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04-5563 (RPL)44580 Marguerite Ct 04-5563 Taf 4 . 4QUO4 BUILDING & SAFETY DEPARTMENT 504 (760).777-7012 :.LE TAMPICO FAX (760) 777-7011 CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT : Application Number 04-00005.56. j Date Prop'erty.Address 44580 MARGURITE CT APN: 604-252-034-54 -24208 - Application description . . . POOL - RESIDENTIAL Property Zoning . . . . . . . LOW_DENSITY RESIDENTIAL Application valuation . . 20000 Owner Contractor ------------------------ ------------------------ EDWARD ANDREW OWNER-. 44580 MARGURITE COURT LA QUINTA CA 92253 7/20/04 - -------------- Permit . ----- . . . ------ . . ----------------------------- BLDG POOL PERMIT -------- ------------- Additional desc Permit Fee . . 171.00`,' Plan Check Fee 111.15 Issue Date . . . . Valuation . . . . 15525 Expiration Date 1/20/05 Qty Unit Charge Per Extension' BASE FEE 45.00 14.00 ---------------------------------------------------------------------------- 9.0000 THOU BLDG 2,001-25,000 126.00 Permit . . . . . MECH POOL Additional desc Permit Fee- 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/20/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 ------------------------------------ 9.000O.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 . . . 10 Expiration Dat"e 1/20,/05 Qty Unit Charge Per Extension BASE.FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00' P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 Application Number: Applicant: Applicant's Mailing Address: BUILDING & SAFETY DEPARTMENT 3 Date: —Architect or Engineer: Architect or Engineer's Address: A Lic. No.: t$UILUING 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. License Class License No. Date Contractor 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 p 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 sate (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds orimproves 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.). 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. , B.8 P.C. for this reason A . ., ae 7'- L..11 _©! 10 n`e, 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 issued. My workers' compensation insurance carrier and policy number are: Cartier Policy 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_ _ 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, indemnity 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. ate / v 6 ignature (Applicant or Agent): r Page 2 Application Number . . . . . 04-00005563 Date 7/20/04 Permit. . . . . . . PLUMBING Additional desc Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date .' . . . Valuation . . . . 0 Expiration Date .1/20/05 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 ---------------------------------------------------------------------------- Permit . . . . . . WALL/FENCE PERMIT Additional desc Permit Fee 72.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . " 4475 Expiration Date 1/20/05 Qty Unit Charge Per "Extension BASE FEE 45.00 .3.00 9.0000 THOU BLDG 2,001-25,000 27.00 ---------------------------------------------------------------------------- Special Notes.and Comments POOL/SPA, 179 L.F. 6' BLOCK WALL, CITY STANDARD, 2 STUB OUTS FOR FUTURE APPROVED APPLIANCES. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION Fee summary Charged --------------------------- Paid Credited Due Permit Fee Total -------------------- 345.00 .00 .00 ----_----- 345.00 Plan Check Total 136.65 .00 .00 136.65' Grand Total 481.65 .00 .00 1 481.65 J RAISED WD ,BEAM AT +) $ WIT 4 SrOgE VEME < j=AG W 6J RAISED SPA AT +36"" _. STORA6E f►NOY elo(lAlQ yy38-0 MA&,M 7?5 ' G.- !-} QwKi✓ tC 927, 3 760 -712- 9272 ex- . ; /,/ . CITY OF LA QUINTA SUB a - : JOB ADDRESS '/y S SD MAL 0ERITE CT -CONTRACTOR LIST_ , PERMIT NUMBER - OWNER AzNd zy EOVIA20 BUILDER Ob A;25A a' This form shall be posted on the job with the Building inspection Card at all times in a conspicuous glace., Only persons appearing on this list or their employees are authorized to work ,on this job. Any changes to this list must be approved by the Building Division prior to commencement of work.•.Failure to comply will result in a stoppage of work and/or the voidance . s of building permit. For each applicable trade, all information requested below must be completedby ap licarit. "On File" is not an acceptable res onse. <:.Tradeer:C1e sific fi h a x, : 4 "' t 5 9 tl ,. .,,.:, ;.CoottActor :` „kE_ ,., i`.` :,r.::.. $to(;O iG.irntraeto'r'sUcehse: :,.:;, 'i: ;w ,,,,,;;, WGtkers,EQrtlRensatlon:fnsurance;'s?;, ., ,,.• _ < CI.x.Bdsaness;License,:, . •cr) / Company Name Classification • License Number Exp. Date Carrier Name Policy Numbor. Exp: Date LicenseNumberExp. Date ' (e.g. A. B. C-8) 1Xxxxxxl (xx/xx/xx) (e.g. State Fund, CalComp). (Format Varies) Ixx/xxlxxl (xxxxl (xxlxx/xx) R HNlDA)C( 12i CHlJ / a 00$02.(0 1 STAT v T o`/6 -polo ! Oi/oi cs Oy$33 03 /6 D CoNGEtETE(c sixR r£ CO11U J r (6AIrfe/ C—$ ` S LO 1610002- 03O Z 1%. 