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06-2829 (RPL)P.O. BOX 1504 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00002829 Owner: Property Address: 80765 VISTA BONITA TR A&M HOME BUILDERS APN: 772-280-013- - - C/O JOHN J CLAPINSKI Application description: POOL - RESIDENTIAL P O BOX 366 Property Zoning: VERY LOW DENSITY RES LA QUINTA, CA 92253 Application valuation: 20000 Contractor: Applicant: Architect or Engineer: MCINTYRE POOLS & SPAS, 83695 AVENUE 45 INDIO, CA 92201 (760) 342-3612 LiC. No.: 614611 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .S, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 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).: (_ 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 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: LQPERMIT LJ VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/27/06 i AUG' ® 2 1006 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided 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 which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier IIRH INS Policy Number 020060333601 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section *3700 of the Labor F.40, I shall forthwith comply ^with those provisions. 0..'M: icant: f t—( FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO 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 work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and my ordinances and st laws relating to building construction, and hereby authorize representatives of thi oun ;'tQoe(p(/c,-er u on t above-mentioned pr or inspection purpos ss.//p a�Y'��C�C f " ature (Applicant or Agent): Application Number . . . 06-00002829 Permit . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 207.00 Plan Check Fee 134.55 Issue Date . . . . Valuation . . . . 20000 Expiration Date 1/23/07 Qty Unit Charge Per Extension BASE FEE 45.00 18.00 9.0000 THOU BLDG 2,001-25,000 162.00 -----------------------------------------------------------'----------------- Permit . . . MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 1;3/07 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 . . . . 75.00 Plan Check Fee 18.75 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/23/07 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 60.00 ---------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 42.00 Plan Check Fee 10.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/23/07 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 6.0000 EA PLB FIXTURE 18.00 2.00 3.0000 EA PLB WATER INST/ALT/REP 6.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 -------------------------=-------------------------------------------------- Special Notes and Comments POOL/SPA, FOUNTAIN.ALARMS/BARRIERS LQPERMIT Application Number . . . 06-00002829 ---------------------------------------------------------------------------- Special Notes and Comments SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary ----------------- Charged Paid -------------------- Credited -------------------- Due Permit Fee Total 350.00 .00 .00 350.00 Plan Check Total 170.30 .00 .00 170.30 Grand Total 520.30 .00 .00 520.30 LQPERMIT •o. n City of Lau Q Inta Permit # Building a Safety Dhrtsion � j P -O. Box 1504, 78-49S Calle Tampico "q e) " La Quinta, CA 922S3. (76 0) Building Permit Application nd T-7012 1f Project Address: racking Sheet 6J LI— 4 Owner's Name: A. P. Number x Contractor. c l.iv�' Address:` X City, ST. Zip: -T7NI A Telephone:, "3 A State Lic, # : Arch., Engr., Designer: Address: City. ST. Zip: Telephone: State Lic. #: 1C Name of Contact X Peson: �Cont'actToof Person• tt Submittal Plan Sets Structural Cales. Truss Calcs. Energy Cales. Flood plain plan Grading plan SubcOatactor List Grant Deed N.O.A. Approval IN HOUSE:. Planning Approval . VI'ks, Appr tPub chool Fees AOCreSS: c;ty. sr. z;p: Description: ity Lic. •#' D (o vlo Total Permit Fees -30 �M Construction Type: ----•._ Occ Project type (circle one)' New Add'n Alter Repair Sq' Ft" 3 �' Stories: Demo M Units: stimated Value of Proiect: Q 7 A eU%-ANT: DO NOT WRITE 13ELOW THIS LINE Ra'd TRACKING Plan Check submitted PERMIT FEES Reviewed. ready for corrections Item Amount Called Contact Person Plan Check Deposit Plans picked up Plan Check Balance Plans resubmitted Construction 2-' Review. ready for eorrections/issue Mechanical Called Contact Person Electrical Plans picked up Plumbing Plans resubmitted S•ht•i. '~ RevieM, ready for eorrectionsAssue Grading Called Contact Person Developer Impact Fee Date of permit issue A.t•P•P. Total Permit Fees -30 �M