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06-4350 (RPL)f P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 [Application Number: 06'000C43507 Property Address: 81255 LEGENDS WY APN: 762-420-028- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 25000 Applicant: 10 I I hereby affirm under penalty of perjury Section 7000) of Division 3 of the Busi License Class: C8 C27 C29 Date: � Contractor. BUILDING & SAFETY DEPARTMENT BUILDING PERMIT N Architect or Engin :0Tc 2 9 2006 L- K[A LI CIV O . ii � Ii4NT�I OFuRC ----------------------------- I CONTRACTOR'S DECLARATION ensed under provisions of Chapter 9 (commencing with ss als Code, and my License is in full force and effect. License No.: 656128 %./Wempt from the DECLARATION I hereby affirm under penalty of perjury that I a exthe Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Pr fessions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair an structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she s licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Se ion 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the bas s for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applican to a civil penalty of not more than five hundred dollars (5500).: 1 _ 1 I, as owner'of the property, or my empl ees with wages as their sole compensation, will do the work, and the structure is not intended or offere for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does n t 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 contractorls) 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: QDH 228 TOLL BROS LA QUINTA, CA 92253 Contractor: CALIFORNIA POOLS & SPAS 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: 12/21/06 ----------------------------------------------— 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 ofhe work for which this permit is issued. My workers' compensation insurance carrier and policy n tuber are: Carrier SEABRIGHT Policy Number BB1060510 � I certify that, in the performanc or for which this permit is issued, I shall not employ any person in any manner so as become ubfiect to the workers' compensation laws of California, and agree that, if Ishou come subj t to the workers' compensation provisions of Section 3700 of the Labor CodINLInall,forthwit comply with those provisions. tee Applicant:- WARNING: F(LURE TO SECURE I SUBJECT AN EMPLOYER TO CRIMINAL DOLLARS ($100,000). IN ADDITION T( SECTION 3706 OF THE LABOR CODE, I :RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - 'ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND THE COST OF COMPENSATION, DAMAGES'AS PROVIDED FOR IN TEREST, 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 beco null and void if work is not commenced within 180 days from date of issuance of such perm' , o cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that t 'on is correct. 1 agree to comply with all city and county ordinances and state laws relating t uilding cons uctio , a ereby authorize representatives of this county to eater upon the above-mentioned ropePW_for insp ctidn purposes. . Application Number . . . . . 06-00004350 Permit . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 252.00 Plan Check Fee 163.80 Issue Date . . . . Valuation . . . . 24920 Expiration Date 6/19/07.• Qty Unit Charge Per Extension BASE FEE 45.00 23.00 9.0000 ------------------------------------------------ THOU BLDG 2,001-25,000 --------------------------- 207.00 Permit . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration'Date 6/19/07 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 6/19/07 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 . . . . 39.00 Plan Check Fee 9.75 Issue Date Valuation 0 Expiration Date 6/19/07 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 6.0000 EA PLB FIXTURE 18.00 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 Application Number . . . . . 06-00004350 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee. . . . . 15.00 Plan Check Fee .00 Issue Date Valuation- 80 Expiration Date 6/19/07 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL, SPA, ALARMS/BARRIERS•SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. 5' L.F % 48" CITY STANDARD WALL. Fee summary Charged Paid Credited Due Permit Fee Total 377.00 .00 .00 377.00 Plan Check Total 191.30 .00 .00 191.30 Grand Total 568.30 .0.0 .00 568.30 c Total Permit Fees Bin # r, City of. La Quin'ta c . Building & 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: 2 — (, Owner's Name: A. P. Number: ' Address: �� [✓ -� ZO Legal Description: City, ST, Zip: Contractor `\ Y\; _ex1 Telephone: Address: - �© Z Project Description: City, ST, zip• CA" Z23 OL SQA Telephone: 7(�j 3q� ZZ Z " —-F--i�' "Zz- ►ZC� State Lie. # : Z City Lie. #: Arch., Engr., Designer: _ Address: .: City, ST, Zip: Telephone: Construction Type: Occu an P cy: . State Lie. #: Pro•ect. type (circle one): Add'n Alter Repair Demo Name of Contact Person: �o Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project:. o O CEJ APPLICANT: DO -NOT WRITE BELOW THIS LINE # Submittal " Req'd Recd TRACKING. PERMIT FEES .. Plan Sets Plan"Check"submitted IZ Zf Item Amount Structural Calcs. Reviewed; ready for corrections Plan Check Deposit Truss Cates. Galled Contact Person . Plan Check Balance Energy Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan' 2'" Review, ready for correctionstissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. K.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