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06-1620 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00001620 Property Address: 81765 GOLDEN STAR WY APN: 764-280-999-76 -300235- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY. RES Application valuation: 25000 Ti4t 4 4 4" Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 P ofessionals Code, and my License is in full force and effect. License Class: C8 C27 C29 LicenseNo.: 656128 t Contractor: WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am -ER-BUILDER 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).: 1 _ 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 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.l. 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 ISec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: THOMPSON 81-765 GOLDEN LA QUINTA, CA STAR WAY 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: 4/21/06 ---------------------------------------- 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 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 bf California, and agree that, if I should beco asubject to the workers' compensation provisions of Section 37000. of the Labor Code, I al fo 'with comply with those provisions. Dela: `S�Applicant: / WARNING: FAILURE TO SECURE WORKERS' MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL 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 as 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 abov information is correct. I agree to comply with all city and county ordinances and state laws relating to buil ng c ruction, and hereby authorize representatives of this county to enter upon.the above-mentioned pro/pert% s ec ' purposes. De: Signature (Applicant or Ageml:" ti Application Number . . . . . 06-00001620 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . 252.00 Plan Check Fee 163.80 Issue Date Valuation . . . 24760 Expiration Date 10/18/06 Qty Unit Charge Per Extension BASE FEE 45.00 23.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 207.00 Permit MECH POOL , Additional desc Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/1/06 Qty Unit Charge Per Extension BASE .FEE 15.00 1.00 11.0000 ------------ ---------------------- -------- ----------------------------------------------------------------- EA MECH FURNACE >100K. 7 ----------------------------------------- 11.00 Permit Permit . . . ELEC POOL -PERMIT -RES Additional desc . Permit Fee .. . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/18/06 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 10/18/06 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 Permit . . . . . . WALL/FENCE PERMIT LQPERMIT Application Number . . . 06-00001620 Permit. . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 240 Expiration Date'. 10/18/06 Qty Unit Charge. Per Extension BASE FEE 15.00 ------------------------ --------------------------------------------------- Special Notes and Comments POOL & SPA. 15 LF 4' EQUIPMENT BLOCK WALL, CITY STANDARD. ALARMS/BARRIERS SHALL.BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. Fee summary Charged Paid ------------- Credited Due ----------------------- Permit Fee Total 371.00 ---------- .00 ---• .00 ------ 371.00 Plan Check Total 189.80 .00 .00 189.80 Grand Total 560.80 .00 .00 560.80 LQPERMIT nW II l h: �. Bu'ildin` •=iz~Sa �.iu'si'�`n:::: `. . . 4` : -7 49.8 ta11e Tam ico . - P;.... permit # ► La`Qdika' CA 92253 (760) 777-7012 B.0t A t' I►catlon and Trackin Sheet . Project Address ' _.S C•-to(Gl •��-c,:�u�' Owner's A: P. Number: Address: l t1U ... .. ...... scr n. P .. Le a1.De .. ,....:..:. t , ..,..: . . ' '::.t:�„ -:ate: a< tContracto �� ✓` .:a:�•_- s��t' ;Telephone: 'K A dress: d 1p s4 ecE�Destion: P -��, cam._ � Z State Lic.#,X ti i?`'' �t��.•''`a:'Y`F, aa'a`: C?:;r,in.`•'.:: '.'y:Y°.iit;nn':�.: 'tti,w:Z� . . C Ac1:;`Erigr., Designer: L`a, Address: ......:..... ...... ST Zip: — :. r.: .;:.. �...._.. .. ..:..................... _ .: .. ... .. .. " ';Tel..'e`"'hone:.' _ Kid:.-',',:.'.::: �`.', .. ;,Constructton T e: ;Accu an ` . �;cRrojed;ty. '.(circleoae),.� ' Add'n, .,Alter n Repair 'Demo 'Nam Fle n ct Per on: e'o Co to s f Et:• �:#.:1 nits• �Sfo es• U : ne . of outact Aerso �st' `ed V� f P o'ect•� `i le., ho O . ` < livat alue.o . r APPLICANT. �DO.�NOT�WRITE�:B.ELOW� THIS;LINE-> ubm►ttal.: .�. R d :1� :' • r.... .:'. ....:.. ES " -=TEZ't1CIONN 'PERMtT`;FE . . ...e9 . ,Rec,d•:'.:: ...._...,._:..•..............: :..:.: . `:Plan'Sets Amount : :,Pian:Cbeck-submtte8 ;'Item Structural. Calcs. Reviewed;ready=foi .corrections ¢ , Plaq Check Deposit .I e Truss Calcs. .........:.... 'Called:Coutas't'Peisoo:': ' PIaq.Ghetk-Balance :Energy :Gales. 'paus.picked up ''Construction,... . ....... ------ .------._.-_. Flood lam Ian "Plans,'r'esutimitte8.:.::.:.':.:: Mechanical.: ..... -:Gradin an i2°" Revievr; reaiip for:cocrectionsfssue ;Electrical Subcontactor List ,t .; •x,::.,,,a<, :::..:.r.... .. , actPerson.'.: Called:1' a,,,,:- ::Cont lumtiiug Grant DeedPlans. picked " ;,,.;. -I O:A:`Approval gip•, �resubmitted ............. tans .f �,.,,,:. Grading NNROUSE:-. =:''" Review, ready:for.orrections/issue . .--1),eveloper Impact'Fee , Planning Approval Called Contact Person ,::..Pub Yks-Appy . Date of permit'issue School Fees :....:.. ......:........... .:. - - t Fees .... _ - L/��