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RPL (05-1391)O� Oz U �BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760) 777-7012 OF 9 78-495 CALLE TAMPICO -FAX (760) 777-7011 QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Ap ` on Number . . . . '05-00001391--. Date 4/18/05 r ty Address . . . . . 81180 NATIONAL DR AP 767-500-023- - pplication.description `: POOL - RESIDENTIAL Property Zoning . . . LOW DENSITY RESIDENTIAL Application valuation 60000 Owner Contractor TURNER VICTORIA LANDSCAPES/WATERFALL 81-180 NATIONAL DRIVE .82365 HIGHWAY 111, SUITE #104 LA QUINTA, CA 92253 INDIO, CA 92201 (760)775-0449 WCC: EVEREST NTNL WC: 3800002849041 08/26/05 CSLB: 801813 12/31/05 CCC: C27 C53 ---------------------------------------------------------------------------- P.O. Box 1504 • ��I� 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: Date: '07t— doo -Ocr Applicant: I Architect or Engineer: Applicant's Mailing Address: 0/0 IV T ICAC rO Architect or Engineer's Address: Lic. No.: t$UILUINU PERMIT DECLARATIONS A44r LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals C de, and my Lic se is in full force and effect. icense Class (2i ems'? License No%O 1 �) to O. Contractor ,/ V t C_TZ(4 4 - OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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, improve, demolish, 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: 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 workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance car r and policy number ar anter _ E�£q Policy Numb7�g�7 Gb0 Z-� Di{ I certify that, in the performance of the work for which this permit 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 that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those ions. G7�te g V s Applicant/ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), AD TION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S S. 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 01 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 Quinta, 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 work is not 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 I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building const ction, and hereby authorize representatives of this coun enter u the above-mentione roperty for inspection purposes. Date, gas Signature (Applicant or Agent): -- -- - -- ---------------(-------------------------- 1,.: Application Number -------- 05-00001391 --- ------------------ Permit BLDG POOL PERMIT Additional desc Permit Fee . . . . 459.50 Plan Check Fee 298.68 Issue Date Valuation . . . . 60000 Expiration Date 10/15/05 Qty Unit Charge Per Extension BASE FEE 414.50 10.00 4.5000 ---------------------------------------------------------------------------- THOU BLDG 50,001-100,000 45.00 Permit. . . . . . . MECH POOL Additional desc Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . Valuation 0 Expiration Date 10/15/05 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 Expiration Date 10/15/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00- 30.0000 EA ELEC PRIVATE SWIMMING -POOL 30.00 Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 33.00 Plan Check*Fee 8.25 Issue Date . . . . Valuation 0 Expiration Date 10/15/05 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 PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERM IT.. Fee summary Charged Permit Fee Total 561.50 Plan Check Total 324.18 Grand Total 885.68 Paid Credited Due .00 .00 561.50 .00 .00 324.18 .00 .00 885.68 Landscapes & Waterfalls Victoria Landsc LI 1-6-L. 82-365 Hwy. 111, Suite 104 Indio, Ca 92201 Contractors Lic 4801813 g"a �Iy 0 to r 0 ........... .. .... t 9 - CD 0 Lr) 0 N -4 L IL Q I DATE CITY OF A QUINTA 1W 40 & §A�M DEPT. FOR CONSTRUCTION L�fL I�� By--�L[ A RE-INSPEC7iION FEE 0 "poo WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. NO EXCEPTIONS!