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06-1640 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning`. Application valuation: Applicant:. 117 �06-00001640 / 79911 VIENTO DR 609-380-999-43 POOL - RESIDENT: LOW DENSITY RES: 40000 A BUILDING & SAFETY DEPARTMENT BUILDING PERMIT r_/A.) Owner: BRADY 79-911 VIENTO DRIVE LA QUINTA, CA LA QUINTA, CA 92253 VOICE (760) 777-70.12, A� FAX (760) 777-701-1 INSPECTIONS (760)'777-7153 Contractor: AMERICAN POOL CONSTRUCTION INC P.O. BOX 11996 PALM DESERT CA`92255 (760)340-2588 Lic. No.: 518742 Date: 4/25/06 - ------------------------------------------------------------------------------------------------ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION • I hereby of 'rm 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 7 001 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 License Class: Jr53 License No.: 518742 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is . Contra' r: 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 workerscompensation 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 0001188-2005 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, alsorequiresthe 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 Stated License Law 9 (commencing Section 7000) Division 3 Business Professions Code) agree that, if I should beco ,subject to the workers' compensation provisions of Section., 700 Labor Code, I f h (Chapter with of of the and or of the sh rthwit�v�e 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).: D Applicant: 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 (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECUR RKERS' 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 ($100,0001. 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.l. - APPLICANT ACKNOWLEDGEMENT (_ 1 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, • (_) 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. 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.). - city and d6 ty ordinances and state laws relating to building construction, and hereby authorize representatives • Lender's Name: - - of this cau y to ter upon the above-mentioned property fo pectioM - ' '- Aes. D �,'Signature (Applicant or A nt)' Lender's Address: LQPERMIT Application.Number 06-00001640 .Permit -BLDG POOL PERMIT Additional desc . Permit Fee- 349.50 Plan Check Fee 227-.18 Issue Date... Valuation 40000 Expiration Date 10/22/06. Qty Unit Charge Per Extension BASE FEE 252.00 15..00 6.5000 THOU BLDG 25,0017-50,000 ----------------------------------------- 97.50 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/22/06 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 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 10/22/06 QtyUnit 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 NOTES rl r es i ooL I�'x3o' SAA7%z'x7 r =___. _ _... _._ _ , r _ - E•C _ 221 Zgl1i�a 3 Z/ '/ C. -2"' �- • (L .T ' r---- - rn� f b oamp 40o, o etf W moon, ti� 0 or- 5T7 o3m _ • �j Aru d H2.NC — QU,4'V fE o C SP��1.�IAY Cµ� DOWN SQR ' SIdE (0 Yi DOLAW PQj3LS ijE 'A15 s.. _ AREA . MAP KEY MAP CITY OF LA QUINTA . a. BUILDING & SAFETY DEPT. - APPROVED V,,vefp FOR CONSTRUCTION DATE `f "Job BY S 0 M7, 11 A RE -INSPECTION FEE OF $30 p�'^��•s �5I)VI �ronR . l� tl. BE CHARGED IF THE APPROVED . Ell '►Nn'ud si��. Foe](q! -��� - E !�oT tr1 LIC.# 1 8742 c:ZDG f 1 . k CT ICS �'' [ U -OFF ADM9 11 N SCAU: ��� r - p' LAT EEACK Lm" � Q .&Rcnm Boot ® mz,eie .;/ S�au�E1R � oec� *QA" g*%A Z6Z S�lo9 yr yi -ZSZ -•-- liTLFTY EASE&ENT - © El AN EL . ® BLOWER ---- FL.L LSE —1 L GHT AFS AtfR1CANFH�lCE at IT�TYPE DETER oomr F MTER --o DR F ETLRN .� PVC DUM LXXX ELEQ 0 oCONCTpI)1:TION Iwe. "�—G— l�'OE�(iRO��D GIIS BENCH MMK. F EW I E WLVE , H� IEATF --+ THB APY ti GRAB' . �S �, 111WTER DEPTH WE V1WE' o MAN Dew --4 AERATOR LAOOEA 3 3 P �- 80 IRT. . -�-�-- oVEr��EA� EL:EC ® O � 5 � PALM DESERT. CA. -- pyp.TELE. R - = SwRCH© P TRAP o PLJIAP ❑ GILS (RLL (760) 340=2588 ` E ELEC. PEDESTAL - A=SS c*- 0 PMEPTACL.E —•3 STUB ti OuP AND4M ,& SEE NOTES 04/25/2006 06:07 7606749438 F1# UV Or La Quinta Building.- Safety Division P-0- BOX. 1504r 78-495 Cape Tampico La Qulnta, CA 92253 -.(760) 777-.7012 Building Per It'APPiication and Tracking Sheet / Owner's Name: a' Address-. City, ST. Zip:. 44 U1)fx/fG•JR cW Teiephone: WO- e- W--eY4 7• Project Doscription: Permit ff off- Project Address; �l!� A. P. Number: Legal Description: Contractor: ` lQ,?lGla Address,__ City, ST, Zip: a�L Tolephotte:(f Statc Lid. -2 Arch., Engr., besigaer: Address: City, ST, Zip: Telephone: State LAC, #: Nome of Contact Person: Telephone # of Contact Person: nt pew i p Submittal+� Plan Sets Structural Cults. 7kuss Calm );.ttcegy Cxlcs. Flood plain plan Grading, plan' Subcontactor List Grant Deed H.O.A. Approval IN RO'1JSE:- Planning Approval Pub, Wks, Appr School Fees AMERICAN POOL CONST PAGE 01/02 • Coasdvotion Typo: O�p��. .. Pr*jCQt h'Pe (circle one): New Add'n Alter Repair Demo' rt: 4, # Stories: !i Uniis � r... .Estimated Value Of Project: . p J� j APPLICANT: DO NOT WRITS BELOW THIS UNE Recd 1 R -CM0 . ' P)r1ZMRM1.'l' F)rFS Plan Check subiaittetl z Item Amount Rrviewed, ready for corrections Piaq Check Deposit Called Contact Peabon Piaq Cheek Italance Plsm.pickcd up Construction Plans resubmitted --------------- Mechanical V Review, ready [or 'corrcctlott&rUsue Electrical Calted Contact Person Plumbing Plens.plelced up S.M-x_. Plans resubmitted Grading Review, ready for correctlonstwsue Developer Impact Fee Called Cogtact Person Dote orpermit issue Total hermit Fees.