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RPL (04-7761)77906 Little Eagle Ct 04-7761 Application Number 0400007,7:61 1. Date 12/10/04 Property Address . . . . . . 77906 LITTLE EAGLE.CT APN: 658-140-999-103 -29436 Application description POOL'-. RESIDENTIAL' Property Zoning .. . . . . . . LOW DENSITY RESIDENTIAL Application valuation 17000 Owner Contractor. - ---- - - - - - - - - - - - - - - I - - - - - - - IVANHOE LA QUINTA COVE CALIFORNIA POOLS & SPAS C/O R BARRY MCCOMIC \P. 0. BOX 1280 CHELLA CA 92236 .1,97Y-IVANHOE AVE STE,550 LA: JOLLA CA 920 3-1/o' - (7'60) 398-9222 WCC: -W STATE FUND C 04600061,168 .01/01/05 S 656128 10/31/Q6 --CCC: C8-C27'C29-053 ----------------------------- -- - --- ------------------------------------ Permit . . . . . . BLDG POO PERMIT Additional desc Permit Fee 180.00 Plan Check Fee 117.00 Issue Date Valuation ..17000 Qty Unit Charge Per Extension BASE,FEE4 5,00 15.00 9.0000 THOU BLDG 2,001-25,000. 135.00* --- - - - - - - - - - - - - - - - 7 7 - - - - - - - - - - - - - - - - - - - - - --- - - - - - --- - --- -- - --- - - - - - - - - 7 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 <=1-00K 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 1.00 30.0000 'EA ELEC PRIVATE SWIMMING POOL, 30.00 ------------------ ------------------------------------------ --------- Permit PLUMBING Additional desc A*_. P.O. Box 1504 aw 78-495 CALLS TAMPICO � VOICE (760) 777-7012 LA QutNrA, CALtFoItNtA'92253 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: O 114 - 1 11 (01 D t Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.: t3UILUING PERMIT DECLARATIONS a e. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals C and my License is in full force and effect. .cense Class erase No. ate rector 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 qty 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 contractors) 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 1 hereby affirm under penalty of pequry 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. -91 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the iperfomiance of the work for which this permit is �rrier issued. My workers' compensation m3urance carrier and policy number are: . icy 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 comply with those provisions. to /olicant 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, 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 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 the above-mentioned property for inspection purposes.. Date ignature (Applicant or Agent): t� ! Page 2. .Application Number 04-00007761 Date, 12/10/04 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 -------------------------------------- Special Notes and Comments POOL/SPA: is ALARMS/BARRIERS SHALL BE IN PLACE -AT'. PRE -PLASTER INSPECTION.. EQUIPMENT ENCLOSURE NOT INCLUDED i Fee summary Charged Paid' Credited ---------=------- Due ---==--------------- -- Permit Fee Total 282.00 .00 .00 ---------- 282.00 "• Plan Check Total 142.50. .00"" 0.0 142.50 Grand Total .424'.50 .00 42.4.50 .00 i j t i. • i .