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RPL (05-0112)77911 Little Eagle Ct 05-0112 i.cation Number 05-00_00.0112 Date 1/11/05 Property Address �7"7911 LITTLE_EAGLE_CT AP.N: 658-140-999-107 -29436— Application-description 29436Application description . POOL - RESIDENTIAL .Property.Zoning . . . . .. LOW DENSITY RESIDENTIAL Application valuation 18000 Owner 'Contractor p TRANSWEST HOUSING -CALIFORNIA'POOLS & SPAS 77-911 LITTLE EAGLE CT P.O. BOX 1280. LA QUINTA, CA 92253 COACHELLA, CA 92236 (76 0) 398-9222 WCC: STATE FUND BB1050510 01/01/06 CSLB: 656.128 10/31/06 CCC:: - C8 -C27 -C29-053 P.O. BOX 1504 '�� 78-495 CALLS TAMPICO VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 922$344 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 Application Number: d a` ', i i fFate: < Applicant: I Architect or Engineer: ' ' ,� r7. Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I I eby affirm under penalty of perjury that I am licensed un r provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals ode, and Li se i 'r� fey force and effect. License Class c /.ntracIor Date .. ® OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that 1 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 1, 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 1 am exempt under Sec. , BA P.C. for this reason Date 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 ve will maintain wo rs' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is is Mrorkers' co ensation insurance carrier d lic nu be r are* Cartier. Policy Number I certify th t, in the pe ormance of the work for is p rs issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree at, if I hould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro ' ions. /ate4ZO=�Applicant WARNING: FAILURE TO SECURE WORKERS' COM SATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnity and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the wo eing performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if o- not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is co I a ree to comply with all city and county ordinances and state laws relating to building cdate onstruction, and h/e/r/7by au`thoo/ri}e representatives of this county t e er upon a abo mentioned property for inspection purposes. /// � [ "�- �$iynaturelicant A Agent): ( PP or ----------------------------------------------- -------=----------------a-----.. Application Number .. . . . . 05-00000112 ----------------------------------------- ----------- --------------------- 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 189.00 Plan Check Fee 122.85 Issue Date . . .Valuation; 17760 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 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 OUT 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. BBQ #ANSI Z21581995, 1.5 LF OF 4' BLOCK WALL PER CITY STANDARD. 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