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05-4617 (RPL)P.O. BOX 1504 ^' VOICE (760) 777-7012 78-495 CALLE-TAMPICOFAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT. INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 6/08/06 Application Number: 05-00004617 Owner. Property Address: - 56821 VILLACE3 DP. SEPAROVICH - APN: 764-050-027- - - 56821 VILLAGE DRIVE Application description: POOL . - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning:. LOW DENSITY RESIDENTIAL Application valuation: 23000 Contractor: Applicant: Architect or Engineer: CALIFORNIA POOLS & SPAS WCC: SEABRIGHT (.Q WC: BB1060510 01/01/07 CSLB: 656128. 10/31/06 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury that 1. 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 License Class: - .License No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is' - issued. - - Date: Contractor: _ 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 C8 C27 C29 C53 Policy Number --------------- _ 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, orrepair 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 Law (Chapter 9 (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 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).: Date: - Applicant: (_ 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. 704.4, 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 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.). - - APPLICANT ACKNOWLEDGEMENT 1 _ 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 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 ofthis 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 applicationbecomes 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. 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 county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. ` Lender's Name: Date: Signature (Applicant or Agent)' Lender's Address: - - LQPERMIT Application Number 05-00004617 Permit . . MECH POOL Additional desc . ' Permit Fee . . . 26.00 Plan Check Fee 6.50 Issue Date 10/18/05 Valuation 0 - Expiration Date. 7/02/06 Qty Unit Charge Per Extension. BASE FEE 15.00 .1.00 11.0000 EA MECH FURNACE >100K 11.00 Permit BLDG POOL PERMIT ' Additional' desc. Permit Fee . . . . 234.00 Plan Check Fee.. 152.10 Issue Date 10/18/05 •Valuation . . . 22892 Expiration.Date 7/02/06 Qty Unit Charge Per Extension. BASE FEE 45.00 21.00 9.0.000,THOU BLDG 2,001-25,000 189.00 Permit ELEC POOL -PERMIT -RES c, Additional desc . Permit Fee 45.00-• Plan Check Fee 11.25 v Issue Date Valuation 0 ' Expiration Date . .10%18/05 7/02/06 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 . . 10/18/05 Valuation . . . . 0 Expiration Date 7/02/06 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 Permit WALL/FENCE PERMIT J LQPERMIT ... - _ _ - ':. -..•. _ _" ,. .. Application Number 05`-00004617 Permit'' . . . WALL/FENCE, PERMIT Additional desc Permit Fee 15.00Plan'Check Fee ..00 Issue Date. . . . . 10/18/05 Valuation 108 �. Expiration Date 7/02/06 Qty Unit Charge Per Extension BASE FEE 15.00 --------------------------------------------------------------------- Special Notes and Comments POOL .& SPA ONLY. 5. L.F. 5' EQUIPMENT BLOCK WALL, CITY.STANDARD: ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. ` Fee summary Charged Paid Credited Due ---------- ---------- Permit Fee Total. 353:00. 353.00-- .00 - .00 Plan Check Total 178.10 178.10 :00 00 Grand Total 531.10 531.10 .00 .00 LQPERMIT CALIFORNIA POOLS & SPAS' 86-100 Ave. 54, P.O. Box 1280 • Coachella, CA 92236 • (760) 398-9222.• Fax (760)398-9255 • Ca. Lic. No. 656128 ♦ •t, ^ y,j�G L:,�, ., ,,. t _. - *" `..., y M1� � `,'moi ^ =June 8, 2006 ♦ fir r.., � V h. a � City of La Quinta :; • . } ; ".=:. Building Department ,yet k 78-495 Calle Tampico Via,, „i { La Quinta; CA 92253 41 To Whom It May Concern: ,; 'The following is a request to change the address on Permit# 05=00004617, The Palms Lot'. 66 to correct address 56-821 Village Dr. (Wrong address on permit.)•= M If you have any questions please call the office at 398-9222. Thank you; Calif rnia Pools &Spas "t �{ aures D. Harebottle . -s s l' C' -t. .. {. A �^ i i,- ..i -+ !t A7• 3 sae ' 'C. F . Y OFFICES Antelope Valley'•'Arcadia/San Gabriel -Austin, TX • Bakersfield Camarillo Chino • Commercial Division • Covina Glendale/Burbank 3 Grass Valley • High. Desert • Huntington Beach • Imperial Valley • La Verne •'Lancaster Las Vegas, NV • Mission ViejIo. North Dallas; TX • North Orange a Palm Springs • Paramount • Pasadena • Ridgecrest • Riverside • San Bernardino'- San.Diego,,San'Jose Santa Barbara • Santa Clarita Valley •_Santa.Cruz • Simi Valley Thousand Oaks • Tucson, AZ • Upland • Valencia • Valley • Walnut • Yuma, AZ. . s.°" x May 24,,-2006 . --f Ms: Esther Sanchez F! 44:4 V 3 ,� 4 • P.0. Box 1504 BUILDING & SAFETY DEPARTMENT'_ ` 'OF fid 78-405 CALLE TAMO ` PIC .. - _ -(760) 7,77-7012 f x,.,• Dear Ms. Sanchez, LA QUINTA•,.IQALIFORNIA'-922.53 FAX (760) 777-7011 x May 24,,-2006 . --f Ms: Esther Sanchez F! 'Riverside County Assessor's Office 3255 E'Tahquitz Canyon Way_Ste 114 ! + Palm' Springs, CA 92262=6962 r Dear Ms. Sanchez, ' : t "Please be advised of an.addr6§s change for the following. pool'7permit• Permit'# 05-4617, issued to 56-793 Village Drive, should be corrected'to 56=821; Village. Drive.'