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RPL (04-6147)49595 Marne Ct 04-6147 BUILDING & SAFETY DEPARTMENT P.O. Box 1504 i (760) .777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number 0'4-00.0.0-6147 Date 9./02/04 Property Address 49595 MARNE CT d APN:. 649-630-066 - - Application description POOL - RESIDENTIAL Property Zoning . . : . LOW DENSITY RESIDENT AL SEP 07. ' Application valuation 160.00 CITY OF LA QUI ITA Owner Contractor FiR1ANCE QE 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 01/0.1/05 CSLB 656128 10/31/04 CCC: C8 -C27 -C29-05-3 Permit BLDG POOL PERMIT Additional desc Permit Fee 171.00 Plan Check Fee 111.15 Issue Date Valuation 16000 Qty Unit. -Charge Per ' Extension BASE FEE 45.00 14.00 9.0000 THOU BLDG .2,'001-25,00.0 126.00 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 <=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 WL 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: 41- (p/ 7 Date: Applicant: I Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed unde visions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Cod , and my License)is in II orce and effect. se Class- — ices N Date d -_Conlractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt<m the ontractors' 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, impro , emolish, 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 or a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U 1, as owner of the property, or my employees with wages as their sole compensation, will do he 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 orkers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance.of the work for which this permit is fed. y worke ompensation r 5u tce carrier a is ;ny(n r re- amer f /policy Number t (JCJ _ I certify that, in the performance of the work for which t s rmi ' issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agree that, if shou beco a subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall 9/// forthwith comply with those provisions. Date l OA:;pp licant WARNING: FAILURE TO SECURE WORKERS' COMPEN A E GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1 0,000), I ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORN FS CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency orJthe performance of he 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 Nor ACKNOWLEDGEMENT the 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 shat, 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 erformed t} der or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work* of commen7ed 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 corre9t. 1 ag to comPy with all city and county ordinances and state laws relating to building construccttion, nd hereby authorize representatives of this county to r upon the ov tion property for inspection purposes. e ` Signature A S I[Applicant or Agent): NK \ Page 2 Application Number 04-00006147 ---------------------------------------------------------------------------- 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 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 273.00 .00 .00 273.00 Plan Check Total 136.65 .00 .00 136.65 Grand Total 409.65 .00 .00 409.65