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RPL (04-6149)49445 Marne Ct 04-6149 BUILDING &.SAFETY DEPARTMENT P.O. BOX 1504 ? ;_ (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number Property Address APN: Application description . . . Property Zoning.. . . . . Application valuation 04==00006149 49445 Mk CT 649-630-061'- POOL 49-630-061=POOL - RESIDENTIA .LOW-DENSITY RESID 17000•, Date 9./02/04 Dl -- l 9T -IAL 11 SEP 07, 2004 Owner Contractorl CITY OFI.AQUINTA FINANCE - - - DEPT. PM RENAISSANCE, LLC CALIFORNIA.POOLS & SPAS 9968 HIBERT STREET, STE. 102- 'P. -O. BOX 1280 SAN DIEGO CA.92131 COACHELLA-CA '922.36 (760) 398-9222 WCC: STATE -FUND WC: 04600061168. 01/01/05 CSLB: 656128 10/31/04 CCC: C8-C27-C29-053 -----------------------------------------------------------------------=-' 5=--- Permit . . . . . . BLDG POOL PERMIT r 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, 001-25, 000"-'- 135.00 Permit MECH POOL Additional desc Permit Fee 24.00 Plan Check Fee 6.00 Issue Date Valuation 0 Qty Unite Charge Per Extension BASE FEE 1.5.00 1.0.0 9..0000 EA MECH FURNACE '<=TOOK 9:00 Permit . . . . . ELEC POOL PERMIT -RES Additional desc 4f+ 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 .3.0.00 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: 0 — & 14 q Date: Applicant: I Architect or Engineer: Appllcant-s Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIO LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under visions of Chapter 9 (commenting with Section 7000) of Division 3 of the Business and Professionals Code, and my Licse i II force and effect. :!k 15[01 _ cense Class _ C: J . rise N 0 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from a Contractors' State License Law for the following reason (Sec. 7031 .5, Businass and Professions Code: Any r the permit file a signed Professions city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant fo statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Secti and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 tion 7000) o Division 3 of the Business by any applicant fora 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 1 am exempt under Sec. , BA P.C. for this reason Date : Owner WORKERS' COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following deciaratiops: 1 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 maintai orkers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance -of the work for which this permit is iss ed. worke compensation insur a carrier ol}'cy u r are Cartier !/L cy Number _ I certify that, in the performance oft a work for w +ch is it 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 th if shoul become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pyQsions. WARNING: FAILURE TO SECURE WOVKERS' COfv PENSA401*60VERAGE 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 IMPORTANT Application is hereby made to the Director of Buildingand Safety ACKNOWLEDGEMENT y 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 anyit y act or omission related to the work being performed under or following issuance of this 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 perm officers, agents and employees for an 2. Any permit issued as a result of this application becomes null and void if r of 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 1 have read this application and state that the above info ation is corr I ag a to comply with all city and county ordinances and state laws relating to building construction, nd he by authorize representatives of this county en er upon the ab ve entioned property for inspection purposes. Date ignature (Applicant or Agent): y Page 2 Application Number 04-00006149 Date 9/02/04 ----------------------------------------------------- ,Permit. . . . . . PLUMBING Additional desc Permit Fee 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation 0 Qty Unit Charge Per l 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 282.00 .00 .00 282.00 Plan Check Total 142.50 .00 .00 142.50 Grand Total 424.50 .00 .00 424.50