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
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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