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06-1362 (RPL)4 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: 4/04/06 Application Number: 06-00001362 Owner: Property Address: 80944 VIA PUERTA AZUL POISON. APN: 762-240-003-5 . -3009617 80-�44 VIA PUERTA AZUL Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: MEDIUM DENSITY RES Application valuation: 25000 Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Busin s and Professionals Code, and my License is in full force and effect. License Class: C8 C27 C29 05JEJ LicenseNo.: 839002 15ate:7 Contractor: 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 ISec. 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 _ 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 ISec. 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 contractorls) licensed pursuant to the Contractors' State License Law.). 1 _ 1 I am exempt under Sec. , BAP.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 Contractor: RIPARIAN ENVIRONMENTS P.O. BOX 13990 PALM DESERT, -A 92255 (760)398-9997 Lic. No.: 839002 tAPR 10 2006 CITY OF LA QUINTA SIN 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 STATE FUND Policy Number 1769754-2005 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, K I shout become subject to the workers' compensation provisions of Section 3700 of the Labor Code I shall forthwith comply with those provisions. Qate: Applicant: WARNING: FAILURE TO SECURE WOR ERS' 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 that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives oft1th/is�Go�/y y t enter upon the above-mentioned property for ' spe ion purposes. D t8 e: � � Signature (Applicant or Agent):/ t Application Number . . . . . 06-00001362 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 252.00 Plan Check.Fee 163.80 Issue Date . . . . Valuation . . . . 25000 Expiration Date . . 10/01/06 Qty Unit Charge Per Extension BASE FEE 45.00 23.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 207.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date 10/01/06 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 10/01/06 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 . . 10/01/06 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 s LQPERMIT Application Number . . . . . 06-00001362 ---------------------------------------------------------------------------- Special Notes and Comments BE IN.PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 356.00 .00 .00 356.00 Plan Check Total 189.80 .00 .00 189.80 Grand Total 545.80 .00 .00 545.80 N Bin # City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: g -(!i!-fq U tl q Fuet�, I Owner's Name:, A. P. Number: a,� � � I Address: g O , 9 y Legal Description: Contractor: 1 i l R� City, ST, Zip: C 2 Z S Telephone: Address: � 7�aL cL� Project Description: IQ n City, ST, Zip: �� e,S � t (A POA c5 Telephone: b State Lie. # : g 00.2 City. Lic. M Arch., Engr., Designer:. Address: City, ST, Zip: Telephone: �> a State Lie. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq, Ft.: # Stories: # Units: Telephone # of Contact Person: rj _ �-�Sj Estimated Value of Project: p C-) . APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called. Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading.plan* 2nd Review, ready for correctionsrssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 0 d d d 4 a. V e . ° .4 d • 'e d d •d a -• d'.. o•° A 0 i' COLOR, BROOM - FINISH CONCRETE TO SURROUND POOL Sd] -7 GSE I 7' ST.Ar.KED QUARTZITE SPILLWAY J '. POO L- • d PTE�2�By OF LA OUINTA ING & SAFETY DEPT-. 1 R CONSTRIICION EXISTING " 64 RESIDENCE s a4 9 1/4•- LANDSCAPE ?KTDREO ON PLAN FOR ASCTETIC PT,IRPQSE ON 1 R IS NOT wC1l1V THE 4 P dSry P> pcJv�. �rC�.it-I111 I �viv� DIMENSIONS: Length: 70'-0' Width: -0' Surface,Area: Perimeter: Depth: 3V - 4'-6' - 3'6' , SPA.SPECIFICATIONS DIMENSION$: Length: 7'-0' Width: 7'-0' FINISHES becking: ]'broom finish concrete to surround pool Waterline: Tile Dam Wall: Equipment Wall Plaster. Pebble Tech 1 EQUIPMENT i Pump: HiWward 2 HP Waterfall Pump: - Fitter: 425 Hayward Filter HeAW. 400K btu Hayward Heater Control: Time clock Cleaner: i • NOTES:,_ TmJ=: OOL PLAN 1 JOB: Pu 7A -ZjL ADDRESS: E� C-+. q - ► A- '� v �� L