R BARRY MCCOMIC 7979 IVANHOE AVE STE LA JOLLA, CA 920 D Contractor: 2406 APR 4 CALIFORNIA POOLS PrS 80 COACHELLLA12 CA 9223 FINAN (760)398-9222 Lic. No.: 656128 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 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 m4WORKERS" b come subject to the workers' compensation laws of California, and agree that, isubject to the workers' compensation provisions of Section 3700 of the LabII I with comply with those provisions. ate: AppliWARNING: FAILURE TO SECURC MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CLT ES 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 nformation is correct. I agree to comply with all city and county ordinances and state laws relating to buil ' g c ruction, and hereby authorize representatives of tJ)is county( to enter upon the above-mentioned p9p for ' p ion purposes. - Date: C'r/-z` ignature (Applicant or Agent): Application Number . . . . . 06-00001339 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 243.00 Plan Check Fee 157.95 Issue Date . . . . Valuation . . . . 24000 Expiration Date 9/30/06 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 9/30/06 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 9/30/06 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 9/30/06 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 ----------------------------------------------7----------------------------- Special Notes and Comments POOL & SPA. ALARMS/BARRIERS SHALL BE IN LQPERMIT Application Number . . . . . 06-00001339 Special Notes and Comments ' PLACE PRIOR TO PRE -PLASTER INSPECTION.' EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due ----------------- --- - ------ ---------- ---------- ---------- Permit Fee Total 347.00 .00 .00 347.00 Plan Check Total 183.95 .00. .00 183.95 Grand Total 530.95 .00 .00 530.95 LQPERMIT Bin # City of. La Quinta APPLKl Aii 1 : W Nut WKITE BELOW THIS LINE Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 92253,- (760) 777-7012 Building Permit Application and Tracking Sheet Permit D� 1 �> 9 Project Address: 7 p • M wner's Name: o A. P. Number: dress: Legal Description: Contractor:\` �• Address:© 2 ty, ST, Zip: 4A(lephone: oject Description: City, ST, Zip CA.. 2-Z . Telephone:'% 3q JZZ State Lit. #: City Lic. #: Arch., Engr., Designer: Plan Check Deposit Address: Truss Calcs. City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): Add'n Alter Repair Demo o Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: Z % 0 Q O APPLKl Aii 1 : W Nut WKITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING , PERMPI' FEES Plan Sets Plan Check submitted3�; r'0 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' r" Review, ready for correctionsliissue 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 corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees