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RPL (04-5897)49530 Marne Ct 04-5897 )x 1504 CALLE TAMPICO NTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760),777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 6GI I WI' oar wo.•• •• iAsARI@ Df '1'. Application Number . . . . L04 °"O'QaD5897_ = Date`,, 8/10/04 Property Address 49530 MARNE CT APN: 649-630-055- - - Application description . . . POOL - RESIDENTIAL ' Property Zoning . ... . . . LOW DENSITY RESIDENTIAL Application valuation 18000 Owner '-Contractor PM RENAISSANCE, LLC CALIFORNIA POOLS & SPAS 9968 HIBERT STREET, STE..'102 P.O. BOX 1280 SAN DIEGO CA 92131 COACHELLA CA 92236 (760) 398-9222 WCC: STATE FUND WC: 04600061168 01/01/05 CSLB:. 656128 - 10/31/04 --------------------=----------------------------------------------------- CCC: C8-C27-C29-053 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 <=10 OK 9.00 Permit . . . . . . BLDG POOL PERMIT Additional desc Permit Fee . . . . 189.00 Plan Check Fee 122.85 Issue Date . . . . Valuation. 18000 Qty 'Unit Charge Per Extension BASE FEE 45.00 16.00 9.000O.THOU. ----------------------.------------------------------------------------------ BLDG 2,001725,000 144.00 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 e__ P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: (' ' ,�`j % I Date: Applicant: Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: z j�14 BUILDING PERMIT DECLARATIONS ICE. D CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed and i of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals yiCCode, and Lice is iryfal4 E ce and effect. a?nse Class ss J 1/icse BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exemptComthe:IC ntrectors' 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, imolish, 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 Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 ma* nta' workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is is a My work 'compensation inspmnce cam r oli y n mb ar rrier � �C o Number %0 p �j I cert) y that,.in the performance of the work for whi this perm) 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 tha if I should b come subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proAions. WARNING: FAILURE TO SECURE WO ERS' C6MP4 !1ATIO COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLA 0,000), 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 wo is enced 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 ree to co ly with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county t ter upon t abo - entione property for inspection purposes. Date ­,Signature (Applicant or Agent): Page 2 Application Number . . . . . 04-00005897 Date 8/10/04 ----------------------------------------------------------------------------- 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 OUTLETS 3.00 -------------------------------------------- 7 ------------------------------- Special Notes and Comments POOL/SPA, WATER FEATURE, FIREPIT(496 AGAL), STUB FOR FUTURE BBQ. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due .Permit Fee Total 291.00 .00 .00 291.00 Plan Check Total 148.35 .00 .00 148.35 Grand Total 439.35 .00 .00 439.35 p Z* 7 7w 17- "W I, in it ti ;, j Tl P ez C, ,; - - , . _i "', -44 I X'j 11t A i ;. A tv k "?! rkl 14 lii, . I - ;; 7 1 1 .'- it 1, , 3`1 V, 12; A- st 4,,: ;j V, I v Z, a, - i% t It, .1'i 44,4, L All kt, , lltr , "t, Z 4: -4 4 W, 4 4 4 ts, t. .4- J-W., :5, "1 t, 4, 1p 1: 7 ,V­­ iP not PECIFICA f 4 7 T! 'J" W V t '14 1 A Tk 'tt w": v"i W _ -ti _­­_ ", , 1,.__, C. I,, , 1; ". I, tr'P= i_q 17 1, ". 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