04-5335 (RPL). u�ftrCv
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760),777-70.12.'.
78-495 CALLE TAMPIco FAX (760) '777 `7011
LA QUINTA, CALIoRNIA.92253 INSPECTION REQUESTS (760) 777-7153
BUILDING: PERMIT
Application Number 04=40005335 Date 7/02/04-.
Property Address,r-. 49535 ALI CT
.-APN: 649-520-014-32 -290532=
Applicationdescription POOL -- RESIDENTIAL
Property.Zoning .' LOW DENSITY RESIDENTIAL.
-Appl.ic.at.ion valuation 17000 .
Owner. Contractor
TRANS WEST CALIFORNIA POOLS & SPAS
49535 ALI CT P. 0, BOX 1280 .
LA` .QU'INTA CA. 92253. COACHELLA .... CA 9.22.36
.(760) 398-922 -2 --
WCC:. -'l:.
98-922:2.
WCC:. STATE"FUND`
WC: -04.600061168' 01/01/05.
CSLB:.... 656.12:8 10/31/.0.4...
CCC.: C'8--C27-C29=C53
Permit. MECH POOL
Additional'desc
Permit -Fee . . . . 24.00. Plan Check Fee 6.00
Issue Date Valuation . . 0
.Qty Unit Charge .Per.:. Extension:::.
BASE FEE-,':. 15.00
1.0. 9. 0000 EA. MECH.-FURNACE' <=.100.K.. 9. O.Q.
Permit : BLDG.POOL- -PERMIT-
Additional
ERMIT
Additional�des.c
.Permit Fee.... 180.00 Plan.Ch6ck Fee 117.00:
Issue Date Valuation 17000
:Qty .Unit. Charge Per ..Extension
BASE.FEE 45.00
15-.00 9..0000 THOU -BLDG. 2, 001-25, 000 135:00
Permit ELEC POOL PERMIT -RES
Additional desc
Permit Fee 45.00 Plan Check Fee 11.
Issue.Date. Valuation
Qty :-Unit. Charge :Per Ext sa'Ibn
BASE FEE
1..00 30..0000 EA ELEC -P RIVATE:.SWIM��IING. POOL G� �;a "s 30.00.
IIIIIII VIII III VIII IIII 19
IE
P.O. BOX 1504 e a��{/
78-495 CALLE TAMttCO ..:.
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number. 0Y-
Applicant:
Applicant's Mailing Addeess:
VOICE (760) 7.77=7012
: FAX (760) .777-7011
INSPECTION$. (760) 777-.7153-
Date:
77-7153
Date:.
Architect or Engineer:
Architect or Enginapr' s:
UC. No.:
BUILDING PERMIT DECLARATIONS
1 here affirm under LICENSED CONTRACTOR'S DECLARATION
by Penalty of Perjurythat, Ism licensed under provisions/of Chapter (mum nckV wM Section 7000) of OMsion 3 of ttw'Busiross grid Professionals
Code, and my Liens Is 1n'1A lone and effect License No.
license Class
Date Contractor0WNr
I hermby.afrum under penalty of perjury rat l am ER�UILDER DECLARATION
dly or qty fiat � a.Permit b exempt from the Cordractow State uoense law for tie topovdrq reason (See, 7031.5, Business-arw Professions Code: My
statement that he or she k licensed alter. , demolish," � any fie' FW110 its Issuan0e, also mW*Ws the applicant for the. pelma b fib a signed
and pursuant b the provisions of the ContraAora' State License Law (Chapter 9 (commencing with Secdon 7000) of Division 3 Oft" Business
ore ons Cole) or that he or she is exempt therefrom and the basis for to alleged arempam Any violation of Section 7031.5 by any applicant for a pemmlt subjects
Uva penalty of not mora am a" hundred dollars (fi500).r
U Las owner d Cb property. or my employees wlth wages, as their sole compensatlon, WM do the work, orb Cie atrhrduro Is not intended or offered for Sala (Sea 7044.
