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06-4332 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 IN Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: T4'yl 4 4 a" 06-00004332 81950 GOLDEN STAR WY 764-280-999-98 -300235- STRUCTURES OTHER THAN BUILDINGS MEDIUM HIGH DENSITY RES 1500 Architect or Engineer: WA BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------7------------------------------ UCENS CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am I ensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and P ofessionals Code, and my License is in full force and effect. License Class: C8 C27 C29 License No.: 656128 Date: L / L_'> tractor: \ . OER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am ex mpt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Profes ions 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 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 (Seca 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, 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 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/20/06 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER SCOTTSDALE, AZ 85258 Contractor: CALIFORNIA POOLS P.O. BOX 1280 350 & SPAS COACHELLA, CA 92236 (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 Cade, 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 13131060510 certify that, in the performan of the work for which this permit is issued, I shall not employ *any person in any manner so as o become subject to the workers' compensation laws of California, and agree that, if I shou ome subject to the workers' compensation provisions of Section /—� / 3700 of the Labor C e, I I all forthwith comply with those provisions. Date:�.LL Applicant: WARNING: FAILURE TO SECURE WORKES' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TOT E COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INT REST, 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 permi 2. Any permit issued as a result of this application bec Ames null and void if work is not commenced within 180 days from date of issuance of such per ' , essation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that th bov information is correct. I agree to comply with all city and county ordinances and state laws relating to buil i -c s ruction, and hereby authorize representatives of this�cou��cn the above-mentioned grope for coon rposes. Date:ture (Applicant or Agent): Application Number .. . . . . 06-00004332 Permit BUILDING PERMIT Additional desc . Permit Fee 35.00 Plan Check Fee 22.75 Issue Date . . . . Valuation . . . . 1500 Expiration Date 6/18/07 Qty Unit Charge Per Extension BASE FEE 15.00 10.00 2.0000 ------- ---------------------------------------------------------------- HND BLDG 501-2,000 20.00 Permit PLUMBING Additional desc . Permit Fee . . . . 18.00 Plan Check Fee 4.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/18/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0000 ' EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments FIREPIT PER APPROVED PLAN Fee summary Charged ---------- Paid Credited Due --------------------------- Permit Fee Total 53.00 -------------------- .00 .00 53.00 Plan Check Total 27.25 .00 .00 27.25 Grand Total 80.25 .00 .00 80.25 LQPERMIT DATE,__BY Vii' Bin# City of. La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 _ Building Permit Application and Tracking Sheet Permit # Project Address: ` i- C� `O U Ctio L Qf N S�c..., Owner's Name: N. icy A. P. Number: Address: c, c, Legal Description: City, ST, Zip: Contractor•.&` �• Telephone: Address: �PO . S4_,© Z CP Project Description: City, ST, Zip• Z23 Cfo Telephone: 7(cD 3`K z Z. State Lie. # : Z City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: �p Construction Type: Occupancy: Project type (circle one): Add'n Alter Repair Demo Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project:. l l O APPLICANT: DO NOT WRITE BELOW THIS LINE # !;-.Umltw Req'd Recd TRACKING PERMIT FEES Plan Sets Plan.Check submitted Item Amount Structural Calcs. Reviewed; ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading. plan' V Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing o uz t e y.s Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for correctionslissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr D to o toss C I' School Fees% SAFETY DE PT. APPROVED 1.1 FOR CONSTRUCTION Total Permit Fees DATE,__BY Vii' I.C.B.O. #% . . " 'I 'ANSI BTU Uk. APPROVED. — .NPTH ;��-G.AOS�'P-.JRE D .6 PIPE: D I J_— TDO— Or -- i 79 f� r- 7 --F. 9 x W.OR �CW--CMU s.b6.(6- GROUT ox� 'E SHAL BE INSTALLED GAS-tkUTOF7r GAS IN4 . r OF =ffiE, L V IN C -C,rOR DEPTH. GRAVE' VWQE�"AND.PLACEMENT. L -W Z)r WI, . . . . . . AgSkANE STONE CAP #4 TIE STEEL #4-18AR VERT. AT 32* O:C. egakSiCMU; SOLID GROUT F.S. METAL GAS RISER GRAVEL SUMP QVIDE --DI 3c FT -CR ROCK S IN, MOT E DO FR R NG-- ttbN 'CAP 7A a t . It