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06-2042 (RPL)P.O.. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation:' Applicant: 06-X00002042 j 80732 VIA GLORIETA 772-270-010-20 -311231- POOL _ RESIDENTIAL LOW DENSITY RESIDENTIAL 20000 T4V1 4 -4 Q".., - Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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: 53 / License No.: 614611 �Contractor� � OWNER -BUILDER DECLARATION Ile ffirm under penalty of perjury that I am exempt from the Contractor's State License Law for the 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.l. ' 1 _ 1 1, 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 r,vpeny who buildo or impravaa tharaaAb 6661 -h,5 JJntiuotu Iv ILc yiul-6 ovldi a wnuaLtui(s) ikelibw 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: DUCAN 80732 VIA GLORIETA .LA QUINTA, CA 92253. Contractor: MCINTYRE POOLS & SPAS,. 83695 AVENUE 45 INDIO, CA 92201 (760)342-3612 Lic. No.: 614611 VOICE (760) 777-7012 . FAX (760)_777-7011 ` INSPECTIONS (760) 777-7153 Date: 5/16/06 �1AY 17 2006 i . CITY OF: ------------------ WORKER'S COMPENSATION DECLARATION 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 HRH INS Policy Number' C20060333601 _ I certify 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 3700 of the -ab4WOKERS'COMPENSATIO forthw' mply with those ovisions. a1T te: Applicanf l WARNING: FAILURE TO SECUROVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. 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. eaurt person upon W110Se 130alt thit 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, an ereby authorize repre entatives nYthis count to enter upon the above-mentioned propee rrtt y fooro tion pu oses. /-Date �� Signature (Applicant or Agentl:v/ v , . J ' Application Number 06-00002042 Permit BLDG POOL PERMIT Additional desc .. Permit Fee 207.00 Plan Check Fee :. 134.55 Issue Date Valuation 20000 . Expiration Date.. 11/12'/06 Qty Unit Charge Per. Extension BASE FEE 45.00 18.00 9.0000 -THOU BLDG 2,001-25,000 162.00 Permit . . . MECH POOL Additional desc " Permit Fee 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . . 0 E-__piration Date 11/12/06 - Qty Unit..Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >1.00K 11.00 Permit ELEC POOL PERMIT -RES Additional desc _ Permit Fee 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation .. 0 Expiration Date 11/12/06 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 -11/12/06 Qty Unit Charge Per Extension . _ BASE FEE _" 15'.00 2.00 6.0000 EA PLB FIXTURE 12.00 . 1".00 .3.o000 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 .. LQPERMTT 06-,00002042 Application Number 06-.00002042 ---------------------------------------------------------------------------- Special Notes and.Comments PLACE -AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary. Charged Paid Credited Due Permit. Fee Total 311.00 00 .00 311.00 Plan,Check Total 160.55 00 .00 160.55 Grand Total: 471.55 .00 _.00 471.55 • r LQPERMIT w Bin City Of UQUillt� , PermitP.O. Building 8( Safety. Division Box 1504, 78.495 Calle Tampico La Quinta, l A 92253.(760) 777-7012 • Buildin Permit g APPlicatlon and Tracking Sheet Project Address: i Owncr's Nun A. P. Number: Address: ' eV Legal Description: City, ST, Zip: Contractor: Address: � �. Telephone: _ City, ST, Zip: �` �� (/ Project Description: / Tele Telephone: / 12� : • ,..; .. ; v v �;;s•��:-: f'+hi:` •':.•:2:>•'S`.3.$i%;S•/.',rc:?t;< State Lill : # : L' City Lic. #: Arch., Engr., Designer: Address: City, �T, Zip: Telephone:Yfq iv%s State LIC. #' ' ;4•:• :•:}a:i;. s r; <.,: )?i{'�•3•.$'::�.,;`r;ti:<y�•�, �f. Construction Type: Occupancy: . _ Nameof Contact Person: �v.:4iY{.�•i}:{t�S:+,,tf.'•ji�:;iii?$ii.<:C<.%?f:>.:�i . j:ii�::`+iwii �} •Y:iS:� �;f:+:+ Yiin}�}iii r'I Z.' 'l f j Y w Efs Project type (circle one)• c%v Add'n Alter Repair Demo Telephone # of Contact Person: Sq Ft # Stories: # Units: �-•0 Estimated Value of Projcct: ARPLICANT: Do 'NOT WRITE BELO IN Submittal W THIS LINE Re9'd Recd TRACI:INC Plait Sets PERMIT EEFS Plan Check submitted T ' Structural Cates. Item Amount Reviewed, reads• for corrections Trusr'Calcs. Plan Check Deposit .Called Contact Person Title 14 Cales: Plan Check Balance Plans picktd'up Flood plain plan Construction Plans resubmitted ..Grading plan htechani<al Subcontactor List 2" Review, ready for corrections/issue ElectricaE Called Contact Person Grant Deed Plumbin j Plans picked up II.O.A. Approval S.M.I. Plans. resubmitted iN HOUSE:- Grading Plannin A Approval Review eady for corrections/issuey Developer I', I pact Fee g Called Contact Person Pub.1\'ks. Appr A.I.T'.P. I• Date of permit. issue School Fees TOM l'cranid-rees Jr iii/// Q . ' � ,, a • , , •VF C&IFOIIIA Wa AI?OUNP POOL � + IB W17 t 26'-II' VN7 j 41 LA CANTERA , CITY OF LA'QUINTA LOT20 'BUILDING & SAFETY DEPT. - LA QUINT, Cil APPROVED, PAW """ ` ` "" FOR CONSTRUCTION _ oaatAucaan iaaaT DATE f /U 10 6 BY k k 542-9612