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06-2237 (RPL)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: 6/01/06 Application Number: 06-00002237 Owner: Property Address: 79215 VIOLET CT ORTIZ. MANUEL E a APN: 604-343-02-5-44-- -25363:- 79215 VIOLET.CT Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY -RESIDENTIAL w` Application valuation: 35000 u1V Contractor: CIT( of LAQBINTA i Applicant: Architect or Engineer: A & R COMPLETE . POOL SER ICE FINANCE DEPT. P.O BOX 103 ' LP,QUINTA, CA 92247 (760)772-0752 Lic. No.: -841981 LICENSED CONTRACTOR'!S DECLARATION - WORKER'S COMPENSATION DECLARATION ' I hereby affirm under penalty of perjury that I am licensed under provi ons of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of a Business nd Professional Code, nd 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 Cl ss: C53 icense o.: 841981 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is s 1� issued. - /�ate: T V ontra tor: J 1 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 /Y 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 0050251 'following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to_ I certify that, in the performance the work for which is per it 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 t come subje tot worke 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, ' I should'be o e subject t e rkers' o pensation provisions of Section ,- License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 700 of the La or Code, I a fowith —ith th 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).: - ate: �(P/�-5LOppfi�ant:%_,,% (_) 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 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, 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 IU44, BUNhfts 8nd Piofessions 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.l. whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 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 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 Mo,� 's corre I afire o comply with all work for which this permit is issued ISec. 3097, Civ. C.). city and county ordinances and state laws relating buildid autho representatives • - -. - - - of this my to enter upon th bove•mentioned ropertytender's Name: at_ure (Applicant or Ag tl:Lender's Address: - LQPERDIIT Application Number. 06-00002237 " Permit . . .....: BLDG POOL PERMIT ..• Additional desc . Permit Fee 317.00 Plan Check Fee 206.05 Issue Date Valuation 35000 Expiration Date 11/28/06 Qty Unit Charge Per Extension. BASE FEE 252.00 10.00. 6.5000 THOU BLDG 25,001-50,000 .65.00 Permit MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 Expiration -bate.. 11-/28,'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 11/28/06 " Qty Unit. Charge Per Extension BASE FEE 15.00 1.0.0 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 11/28/06 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 Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN LQPERMIT - - - Application Number . . . 06-00002237 -- - -- - Special Notes and Comments PLACE AT•PRE-PLASTER INSPECTION. " EQUIPMENT ENCLOSURE NOT.INCLUDED Fee summary Charged. ----------------- ----- ---------- Paid --- Credited - Due - Permit Fee Total 421.00 .00 ..00 421.00 Plan Check Total 232.05 .00 .00 232.05 Grand'Total 653.05 00 .00 653.05 LQPERMIT _ - _ IN i o PATIO COVER TO BE BUILT BY OTHERS 91 3' 9'1 14' _ ,MANUEL ORTIZ 79215 VIOLET CT CITY OF LA QUINI A LA QUINTA BUILDING & SAFETY DEI rr., POOL SQ FT 567 APPROVE SPA SQ FT 38 FOR CONSTRUCTION DATE ior IN i o PATIO COVER TO BE BUILT BY OTHERS 91 3' 9'1 14' _ ,MANUEL ORTIZ 79215 VIOLET CT CITY OF LA QUINI A LA QUINTA BUILDING & SAFETY DEI rr., POOL SQ FT 567 APPROVE SPA SQ FT 38 FOR CONSTRUCTION DATE Bin# i City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253- (760) 777-7012 Building Permit Application and Tracking Sheet Permit # d� Project Address: '� —I Z I I �� Owner's Name: A. P. Number: Address: 1? Z S lO /Z 67L_ LegalDescription: City, ST, Zip:' OU AJ bq Z Zs3 Contractor: 04--K NMIck— POO (s l tJhone:. L Tele p Address: ,E)aXt 0 3 Project Description: City, ST, zip: L ` Telephone: -7 WD - %7 71—b -7S Z- City Lic: #: Z/ 1 x v State Lic. # t -p be % b k0 urJD' P411 -IS b__D $1 V Arch., Engr., Designer: Address: City, ST, Zip: . Telephone: _ ;• Construction Type: 0 ccupancy: State Lic. #: Project type (circle one): . ew Add'n Alter Repair Demo Name of Contact Person: �p Sq. Ft.: # Stories: T# Units: Telephone # of Contact Person:cl= 7,3 Estimated Value of Project: 5 �� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd ReNd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Che --k Deposit Truss Calcs. Called Contact Person Plan'Che--k Balance Energy Calcs. Plans picked up Construe -ion 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:- '"' Review, ready for corrections/issue Develope- Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees ' S Total Permit Fees