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06-2637 (RPL)P.O. BOX 1504, 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT s BUILDING PERMIT Application Number: ' X06=0000263-7--- Owner: Property Address: 52806 VIA DONA ANDREW PIERCE CORP. APN: 772-410-999-7 -298944 P,O, BOX 3420 Application description: POOL - .RESIDENTIAL PALM DESERT, CA 92261 Property Zoning: LOW DENSITY .RESIDENTIAL Application valuation: 45000 Applicant:. Architect or Engineer: �p -------------------------------------------------- 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 Professionals Code, and my License is in full force and effect. License CI ss: g,53 Licens�%No.: 598681 ate: Contractor: 1 aA L� 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 isnot 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- he Contractors' State License Law does not apply to an owner'of property who builds or improves tl ind who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State icense Law.l. - ( 1 I am exempt under Sec. - , B. P.C. f r this reas ri _ RR � Date. L V 'Owner: • C TRUC ON L NDING AGENCY I hereby affirm under penalty of perjury that they . a cons ruction nding agency for the performance of the _ .work which this permit is issued (Sec. 3097, iv. C.1. ^ .., _ Lender's -Name: Lender's Address: LQPERMIT Contractor: AINSWORTH POOL CONSTR, ROBERT 40900 GLENMORE DRIVE PALM DESERT, CA 02260 (760)200-2800 Lic. No.: 598681 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 ------------------ WORKER'S COMPENSATION DECLARATION Date: 7/11/06 JUL 12 2006 CITY OF LA Thereby affirm under -penalty of perjury one of the following declarations: 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. K I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor T Code, for the performance of the work for which this permit is issued. My workers' compensation . insurance carrier and policy number are: Carrier CALIF INS Policy Number 460030110102 I certify that, in the0oas e of the work for which this permit is issued, I shall not employ any person in any mato b omasubject to the workers' compensation laws of California, and agree that, ico a subject to the workers' compensation provisions of Section 3700 of the bh forthwithcomply with thoseprovisions. ate: pplicant: WARNING: FAILURE TO SECURS' ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CNALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDIHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR EREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for apermit 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 permit, or cessation of work for 180 days will subject permit to cancellation. certify that I have read this application and state th the ab ve information is rre I agree to comply with all city and county ordinances and state laws relating to building onstr ction, a hereby authorize representatives of this c my t en/iter upon the above-mentioned pr any fo insp ' n p poses. gnatu�e (Applicant or Agent)' Application Number 06.-00002637 Permit BLDG POOL PERMIT Additional desc Permit Fee 382.00 Plan Check Fee 248.30 Issue Date . . . .. Valuation 45000 Expiration Date .1/07/07 Qty Unit Charge Per Extension BASE FEE. 252.00 20.00 6.500.0 THOU BLDG 25;001-5.0,000 ---------------------------------------------------------------------------- 130.00 Permit . . . MECH POOL Additional desc . Permit Fee . . .. .. 26.00 Plan Check Fee .. 6.50 Issue Date Valuation 0 Expiration Date 1/07/07 -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 1/07/07 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 . . . . 33.00 Plan Check Fee 8.25 Issue Date Valuation . . . . 0 Expiration Date 1/07/07 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. ALARMS/BARRIERS SHALL BE IN LQPERn4IT Application Number 06-00002637 -- - - - - - - - - Special Notes and Comments - ------- ------------- --------------- PLACE AT PRE -PLASTER INSPECTION. , . EQUIPMENT ENCLOSURE.NOT INCLUDED " Fee summary Charged - -------- ---------- Paid Credited ---------- ---------- Due. Permit Fee Total 486.00. 00 .00 486.00 Plan- Check Total 274.30 .00 .00 274.30 Grand Total 760.30 ..00 ,00 760.30 ) R LQPERMIT_ .. Bin # City of La . uinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit'.# i � Project Address: 'S�—�b.( vil Dpll Owner's Name: MNOtz4t, i`t2C4 0/L�1 A. P. Number: Legal Descripti n: Contractor: 4/S I, i�R td . OOL . 9 u5^ftitt rft� Address: City, ST, Zip: 7 Telephone: Address: �� ��� Q L�^�"+02 Project Description: as l City, ST, Zip A Telephone: State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: 5 Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. FL: # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: "t ,,j 00T— APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMTT FEES Plan Sets Plan Check submitted 7/' Item 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 2nd Review, ready Cor corrections/issue Electrical Subcontactor.List Called Contact Person Plumbing . Grant Deed Plans picked up S.M.I. H.O.A. Approval ' Plans resubmitted Grading INHOUSE:- ''" Review, ready for correctionsrissue Developer Impact Fee Planning Approval Called Contact Person ' A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees -.................................... - — Total Permit Fees �U .