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05-5344 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 45- 00005344 52325 VIA CASTILE 772-410-998-15 -32453 - STRUCTURES OTHER THAN BUILDIN LOW DENSITY RESIDENTIAL 5000 T419� 4 4 Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION 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 P ofessionals Code, and my License is in full force and effect. License Class: C8 C27 C29 License No.: 656128 e: 4�Contract WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury thatJaexempt 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.). (_ 11, 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 piupeny wlw bu1105 ui iuipiuves uiaeun, anu wno contracts Tor ine pri)jeCtS With a t6ntr66torls) 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: LQPERMIT Owner: ND LA QUINTA PARTNERS 375 N FRONT ST STE 200 COLUMBUS, OH 43215 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: 12/07/05 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. XI 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 SEABRIGHT INS Policy Number BB1050510 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any m4WORKER ecome subject to the workers' compensation laws of California, and agree that, ia subject to the workers' compensation provisions of Section 3700 of the Laborthwith comply with those provisions. te: t?f� �%i�i pplicarti WARNING: FAILURE TO SECURCOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT ANEMPLOYER TO CLTIES 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. i . 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 abov information is correct. I agree to comply with all city and county ordinances and state laws relating to building c struction, and hereby authorize representatives offtthii ounty toenterupon the above-mentioned propert for 'on purposes. aF t7� e:1q 10 Signature (Applicant or Ag Application Number . . . . . 05-00005344 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 72.00 Plan Check Fee 46.80 Issue Date . . . . Valuation . . . . 5000 Expiration Date 6/05/06 Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 27.00 Permit . . . ELEC-MISCELLANEOUS Additional desc .. Permit Fee 16.35 Plan Check Fee 4.09 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 .4500 ------------------------------------------------- EA ELEC DEVICE/FIXTURE >20 --------------------------- 1.35 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 24.00 Plan Check Fee 5.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00. 6.0000 EA PLB FIXTURE 6.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments BARBEQUE #Z-21-58-1995 AND FIREPIT #AGAL 496. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 4.68 Fee summary Charged ----------------- Paid Credited ---------- Due ---------- Permit Fee Total -------------------- 112.35 .00 .00 112.35 Plan Check 'rotal bb.14 U0 .00 56.14 Other Fee Total 4.68 .00 .00 4.68 Grand Total .173.17 .00 .00 173.17 LQPERMTT Bin # OW of La Quinta Building U 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: �� - 3,Zs v � C'\ `e Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor Telephone: Address: ('�,1 $++©. Project Description: City, ST, Zip: S$ Telephone2&0 2— r1' LK K-- � K e- A— State Lie. City Lie. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lie. #: Project type (circle one): New Add'n AlterRepair Demo Name of Contact Person: (1 Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: •/�/,r s� d2��y Estimated Value of Project: p d d APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACIUNG . PEPI�Tr FEES Plan Sets Plan Check submitted 1412, Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called, Contact Person Plan Check Balance. i Energy Cales. Plans picked up Construction 14V 716 Flood plain plan Plans resubmitted Mechanical Grading plan 2n' Review, ready for corrections/issue Electrical 40 3 • �X1tKLs Subcontactor List Called Contact Person J+ Plumbing / �•y e,�r�c! Grant Deed Plans picked up SALL H.O.A. Approval Plans resubmitted Grading IN HOUSE: '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees .