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06-1643 (RPL)P.O. BOX 1504 VOICE (760) 777-7012 -*t!t4 78-495 CALLE TAMPICO FAX (760) 77777011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT • A ; Date• 4/25/06 Application Number:-- 06-00001643 Owner. Property Address: 80235 VIA MIRASOL PALLEY APN:. 772-430-007- - - 80-235 VIA MIRASOL Application description: POOL - RESIDENTIAL kaA LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIALApplication valuation: 28000 Contractor: Applicant: Architect or Engineer:CALIFORNIA POOLS & SPAS P.O. BOX 1280 L e l r1ACHELLA, .CA 92236. l.i6r') (760)398-1.9222 L iC No. 656128 • LICENSED CONTRACTOR'S DECLARATION - - WORKER'S COMPENSATION DECLARATION _ - I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with - - - I hereby affirm under penalty of perjury one of the following declarations( Section 7000) of Division -3 of the Business and Professionals Code, and, my License is in full foice and effect. - _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided. License ,Claasss/:,�, CB C27 C29 - License No.: 656128 - - for by Section 3700 of the Labor. Code, for the performance of the work for which this permit is . •'. p�2¢; K_ +' `YCnntrarto(— __ - - _. ^ , - . • - �' Z _ -" 1 have anu will malntam worRers' c6mp2n5B1i6A iRSii76n6e, as required by Seciion 3760 of the'Labor - Code, for the performance of the work for which this permit is issued. My workers' compensation O ER -BUILDER DECLARATION insurance carrier and policy number are: I I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier SEABRIGHT Policy Number BB1060510 following reason (Sec. 7031..5, Business and Professions Code: Any city or county that requires a permit to_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, ' - permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State - and agree that, if I shou become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor C I all forthwith comply with those provisions.` that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by - p� /! /� /� ' any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: / K"" CD _0(3pplicant� , (_) 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 - WARNING:. FAILURE TO SECURE WOR ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND P. and who does the work himself or herself through his'or her own employees, provided that the - DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended. or offered for sale. If, however,, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. " property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed , 1. Each person upon whose behalf this application is made, each person at whose request and for - pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason " 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. Date: Owner: - .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 _ - CONSTRUCTION LENDING AGENCY permit to cancellation. hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application andstatethat the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.I. city and county ordinances and state laws relating to building constr 'I n, and hereby authorize representatives of this county to enter upon the above-mentioned property for in ecti poses. Lender's Name: q_,Z� 19 q/'�,i "- D e: `[ `signature (Applicant or Agent): Lender's Address: LQPERMTT j Application Number 06-00001643 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . '271.50 Plan Check Fee, 17.6`.48 Issue Date . . . Valuation . . . .' 28000 Expiration Date .10/22/06 Qty Unit Charge Per Extension BASE FEE 252.00 3.00 6.5000 ------------------------------------------------------------------------------- THOU BLDG 25,001-50,000 19.50 Permit . . . MECH POOL Additional desc . Permit Fee 26.00_ Plan Check -Fee 6.50 - Issue Date Valuation 0 Expiration Date.. QtyUnit 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:.. 