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06-3718 (RPL)P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA,:CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT - - Date: 10/20/06 Application Number: 506-0.0.0-03718 Owner: Property Address: 80080, VIA VALEROSA JEFF STEWART APN: 772-250-999-8 -30357'- 80080 VIA VALEROSA Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 ','.Property Zoning: LOW DENSITY RESIDENTIAL: 'D Application valuation: 34000 4 a Contractor: J nT Applicant: Architect or Engineer: LINDLY' S POOLS OF CA FO�iIA 232006. 30805 DESERT PALM PR.I THOUSAND PALMS, C 9 2 2 79TY OF Wjq (760)343-0600 NC QUI �J ( Lic. No.: 833313. LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION - 1 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 force and "effect. _ I have and will maintain a certificate of consent to self -insure for workers'- compensation, as provided - Ucense lass: C53 License No.: 833313 __.-_ .. _ for b Section 3700 of the Labor Code, for the performance of the work for which this permit is tf��p( _ y ate: 2 ontractor:N'—V `� f S �t3,i1iJ�t 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND. Policy Number 1769855 ' 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 should become subject to the workers' compensation provisions of Section License taw (Chapter9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forthwith comply with those provisions. that he li she o exempt therefrom and the basis for the alleged exemption. Any violation d Section 7031.5 by r � any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars IS5001.: � ate: plicant: 1 1 I, as owner of the property; or my employees with wages as their sole compensation, will do the work, and 1-1 the structure is not intended or offered for sale (Sec. 7044, Business and Professions Codp.: The WARNING: FAILURE TO SECURE WORKERS' 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 PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND 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, jNTEREST, 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 ( ) I, 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'r 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, I_) 1_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. ' I hereby affirm under penalty of perjury that there is construction lending agency for the performance of the - I certify that I have read this application and state that the above information is correct. I agree to comply with all ° work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter uponthe above-mentioned property for inspection purposes. Lender's Name: �Z l7 • ate: �^'� 5' ature (Applicant or Agent): X ' Lender's Address:. LQPERMIT W Application Number" . . . : . 06-00003718 .Permit BLDG POOL PERMIT- ERMIT"Additional Additionaldesc Permit Fee 310.50 Plan Check Fee 2.01.83 Issue Date Valuation `3-4000 Expiration Date.. 4/18/,07 Qty Unit Charge Per Extension' - BASE FEE -252.00, 9.00 6.5000 -------------_----:--•-------------,--•------------•-------------------i--------. THOU. BLDG 25;001-50,000 58.'50. Permit MECH POOL . - Additional desc. Permit Fee 26.00Plan Check Fee7 6:50•. Issue Date Valuation . . 0" Expiration Date 4/18/07-• 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 1 --___ _-- Permit -Fee 45.00 Plan Check_ ' Fee =_–.>—_ --===11 : 25=---- — - 'Issue Date _. = __ - _=—=_ y ==Valuation : 0' - -Expiration Date 4/18/07 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 4/18/07 Qty Unit•Charge Per Extension BASE FEE 151.00 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 . ALARMS/BARRIERS SHALL BE IN PLACE AT LQPERMIT A Bin # City of L Quinta J Building U afety Division P.O. Box 1504, 8-495 Calle Tampico La Quinta, CA 9 253 - (760) 777-7012 Building Permit Ap ication. and Tracking. Sheet Permit ff 3 Project Address: A. P. Number Legal Description: Ow er's Name: S7 a 2T A dress: —�� (.A ity, ST, Zip.V v 3 Contractor: H �� 9 (� Cir L)Ni� L o� Ctr� Vic, Address: 13 0 IS D tlM _ _ elephone: LO—INE ProjectDescription: �%�) SPl� .City, ST, Zip: Telephone: State Lie. # : 3 33) 3 City Lie. #: Arch., Engr., Designer. / Ls G2� Address: City,, ST, Zip: Telephone: Construction Type: Occupancy: P cy: State Lie. #:- Project type (circle one): ew Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: #Stories: # Units: Estimated Value of Project: .).y Telephone # of Contact Person: APPLICANT: # Submittal Req'd.: Recd DO NOT WRITE BELOW THIS LINE TRACKING.. PERMITFEES Z Plan Sets Plan Check submitted Item Amount % Structural Calcs. Reviewed,.ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Cheek Balance. Energy Calcs. Plans picked up Construction Flood plain plan Pians resubmitted Mechanical .9 . rading.0lan 2`' Review, ready for coerectionslissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up ' S.M.I. .. H.O.A. Approval Plans resubmitted. Grading IN HOUSE:i m Review; ready for correctionsCssue Developer Impact Fee: ; Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue: School Fees Total Permit. ; .: .:. Fees