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06-3240 (RPL)1.6 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoninq: Application valuation: 06-00003240 53527 VIA DONA 772-420-999-40 -298944- POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 30000 T44t 4 4 Q" Architect or Engineer: .W Ik BUILDING & SAFETY DEPARTMENT BUILDING PERMIT --------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pe ury t t I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Busine s and Professionals Code, and my License is in full force and effect. Licens ass: C53 License No.: 598681 r ate: ntractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjur that I 'm exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and rofessions 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).: (_) 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.). (_) 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 ISec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: JOHN HAYNES 53527 VIA DONA LA QUINTA, CA 92253 Contractor: AINSWORTH POOL CONSTR, 40900 GLENMORE DRIVE PALM DB -ERT, CA 92260 (760)200-2800 Lic. No.: 598681 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/05/06 U � B RT o f 0 d 2006 ------------------ 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,9 licy number are: Carrier CALIF INS Policy Number 460030110102 _ I certify that, in the p forma ce of the work for which this permit is issued, I shall not employ any person in any man er so a to beco a subject to the workers' compensation laws of California, and a ree that, if I hould eceme b'e o the orkers' compensation provisions of Section 13700ofthe Labor ode, I hall th 1 th comply Nith those provisions. Date: cantv : T_ v WARNING: FAILURE TO SECURE W R ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000). IN ADDITION'10 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 at th bove inf rmati is co ect. I agree to comply with all City and court rdinances and state laws relatin ant g cons cti ,and her y authorize representatives of this c t , ter upon hove-mentione property or ins ,e ti purposes. (Applicant or Application Number . . . . . 06-00003240 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 284.50 Plan Check Fee 184.93 Issue Date . . . . Valuation . . . . 30000 Expiration Date 3/04/07 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 . . 3/04/07 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 3/04/07 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 3/04/07 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 LQPERn1IT Application Number 06-00003240 ---------------------------------------------------------------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary . Charged ----------------- ---------- Permit Fee Total 388.50 Plan Check Total 210.93 Grand Total 599.43 LQPERMIT Paid Credited Due ---------- ---------- ---------- .00 .00 388.50 .00 .00 210.93 .00 .00 599.43 Big# City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracldng Sheet Permit # Project Address: U^ OrR' Owner's Name: Wtv M wv�5 A. P. Number: Address: % (RA t.,,A Legal Description: City, ST, Zip: to �CAT,11 n CP O) l ^ Contractor: SNSW� �( NS�R(n�T+duJ Telephone: ~�� �? s:; Address: y6 _y 60 V. Project Description: #00t ONLY City, ST, Zip: A(, r- is G Telephone: State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone:a� K State Lic. #: Name of Contact Person: N65 Construction Type: occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: ll Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING. PERMIT FEES Plan Sets Plan Check submitted 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 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:- d'd 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 IVID Ub 4y t °moo❑❑� F -10 000 -1 0 I i BUIL ING SETBACK ------------- L-- `J 0 El c ° O ❑ �(,��1{` CD ca Qa —i=— Mec O t� O O Ur El ------ Wr r a Butler Dining Room I , Pa ntry .I :I y r rll Kitchen y - - --- L r, ! Fa milt' I r r l 1 RoomI r i I 0 ! ► .. I fl En .... �H a• .......F�.n .•fir:..._ 7pCi2��................... .Q I o r I Q Living Room r� r►r II I Covered Pa do P.Ba: Garage w rSt r. a ; r 3 ! ............. .�.=.... c� `.. .............................. .........f ..1.,.............. ...::........................... ..: u.ndr.y...... r r 1 His r' I His Wardrobe : r r I i Vo'tor 'Court o r ° ' Master Bedroom Mech 2 Master --- .. • . r r o o a th CITY OF LA QUINTA Her L o,t -4 B ING & SAFETY DEPT. Hers Wa rdr i P.ROPOSLD RE ROVED ® MR. and MRS. JOH BUILC�(NG ETBACK Approved Pad Heigh 1 .E ' �J "'' '— 165.41' N75 06'49"E