Loading...
05-1696 (RPL)1 o``o BUILDING & SAFETY DEPARTMENT P.O.-BOX-1504 .(76,777-7012 pF.78-495 CALLE TAMPICO a � .. ,0), FAX (760) 777-701`1 LA NTA, CALIFORNIA 92253 INSPECTION. REQUESTS: (760) 77.7-7153 BUILDING PERMIT pp"13lcati r 05-00001696 Date 5/03%05 � ess 79860 RIVIERA APRVINAwCf-C 762-070-002- - pi ication description'. POOL — RESIDENTIAL Property Zoning LOW DENSITY RESIDENTIAL Application valuation Y 15000 . Owner Contractor DUNCAN FAMILY POOL CONSTRUCTION 79-860 RIVIERA P O BOX -283 LA QUINTA,' CA 92253 LA QUINTA, CA 92247 (760)564-3655 WCC: STATE FUND' ; WC: 1344032-2005 03/01/06 CSLB: 658996 11/30/06 CCC: C53-HIC I. P.O. Box 1504 �/� , w VOICE (76 6) 777-7012 79-495 CALLS TAMPICO . FAX. (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: Applicant: I Architect or Engineer: Applicant's Mailing Address: go /\( / /�AC i©(2 I hereby affirm under penalty of perjury that I am Q�ede, and my Lice i ut force and effect. icens�e Class e D Contracto Architect or Engineer's Address: Lic. No.: [BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION under provisions of haeter �(�W m encing with Section 7000) of Division 3 of the Business and Professionals i1ceN6 ��/� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am ex pt fr m the Contractors' 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 Contractors' 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).): U 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 or 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.). U 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.). U I am exempt under Sec. , BA P.C. for this reason Date WORKERS' 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 ana 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 i s e IQrywocompensation insurance carner�and policy number are: (Earner Policy NumbeU� 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 ree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall ,,� _/�*Applicant. forthwith comply with those provisio C� s M WARNING: FAILURE TO SECURE WORKERS' PEN TION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OL ($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. 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 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 cancel I certify that I have read this application and state that the abov n ti n is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, nd ereb uthorize representatives of this county to en on the above-mentioned property for inspection purposes. Da Signature Signature (Applicant or Agent): -=---=----=---------------------------------------------------------------=- V Application Number . . . . . 05700001696 ---------------------------------------------------------------------------- Permit . . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . BLDG POOL PERMIT 162.00 10/30/05 Qty Unit•Charge Per Extension BASE FEE 45.00 13.00 9.0000 THOU BLDG 2,001-25,000 117.00 ------------------------------------------------------- =-------------------- Plan Check Fee . . 105.30 Valuation . . . . 15000 Permit. . . . . . . MECH POOL Additional desc Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date 10/30/05 Qty Unit Charge- Per Extension BASE FEE 15.00 1.00 ll..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 10/30/05 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 . . . . 30.00 Plan Check Fee 7.50 Issue Date . . . . Valuation 0 Expiration Date 10/30/05 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 ----------------------------------------------7----------------------------- Special Notes and Comments POOL & SPA. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary . Charged Permit Fee Total. 263.00 Plan Check Total 130.55 Grand Total 393.55 •Paid Credited Due :00 .00 263.00 .00 .00 130.55 .00 .00 393.55 I ARE-INSPECTIONU EE OF $30 WILL BE CHARGED IF E APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. NO EXCEPTIONS! DUNGM 110M 79-860 PiVie(a P(5tt We5f CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE g'Q'05 BY � iev/xd 1/18/05 a/-rm' d�p Construction P00% 5pa5 Foudair--5 C7G0�`��-3G55