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06-1555 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: `4 Applicant: r— 06-00001555 54140 EISENHOWER DR 774-221-025-19 -000000- POOL - RESIDENTIAL COVE RESIDENTIAL 20000 T414 4 4Q" Architect or Engineer: ),/C1) ----------------- LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT APR 21 ?006 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 Pr ssionals Code, and my License is in full force and effect. License C ss; B Lic e No.: 782324 Vie: �1 Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt 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 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.). (_) 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.). (_) 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: PACIFIC HOMES LA QUINTA, CA 92253 Contractor: PACIFIC HOMES P.O. BOX 1023 LA QUINTA, CA 92247 (760)408-3495 Lic. No.: 782324 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/17/06 '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. JL 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 STATE FUND Policy Number 1576557-2005 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 of California, and agree that, if I sho d become subject to the workers' compensation provisions of Section 3700 of the Labor Coe I sh [hwith comply with those provisions. D te. Applicant✓ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). 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 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 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 above information is correct. I agree to comply with all city and co my ordinances and state laws relating to b ilding c truction, and hereby authorize representatives of this cou t o enter upon the above -menti oned pro e y min pection pur 8'3te: Signature (Applicant or Agen Application Number . . . . . 06-00001555 Permit BLDG POOL PERMIT Additional desc ' Permit Fee . . . . 207.00 Plan Check Fee 134.55 Issue Date . . . . Valuation . . . . 20000 Expiration Date 10/14/06 Qty Unit Charge Per Extension BASE FEE 45.00 18.00 9.0000 THOU BLDG 2,001-25,000 -----------------------=---------------------------------------------------- 162.00 Permit . . . MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiation Date 10/14/06 > 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 10/14/06 Qty Unit Charge Pet 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 7.50 Issue Date . . . . Valuation . . . . . 0 Expiration Date 10/14/06 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 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA ONLY. ALARMS/BARRIERS SHALL LQPERNUT Application Number . . . . . 06-00001555 ---------------------------------------------------------------------------- Special Notes and Comments BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary ----------------- Charged Paid --------------------- Credited -------------------- Due Permit Fee Total 311.00 .00 .00 311.00 Plan Check Total 159.80 .00 .00 159.80 Grand Total 410.80 .00 .00 470.80 <i LQPERAHT Bin # City of La Quinta Building ex Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: �(� _ Owner's Name: A. P. Number: Address: P0 MYO Z Legal Description: City, ST, Zip: L 2-2- ZContractor: Contractor:MG Telephone: d .--- Address: Project Description: o Q S City, ST, Zip: Z Telephone: State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: o In APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted tem Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading, plan" 2°" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- 'nd 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 AZ =AODiSER SE' �MlNl I 4,1DONC. PAD L -)P .CF DAD TO TYP. kO ISS THAN 3 - kw. GRAN, zl V&ST179% BEDROOM 14. 71 WET BAR =6A� DINING ROOM r 'FINISHED FLOOR TO BE )2' ABOVE DATUM POINT AT TOP Or CURB AT CENTERLINE OF 4OT) REFER TO PRECISE GRADING . 14 PLAN IF. ONE EXISTS AMILY ROOM KITCHEN ubba FOYER LIVING IR M DRAIN IN ICH tGI�Y QLA QU8 4or i"M 9. szdr-PTY DEPT. op U; tAr I FOR CONSTRUCTION 41%8 %8 IO DATE N. 0 1 00 L 5-1 G L. GARDENIA (�[ IRO/ ••��0• ANNUAL (JASM11 OIDES 'MYSTERY) S. FLOWERS GRAVEL r � f CITY OF LA QUINTA L BUILDING & SAFETY DEPARTMENT `.V of 1laEJ 777-7012 INSPECTION REQUEST LINE 777-7153 vner POWER FINANCE ;ontractor PACIFIC HOMES 'ermit Number POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES IOB ADDRESS 54-140 EISENHOWER 1948 SQ. FT. SFD THIS PERMIT DOES NOT INCLUDE POOL & SPA BLOCK WALLS OR ')RIVEWAY APPROACH. TYPE OF INSPECTION I DATE I INSPP, 4PORARY POWER `4 •cTBACKS ;!G PLUMBING / WASTE - O JG ELECTRICAL/ GROUNDING . :DATINGS / STEEL DO NOT POUR CONCRETE UNTIL ABOVE SIGNED i00F NAIL / PRE -ROOF - ?KAY TO WRAP Q L :RAMING COMBINATION TOUGH ELECTRIC DUGH PLUMBING "DOUGH MECHANICAL NSULATION COVER NO WORK UNTIL ABOVE SIGNED NTERIOR GYP. BD. DRYWALL XTERIOR LATH 3AS TEST SEPTIC ABANDONMENT SEWER CONNECTION 41 - 3EPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS ' COTINGS i STEEL ND BEAM POOL / SPA / WATER FEATURE INSPECTIONS DRE-GUNITE / SETBACKS J/G PLUMBING J/G GAS J/G ELECTRICAL 'RE -PLASTER (ALARMS/ BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER =LECTRICAL O 'LUMBING -CHANICAL 3LIC WORKS DEPARTMENT MMUNITY DEVELOPMENT DEPT. 'NAL i JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TI IDKI nnl I ITn ITIFC nR nrrl IPv RI nl nINr, a •� CITY OQ A BUILDING & AR NT F'y of 7�Ev 74-12 oO�p INSPECTES�Ic�I� 53 PQ Owner PACIFIC HOMES % \ ,-�'Q&A Contractor Permit Number 06-1555 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS- 54-140 EISENHOWER POOL & SPA ONLY. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. TYPE OF INSPECTION DATE INSP. TEMPORARY POWER U/G PLUMBING / WASTE. U/G ELECTRICAL / GROUNDING FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED _ COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER (ALARMS/ BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL PLUMBING -MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL /-JOB COMPLETED / .ALL CONCRETE FLAT WORK SHALL BE PLACED A MINIMUM OF 2" BELOW WEEP SCREED.