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04-7473 (RPL)60267 Angora Ct • I IIIIIII VIII III VIII IIII 64 a Q, I , C&If u t BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-70.12 Chat OF9 78-495 CALLE TAMP.ICO FAX (760) 777=7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 . BUILDING: PERMIT Application Number 04-00007473 Date 11/24/04 Pr.opert.y,Addre.ss:... . . . . 1,60267 ANGORA CT APN:76.4-270-999-122 -30023,3,- Application.descr.iption.:. POOL --RESIDENTIAL Property Zoning . . . . . . MEDIUM HIGH DENSITY RESl, Application valuation.. 18000 , Owner Contractor` ------------------ - - - - -- - -- .--- - -- - -- - ----- -SHEA LA QUINTA CALIFORNIA POOLS & SPAS C/O JEFF MCQUEEN P.O. BOX 1280 .-8800 - N GAINEY CENTER. 350. COP;CHELLA CA 92236 SCOTTSDALE. AZ 85258 (760) 398-922,2... WCC:' STATE FUND... WC,. 04600061168 01/01/05 CSLB.: 65.612$ . - 1.0/31/06 CCC: C8== -C29-053 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 FURNA CE.,<=100K 9'.00 Permit BLDG POOL PERMIT Additional desc Permit.Fee 189.00 Plan Check.Fe-e• 122.85 Issue.Date Valuation 18000 Qty Unit Charge Per Extension BASE FEE 45,00 16.00. 9.0000 THOU BLDG 2,001-25,000 144.00. 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 1.00. '30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 Permit . . . PLUMBING Additional desc P.O. Box 1504 VOICE (760) 7.77-7012 79-495 CALLE TAMPiCO cu rAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 .BUILDING St: SAFETY DEPARTMENT Application Number._ 4r/= . '2'el7 3 Date: Applicant: Applicant's Mailing Address: Architect or Engineer Architect or Engine s dr I-ic. No.: BUILDING PERMIT DECLARATIONS I hereby aftimm under LICENSED CONTRACTOR'S DECLARATWN penalty of pelf Oxy that i am licensed under provisions oft 0 (Commencing with Section 7000) of DMsion 3 of the Business and Prb(essWW* Code, and my Lacers h to full tome and effect. /Z S License Class License No. Date Contractor 4�V I hereby affirm under penalty of perjuxy that 1 am OWNER -BUILDER DECLARATION emcermpt from the Contradors' State Lkense Law for the bAowkq reason (Sec. 7031.6. Business and Professbns Code: Any city or county that requires a permit to constatd, alter, improve. demolish, Or repair any stnxtue, 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 C.ontreobrs' State License Lav (Chapter 9 (oommmermcing *0 Seddon 7000) of Division 3 of the Business and Piofessiom Cole) 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 pemdt subjects the applicant to a civil penalty of not mom than rive hundred dollars U Las owner of tib property, or my employees with wages as their sole compensation, wli do the wok. and to structure Is not intended or offered for sate (Sec. 7044. Business and Professions Code: Tib Coimtradors' Stab L.ker" Lave does not apply b an owner of property who builds or immprovat thereon, and who does the work himself or herself or ttxarglm his or her own employees. provided that the kgmN mama ami not intended or offered for safe. If, however. the buidng or improvenmbnt k sold whirl one year of Completion, the owner4Adsr will hm. the burden of proving that he or she did not build or improve for the purpose of sale.). eiy U I, as owner of the property, am WcWsivcontracting with licensed contractors to oonsbmrd time project (Sea 7044, Business and Professions Code: The Contractors! . State License Law does not apply to an owner of properly who builds or Immprom thereon, and who the Contractors' State License Law.). contracts for the projects with a oormtracta(s) ieensed puwant to U I im exempt under See. _ 8.1E PSC. for this mason Date Owner_ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations:, _ I have and.wii maintain a certificate of consent b setfarmsure for suckers' oompensetlon, as provided for by Section 3700 of the tabor Code. for to performance of the work for Mich this permit Is issued.. 1 have and wli maintain wakens' compensation Insurance, as requlmd by'Secdon 3700 of the Labor Code, for tit parfor mmama of the work ler whkh this permit Is `<_=,efitY ' oamwensatlon.V%urame carrier and pd aro: Carrier r . , �1 Policy Number - D=M � //le _ I.certify that, in the pertommance of the wok for wNch this Permit Is hued, I shad not employ any Person In any manner so as to become subject to the workers' cOff rfn amply w laws O C89 and agree that. V.1 should become subject b trs' he workeCompensation prwA* s of Section 3700 of the Labor Code. I shat forim Date Applies •, WARNING: FAILURE TO SECURE WORKERS' COt4PENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (=100,000). UJ ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST. AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a eonstrucilon lending agency for the pedomance of the work for which this permit Is Issued (Sea 3097. Civ. C.). Lenders Name Lenders Address IMPORTANT Application is hereby made to the Director of BuildingAPPLICANT and Safetyfor aCKNOWL bOd to t NT 1. Each Person upon whose behalf this application is made. each Dem wbfue to the or wtmes and it work lisp set forth on this application. Issued as a rosutt of this a Peen at whose request and for whose benefit wok le performed under or pursuant b any pe ppicatiom, the owner, and the apptkant, e s lo, and shall. defend, Indemnify and hold hartNess the City of La Oulota. its officers. agents and employees for any ad or omission related to the performed under or following issuance of eft pem L 2 Any permit issued as a result of this appicatlaw becomes nwi and not commeroed within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit b camalls loo. ti t I av read this application and state that the above Wommation Is I b by authorize ropresentafives of this county ter a tioneedd property f and county odtnanoes and state laws relating to building Y Purposes. Date - / Signature (Appikant oe Agenq: -- Im Page 2 Application Number . . . . . 04-00007473 Date 11/24/04 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 ---------------------------------------------------------------------------- Permit . . . . . . WALL/FENCE PERMIT Additional desc Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 240 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------- Special Notes and Comments ------------------ POOL & SPA. 15 FL 4' BLOCK WALL CITY STND. ALARMS BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total -------------------- 306.00 .00 .00 ---------- 306.00 Plan Check Total 148.35 .00 .00 148.35 Grand Total 454.35 .00 .00 454.35 "-40-rf-� REA:k OF b0t-JQ gEAr�A WAIL -X,- T tAD P-0 SEA LED AT Wt-VV4 �Aootox Cot,.IC GAP, S-TOn7E 2 �p:Teq c '0VT AVXD ZP\" GPA, k -T *2Zw uc,�kv bkoor^ coljc- \/lEt-AEev- -ro '�TO"E7 -Z:,VlLL-WAZ-( NIO'Te: POOL- A�IV -;5lp4 CoQ-oitxv cop.,4c �> 'p -c N t -a C0U?--TYAf4,V WAA-t- A7T LA' -0" A 3 C*-owrws, b-ruccosv Aov TO MXTOA "00�S WW-OQci4T 5Q0" CA -TE A -T W-10" v45"N-� TOP �>C)T-TOM C>E T ASL K"U(,KLE6 Aou �EJEV-L CONSTRUCTION AUTHORIZATION i 111-111,