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06-3669 (SOTB)�9 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: ---------------- I hereby affirmunder73the - r Section 7000) of Di 'sBu — License Cla$s: C53 Owner: CHRISTOPHER FRANK ELLIS 48485 VISTA CALICO LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/16/06 Contractor: Architect or Engineer: AMERICAN POOL CO CTION INC P.O. BOX 11996 OCT 1'71006 PALM DFSERT, CA 22 5 (760) 340-2588 C17YOF�,q ` QtJ Lic. No.: 51'8742 Fik�qNCg®PINTA pT LICENSED CONTR TO So RATION WORKER'S COMPENSATION DECLARATION - that I am licensed u r ' n of Chapter 9 (commencing with - I hereby affirm under penalty of perjury one of the following declarations: - i Mr`id Profes ' nd y License is in full force and effect.- _ I have and will maintain acertificate of consent to self -insure for workers' compensation, as provided e o.' 518742 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 whic this permit is issued. My workers' compensation 0 NER-BUILDER DECLAR ION insurance carrier and policy number are: I hereby affirm under penalty of pZpexy..Wat exempt from the Contrac or's Stat License Law for the Carrier STATE FUND q isri 0001188-2006 following reason (Sec. 7031 .5, Business and Professions Code: Any city cou that requires a permit to _ I certify that, in the p ormance of the -orich is 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 an nner so as to beco fle orkers' 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 t ould become rs'compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of th 'Labor hwithese 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 (5500).: (_ 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 k 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 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: rT LQPERA11T , WARNING: FAILURE. TO SECUR&ULORKERS' COMPENSATION COVEF(AGEX UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES OPIrO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if wor of commenced ' within 180 days from date of issuance of sucl ssation of wo f 180- ys will subject permit to cancellation. I certify that I have read this applica ' n and state to above informatio is torr I r e t comply with all city and county ordinances and state ws relating buil constructs , and h y iz epresentatives of thi�s/co/unty to enter upon thabove-m ed ioperty for on purp Datb:(� ature (Applicant or Agent). f . Application Number: 06 00003.669` Property Address: 48485 VISTA CALICO APN: 649-530-013- - - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 5000 Applicant: ---------------- I hereby affirmunder73the - r Section 7000) of Di 'sBu — License Cla$s: C53 Owner: CHRISTOPHER FRANK ELLIS 48485 VISTA CALICO LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/16/06 Contractor: Architect or Engineer: AMERICAN POOL CO CTION INC P.O. BOX 11996 OCT 1'71006 PALM DFSERT, CA 22 5 (760) 340-2588 C17YOF�,q ` QtJ Lic. No.: 51'8742 Fik�qNCg®PINTA pT LICENSED CONTR TO So RATION WORKER'S COMPENSATION DECLARATION - that I am licensed u r ' n of Chapter 9 (commencing with - I hereby affirm under penalty of perjury one of the following declarations: - i Mr`id Profes ' nd y License is in full force and effect.- _ I have and will maintain acertificate of consent to self -insure for workers' compensation, as provided e o.' 518742 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 whic this permit is issued. My workers' compensation 0 NER-BUILDER DECLAR ION insurance carrier and policy number are: I hereby affirm under penalty of pZpexy..Wat exempt from the Contrac or's Stat License Law for the Carrier STATE FUND q isri 0001188-2006 following reason (Sec. 7031 .5, Business and Professions Code: Any city cou that requires a permit to _ I certify that, in the p ormance of the -orich is 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 an nner so as to beco fle orkers' 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 t ould become rs'compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of th 'Labor hwithese 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 (5500).: (_ 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 k 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 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: rT LQPERA11T , WARNING: FAILURE. TO SECUR&ULORKERS' COMPENSATION COVEF(AGEX UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES OPIrO 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 wor of commenced ' within 180 days from date of issuance of sucl ssation of wo f 180- ys will subject permit to cancellation. I certify that I have read this applica ' n and state to above informatio is torr I r e t comply with all city and county ordinances and state ws relating buil constructs , and h y iz epresentatives of thi�s/co/unty to enter upon thabove-m ed ioperty for on purp Datb:(� ature (Applicant or Agent). f . �i Application Number . . . . . 06-00003669 Permit BUILDING PERMIT Additional desc . Permit,Fee . . . . 72.00 Plan. Check Fee . 46.80 Issue Date . . . _ Valuation 5000 Expiration Date 4/14/07 Qty Unit Charge Per. Extension BASE FEE 45.00 3.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-2.5,000. ` 27.00 Permit .., ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . 17.25- Plan Check Fee ...., 4..31 1 Issue Date . . . . Valuation 0 Expiration Date 4/14/07 Qty Unit Charge Per Extension BASE FEE, 15.00 3.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 2.25 ---------------------------------------------------------------------------- Special Notes and Comments BBQ, PER APPROVED PLAN' - ------------ - - - - - - - - -- - Other Fees . ... . . . .' ENERGY REVIEW FEE 4.68 STRONG MOTION (SMI) "= RES .50, Fee summary Charged Paid Credited Due Permit Fee Total 89.25 .00 00. 89.25 Plan Check Total' 51:11. ..00 .00- 51.11 Other Fee Total 5.18.-„ .00 .00 5.18 Grand Total 145.54 .00 .00 145.54 LQPERA11T .. 10/10/2006 06:17 7606749438 AMERICAN POOL CONST PAGE 01/03 Bin, City' of La Quinta- BuIlditie U Safety pivision permit # P.O. pox. 1504, 78-495 Calle Tampico ,iy�� La Quinta, CA 922.53 -.(760) 777-.7012 Building Permit Application and Tracking Sheet i Project Address: C4 Owt'ker'sNam; �i� A P. Number Addtsss: �� . �S . _�L C d Legal Descriptio L City, 3T, Zip: /� 2. IContractor. Telephone: Addrtss: Project De"ptlot}� S City, ST, Zip: ?/1�' L z Telephone:3Rj ��t2.S' 1 State Lic. # : ���0 - 7i City Y.ic. #: Al COQ r Ara.. J�W•. DesiMet Address: {! City, ST, Zip: Telephone: Cotu>avdion Type: occupancy_ State Lie. #: Pried typo (circle one): New Add'n Altor ltcpair Dano _ Name of Contact Person: q. Fated #Units: Tdeptme- #of Contact Perso: .3 2S m Pjt Value ol< Project: i APPLICANT: DO NOT.Whrm BLOW THIS LINH tY Submittal Req'd RWd q CIMG• Plan Sets Plaa,Ckeck submitted Item Amount t Structural Calcs. Reviewed, ready for wrrettioas Plza Chcck ncposit j Truss Cake. Called Contact Person Plan. chr-ek Balance +i Facrgy Cwics. Plans.plcked up Construction { Flood plain' plan Plans resubmitted Mechanical Grading plan' Z`.' Review, ready. [or'correctlonvUsae Electrical - F uttf Subcoatactor List Called Contact Person Plumbing. Q Grant Decd flans plekcd up. S. P&L H.O.A. Approval Pians resubmitted • Grading IN HOUSE:- sN Review, ready for corrcetiops/ksue Developer Iatpact Fee Planning Approral Called Contactperso' A.1.P.P. Pub, Wks. Appr Date of permit issue School T eu 11 i OF LA Q J 11 \t B ILDING & SAFE1Y Wi4l.r(Alr FOOL myQE C.a(IL-53 co -!o -Ot/" .FOR CONS RUU 1 lut-4 _ HATE BY