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06-4331 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00004331 Owner: Property Address: 81960 GOLDEN STAR WY SHEA LA QUINTA APN: 764-280-999-97 -300235- C/O JEFF MCQUEEN Application description: STRUCTURES OTHER THAN BUILDINGS 8800 N GAINEY CENTER 350 Property Zoning: MEDIUM HIGH DENSITY RES D ® SCOTTSDALE, AZ 85258 Application valuation: 1500 DEC9 21 2006c ontractor: Applicant: Architect or Engineer: ALIFORNIA POOLS & SPAS ® P.O. BOX 1280 COACHELLA, CA.92236 n n 'Vf (760)398-9222 LiC. NO.: 656128 LICJENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury th m licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busi ss and Professionals Code, and my License is in full force and effect. License Class: /C8 C27 C29 I I , LicenseNo.: 656128 Date: / / Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that IIIP,m exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and F�rofessions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair arty structure, prior to its issuance, also requires the applicant for the permit to file a.signed statement that he or she i licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Sectio 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, 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 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 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the fallowing 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 n ber are: Carrier SEABRIGHT Policy Number BB1060510 I certify that, in the performanc of the work for which this permit is issued, I shall not employ any person in any manner so a e subject to the workers' compensation laws of California, and agree that, if Isho b come s h)ect to the workers' compensation provisions of Section 3700 of the Labor C,211 I all forthwith comply with those provisions. Dater Applicant: ! WARNING: FAILURE TO SECURE R 'COMPENSATION COVERAGE -IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO TH COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTE 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 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 r ull 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 inf ods correct. I agree to comply with all city and county ordinances and state laws relating to building co truc on, andhereby authorize representatives of thiscounty t enter upon the above-mentioned property for specti n purposes. DatefZ Z Signature (Applicant or Agent): i�� Application Number . . . . . 06-00004331 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 HIND BLDG 501-2,000 20.00 ---------------------------------------------------------------------------- Permit ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 15.75 Plan Check Fee 3.94 Issue Date . . . . Valuation . . . . 0 -Expiration Date 6/18/07 Qty Unit Charge Per Extension " BASE FEE 15.00 1.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 .75 ---------------------------------------------------------------------------- Special Notes and Comments FIREPIT PER APPROVED PLAN ------=--------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 2.28 Fee summary Charged ----------------- ---------- ---------- Paid Credited Due. Permit Fee Total 50.75 ------ 7'--- ---------- .00 .00 50.75 Plan Check Total 26.69 .00 .00 26.69 Other Fee Total 2.28' .00 .00 2.28 Grand Total 79.72 .00 .00 79.72 LQPERMIT Bin # City d. La Quinta Building U Safety Division Permit # ` P.O. Box 1504, 78-495 Calle Tampico ` La Quint!, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: 1-9 60 Owner's Name: A. P. Number: Address: 1�t�-oto Legal Description: City, ST, Zip: Cnntraretnr•/—'.. X, r^ _ _ Address: t© 12—CP Project Description: City, ST, Zip C� . ZZ�J �. � c Telephone: 760 3cKI-92Z L- s State Lit. # : Z City 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 of Project:. �� O APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACING. PERMIT FEES Plan Sets Plan Check submitted 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 Q Flood plain plan Plans resubmitted Mechanical Grading. plan' V Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing 14 e Grant Deed Plans picked up S.M.I. H.O:A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for correctionstissue Developer Impact Fee ' Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees % ,_;•� ,� �e 1 A� I Total Permit Fees FOR CQNII Y: DUCTION DATE ICY �ooil t� IM METAL GAS RISER 2" BRAIN OR PROVIDE 12" DIAM. OPENING IN FOOTING i9-.� 061 e u LO. 08 i i CMU, SOLID GROUT S T3--- CLR GRAVEL SUMP 3 ;CU.. FT. CRUSHED ROCK n OUTDOOR FIRE RING - STONE CAP ��& SW UAE IIJSIC� �IMEIJSIDI.J i it4- TIE S —=5L. ,Ai T":) >- c0uR5�_: - WATE K FKoo P�' MGIISKANMC-Txp 1 w ErzIDR I_EW-4-TH OF P:--1 f - E:-:.. — 6AS FIRE -RING ; �( AJ-sI. ., u �svac/ *.V:I.m... -$- 4 VERT . 5A9 �3 2 0. c. (-y r...) Ffi BiXe . OR 5',Y01,x95t, GM U SOLID (9RO4i 1 <--DuTED00, ='I 'RE l f� G SEALS 6 1 t V ,A