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05-0188 (RPL)
54955 Avenida Alvarado ' I IIIIIII VIII III VIII IIII 62 IE 0 o BUILDING & SAFETY DEPARTMENT C - vim P. x 150.4 (760).777-7012 4rOF 9 — 15. CALLE TAMPICO FAX (760) 777-7011 51 U C ^O( LJA QU-INTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 It BUILDING PERMIT UtC TA Application Number . . . . . Property Address . . . . . APN: Application description . . . Property Zoning . . . . . . . Application valuation . . . . Owner ------------------------ BEN GILLMORE 05-00000188 Date 1/19/05 54955 AVENIDA ALVARADO 774-292-032-12 -000000- POOL - RESIDENTIAL COVE RESIDENTIAL 22000 Contractor ------------------------ BEN GILLMORE --------------- ----------- ----------- ------------------ - 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 . . . . 225.00 Plan Check Fee 146.25 Issue Date . . . . Valuation . . . . 22000 Qty Unit Charge Per Extension BASE FEE 45.00 20:00 9.0000 THOU BLDG 2,001-25,000 180.00 ----------------7----------------------------------------------------------- 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 Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extefision BASE FEE 15.00 P.O. Box 1504 • VOICE (760) 777-7012 y 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 07 077 Date: O, Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I he Aby affirm under penalty of perjury that I am licensed and revisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals de, and my License is in full force and effect. License Class License No. 'L S 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).): *I 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, T 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 PC for for t ' reason ' Date 7 rim Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one o he 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. A 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 T' issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number 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 comZpl'itant hose pro v' ' ns. ate S d WARN NG: FAILURE TO SECURE WORKER 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, 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 cancellation. I certify that I have read this application and state that the above information is Cort . I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby au2!"ature representatives of this county to enter upon th above-mentioned property for inspection purposes. v/ i Date 7iS i)` (Applicant or Agent): Application Number . . . . . 05-00000188 Page 2 Date 1/19/05 Qty Unit Charge Per Extension 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 ONLY. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged ------------------ Paid Credited Due ------=------------- Permit Fee -Total 327.00 .00 -------------------- .00 327.00 Plan Check Total 171.75 .00 .00 171.75 Grand Total 498.75 .00 .00 498.75 am CL a N 9 o- \4'.3' V -r New Pool 6'deep 1� Q7 DIMENSION FLOOR RA SCALE 1/8'=1' A POOL ADDITION TO: Benjamin E. Gilm .'re 54-955 ave. Alvarado La Quinta, Califomia 92253 CATHEDRAL CITY, CALIFORNIA 4 4 KEYNOTES 1. CONCRETE (NATURAL GRAY) 2. INTERIOR STEPS 3.r POOL EQUIPMENT 4. IT COLORED CONC. BAND W/ SALT FINISH 5. 24" HT. LOW WALL W/ CONCRETE ON TOP 6. EXISTING CONCRETE 7. MAIN DRAIN 8. SKIMMER 9• UNDERWATER LIGHT FIXTURE 10. 6' HIGH BLOCK WALL 11. CERAMIC TILE 12. CONCRETE STEPS 13. INTERIOR BENCH SECTION SCALE 1/8"=1'-0" cA�,\`'�P x� OFOA Pp o� \J .�acc Folic DRAWN BY: ,J, CONTRERAS DATE SEPTEMBER, 2004 SHEET TITTLE : LE: DIMENSION SHEET: FLOOR PLAN 1 M CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB ADDRESS PERMIT NUMBER ! OWNER BUILDER This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failum to com ly will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by aDDlicant. i"On File" is not an acceatable response� Trade !Classification Contractor State Contractor's License rkers Com ensation Insurance `�` City Business License Company Name Classification. (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C-12) Ujc-r'0600 . V,7t24 OS CONCRETE (C-8) 8�3 7_("'l t® ?t b F--,JrCc� l 0 q -7 z l s 1. Z,Fi (3$ C- q 3� FRAMING (C-5) i STRUCT. STEEL (C-51) UiCTO A c53 �Ol�t3 �� 3J o� �UeYe�t . OteTtwk, 38©00o2$qq-oylS 2 "Ve r'OtD 1> MASONRY (C-29) PLUMBING (C-36) tA.#4-PLASTER (C-35) �J icTo ei 1> C -53 9,p 1 guevag -) 3$ 9000 ZNq-V y DRYWALL (C-9) HV7oCC fa -20) Q 94 ELECTRICAL (C-10) op-& ROOFING (C-39) SHEET METAL (C-43) FLOORING (C-15) GLAZING (C-17). INSULATION (C-2) SEWAGE DISP. (C-42) PAINTING (C-33) CERAMIC TILE (C-54) CABINETS (C-6) FENCING (C-13) LANDSCAPING (C-27) POOL (C-53) Vw �-� G'f D (� �%-��3