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05-4691 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application. description Property Zoning: Application valuation: Applicant: 05-00004691 52075 AVENIDA OBREGON 773-214-015-4 -00000 POOL - RES'IDENTIAL COVE RESIDENTIAL 8000 . Architect or BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: LAM LEONARD 111 CHELSEA CIR PALM DESERT, CA 92260 VOICE (760) 777-7012 -FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: Owner --------------------------------- Date: 10/18/05 Lender's Name: nr !' Lender's Address: LQPERMIT or Agent): (` ,D��1 -�7 • LICENSED CONTRACTOR'S DECLARATION -- - :-WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury,that Iam licensed underprovisions 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 tiave'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 1 issued. Date " Contractor: - _ I haveand'•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 workerscompensation ' ;� - OWNER -BUILDER DECLARATION'- ' insurance carrierand policy •number are: ' I herebyeffirm under penalty;of.perjury that I am exempt from the Contractor's State License Law for the Carrier - • Policy Number " following reason (Sec. 7031 :5; Busmessanii'Professions.Code:; Any cny or.county that-r'giiires a permit to -Wl certify that' in -the performance of the work'for which this,permifis issued, I shall not:erriploy any construct�elter, improve demolish, or: repair. any struc6re 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 signedstatemeni that he orshe is licensed pursuarit,to the provisions of the Contractor's State and agree that, if I should become subject�rrh, workers compensation provisions of Section bcense1Law'(Chapter 9i(commencing 4witli,Section 7000) of Division 3iof the Busmessiand Professions Code) or 700 of the Labor Codg, I shall forthwithply w'fftthose provisions. _ i that he or she is exempt therefrom the basis for tlie,alleged exemption: ,. Any violaLoh of Section 7031 .5 by 4 , -and any. applicant for a permit sublects.the applicant to.al civil penalty of not more'thin fivehuntlred dollars (5500).: _ —Date R 6 A�licant: (_) I;'as owner" property; -or my employees with wages as their: sole compensation, will do'the work, and ,the structure is not intended or:offeredfor. sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS'• COMPENSATION COVERAGE+IS':UNLAWFUL, AND SHALL - Contractors''State;License Law"does,notapply to,an-owner of.property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES. AND CIVIVFINES•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 orishe did not build or 'improve for the purpose of sale.).' ' " - -- .,. • APPLICANT ACKNOWLEDGEMENT aIMPORTANT . `(W I, as owner of the property, am,exclusively contracting with licensed contractors to construct the project (Sec. 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 thisapplication. 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 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 i of La Quints, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. Dal te: 1 i7 Owner:" �%�L 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 o work for 180 days will subject CONSTRUCTION LEND GENCY permit to cancellation. - I hereby affirm under penalty of perjury that there is a constru ' ending agency for the performance of the I certify'that I have read this application and state that the above information is cc rect. 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 constructio eby au0orize representatives of this county to enter upon the above-mentioned proper6&f 3)ins ction purpos' n Lender's Name: nr !' Lender's Address: LQPERMIT or Agent): (` ,D��1 -�7 Application Number . . . . . 05-00004691 Permit . . . BLDG POOL PERMIT Additional desc . Permit-Fee 99.00 Plan•Check Fee 64.35 Issue Date Valuation .. 8000 Expiration Date.. ,. 4/16/0.6 Qty Unit Charge Per Extension. BASE FEE .45.00 6'.00 9.0000 THOU. BLDG.2,001-25,000 54.00 Permit . . MECH POOL Addtional.desc . Permit Fee' 24.00.. Plan Check Fee 6.00 Issue Date Valuation 0. ' Expiration-Date. : 4/16/.06 Qty Unit Charge a Per Extension BASE•.FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 Permit" . . .ELEC•POOL.PERMIT-RES Additional desc . Permit Fee:; : 45•.00 . Plan-Check Fee ... 3.75 Issue Date Valuation ... 0 Expiration Date •4/16/06 Qt:y Unit-'Charge .Per Extension. BP;SE. FEE: `15.00' 1:•00 30.0000 EA ELEC'PRIVATE SWIMMING'POOL 30.00` Permit :PLUMBING Pdd tiondl. de'sc Permit Fee. 33.00 Plan.Check Fee -8.25 Is"sue'Date Valuation . . . . 0 Expiration Date 4/16/06 Qty Unit Charge Per Extension` BASE FEE 15 : 00 2.00 6.0000 EA, PLB FIXTURE 12.00 • 1.00 3.00 '.00. 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 REPLACEMENT PERMIT FOR EXPIRED.PERMIT i�. LQPERAIIT - LQPERMIT Application Number . . . . . 05-00004691 ---------------------------------------------------------------------------- 'Special Notes and Comments. #0312-121 POOL/SPA ONLY.. ALARMS/BARRIERS 'SHALL BE IN-PLACE PRIOR TO PRE-PLASTER.INSPECTION. Fee •summary Charged. Paid CreditedDue Permit. Fee Total 201.00 .00 .00 201.00 _ Plan,'Check Total 82.35 .00' .00 82.35 Grand Total 283.35 .00 .00 2:83.35 LQPERMIT i La ITY OF LA QUINTA h � = EfUILDING & SAFETY DEPARTMENT CF'yPOF Tt�'� CM L _,' C\I I W 777-7012 I co !�OI�NSPECTION REQUEST LINE cit I ka 777-7153 Cl_� � t o <l Owner F,(D_fiT:ART) LAM Contractor Perm CN@_1jeri 0_lLZ_ 1 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 52-075 AVENEDA OBREGON POOL/SPA. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL/ GROUNDING FOOTINGS / STEEL CONCRETE -SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED, ROOF NAIL / PRE -ROOF OKAY TO WRAP FRAMING COM81KATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION , u COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. (DRYWALL) EXTERIOR LATH GAS TEST ` SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING — L U/G 'GAS U/G ELECTRICAL PRE -PLASTER ALARMS / BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED ISM , a.. ALL CONCRE !"a FLAT. .1I ORK SHALL BE r^.:aCyfD Ami _. MINIMUM OF 2" BELOW, r?%EEP SCREEDS.