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06-2293 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00002293 Property Address: 53680 VIA DONA APN: 772-420-999-29 -298944- Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 40000 Ti,ht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: JEROME.SOBA 53-680 VIA DONA LA QUINTA, CA 92253 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 Class: C53 /Liicens No.: 348768 Date: Contractor. islcrn 1/�a� �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).: (_ I 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. , BAP.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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/07/06 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 of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 1270996-2006 _ I c6rtify 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 3/77000 of the Labor Code, I�s�ha�ll forthwith co p ith those provisions. / Date: w(� Applicant: _ r.��%fri' L. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 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 above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspectyioon purpo Date: 6171 " Signature (Applicant or Agent): ' ` e7W� Contractor: Applicant: Architect or Engineer: WESTERN POOLS P.O. BOX 1047 INDIO, CA 92201 fI (760) 200-1110 u Lic. No.: 348768 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 Class: C53 /Liicens No.: 348768 Date: Contractor. islcrn 1/�a� �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).: (_ I 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. , BAP.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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/07/06 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 of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 1270996-2006 _ I c6rtify 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 3/77000 of the Labor Code, I�s�ha�ll forthwith co p ith those provisions. / Date: w(� Applicant: _ r.��%fri' L. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 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 above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspectyioon purpo Date: 6171 " Signature (Applicant or Agent): ' ` e7W� Application Number . . . . . 06-00002293 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 349.50 Plan Check Fee 227.18 Issue Date . . . . Valuation . . . . 40000 Expiration Date 12/04/06 Qty Unit Charge Per Extension BASE FEE 252.00 15.00 6.5000 THOU BLDG 25,001-50,000 97.50 ---------------------------------------------------------------------------- Permit . . . MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/04/0.6 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 . . 12/04/06 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 12/04/06 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 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA ALARMS/BARRIERS SHALL BE IN LQPERMIT Application Number 06-00002293 ------------------------7--------------------------------------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION EQUIPMENT ENCLOSURES NOT INCLUDED. Fee summary Charged - ---------------- ---------- Permit Fee Total 453.50 Plan Check Total 253.18 Grand Total 706.68 LQFERMIT Paid Credited Due ---------- ---------- ---------- .00 .00 453.50 .00 .00 253.18 .00 .00 706.68 B'° # City of La Quinta 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 # Z.02.�( �' Z Project Address: 53 — Co30 V a 130h ct Owner's Name: �e fp fh e SO ID A. P. Number: Address: 5- 3 —(po V; o, On Legal Description: Contractor:We54ern n001 /O+ O City, ST, Zip: LA U T ! ZZ Telephone: Address: 7S- q61 Da(b Project Description: J�• City, ST, Zip: &r d CA Vtote5 7 ow S Telephone: ZdQ r- 1 j Q City Lic. #: State Lie. # : I N Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: AQrp/t /krh Construction Type: Occupancy: Project type (circle one): ew Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: -5�6— c qq Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING . PERMIT FEES Plan Sets Plan Check submitted Item Amaunt 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 2" Review, ready for correctiongissue 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 Total Permit Fees LNG LNG i' v ' tlL —BL \ M Western Pools PEP 6 BL 78409 Darby Rd. — BL 8001 Bermuda Dunes, Ca. 92203 ' I I Lic. # 348768 Ph. # 200-1110 +E -_1o BI ' I - M iMER IMci G FA B 1 \ ` -CN ER I MER MER > `12 BL I M I r 1 ` 1. w s � ' 1I Iro WT. 8L Ti ANSIT BL 100, ` POOL 14' NT. I MER c McI ' ` LM �� \ 12' NT. I LAUJN' I .. T Ms RIOCK -40 NOR ` ..1 BOZAINVILLEA TO BE �DR r I "� MAINTAINEp TO 3' MIGHT IN VIEW COMMOR - LAWN INTERLOCKING I I CONCRETE 12 NT. c l 16'NT b' c. PAVERS b 14 NT. I ITY OF LA QUINTA AC MO c-11'"' \ FK -bILDIN ' G $SAFETY D. RK \ / I RK RK x I APPROVED PI ASTER NEIGWT RK I FOR CONSTRUCTION +6 A15OVt WALL \ I / I nIGWT. TYP. r \ \ / / XCC DATEgY 1 ^� ; . { \ / ti ' K,. PRIV, r• `� ¢}��• x. tr9 �: RE -INSPECTION FEE OF $30 ��/� Y ANDd xcc THE APP OVED _ WILL BE CHARGED IF yy�� `� ,' MA �yq 1`'1��'� i, •, N2 ''' M1 ,ly . .,2:'P'[.hA i tjj f`.t' �r� Ct 'J•fL I qqi.r t 1 ) �•,. Ab 00 w, `:.Y!!S-•.. 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Q :'r P S zt 1' i. R J., i y} t„ l..a � ���TA DR ' Western Pools 78409 Darby Rd. Bermuda Dunes, Ca. 92203 Lic. # 348768 Ph. # 200-1110 c BL �/ ` POOL lr 14'14T. LA >. .. MER Mc 1 I. �ErL 12. NT. LAUJN � i• TAIMs ROCK � - �' _ _ � , - " ( 1 � WOR BOUGAINVILLEA TO BE 1 MAINTAINEC> TO 3' DIGHT I W M VIEW CORRIDOR I LAWN INTERLOCKING I I . 1 �. c. CONCRETE 12' NTa b I I 16 NT PAVERS --- G---------- S �= XCC i. 14 NT. AC Ac ASTER NE ;SSP IGNT IRK 1 \ \ / I �c RK X � i I CITY OF LA QUINT AMO WALL - - I 1 BUILDING & APPRO SAFETY DE IGNT. TYP. ` xcc I FOR CON UCTI 1 „ u/ MC XCC .i� i � ?'r�' }` y.� �r: r�.g Ij� _ I . :: �•".s0 � G v 5 � ] 3.. `�. r Y4o 'ig;.. •''• -' ;` :�j it � � f 9°r,.r/.,. i�Y�t =IbL • x: 5^ S U X IJ p A . •r` {" t ,fc• J» I sq,,i'yi Tr r ci'.dl',S> 'f' : �{a I •S``Jp>> .c �.! k� �( 1 r:.H {94� 'yf.°><+ rlt •t iy s' I�LJ•ted I W ! d• r r 1 4 r r4. rr' •, Y ,a 11 O 1 .a.t ,:. P�t"j. �1'° ;k;_ i +may f .a _- .t �s t .. .el i:..f,. 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