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04-4046 (RPL)79843 Amora Dr 04-4046 23 IE BUILDING & SAFETY DEPARTMENT c p P.O. Box 1504 (760),777-7012 ofn 9 4• AL AMPICo FAX (760) 777-7011 A A, IFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 D y 1 2IAN BUILDING PERMIT MA Appl'c tz 04-00004046 Date 5/11/04 -.Prop rty . . . . . . 79843 AMORA DR APN: 609-380.-998-2-293232- Applicat.ion'description POOL - RESIDENTIAL Property Zoning LOW DENSITY RESIDENTIAL Application valuation. 1700.0 Owner Contractor. LENNAR HOMES OF CALIFORNIA . CALIFORNIA POOLS & SPAS 78401 HIGHWAY 111,.STE C P.O. BOX 1280 QUINTA, CA COACHELLA. CA . 92 2 3 6 LA QU.INTA CA92253 (760) 39,8-9222 WCC.: STATE FUND !.WC: 0460006.1168 01/01/05 CSLB: 656128' 10/31/04 -- - CCC: C8.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: 1.00 9.0000 EA.. MECH FURNACE <=100K .9.00 Permit BLDG POOL.PERMIT Additional desc.. Permit Fee. 180.00. Plan Check Fee .117.00 Issue Date Valuation 17000 Qty Unit Charge Per Extension BASF .-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 11.25 Issue:Date, .. Valuation 0 Qty 'Unit Charge_ Per Extension BASE FEE. 15.00 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPiCO.. FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: •..Address: plat . Architect or Engineer. Architect or Lic. No.: T BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code. and ss Licensg is sfull force and effect License No. 65612 S License Class / L Date " r 'v ConUador ` OWNER -BUILDER DECLARATION I herdby affirm under penalty of perjury that I am exempt from the Contractors' State License taw for the following reason (Sea 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 ) 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 (5500).); 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 (Sea 7044, Business and Professions Code: The Contractors' State License Law does not appy 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 safe. 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 (Sea 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. B.& PSC. for this reason Date Owner._., _ _ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations:_ _ 1 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. II have ea nd 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 Pensatio insurance mer and rm b e.OS CartierfiPoy 8 _ 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 Code, I shall forthwith comply with those p ns. Date C `Applic nt •, WARNING: 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 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY 1 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 told harmless the City of La Quanta, Its officers, agents and employees for any act or omission related to the work being performed under or. following issuance of this pemnit. 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 pertNt, or cessation of work for 180 days will subject permit to cancellation. 1 certify that I have read this application and state that the above inform 'on Is oorrect I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to thebove-mentionecl property for Inspection l purposes. (Q C Date f Signature (Applicant of Agent): Page 2. Application Number . . . . . 04-00004046 Date 5/11/04 Qty Unit Charge Per Extension 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 ----------------------------------------------------------------------=----- Special Notes and Comments POOL & SPA ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 249.00 .00 .00 249.00 Plan Check Total 134.25 .00 .00 134.25 Grand Total 3.83.25 .00 .00 383.25 r,-- r'fm o ; SP ECIR C "i ON EXCAVA• TION HEL ACCM "?w ex"im i. Om Do RAW WWI SEAT CwC$" fOADVAL LOOS VM MMVAL BY RY ft"Mq WAR 3r UJIL-- TAN SMF 00njili `•Y '"f owa -10- (1) MIROAK 7Hf APPRO)MAIE UIVAT" OF POOL OR SPA AT LAv%n ON DAY OF MAwIM TAM MOTU %AT POM AM MOMENT LOCAMW AK SAM TO *0C1?TAW.T OF LOCAL &ALDW. WARAOU AT INX OF MUMM CF POW (3) IrT OOVK OMMM SeL AT am TWE ONLY FOR SM pllkys AF"MR; 91F5:iL 15 MTX --v (4) AM I T14AT CALF0,0A P MS is W. pfu0twu FM LACON"m 0*01M OR Owl& AND ANY WAM 10 SMWM M%WArA LA*a ON OTWq rM*S IN TOE AID= 'AREA (5) SM THAT ALL f960K QA-M AM 4WGE DOOM MEET LOM OOM FOR A POOL 91CLMM POOR TO Piok)Ov io * (4 FILL I'M jij ?My 0" PLAM MLOW 00 NOT USE R*M "05E) thim Kra rMT TAS MA"w Is isic mu PFOVM OF CALIFOGNA PMS AW THAT ANY usE WTK* WTX* PEftVS MbF MFMM pou etc ts 000ma'm By Lw - 004R APPRM FW P010L. MD MNWNT LOCArCMS A10 %S WAD K MWKWUMM A10 40 ABM, DIG BOULDERS A RE-INSPELIJON FEE OF $30 PRE-GUNM' DECK COLOR --M UNDERGROUND Cm PLANS AND JUB CARD ARE NOT JMASONIJZY PEBB./PLAS THE SITE FOR A gr-'WEDUL," INSPECTION. • DECIK SIGNATURE N 9 EXr, F 7l r) PRE -PP ULX DRAINAGE NOTE, Drainage and irrigation for planters and pot -s' by DATE Gathers , sinless otherwise noted. 1 DIG BOULDERS A RE-INSPELIJON FEE OF $30 PRE-GUNM' DECK COLOR WILL BE CHARGED IF THE APPROVED UNDERGROUND JANDY PLANS AND JUB CARD ARE NOT JMASONIJZY PEBB./PLAS THE SITE FOR A gr-'WEDUL," INSPECTION. DECIK SIGNATURE N 9 EXr, F 7l r) PRE -PP ULX DRAINAGE NOTE, Drainage and irrigation for planters and pot -s' by Gathers , sinless otherwise noted.