RPL (04-5895)77878 Little Eagle Ct
04-5895
APN:
Application description . . .
Property Zoning . . . . .
Application valuation .
0.4=0-0005895.- Date 8/10/04
77878 -LITTLE EAGLE CT
658-140-999-105 -29436 -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
17000
Owner
Contractor
---------------7--------
IVANHOE LA QUINTA COVE
-----------------=------
CALIFORNIA POOLS & SPAS
C/O R BARRY•MCCOMIC
P.O. BOX 1280
7979 IVANHOE AVE STE 550
COACHELLA CA
92236
LA JOLLA CA 92037
(760)'398-9222
'WCC: STATE -FUND
WC: 04600061168
01/01/05
CSLB: 656128
10/31/04
CCC: C8 -C27 --C29-053
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Permit . . . . . . BLDG
POOL PERMIT
Additional desc
Permit Fee 180.00
Plan Check 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;000135.00
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 . . . . . . 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 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: _ �89 Date:
Applicant: I Architect or Engineer:
Applicant's Mailing Address:
Architect or Engineer's Address:
41A
Lic. No.:
BUILDING PERMIT DECLARATIONS
NSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed and prov ions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
C e, and my Licen,S� is ' f I force and effect.
icense Class [ —_ n is se No
I-C--ontrctor.
WNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt fro theJC.ractors'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,sh, 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. , BA 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' compensa ' insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
.ue My worke compensation rance carrier a�� policy nu be are,
arriar y� Policy Number / j l�
I certify that, irformance of the work for which t rmit 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 should come subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
WARNING: FAILURE TO SECURE WOR RS' COMPNS Kf N CO RAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ( 0 0 ), 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 Pain ed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if ork ' not com enced 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 corr I gree to co ply with all city and county ordinances and state laws relating to building
construction,, and hereby authorize representatives of this county t nter upo the bove ention property for inspection purposes.
Z"%,
/ v Signature (Applicant or Agent):
{
Page 2
Application Number . . . 04-00005895
Date 8/10/04
Qty. Unit Charge Per
Extension
1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL
-
30.0'0
-=-----'-------------------------------------------------------------------
Permit PLUMBING
Additional desc.
Permit Fee 33.00 Plan Check Fee
8.25
Issue Date Valuation . .
7
. . 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.
ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT'INCLUDED
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
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