10/22/0.6 Qty Unit Charge Per Extension BASE FEE 15.00 1.100 -30.0000 ---------------------------------------------------------------------------- EA ELEC PRIVATE SWIMMING POOL 30.00 Permit . . PLUMBING l Additional desc . Permit. Fee 33.00 Plan Check Fee.-: 8.25 =Issue Date Valuation 0 Expiration Date 10/22/06 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 & WATERFEATURE ONLY. LQPERMIT ` 'Application Number 06-00001643 - a _ _ _ _ _ _ _ _ _ _ _ _ _ _ _._ _ _ — _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.._ ___ _ _ _ _ _ _ _ _ _ _,. Special Notes 'arid Comments _ _ _ _ _ _ _ _ _ n _ _ _ _ _ _ _ _ _ _ .. ALARMS/BARRIERS SHALL BE .IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT r 4 ENCLOSURE NOT INLCUDED.IN PERMIT. . Fee summary Charged Paid ----------------- -------- Credited - Due ------------- Permit Fee Total .` 375.50 :"00 .00 ------- 375.50 _ Plan Check Total 202.48 .00 .00 202.48 - Grand Total-. 577.98 -.00 .00 e 577.98 ` w = + f 1 y LQPERMIT r 9 .. .. ... i �Y.- 5, 1. fA+i . .. f. ,, I.,- .# ::: .. Bm,: :.' -17 s r r : i Ci�iy obf !." La xlni +, E � * r Budding 8T Safeti,ty Dl�iston z '` L Permit # +$` - a Box 15047. ! 495 Cale Tampico P O ' I. . 1 /:� a�1.1. f , La Qlalnta, CA 922'53 (7b0) 777 7012 1 ` Building Permit A1.p,pI..... o'n and Tracking Sheet ' , Pro,- ': Address ., 0 2 I U•% q ti' Owner.sName x l -'A--'P; tuber 3 w Address 2 3 V t \ Q+ <Lega1 Descnpttop1. City, ST, Zt : ' ` Contractor �� VP °s CJ \ V ..i.,,W..a..,, ,e. 1, .. - Y� ne Telepho k ..:. , :.. .. Address' �� Z ,. CP ; Pro,ectDesctiptton:r 'f , City, ST, Zip ' Telephone 7(D ::3q�yZZ ,. ,.... State Lic. # Z :� M •L . City, Lic # �_ + s Arch., Engr ,Designer: ., a Address ` , + ,, , � � 5 ,:.: :, . Crty, -ST, Zip: : , . , . Telephone{ Construction Type Occupancy t ��. �" SI 11,tate Ltc # ... Pro,ect (circle one) Add'n Alter Repan emo �� ty� D % a Name of Contact Person ,' fi`ti,t 4'j (F..S Y�yy�\+{"c'i. vF,F ,ate 1 , FkI. nes # Units &Q S." # Sto l.— a Telephone # of Contact,P,erson p2 ©, L� Cl - S ,. ; Eshm Value ated d __r 2 - of<Pr�,ect �, I ti 5 ` .. `: �': APPLIC/dNT ...u.a,aw. DO NOT " RITL BELOW THIS UNE �m.,uitw.+,. .. 1»q�i.io-w-+.s iir :# :. , f. ,°:� Submittal a:. Req'd ; i J Reed .0.,,umn-. Y S:�S:.3ji3„'ta?:Yi��ri is*;1;tS^,'o,-<r', .-,�;,Mey n,y,:?.;1...5,: .'S. `: " 4 F -.. } •. ' h m) s� 1� :5Y '`: aCt4 - CIQNG PERMIT ES . . %Plan Sets - : i t r �, n Plan Cfieck Oz,: �. .; ,, sabmill,�tted * _,. �,.,,, • u. $Item m.Amount , Structural Calcs - z Reviewed, read for corrections 2 h r ,� pi,, n sPlanCheckDeposit Truss Ca.- : �«I. Called Contact Person F. , P lan 3 c , p Check Balance Energy Ca%lcs P4. I;III lana picked up , a Construction ,. Flood plain plan ' . .... ;:, ..:,,. ,.. ... Plans resubmitted '� + h. ' . •. M Grad►ng plan * 2"a Review, ready for correctwnsdssue i Ele . ..- l s - - I:"Rtactor List 10.Called Contact+Person ' ' Plumbing Grant Deed ':77H Plans icked + �" ap {1. + p f + k_ SMI :, HOA Approval Plans r f resubmitted\ ;; -t+ Grading I IIS HOUSE I � 1,Review, .a F ready for correcGons/�ssue Developer Impact.Fee , Planning Approval I Calted Contact Person ; ` r,�fi ' p AI P Pub Wks.. ppr , 1 !Date h lt'�� of< erm�k issue 1 p , � ' School Fees E,-] ' 1' I ? - .A _ - :. Y f, R:. .t i ,L ,4 , '! - - n .. W a 1�. - .�. k , , . ..: -.t " t « Total Permit Fees YI 11 V ., r i A � . . ,'� ; p i }�.'' , i ti rl 11, �� aY,1 J .K '7. .,#x Y,'? "'. lei '_ .> ." h 5. :_ C I .1-* �a 1_. `W , ',4fr ,5, ... ,j` � ,, L s .. , `� Y C ,L 't *• G �" d�'� f y„'R,g.0 .4"..y Y .F y,4 ,' ''y'4,1. ,�• . ,, ..., ,. - .- . , 11