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06-4054 (RPL)�Y= P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00004054 Property Address: 52245 VIA SAVONA APN: 772-480-024- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 50000 Applicant: �e Architect or En WA ----------------- LICENSED CONTRACTOR'S DECLARATION T4tyl 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: O'Brian Residence 52245 VIA SAVONA LA QUINTA, CA 92253 Contractor: D AINSWORTH POOL CONSTR, ROBERT 40900 GLENMORE DRIVE Nov 2 9 2006 PALM DESERT, CA 92260 (760)200-2800 Lic. No.: 598681 c:1TY GF LA QUINTA 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 C sq: CS /7 /%( yVennsee No..: 598681 Date: Contractor: V V 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, 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 contractor(s) licensed pursuant to the Contractors' State License Law.). 1 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/27/06 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 CALIF INS Policy Number 460030110102 I certify that, in th erfo ance of the work for which this permit is issued, I shall not employ any person in any anner s as to become subjec the workers' compensation laws of California, and agree that, if I shoul be c a subjec the workers' compensation provisions of Section (� 3700 of the La r Cod I s orth ' comply with those provisions. Date: 6 Applicant: WARNING: FAILURE TO SECURE RKERS' 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 thapertyfor e information' correct. I agree to comply with all city and county ordinances and state laws relating toonstruction, nd hereby authorize representatives of this my o enter upon the above-mentioned prnspect' urposes. Dat e:l� ��� Signature (Applicant or Agent): Application Number . . . . . 06-00004054 Permit . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 414.50 Plan Check Fee 269.43 Issue Date . . . . Valuation . . . . 50000 Expiration Date . . 5/26/07 Qty Unit Charge Per Extension BASE FEE 252.00 25.00 6.5000 ------------------------------------------------ THOU BLDG 25,001-50,000 162.50 Permit . . . MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/26/07 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 5/26/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 ---------------------7------------------------------------------------------ EA ELEC PRIVATE SWIMMING POOL 30.00 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 39.00 Plan Check Fee 9.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/26/07 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 6.0000 EA PLB FIXTURE 18.00 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 -------------------- Notes and Comments POOL, SPA ALARMS, BARRIERS SHALL BE IN LQPERMrr Application Number 06-00004054 ---------------------------------------------------------------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. ENTRY FOUNTAIN PER APPROVED PLAN. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary ----------------- Permit Fee Total Plan Check Total Grand Total LQPERMIT Charged 524.50 296.93 821.43 Paid Credited Due ---------- ---------- ---------- .00 .00 524.50 .00 .00 296.93 . .00 .00 821.43 Bin ff - City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 1-2ti; V� A SV Owner's Name: ow. Address: City, ST, Zip- Telephone: t Project Description: Pep Sp F l A 4�T� Ot,diRin/ A. P. Number. Legal Description: n Contractor: Wi jo i L (14hST(4C 1 a a Address: G' d() iL4Nir16l�4 .City, ST, Zip: U MSt(11 r,� Cl2 < bf6 "V Telephone: State Lic. # :. City Lie. #: Arch., Engr., Designer: Address: City,.-ST, Zip: Telephone: State Lie. #: Name of Contact Person: X111 Construction Type: Occu an P cy: Project type (circle one): New Add'n Alter 'Repair Demo Sq: FL: #Stories: #Units: Telephone # of Contact Person: (-15 1 Estimated Value of Project: 660 APPLICANT: # Submittal Req'd . Reed DO NOT WRITE BELOW THIS LINE TRACKING. PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Plan Check Balance Truss Cales. Called Contact Person Energy Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan' 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up $.M.I. FLO.A. Approval Plans resubmitted. Grading IN IiOUSE:- '"'Review, ready for correctionsrssue Developer Impact Fee.. ; A.I.P.P. Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees Total Permi= Fees . ....