Business and Professions Code: The C&ftctore State License Law does not appy b an owner of property who bolds or Improvbsthemon, and who does to work
himself or herself or though his or her own employees. Provided1hat the improvements aro not khte xW or offered for safe. K however, the buiidirp a irrproverrha,nt Is
sold wltii6i one year or completion, Cue own"Jilder will have the burden of provk9 Chat he or she did not bind or irrrprove br the pumose of sale.).
(, Las owner of the properly. am ehadusivey oortUacWhg with Hcensed tonfraciors b oorhstruet the Fled (Sea 7044. Business and Profession Code: The Contras;tors' -
State License Law does not appy b an owner of property who buNds or improves thereon, and who contracts br the projects with a oontractor(s) licensed pursuant to
to Contractors' State License Law.).
L) t am exempt under Sea BA PSC. for anis mason
Date pwneri-L _ "
1 hereby of km underWC�S' COMPENSATION DECLARATION . :
DenaltY of Perloy one of the foAowMg declarations:.
_ I.hays andmill mal itai n a certificate of consent to se.g4 lime for worker' car, nsa8on, as provided for by section 3700 of the Labor Code. forChe perfomianoe ,
of the work for ~ this Pen * Is Issued..
I have and will maintain workers compensation irtsuranee, as required by"Seddon 3700 of the Labor Code, for the performance of the work for which Chis per" is
Canteruuae�dP worms..oannernaasaftlnend ram:
b.i- tLi ;1 popsy Number
_ I.Cadfy that, In the performance of Cie work for which this: pommft-Is INL'04 I snap not employ any person in any manner so as b become subject b Cue wakerd
compensation laws or California, and agree Chat, if.1 should become subject b Che woftW a mpansagon provisions of Section 3700 of the Labor Code, l shall
bdhwhh comply with Corse provktgns.
WARNING: FAILURE TO SECURE WOkKERS' C�E 4SATION COVERAGE IS UNLAWFUL, AND $H LLL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CML FINES UP TO ONE HUNDRED THOUSAND RES . AN AFtS bRN 000). IN ADDITION TO THE COST OF coMPENSA noN. DAMAGES AS PROVIDED FOR IN
SECTION 3708 OF THE LABOR CODE, WTEREST, AND ATTORNEYS FEES.
1 hereby atfkm under penalty of perjairy that Chem b a oonsbucllon CONSTRUCTION LENDING AGENCY
bndin9 69enoy for the Performance of the work for which Us permit Is issued (Sea 3097. Cir. C.).
Lenders Name
Lenders Address
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Appfic attori Is hereby made b the Dir ecW of Building and Safety for a pemdt subject b the Conditions. and restrictions set forth on this application.
1. Each person upon whose behalf this epplkatbn Is made, each person at whose and for whose benefit work is performed under or pursuant to any permit
Issued as a result of this appticapan, the owner, and the applicant each Qmes b, a sha emniry and hold harmless the City of La Quints, Its
oM17oers. agents and employees for any actor omission related to the vbork behig under or f issuance of this pemnft
2 . Any permit Issued as &'result of this application becomes wit and void K work is not cell 180 days from date of Issuance of such Permit. or
cessation of work for 180 days Will "ad penNt b cancellation.
1 certify that 1 have read this application and state that the above Mf tion Is correct I b y an nd courhty ordinances and state taws relating to Dufding
construction. and hereby authorize ropresentatives of this county b upon thea for Purposes.
ID ats ` 6 G Signature (Applicant «AgeMr
Page 2
Application Number . . . . . 04-00005335
Date 7/02/04
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Permit PLUMBING
-------------
Additional-desc .
Permit Fee 33.00 Plan Check Fee
8.25
Issue.Date . . . . Valuation . .
. . 0
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. -10 LF 5' BLOCK WALL PER
CITY STND. ALARMS/BARRIERS SHALL .BE
IN PLACE PRIOR TO PREPLASTER INSPECTION.
Fee summary Charged Paid Credited
Due
Permit Fee Total 282.00 .00 .00
282.00
Plan Check Total 142.50 .00 .00
142.50
Grand Total 424.50 .00 .00
424.50
Im
a