. Enclosed please find a corrected copy of the previously, issued permit rt', -.Please note this change'and contact me directly at (760) 777-7084•if I may,be.of fyF M. + further assistance. ? ` r •Sincerely, f, y ,• .. '" Kay Hensel " Counter Technician"' V` "' P.O. BOX 1504 " 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10.5-000.04617 " Property Address: 56793 VILLAGE -DR'. APN: '764-050-026- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 23,000 Ta!t'-4-ZPQ�A& Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner:' MARGULEAS YOUNG HOMES C/O AVAIL PROPERTY.MGT P O BOX 1032 ERT,.CA 92261 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 IA POOLS & SPAS SEABRIGHT INS BB1050510 .01./01/06 656128 10/31/06 Date: .10/14/05 -------------------------------------------------------------------------------------- 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. Ihave and will maintain a certificate of consent to self -insure for workers' compensation, as provided - License Class: C License No.: G<i'o l;Z-y for by Section 3.700 of the Labor Code, for the performance of the work for which.this permit is issued. XI Date: -4 �Contractor: - have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor 11 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 C8 C27 C29 C53 Policy Number - -- - - - - - - - - - - -- - following reason (Sec. 7031.5, Businessand 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 sous 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 Law (Chapter 9 (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 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).: Dat�:(U��Applicant/ (_) 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 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND'SHALL Contractors' State License Law does not apply to an owner of property who builds orimprovesthereon, 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 novintended 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.). - APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractorsao constructtheproject (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to, the 7044, Business andProfessionsCode: 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 benefitwork is performed under or pursuant to any permit issued as a result of this application," (. 1 I am exempt under Sec_. , B.&P.0-. 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 county ordinances and state laws relating to building construction, and hereby authorize representatives - of this county to enter upon the above-mentioned prop! -for inspection purposes. Lender's Name: - - - ` .. Date /'rSignature (Applicant Agentl. �� _ - Lender's Address: or - LQPERMIT - - Application Number . . . . 05-000046,17 Permit . . . BLDG POOL PERMIT Additional desc.. Permit Fee 234.00 Plan Check Fee 152..10 Issue Date Valuation 22892 Expiration Date 4/12/06 Qty Unit Charge Per -• Extension BASE FEE 45.00 21.00 9.0000 ----------------------------------------------------------------------------- -THOU BLDG 2,001-25,000 189.00 Permit . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6:50 Issue Date . . Valuation 0 Expiration Date 4/12/06 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 4/12/06 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 4/12/06 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 Permit . . . . . WALL/FENCE PERMIT . LQPERMIT Application Number 05-000.0.4617 Permit WALL/FENCE PERMIT.~ Additional desc . - Permit Fee 15:00 Plan Check Fee .00 Issue Date, Valuation 108 Expiration. Date .. 4/12/06 Qty - Unit.Charge Per Extension BASE FEE 15.00 -_---Special Notes and Comments_ POOL & SPA ONLY. 5"1,:F. 5' EQUIPMENT . BLOCK WALL,- CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR' TO PRE:PLASTER INSPECTION. Fee summary Charged' Pa"id Credited., Due Permit Fee Total. .353.00 .00 .00 •353.00 Plan Check Total 178.10. .00 .00 178.10 Grand Total 531.10 ..00 .00 531.10 LQPERMrC 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 # .05- Project Address: �5 (p Owner's Name: A. P. Number: 802 Address: Legal Description: [ % City, ST, Zip: Contractor6IXVI> Telephone: h Address: O. aoxProject Description: City, ST, Zip: coo, C CK 5t0 P O CA TelephoneZ02 - -2- C,,�C,\ State Lic. #: City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: - Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair: Demo Name of Contact Person:O1 �Ao C"—"Le— Sq. Ft.: # Stories: # Units: (/ Telephone # of Contact Person: Z O t/�✓i�s %� 7^' d'2��7 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACIUNG . PERMIT FEES Plan Sets Plan Check submitted �D f 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 corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d 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 t08 .r O w . • FOR 14� I 14� W; _ , .. SELECTIONS 10 S N o� AUTHORI AT1N STONECONSTRUCTION _ �. , , TILE .� s �S SALES FI �I.a D BOULDERS ` C7 DIG I DECK COLOR y PR� GUNITECc ,- `. JA NDY GiI UND OND R R x .f MASONRY B PEB PLAS r ... W SIGNATURE , e DCI. r._ .` . Drai a n n e a d irri anion or (ante s r and pots, ' b 9 , DRAINAGE NO 9 P p Y IN TE _ P P BB R E L� , others unless otherwise r noted. It* KPm , N