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06-1044 (RPL)_ r P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00001044 Property Address: 56475 LEGENDS CIR APN: , 762-420-017- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 35000 e, tx -. Applicant: Architect or Engineer: Ali, G & SAFETY DEPARTMENT BN DI T Owner: MAR 2 71006 PARK 56-475 LEGENDS CIRCLE LA QUINTA, CA 92253 -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION 1 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 Professionals Code, and my License is in full force and effect. License Class: CB ..C27 C2299License No.: 656128 �e: ��' - ontraEtor: I WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am xempt 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: Tile 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 k~- 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—) 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: Contractor: CALIFORNIA POOLS & SPAS P -.O. BOX 1280 MACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/15/06 ----------------------------------------------— 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 HRH INS 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 of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall fo hwith comply with those provisions. - Date• Applicant/ WARNING: FAILURE TO SECURE WORKERS' CO PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL 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 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. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives offtthiss county to enter upon the above-mentioned propertyfor inspection purposes. aC7 la` j & Signature (Applicant or Agent): ' _ LQPERMTT Application Number . . . . . 06-00001044 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 317.00 Plan Check Fee 206.05 Issue Date Valuation . . . . 34920 Expiration Date 9/11/06 Qty Unit Charge Per Extension BASE FEE 252.00 10.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 65.00 Permit . . . MECH POOL Additional desc . Permit'Fee . . . . 26.00 Plan Check Fee 6.50 'Issue Date . . . . Valuation . . . . 0 Expiration Date 9/11/06 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 9/11/06 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 9/11/06 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 I f% Application Number . . . . . 06-00001044 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 80 Expiration Date 9/11/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL, SPA & WATERFEATURE. 5 LF 4' EQUIPMENT BLOCK WALL, CITY STANDARD. GAS & ELECTRIC STUB FOR FUTURE APPLIANCES. ALARMS/BARRIERS SHALL BE IN. PLACE PRIOR TO PRE -PLASTER INSPECTION. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 436.00 .00 .00 436.00 Plan Check Total 232.05 .00 .00 232.05 Grand Total 668.05 .00 .00 668.05 l LQPF.RMiT f Permit ff Project Address:,! A. P. Number: Legal Description: A� 101V�L_ Quin Building u Safety Division P.O. Box 1504, 78-445 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet w V/ ESC; 'z � j� e . + Owner's Name: �' �, Address: City, ST, Zip: L.L Contractorr — ��`�,�� Telephone: x Address: -2 i �� ( Project Description: J City, ST, Zip C1C _U.CA CA11.Z Req'd Telephone:3�/Zz Lic. # : �' � � �_ City Lic.., L;ngr., Designer: ress: Plan Sets City, ST, Zip: Telephone: State Lic. Name of Contact Person: �` Construction Type: Occupancy: •`' Project type (circle one): 6i Add'n Alter Repair Demo Sq. Ft.: #Stories: #Units: 1 ff or uontact Terson: ,�7(� y c-/,,/ Estimated Value of Project: APPLICANT. nn NnT Vunt- c uce nter rurc� v vKvr Z3 V 3 y 9,zlo # Submittal Req'd Recd TRACKINGPERMIT FEES Plan Sets Plan Check submitted 3 Item Amount Structural Cales. Reviewed, ready for corrections 'Plan Check Deposit Truss Calls, Called Contact Person ,. Plan Cheek —Rahriee Energy Calls. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading. plan 2nd 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 HOUSE:- lid 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 1 Total Permit Fees 9 Z3 V 3 y 9,zlo