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04-3955 (RPL)ti 0 112004 C`Ty OF �` DE'P'i.A FWAtiCE Application Number 111111111111111111101 77 Till/ ot eaCe• adna VO. Box 1504 8-495 CALLE TAMPICO LLA QUINTA, CALIFORNIA 92253 BUILDING PERMIT Property Address APN: Application description Property Zoning. Application valuation Owner TUVELL MARK F 72850 SOMERA PALM DESERT CA 92260 BUILDING& SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 04-00003955 Date 5/10/04 54040 AVENIDA ALVARADO 774-203-003-22 -000000- 'POOL - RESIDENTIAL COVE RESIDENTIAL 9500 `Contractor SUNROSE CORPORATION 49950 JEFFERSON, #130-134 INDIO CA 92201 (760) 772-8224 WCC: STATE FUND WC: 16404622003 CSLB: 533670 CCC: B 09/22/04 06/30/04 Permit BLDG POOL PERMIT .Additional Permit Fee Issue Date desc 117.00 Plan Check Fee . . 76.05 Valuation . 9500 Qty. Unit Charge Per BASE FEE 8.00 9.0000 THOU BLDG 2,001-25,000 Extension 45.00 72.00 Permit MECH POOL Additional desc . Permit Fee Issue Date Qty Unit Charge Per 1.00 9.0000 EA 24.00 Plan Check Fee . 6.00 Valuation . . . . BASE FEE MECH FURNACE <=100K 0 Extension 15.00 9.00 Permit Additional desc Permit Fee Issue Date ELEC POOL PERMIT -RES Qty .Unit Charge Per 15.00 Plan Check Fee 3.75 Valuation . . 0 BASE FEE Extension 15.00 P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 cedfot �wQ�rw BUILDING & SAFETY DEPARTMENT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number:1 C2/— — JeApplicant: F • , - Cc>",01 i.c/o vl Applicant's.Mailing Address: - Date: s r a - a J� Architect or Engineer: Architect or Engineer'sCddress: /1/ Lic. No.: BUILDING PERMIT DECLARATIONS • LICENSED CONTRACTOR'S DECLARATION I 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 my License is in full force and effect. License Class /3 License No. —53367C. 4 0` S — Jo, it tractor'SiL 1411 OS -e— Coft".^ci, //O OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from 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. , B.& P.C. for this reason Date Owner ' 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 and 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 1 issued My won rs' compensation insurance carrier and policy number araz Carrier E y-Gcrt� / Policy Number I certify that, in the performance of the work for which this permit is issued, I shall not employ any compensation laws of California, and agree that, if I should become subject to the workers' compensation n aprovisions of Sny manner so aection 3700 f the Labor Code, s to become subject to the workers' shall forthwith comply with those provisions. Date 5---/ `DY 'Applicant, C.--- 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 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, Chi. C.). Lenders Name Lenders Address IMPORTANT ( APPLICANT ACKNOWLEDGEMENT 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 2. officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. • 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 cancellation. I certify that I have read this application and state that the above information is correct 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 enter upon theve-mentioned property for inspection purposes. • Date S t%' °r (Applicant or Agent):. L Application Number Permit Additional desc Permit Fee Issue Date PLUMBING Qty Unit Charge .Per 2.00 1.00 • 1.00 6.0000 EA 3.0000 EA 3.0000 EA Page 2 04-00003955. Date 5/10/04 33.00 Plan Check Fee . . Valuation . . . BASE FEE PLB FIXTURE PLB WATER INST/ALT/REP PLB GAS PIPE 1-4 OUTLETS 8.25 0 Extension 15.00 12.00 3.00 3.00 • Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT. INCLUDED Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Grand Total 189.00 94.05 283.05 .00 .00 .00 .00 .00 .00 189.00 94.05 283.05 C) 11'0' W � � O� c rt m %- A N J 0 • c MARK TUVELL 50-855 WASHINGTON ST. #149 LA QUINTA, CA 92253 (760) 272-6044 54-040 AVENIDA ALVARADO_ LA QUINTA, CA 92253 774-203-003 LOT #22, BLOCK #253, UNIT #24 SUNROSE CORP.