06-4257 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00004257=
Property Address: 51605 VIA SORREN.TO
APN: 772-250-997-80 -31349 `
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 217
Applicant: Architect or Engineer:
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LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury thatN am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business nd Professionals Code, and my License is in full force and, effect.
License Class: C8 C27 C29 License No.: 656128 -
L
te: 6 ntractor:
• . 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 155001.:
(_ 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 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
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: -
LQPEPA11T
W
Owner:
ZWEMER
51605.VIA SORRENTO
LA QUINTA, CA 92253
Contractor:
CALIFORNIA POOLS & SPAS
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128.
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WORKER'S COMPENSATION DL.........,
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 SEABRIGHT Policy Number BB1060510
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
perso4Labor
o as to become subject to the workers' compensation laws of California,
and auld become subject to the workers' compensation provisions of Section
�-7 3700e, I shall forthwith comply with those provisions.
DateWARNING: FAILURE RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 for ation is correct. I agree to comply with all
city and county ordinances and state laws relating to n r ion, and hereby authorize representatives
of tl i ,ounty to enter upo he above-mentioned prop poses.
gnature (Applicant or Agent):
_
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/12/06
Application Number
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty Unit Cha,.
Special Notes and c
10 L.F. 5 '. BLOCK Wj
Fee' summary
-----------------
Permit Fee Total
Plan Check Total
Grand Total
06-00004257
'FENCE PERMIT
15.00 Plan Check.Fee
.00
Valuation
217
'10107.
Extension
BASE FEE
15.00
'Y STANDARD
'
l Paid Credited
Due
1.00 .00
.00
15.00 `
.00 1.00
.00
.00
.00 .00
.00
15.00
'Bin
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•
La:: � � • • :
Ci tnta
Qu
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Permit # .IA
P.O.. Box. l 504, '.78 49.5 Calle.Tampicii
La wnta, CA 92253 (760] 777-7.012
Budding Permlt Ap,p(lcation:and Tracking Sheet
.Project Address:S \- (p pu
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Owner's.Name .:...:.:... :. .. :.: >.: > 7;. .
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A- P. Number:
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Add ress: .57Svcc;iC_ly
_Legal Description:
City, ST; Zip: l Q v, v t
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Telephone:
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Address: �0 2
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.Project Description -
City, ST, Zip
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Arch., Engr., Designer:
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Telephone•:..
nstruction Type: .. Occupancy ..
Stafe Lic..#:
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Name of Contact Person:
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p tact Person. O� �, :.: ; :L . C' ..::- ...:.. ,
Tele hone#.ofCon7777777.
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:;Estimated Value of Pro'ect:'• 1.
777
APPLICANT;:D.O,;NOT:WRITE,BELOW:THIS.LINE
#
Submittal
Req'd
Reed :'
TRACING; .`
PERMIT FEES
Plan'Sets
Plan Check sabm�tted ..
Item .
Amount .
;Structural Cales.
R eAewed; ready for. corrections
''
;PIan`C ' eck Deposit
Truss Calcs.
G,, l..d.ContactPerson:.:: .
Plan C_ heck Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
'Plans resubmitted
Mechanical
Grading plan'
2odaieview, ready for correctionsfissue
Electrical
Mcontactor List
'Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
,.
MOA -Approval
Plans resubmitted
Grading
INHOUSE:-
'`"6.
: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