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RPL (04-3480)�F�a�rw BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760)777-7153 BUILDING PERMIT Application Number 04-00003480 Date 4/19/04 Property Address . . . . . CL '1IJT5—MUIRF-IELD--V-I-LLAGE APN: 762-400-013-20 -28838 - Application description.. POOL - RESIDENTIAL Property Zoning . . . . . . . •LOW DENSITY RESIDENTIAL Application valuation 15"000 Owner Contractor ------------------------ SHRI. ------------------------ PICASSO POOLS, .INC. C/O REILLY HOMES INC 7807.8 COUNTRY CLUB OR, #206' 3 CORPORATE PLAZA DR 210 PALM DESERT CA 92211 NEWPORT BEACH CA 92660 (760).345=460"0 7 7, WCC: STATE FUND f WC: 1709395" 12/01/04 207 CSLB:..." 81011 . 11/20/04 . CCC: C27 -053-B ----------------------- __. . . . . ----------------------------------t_ MECH POOL Additional desc Permit Fee. 33.00 Plan Check'Fee 8.25 Issue Date Valuation 0 Qty -Unit Charge Per Extension BASE FEE 15.(10 2.00 9.0000 EA MECH FURNANCE <=100K 18.00 Permit BLDG POOL PERMIT Additional desc Permit Fee . . . 162.00 Plan Check Fee 105.30 Issue Date Valuation . . . . 150"00 Qty Unit Charge Per Extensi.on BASE FEE 45.00 13.00 9.0000 THOU. BLDG 2,001-25,000 117.00 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 -46 P.O. BOX 1504a ��a�,V.cu VOICE (760) 777-7012 78-495 CALLE TAMrICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number. Applicant: Applicant's Mailing Address: Date: 7 -zz-1'U9 Ap,hftect or Eng'q� E K - /y r S /06LTL €✓� Architect or Engineer's Address: Lic. No.. 3 3 6 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hhereby alimrh Pea under Code ay LSrly a perjury tW I aam, licensed under ProvisionspOf CMPbr 9 (commencing encing with Section 7000) a a h Division 3 e Business ane ProtessWnab License CIS__ IJoense No. O /a� / Dale • qlio Conti L, I � af�m �,naer OWNER -BUILDER DECLARATION pooky a perjury a from fro ContraclorV State Lioense Law for the following reason (Sec. 7031.6. Business and Professions Code: Any city or county Itiat Mho requires � b Improve, de^+otist►. a (OW anY sbucbre. Prior b ks issuanoe. Wso requires the applicant ler the PemA b fie a signed stalarm and Prohssio(s Code) i that he d b the provisions a fro Contractors' Stab License Law (Chapler 9 (commencing with Section 700O)of Division 3 a the Business fie applicant b a dvl penalty a not more than alive hundred ddars Immehon and the basis � � alleged exemption Any violation a Section 7031.5 by any applicant bra permit subjects U I. u owner a the Property. or my employees with (SSW).): ): Business and Professions Code: The Contrsclo Stale License Law compensation. � do fro work, and the tywhostructure is s o intended or o(brod ler sale (Sec 7044, himself or herself or trough his a her own apply b an owner a property who bulls a improves wreon, and who doss the work sold within aK employees, provided that the improvemmex►ts are not intended a offered to sob. I, lnoweMor, the building or improvement is year d completio(m, the corner -balder wN have the burden a proving that he or she did not build or improve ler the purpose a sale.} U k as owner of the property. am exclusively contracting with licensed Contractors b construct the Project (Sec. 7044. Business and Professions Code: The Contractors• Stab License Law does not apply to an owner of property who builds Or improves thereon. and who contracts for ane projects with a contrscbr(s) icensed pursuantlo the Contractors' Stale License Law.). U 1 am exempt under Sec. . B.& P.C. for Itis reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of pe*" one of the following declarations: _ i have and will maintain a certificate of consent to self -insure for workers' comrpensation, as provided ler by Section 3700 a the Labor Cade. ler the performancea the work ler which this permit is issued —I have eand wil maintain workers' compensation insurance. u required by Section 3700 a the Labor Code, for the performance a the work ler shish tis pen. is carrier �% /aTrG fy' ��wensatiorh� carrier and poi�rgt(m>be Gr- _ ber I cer4(y that, in the performance of the work ler which this permit Is issued. i—"- not Compensation laws of Calbmia, and agree VOL if 1 should become err'�Oy any Person in any mof b become subject b the wakens' �y with terse o�ons subject b the workers' compensation provisioonsns a Section 3700 a the Labor Code.1 stmt 7 Date Appficsnl WARNING: FAILURE TO SECURE WORKERS' T1ON 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 3708 OF THE LABOR CODE. INTEREST. AND ATTORNEYS FEES. . I hereby affirm under penalty of perjury that these is sconsbhrc6orm CONSTRUCTION LENDING AGENCY lending agency for the performance of the work for which this permit is issued (Sec. 3097. Civ. C.). Lenders Name Lenders Address IMPORTANT Application h hereby made b the Director a APPLICANT ACKNOWLEDGEMENT 1. Each pen,Cn upon whose ad to this Building and Safety for a pemtit subject b the conditions and restrictions set forth on Itis appicIftm Issued u a result a this application, this the owner. Zoon nude, is rg, eacl, whose fequest and for whose benefit work is pedomned under a pursuant b any pemtit olracers, agents and employee's ler any act or omission related b the worms b. and chat. defend. following i and isholsuance f "s pen the City a La Ouhta, its 2- Any permit Issued u a result a this a being performed under «(oaowtnp issuance a this pemtit Cessation a work for 180 da it oomes (nut and vole ■ oak s not commenced whtin 100 days from date a issuance a such per., a 1 certify that I have read this a Yc f b co"Oepation. Ppication and stab that the above Information Is correct 1 agree to Comply with al city and County ordinances and state hoc retating to building construction hereby authorize representatives of this county to order upon the above{nenmtioned property ler Inspection purposes. Date Signature (Applicant or Agerd): Page 2 Application Number --.------ 04-00003480 .Date 4/19/04 - ---------------------------- 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 3.0.0 1.00 3.0000 EA PLB -------------------------- GAS PIPE 1-4 OUTLETS 3.00 -------------------------------------------------- Special Notes and Comments POOL AND SPA ONLY. BBQ ANSI Z21-58-1998 ALARMSBARRIRS SHALL BE IN-PLACE PRIOR TO PREPLASTER INSPECTION Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total 273.00 --------------=----- .00 .00 ---------- 273.00 Plan Check Total '133.05 .00 .00 133.05 Grand Total. 406.05 .00 .00 406.05 ---�- � i --- - i -- -- _- � __ _ ,I,__