0. x1 .i5f- ki - C . .. SjRUCT'STEE( (G5(f Rf1Zo C C 53 fQ STATi FU,t/G oo7_nzl,7_nnll v { TJAASONRY`tc 2s ft 2T/ M 1K, Q,<IX Y C Z QO 9 /10/09 G/LY lT INS,CO GS OI13Z 0117/ / PLVIIA INC'(Ca36}y> x Z (O/ p G-53 % O 7 0$ sT47E F11N, ouzo. oY 63g C610 p G ktc)PLASTF1 i;C61°x4zo pm—S 2-63 57312,9 ( Q CZ 200V C1/ O 63 07 0 (E "rRlcae i o1RA 7-0 POOf S C -S3 573 7qFi 7/31 10S STAID Ftiv0 02Zo 6Zo0y d/ 2638 06 D 3 h W FEQQRINIGAfC16) lNSULAff10N (C 2) <; ; , k .N SEW¢GIE DISP (C 2) - 4. CD PA11V71NG (C^331 x -- • tr . TILE IC (V CU Jj L r1A7F,21 l G DO6 4172 o 05 STA U 3Z-0000! J OIID 7i Os3 /OS p s Building Address 44-58 Owner LA • On Mailing =i Address 43=87. City r Con ractor 1 P.O. BOX 1504 n..; . '' No. 08353 78-105 CALLE ESTADO >ii gfL®• spit LA QUINTA, CALIFORNIA 92253 ' BUILDING: TYPE CONST.&- OCC: GRP. aa b r r A.P. Number Tact 242N — Plass I ZIp "_`' Tel. Legal Description Cactus Plower Project Description Plim f IAC_S4 City Zip Tela :r State Lic. A • ' City & Classif._ , Lic. # Sq. Ft. No. No. Dw. - n2$. Size Stories Units Arch., Engr., • , Designerr r _ New ❑ Add O -. _ Alter ❑ Repair O ;Demolitiorib, Address Tel. City •s State lZip Lic. # .-LICENSED CONTRACTOR'S DECLARATION j I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section - 7000) of Division 3 of the Business and Professions'Code, and my license is in full force and , ; effect. SIGNATURE - - DATE • '. - -,, . OWNER -BUILDER DECLARATION Estimated Valuation ^ ' I hereby affirm that I am exempt from the Contractor's License Law for the following • , t [ / y • reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a. 12 .470.00 permit'to construct, atter, improve, demolish, or repair arty structure, -prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to _ PERMIT . , AMOUNT i "•.the provisions ol.the Contractor's License Law, Chapter 9 (commencing with Section 7000) of - Divlslon .3 o/'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 /or a permit Plan Chk. Dep:' subjects the applicant to a civil penalty o/ not more than five hundred dollars ($500).- ' • •O I, as owner of the property, or my employees with wages as their sole compensation, will the and Plan Chk. Bal. -f',do work; the structure is not intended or offered for sale. (Sec..7044, Buisness and Const. 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, t - - - `{ • provided that such improvements are not intended. or offered for sale. If, however, the building „•Mech. • ' or improvement is sold ; within one year of completion, the owner -builder will have the burden Electrical - ` o/ proving that he did not build or improve for the purpose of sale.) ` O I, as owner of the property, am exclusively contracting with licensed, contractors to con-, • Plumbing 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 S. M,1• •- • " such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) _ ' ❑ -I-am exempt under Sec. B. & P.C. for this reason Grading • i _ - -Driveway Enc: •, ' Date /r)Wrier /rte' ' r ,•ts' - Infrastructure _ r i - .' . er •.- 'rte' • = WORKERS' COMPENSATION DECLARATION ' Ihereby.affirm that 'I'have a certificate of consent to self -insure, or a certificate of t ` Worker's Compensation,lnsurance; or certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company _ ❑ Copy is filed with the city. O Certified copy is hereby furnished. TOTAL C A v CERTIFICATE OF EXEMPTION FROM, REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed i/ the permit is /or one hundred dollars ($100) valuation .. -tHiYa7"'3ibh1-sQj3 tC)[S.°1'✓?i4s:.L .a; •' or less.) .. I certify that in the performance of thg work for which this permit is issued, I shall not r •,-,— ..—#> ,.- s •-1 l - employ any person in any manner so as to become subject to the Workers' Compensation Laws of California •. k fir Date Owner NOTICE..TO APPLICANT: If, . after making this Certificate o/ - Exemption you should become ZONE: - BY: I subject, to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked • _ Minimum.Setback Distances: • - Front Setback.from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line - • I hereby affirm that there is a construction lending agency for the performance of the• •• work for which this permit is issued. (Sec. 3097, Civil Code.) - . Side Setback ,from Property Line , Lender's . Name s Lender's Address" FINAL DATE ;INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. Issued by: Date'' Permit I agree to comply with all city and county ordinances and state laws relating to building ' j construction, and hereby authorize representatives of this city' to enter the above. mentioned property for inspection purposes. Validated by: Signature of applicant Date S 'Mailing.Address } alidation:. ' City, State, Zip i .. CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. @ $ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SO. FT. @ CAR P. SQ. FT. @ WALL SQ. FT. @ SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH)sl L GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ c BATH TUB SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 11/4 c SEWAGE DISPOSAL / `✓J SQ.FT.GAR @ 3/ac HOUSE SEWER VENTILATION 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 ELECTRICAL HEATING & AIR COND. SOLAR' SETBACK GROUND PLUMBING _ UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ( ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCKSTORAGE FOUND. REINF. / GAS (ROUGH)sl L 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. FINAL INSP. FRAMING f,L Ltd FINAL INSP $ / A / G / ROOFING / R ova / `✓J REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LANE 3 q c `/ MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION,' CERT. OCC. l 1 FENCE FINAL INSPECTOR'S SIGNATURES11NITIALS GARDEN WALL FINAL