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RPL (04-3497)49475 Loren Ct 04-3497 i® ®USTT BUILDING & SAFETY DEPARTMENT yE . . v IrP Bo`x 1504 (760) 777-7012 C OF4 78-495 CALLE TAMPICO FAX (7 60) 777-7011 LA .QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number --04--0000349-7___= _i Date 4/16/04 Property Address . . . . 49475 LOREN CT APN: 649-630-003-39 -29053 .-Application description POOL - RESIDENTIAL Property Zoning LOW DENSITY RESIDENTIAL Application valuation... 17000 Owner Contractor TRANSWEST HOUSING CALIFORNIA POOLS &'.SPAS 9968 HIBERT ST P.O. BOX 1280 SAN DIEGO CA. COACHELLA. CA 92236 SAN DIEGO CA 9°2131 (760),.398=9222 (858.),:. -653-3003 WCC STATE FUND' WC:. ..04600061168 01/01/05, CSFB: 656.128 10/31/04 CCC: C8­C2T-C29-053.. Permit MECH POOL Additional desc Permit Fee. . . . 24.00 Plan Check Fee 6.00 Issue Date . . Valuation . . . 0 ...Qty Unit: Charge P.er Extension BASE FEE 15.00 1 00 9.0000 EA MECH FURNANCE <=10,OK 9.00 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 2,001-251000.. 135.00 Permit ELEC POOL PERMIT -RES Additional desc Permit Fee 45.00 Plan Check Pee 11.25 Issue Date . . Valuation 0. Qty 'Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000. EA ELEC PRIVATE SWIMMING POOL 301.00 "P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALL$ FAX (760) 777-7011 LA QUINTA, CALIFORNIAFOR 92253 440INSPECTIONS (760) 777-7153 Application Number:— Applicant: Applicant's Mailing Address: BUILDING & SAFETY DEPARTMENT Date: .4 - ZI - Architect or Ei gineer. Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 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 Code, and my license is in fulljorce and effect / f License Class /' C License No. Contractor____,d 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 stricture, 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 penally of not more than five hundred dollars ($500).): U I. as owner of the property, or my employees with wages as thea 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 budding 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 1. 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 1 hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to setf4nsure 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 t4rdp Mars' oo ensation insurance cattier and I' ,+ Cartier p mcy.numb rr a 6 Pbl' Number [J /CGCG _ I certify that, in a performance of the work for which this pe s mss 1 shall not employ a y person in any manner so as to become subject to the workers' compensation laws of California nil agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shaft forthwith comply with those Datey Applicant ~ 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 ATTORNEYS 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.). Lenders Name Lenders 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 pem* Issued as a result of this application, the owner, and ft applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Outnta, 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 N wont 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. 1 certify that I have read this application and state that the above mmation is cofrecL I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this cou to Mer upon the above-mentioned property for inspection purposes. . Date /` 210 (J 'Signature (Applicant or Agent): tV Page 2 Application Number 04-0000349.7 Date 4/16/04 Permit . . . I. . . 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 OUTLETS 3.00 ------------------------------------------------------------------------------ Special Notes and Comments, POOL AND SPA'ONLY. ALARMS'BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. 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