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06-3911 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00003911 Property Address: 81975 GOLDEN STAR WY APN: 764-280-999-95 -300235- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 24000 Annlirant• T-iht 4 46 Q" ArrhitPrt or Engineer: ) [a- BUILDING & SAFETY DEPARTMENT BUILDING PERMIT CLARATION s of Chapter 9 (commencing with ny License is in full force and effect. 656128 IATION ctor's State License Law for the or county that requires a permit to lance, also requires the applicant for the provisions of the Contractor's State the Business and Professions Code) or t. 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 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 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 Owner: REVERS 81975 GOLDEN STAR WAY LA QUINTA, CA 92253 Contractor: CALIFORNIA POOLS & SP 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: 11/07/06 Nov 972 �61P, 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 he work for which this permit is issued. My workers' compensation insurance carrier and polic mber are: Carrier SEABRIGHT Policy Number BB1060510 I certify that, in the perform of the work for which this permit is issued, I shall not employ any person in any manner as to ecome subject to the workers' compensation laws of California, and agree that, if I s d eco subject to the workers' compensation provisions of Section 3700 of the Lkbor o shall f rthwith comply with those provisions. WARNING: FAILURE TO SECURE KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIML PENALTIES 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 COD INTEREST, AND ATTORNEY'S FEES. 1 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 applicftipmes null and void if work is not commenced within 180 days from date of issuance o ch per it, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state t t above formation is correct. I agree to comply with all city and county ordinances and state laws relatinMoo i ing con truction, and hereby authorize representatives of this cou to enter upon thea lamentioney for in truth purposes. _Qaie: Sig re (Applicant or Age Application Number . . . . . 06-00003911 Permit . . . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 243.00 Plan Check Fee 157.95 Issue Date . . . . Valuation . . . . 23760 Expiration Date 5/06/07 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 5/06/07 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 5/06/07 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 5/06/07 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 Permit WALL/FENCE PERMIT LQPEIN7IT Application Number . . . . . 06-00003911 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . 15.00 Plan Check Fee .00 Issue Date Valuation . . . . 240 Expiration Date 5/06/07 Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------------=--------------------------------------------- Special Notes and Comments POOL/SPA, 15 L.F. 4' EQUIPMENT WALL, CITY STANDARD, 1 ELECTRICAL STUB' ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. Fee summary Charged Paid -------------------------- Credited Due ----•------ Permit Fee Total 362.00 --------=- .00 ---------- .00 362.00 Plan Check Total 183.95 .00 .00 183.95 Grand Total 545.95 .00 .00 545.95 L LQPERMIT Bin # City of. La Quinta 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 # Project Address:g I -CI?7;S"' f -X000 "rJ S^�A.Q— C%6% Owner's Name: A. P. Number: Address. Legal Description: City, ST, Zip: Contractor`, UC Y -\`S Telephone: Address: �� � ( Cp Project Description: City, ST, Zip• ' C� . Z Z YJ V cf Telephone: tc y t trl State Lic.# : 2 City Lic. #: CAN, Z Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: Project type (circle one): Add'n Alter Repair Demo State Lic. #: Name of Contact Person: Sq. Ft.: # Stories: # Units:: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING. PERMIT FEES Plan Sets Plan.Cheek submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Energy Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading. plan 2°" Review, ready for correetions/issue 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 a �a°o 2 37 0.