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06-3425 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4t�l 4 4 Q" Application Number: 06-00003425 Property Address: 81075 GIACOMO WY APN: 767-320-999-277 -32879 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 24000 Applicant: Architect or Engineer: Ve . I0 11A BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LIC SED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a ofessionars Code, and my License is in full force and effect. License CI s: 8 C27 C29 License No.: 656128 te: � C ractor: OWN R -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exe pt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professio s 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 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 ) I am exempt under Sec. , 8.&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: Pr LQPERA11T Owner: TRANSWEST 81075 GIACOMO WY LA QUINTA, CA 92253 Contractor: CALIFORNIA POOLS & SPAS P.O. BOX 1280 COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/28/06 D a D SEP 2 9 2006 CITY OF LA QUINTA FINANCE DEPT. 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. -9I 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 13B1060510 _ I certify that, in the performa a of the work for which this permit is issued, I shall not employ any person in any manner so a to become subject to the workers' compensation laws.of California, and agree that, if 1 should come subject to the workers' compensation provisions of Section ���r��0 of the La Code. I orthwith comply with those provisions. ti e: plicant: WARNING: FAILURE TO SECURE WORK RS SUBJECT AN EMPLOYER TO CRIMINAL PEN DOLLARS ($100,000). IN ADDITION TO TH SECTION 3706 OF THE LABOR CODE, INTEI COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN =ST, 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 r any act or omission related to the work being performed under or following issuance of this p it. 2. Any permit issued as a result of this application 1comes null and void if work is not commenced within 180 days from date of issuance of s rmit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and tate th thea ve i formation is correct. I agree to comply with all city and county ordinances and stat s relating t b in ons uction, and hereby authorize representatives of this cyurSty toAnter upon t ove-mentioned pr per �sp tion purposes. (Applicant or Agent): Application Number . . . . . 06-00003425 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 243.00 Plan Check Fee 157.95 Issue Date . . . . Valuation 24000 Expiration Date 3/27/07 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 3/27/07 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 3/27/07. 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 3/27/07 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 ----------------------------------------------------------7----------------- Special Notes and Comments POOL/SPA ALARMS/BARRIERS SHALL BE IN LQPERMIT Application Number 06-00003425 ---------------------- ----------------------------------------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged. ----------------- ---------- Permit Fee Total 347.00 Plan Check Total 183.95 Grand Total 530.95 LQPERMIT Paid Credited Due ---------- ---------- ---------- .00 .00 347.00 .00 .00 183.95 .00 .00 530.95 Bin # City. of.. La Quinta Building 8L Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address:' S -o-4�� t,t otwo c..+ Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: ContractorC-0,_`, Y-, t Telephone: Address: Eta • ';Pz>© Z CP Projed Description: �\ City, ST, Zip Ck. I 2-Z3 Telephone: ]6o 3q(�-ZZ Z State Lid. # : 665Z eity Lie. #: Arch., Engr., Designer - Address:.• City, ST, Zip: Telephone: Construction 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 ofProjeet r. APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Plan Sets Req'd • Ree'd TRACMG _ PERhIIT FEES Plan.Check submitted Item Amount Structural Cales. Reviewed,- ready for corrections Plan Check Deposit Tress Coles. Galled Contact Person . Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan' V Review, ready for correctionsiissue Electrical Sabcontaetor List Called Contact Person Plumbing Grant Deed Plans picked up Sd4LL H.O & 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