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06-0017 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 06-0.0000017 81245 LEGENDS WY 762-420-027- - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 30000 Architect or LICENSED CONTRACTOR'S DECLARATION T,i&t 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT. p e — JAN 17 2006 D 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 Professionals Code, and my License is in full force and effect. License Class: C8 C27 C29 License No.: 656128 ate: Contractor. O NER-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 155001.: (_ )- 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: LQPERMff Owner: WELCH 81-245 LEGENDS WAY LA QUINTA, CA 92253 Contractor: CALIFORNIA POOLS & SPAS P.O. BOX 1280 �. COACHELLA, CA 92236 j (760)398-9222 . Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-70 HIF INSPECTIONS (760) 777-7153 Date: 1/04/06 t WORKER'S COMPtWSATION 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 X• 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 B13106OS10 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 Fl3fr' ith comply with those provisions. ate: j Applicants WARNING: FAILURE TO SECURE WORKERS' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN . TIES 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 p4orn of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the abcorrect. I agree to comply with all city and county ordinances and state laws relating to buildingereby authorize representatives of this count?y to enter upon the above-mentioned proppeeray fo Dd: `� 7 Signature (Applicant or Agenti+' Application Number . . . . . 06-00000017 Permit . . . BLDG.POOL PERMIT Additional desc . Permit'Fee 284.50 Plan Check•Fee 184.93 Issue Date . . . Valuation . . . . 29920 Expiration Date 7/0.3/06 Qty . Unit Charge Per Extension BASE FEE 252.00 5.00 6.5000 --------------------------------------------•-------------------------------- THOU BLDG 25,001-50,000 32.50 Permit MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . : 0 Expiration. Date 7/03/06 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 7/03/06 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 7/03/06 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 K LQPERMIT Application Number . . . . . 06-00000017 Permit WALL/FENCE PERMIT -.. Additional desc ' Permit Fee . . . . 15.00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 80 Expiration Date 7/03/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------- Special Notes and Comments POOL & SPA ONLY. 5 L.F. 4- EQUIPMENT BLOCK WALL; CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR' TO PRE -PLASTER INSPECTION. r - -- Fee summary. Charged Paid ---------- ---------- Credited Due ----------------- Permit Fee Total 403.50 .00 .00 403:50 Plan Check Total 210.93 .00 .00 210.93 Grand Total 614.43 .00 .00 614.43 LQPERMIT Bin # City ®f La Quinta Building U Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit /application and Tracking Sheet Project Address:�(,Z ��� e�� S c.sc� Owner's Name: Address: ::,&` A C/ S A. P. Number: Legal Description: City, ST, Zip: Contractor`.. ` Telephone:` Address: Project Description: City, ST, Zip : 2 ? �JG �j` Telephone:76037 D' % 2 / r: .L x State Lic. # : (0 -Co ( 2 City Lic. #: Li Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: occupancy: : P Y State Lic. #: _ Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: S Ft.: 9 # Stories: # Units: Telephone # of Contact Person: 26-0--7' 7 �2 S � -t��y Estimated Value of Project: Ono� APPLICANT: DO NOT WRITE BELOW THIS LINE f/ Submittal Req'd Recd TRACIQNG PERMIT FEES Plan Sets Plan Check submitted I Y Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Calcs. 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:- ' ° 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 I ! Total Permit Fees I 1 � le l . qllzo