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06-4011 (RPL)P.O. BOX 1504 T-ity 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00004011 Owner: Property Address: 79857 WILLIAM STONE WY JEFF & SUSAN WINDISH APN: 604-491-011-11 -24197 - 79-857 WILLIAM STONE WY. Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 17500 Contractor: D Applicant: Architect or Engineer: ACE POOLS 42116 PITCHFORK RD INDIO, CA 92203 (.� �� (760) 578-8780 Lic. No.: 869106 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am Ilcensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof inn s Code, and ipV License is in full force and effect. License Class: C5%3 % Ecense No.: 869106 Date: 1 ' VrVXontractor: OWNS • ILDER DECLARATION I hereby affirm under penalty of perjury that am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, 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).: (_) 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.). (_) 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.). ( 1 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/17/06 e ID NOV 17 2006 CITY OF LA QUINTA 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 STATE FUND Policy Number 22906 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 shots become subject workers' compensation provisions of Section 3700 of the Labor CAde, I shall for#hwl comp) with thq,�e provisions. Date: I (" _O YApplicam: WARNING: FAILURE TO SECURE WORKERS' MP 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 thV�r�f is correct. I agree to comply with all city and county ordinances and state laws relating touthariro representatives of this county to enter upon the above -mentioned prses. Z Date: i' �ignature (Applicant or Agent): �� Application Number . . . . . 06-00004011 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee 189.00 Plan Check Fee 122.85 Issue Date Valuation 17500 Expiration Date 5/16/07 Qty Unit Charge Per Extension BASE FEE 45.00 16.00 9.0000 -------------------------------..... THOU BLDG 2,001-25,000 ----------------------------- 144.00 Permit MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date . . 5/16/07 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 . . . . 45.00 Plan Check Fee 11.25 Issue Date Valuation 0 Expiration Date 5/16/07 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 . . 5/16/07 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 . . . . . 06-00004011 Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged Paid Credited Due ----------------- ------ -- ---- ---------- ---------- Permit Fee Total 293.00 .00 .00 293.00 Plan Check Total 148.85 .00 .00 148.85 Grand Total 441.85 .00 .00 441.85 LQPERMIT ,Ji i Cyr'{7i Bin if City of La Quinta Building u- Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 922-53 - (760) 777-7012 (4 i Building Permit Application and Tracking Sheet Project Address: l S I0N i A. P. Number Address: Cl _ � �..., •; I � i AM '�, _k Legal Description: , i )-;o s2rl City, ST, Zip: Contractor: Telephone: Address: �Z —� (G (� 14 c (4 C, Project Description: Q City, ST, Zip: l` �> 1 � U / W 3 Telephone: State Lic. # : City Lic. #• Arch., &W., Designer: Address: ------------- City, ST, Zip: Telephone: � Construction Type: j� tk_1 State Lic. #: Project type (circle one) New Name of Contact Person: Sq: Ft.: # Stor Telephone It of Contact Person: 1; # I Submittal 3 Plan Sets Structural Calls. Truss Calcs. Energy Calcs. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval IN IIOIISE:- Planning Approval Pub. Wks. Appr SClloal FeCS stunated Yalue of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE TRACiCIIYG - PI Ch ck 1 1 5 Occupancy: Add'n Alter Repair Demo # Units: PERMIT FEES xa a submrlted rrf 166 m Reviewed, ready for corrections FrIanCheck Deposit Called Contact Person Plan Check Balance Plans picked up Construction Plans resubmitted Mechanical 2" Review, ready for correctionslssue Electrical Called Contact Person Plumbing Plans picked up M I Plans resubmiled Grading 3- Review, ready for correctionstissue Developer Impact Feb.. Called Contact Person A.I.P.P. Date of permit issue Total Permit Fees Amount 5 LIMB 14 ft. 7 in. -1 N N TANNING LEDGE J SPA 8X8 PDOL- i8X36 3-6 FT. DEPTH' ®° SP�t 18" ELEVATED 25 ft. 11 in. A RE- SPECTION FEE OF $30 WILL B CHARGED IF THE APPROVED PLANS ND JOB --/ THE S CARD ARE NOT ON (D INSPEC ON FOR A SCHEDULED 9ft. 3in. 0 EXCEPTIONS! JEFF ,� S1,45AN WINDISFt A 7 -85)l-WI LL_IAM CrR n STONE W/�`� c CITY E BUILDING F [,�UIAltr� L./� czitl NrA sAPPROVED �]Ep� ROVE 0 NSTRU�a� — 1A Seale 1/8=1 -