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06-3465 (RPL)it rrs a - m 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: 9/27/•06 Application Number: c--06=00003465- Owner: Property Address: � 5163'8'-VIT'"SORRENTO GARY &2AVEN APN: 772-250-997-150 -31349 - 51638 VIA SORRENTO Application description: POOL - RESIDENTIAli LA QUINTA, CA 92253 a Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 25000 D Contractor: p Applicant: C Architect or Engineer: MYSTIC POOLS E 1578 VALHALLA COUR�Qr,JINTA BEAUMONT, CA 92223 CITY of EPT. (951) 334-1576{ifANCEp Lic. No.: 742861 ————------———----------------------——------------——---—--------————---------——---------——--------- 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 •1 hereby affirmunder penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business an o s ' Is 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 license CI ss: 53 icense N 742861 for by Section3700 of the Labor Code, for the performance of the work for which this permit is �f �1 issued. ate: 7 d� tractor: _ 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 EXEMPT Policy Number EXEMPT following reason ISec. 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 beco sybj ct t0 the workers' compensationprovisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 700 of the Labor Code, I s Ifo thwit comply 'th those provisions. 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).: �(�C �yplrEant: 1 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and _ the structure isnot intended or offered for sale (Sec. 7044, Business and Professions Code: 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 notintendedor 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 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' State License Law does not apply to an owner of -conditions and restrictions set forth onthis 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 f� ,pursuant to the Contractors' State License.Law.). whose benefit work is perfoYmed'under or pursuant to any permit issued as a result of this application, 1 _ 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 ofissuance 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 a 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.I. city and count' ordinances and state laws relating to buildi on c n, and hereby authorize representatives • ` • of this co y toe ter port ah bove-mentioned grope or pec o purpose - Lender's Name: - //4� .1 aw e: • / ature (Applicant or Agent): - . - Lender's Address �1/ - LQPERNIIT Application Number . .. . . . 06-00003465 " Permit BLDG POOL PERMIT Additional desc . Permit Fee 252.00 Plan Check Fee'. 163.80 Issue Date Valuation . . 24840 Expiration Date 3,/26/07 Qty Unit Charge Per Extension BASE FEE 45.00 23.00 9.0000 THOU- BLDG.2-,001-2.5,000' 207.00' - Permit . . . MECH POOL Additional desc . Permit Fee. . 26.00 Plan Check Fee 6.50. - Issue.Date . . Valuation. 0 Expiration Date'. 3/26/07 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 3/26/,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 3/26/07 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 3.0000 -EA ------------------------------------------------------------------------------- PLB GAS PIPE 1-4 OUTLETS 3.00 Permit . . WALL/FENCE PERMIT LQPERDiTT - .. Application Number 06-00003465 Permit . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . 15.00 Plan Check Fee .00 Issue Date Valuation 160 Expiration Date 3/26/07 Qty Unit Charge Per Extension '. BASE FEE 15.00 - ----------------------------------------------------------- Special Notes and Comments POOL/SPA; 10-L.F. 4' EQUIPMENT WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. Fee summary Charged Paid' Credited Due Permit"Fee Total 371.00 .00 .00 371.00 • Plan Check Total 189.80 ..00 ."00 189.80 Grand Total 560.80 .00. .00 560.80 LQPERNIIT .. .. - idly: L 14 Ly u A up: Saiesman: renmecer. L v u Home Phone: - - MaplPage: Sq. Ftge:_(Q 3 Work Phone. Pool: Spa S� I EXCAVATION: �Z'�� ► ► a 1 CE , TTrim::. G C- RBB: Sheer Descent: Spa Dam: ? S-r-IA-e—L-e, =) Sozb I t - STEEL: p p COPING: RBB R& She 3 !1fA-"P 6G!S . Safety Grip Love Seat N - Swimout: Bullnose: Flagstone: Miters: 1 S L � se-�. PLUMBING: 1-6W DECK: S g Retums:_#Jets: Fiilline: Sq. Ft: d D Type: STM1p� Color: V SA,I a Run: s' Spa Lite: tool Lite: Drain:' Z&& Risers Bd. Jig SXIM ke oar . 3 ► s I+RC� GUN RETAINING WALLS: ( . Spa:KLove Seat LS Returns: 3 Fseartsg+e: S a V U -- B: Cup Anchors: Fillline:'h► RATS -0b f 5ZAo-de ST�KL Sip I 1Wo I ELECTRIC: FENCE Ftg:'y l ' Pool Lite- �2.2Spa Lite:•! Sl�- OWNER Jandy'. Other. 4 4 D i - PLASTER:j�c�='1�C 1%4 1Nf -� bDtG Ut3 UN (.._ color!_,Spa:,%,-4 jZ5,_Retums: GASUNE: S 4 Footage: START UP:_ rn `I STi C-- Eyeballs: -= FiIlme:.N CLEAN UP: MASTIC;, M S T SPECfAL-NOTES: VEQUIPMENT: FiitePump: - 1 �. -'�1�' Cleaner: Z)A A `I? neater. Board: Slide: Pool Lite; -r• 92- Spa Lite: X142.2 Blower. Remote Control:Maint IGt: or Pak__ Solar Cover. Highlander Cover. Chlo'nator. Ionization: Sheer Descent '� .� 7 S lA! L-T- i