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RPL (04-6806)78700 Maracas Ct 04-6806 t u ct/ BUILDING & SAFETY DEPARTMENT 1504 (760).777-7012 LLE TAMPICO FAX (760) 777-7011 CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7 15 3 BUILDING PERMIT r . . . . . C04-0_00068 Date 10/18/04 . . . . . . 78700 MARACAS CT APN: 646-050-024- - - Application description . . . POOL = RESIDENTIAL Property Zoning . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 28000 Owner Contractor ------------------------ ------------------------ .MICHAEL DIENIER LAGUNA FALLS CUSTOM POOL/SPA 78700 MARACAS COURT 81730 HIGHWAY .111, STE 422 LA QUI NTA CA 92253 LA QUI N'I'P; CA 92253 .(760) 347-8977 WCC: RREM Sr&rs &,-d WC:-FbyfB?qa1 ov?Z­xI/07/31/05 •CSLB: 818149 3/31/05 CCC: C53 ---------------------------------------------------------------------------- Permit . . . . . . BLDG POOL PERMIT Additional desc Permit Fee 271.50 Plan Check Fee 176.48 Issue Date . . . . Valuation . . . . 28000 Qty Unit Charge Per Extension BASE FEE 2,52.00 3.00 6.5000.THOU BLDG 25,001-50,000 19.50 ----------------------------------------------------------------------------. 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 9.0'000 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 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 --------------------------------7------------------------------------------- Permit . . . PLUMBING Additional desc Permit Fee . . . . 33.00 Plan Check Fee 8.25 P.O. Box 1504 -V 78-495 CALLS TAMPICO VOICE (760) 777-7012 La QutNra, CALIFORNIA 92253 FAX (760) 777-7011INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 04- to$0 & Date: Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.. tfUILUING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I 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 full force and effect. 'Cicense Class CS -1 fse No._ /'Date &2 b O L ontractor / e 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).): 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 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' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is i ued. My wormers' compensation ipso ancarrier and oticy number are: /erx ! Fes.. o/licv Number Z 9 00 2 22/ rrO V 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. )I— 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 Ouinta, 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 il 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 up n th bove-mentioned property for inspection purposes. Dafe Z t G/ iS 9nyture (Applicant or Agent): 0 Page 2 Application Number . . . . . 04-00006806 Date 10/18/04 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. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited ----------------- Due ------------------------------ Permit Fee Total 373.50 .00. .00 ---------- 373.50 Plan Check Total 201.98 .00 .00 201.98 Grand Total 575.48 .00 .00 575.48 5'0 bradual deeline to 51 + 1811 Sit a Spin Spa 114'0 r 14'3.1 26' AE -INSPECTION FEE OF $30 WI L BE CHARGED IF THE APPROVED PLA S AND JOB CARD ARE NOT O THE SITE FOR A SCHEDULED INSP CTION. NO EXCEPTIONS! 1 17'3 b" Retaining Wall Quartzite Beach entrance Existing Patio Deck 15'0 M I Kt- JD (E5: j IL:_ g 7 a'*7cc> Q,0'_ MCkfO-Las Clk z ? S 3 Ok . X ,XA VO -a o OF LA A JG $ SAFETY DEPT. 'PROVED AVAI' - Pjac LA Awn* piwom ly JMK S03Z odobw IL NK FE -7-711 Vaor .9br I.be -ywd vm immit ,4bf-4aw&bw, 717* L=. - - - 7] any% MA"m C -C. -Ir.T-1-t. pAwt t. Tihf 4 4 a" Building 78 -700 11=acu CC. Address Owner Bare= Des. Address 68_713 Perez Rd. 0 1 City lZip ITel. Contractor 8 Address State Lic. City & Classif. 337077 Lic. # 1219 Arch., Engr., Designer Address Tel. City IZIp I State P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 . LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 700(1) of Division /3 sof the 4usiness and Profe ions Code, and my license is in full force and effect. ( i- _'- -.. L t a A tlri SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,6usiness and Professions Code: Any city or county which requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contracror's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he 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 civ8 penalty of riot more than rive hundred dollars ($500). ❑ 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or knprovement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) rrcensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) 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. Date Owner NOTICE TO APPLICANT: N, alter making this Certificate of Exemption you should become sub%ect to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I=firm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when property filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certity that I have read this application and state that the above information is correct. agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip No. 05954 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Phame IIT Lot 3 Project Description Plan 1804 PRrc lot tyiata Sq. Ft.1844 Size No. No. Dw. Stories Units New gl Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 93.604.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 312. 3 Const. U2. Mech. 32.30 Electrical M.36 Plumbing 1JO 6.,3 S.M.I. 6. Grading Driveway Enc. Infrastructure of TOTAL S 't,, 6 REMARKS : {+. c •:7_ nil +n ir,.+.. ., tit. T547 T T. 51f4:_ ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date 6-16-89 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS ROUGH PLUMB. BONDING 2ND FL SQ. FT. STORAGE TANK YARD SPKLR SYSTEM SEWER OR SEPTIC TANK ROUGH WIRING MOB]LEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH)/(((( METER LOOP HEATING (FINAL) GAR. SQ. FT. ® I IPOWER OUTLET ROOF DRAINS DRAINAGE PIPING CAR P. SQ. FT. ® FINAL INSP. WALL SQ. FT. WATER SYSTEM DRINKING FOUNTAIN SQ FT ® LUMBER GR. URINAL ESTIMATED CONSTRUCTION VALUATION $ INAL IN _ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B,T,U, TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1% c SEWAGE DISPOSAL SQ.FT.GAR ® V4c HOUSE SEWER FINAL INSPECTION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING A ELECTRICAL HEATING & AIR COND. SOLAR S BACK GROUND PLUMBING ® UNDERGROUND A.C. UNIT COLL. AREA B GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK t FOS s SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE REINF. / /! GAS (ROUGH)/(((( METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. AL INSP. FRAMING I,, ;Lj O INAL IN _ ROOFING '00e- REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING j ` MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL t