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06-0335 (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: 06-00000335 VIA LA SERENA 767-200-011-38 -318741- POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 23000 Tiiy/ 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 Busine s and Professionals Code, and my License is in full force and effect. License Class: C8 C27 C29 license No.: 656128 Date: L�Co4eactor 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 (5500): 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.). 1 _ 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.). ( ) 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: TAYLOR WOODROW HOMES, INC 15 CUSHING IRVINE, CA 92618 Contractor: >LIFORNIA POOLS & SPAS 0. BOX 1280 COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/23/06 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 HRH INS Policy Number BB1060510 _ 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 bject to the workers' compensation provisions of Section 3700 of the Labor Code, I sh wi comply with those provisions. DaW—j�� Applicant: WARNING: FAILURE TO SECURE WORKERS' COI ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE 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 prop y for inspe inoses. Date—Sgnature (Applicant or Age-r/—� Application Number . . . . . 06-00000335 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 234.00 Plan Check Fee 152.10 Issue Date . . . . Valuation . . . . 23000 Expiration Date 7/22/06 Qty Unit Charge Per •Extension BASE FEE 45.00 21.00 9.0000 THOU BLDG 2,001-25,000 189.00 ---------------------------------------------------------------------------- Permit . . . MECH POOL Additional desc . PQrmit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . Valuation . . . . 0 Expiration Date 7/22/06 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 7/22/06 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 7/22/06 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 ONLY. ALARMS/BARRIERS SHALL LQPERMIT Application Number . . . . . 06-00000335 ---------------------------------------------------------------------------- Special Notes and Comments BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged ----------------- ---------- Permit Fee Total 338.00 Plan Check Total 178.10 Grand Total 516.10 LQPERMIT Paid Credited Due 00 .00 338.00 00 .00 178.10 00 .00 516.10 Bin # Permit # 06- d3�S Project Address: A. P. Number: Q� Legal Description: Address: City, ST, Zip: Telephone:7&(') '39?1 222 State Lie. # : C05 -co ( 2 T .... ....... Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: Name of Contact Person: O`G� Telephone # of Contact Person: # Submittal Req'd Plan Sets Structural Calcs. Truss Calcs. Energy Cates. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees 0 City of La Quint Building 8z Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 i Building Permit Application and Tracking Shea Owner's Name: Address: $ `_ le 5-- l G` S L City, ST, Zip: L-0, Qv_ Telephone: Project Description: City Lie. #: 5� Construction Type: Occupancy: P Y: Project type (circle one): New Add'n Alter Repair Demo :S:q.:Ft:.: # Stories: # Units: Estimated Value of Project: C9 0 APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACEING . PERMIT FEES Plan Check submitted Reviewed, ready for corrections /© Itrm Amount PI -an Check Deposit Phn Check Balance Called Contact Person Plans picked up Construction Plans resubmitted NL.chanical 2"d Review, ready for corrections/issue Electrical Called Contact Person Pl+�mbing Plans picked up S N4 [ Plans resubmitted G-ading "' Review, ready for corrections/issue D-veloper Impact Fee AI P P Called Contact Person Date of permit issue Total Permit Fees CALIFORNIA POOLS & SPAS 86-100 Ave. 84, P.O. Box 1280 -'Coachella, CA 92236 • (760) 398-9222 • Fax (760) 396-9255 • Ca. Lic. No. 656128 June 13, 2006 City of La Quinta Building Department 78-495 Calle Tampico La Quinta, CA 92253 To Whom It May Concern: The following is a request to change the address on Permit# 06-00000335 and #06- 00001159, to 81-900 Via La Serena Lot 27 Carmella. (Wrong address on permit.) If you have any questions please call the office at 398-9222. Thank you, California Pools as Robert K. mit President OFFICES Antelope Valley • Arcadia/San Gabriel • Austin, TX • Bakersfield • Camarillo • Chino • Commercial Division • Covina • Glendale/Burbank • Grass Valley • High Desert • Huntington Beach • Imperial Valley • La Verne • Lancaster • Las Vegas, NV • Mission Viejo . North Dallas, TX • North Orange • Palm Springs • Paramount • Pasadena • Ridgecrest • Riverside • San Bernardino • San Diego • San Jose • Santa Barbara • Santa Clarita Valley • Santa Cruz • Simi Valley • Thousand Oaks • Tucson, AZ • Upland • Valencia • Valley • Walnut • Yuma, AZ CITY OF LA QUINTA BUILDING & SAFETY DEPT. 0. L_ FOR CONSTRUCTION DATE t-2.$ D C B S( s h �J S E �E C T J 0 NS 3 r . AUTHORIZATIONCONSTRUCT , w e a � STONE �. r _ _ , _t FIELD TILE ... , BOULDERS ES' , DIG y GUN TE DECK COLOR ORPRE t 0 w J ANDY U N% UNDERGROUND D 1: a _. , : I I P BB E PLAS MASQ RY r SIGNA ATU R E I < DECK I BLE DRAINAGE AI AGE NOTE.others Drainage 9e and.: irrigation a tio n for r I'a n e rs and YPRE_P P pots, b unless noted, F, 4 ti w_.