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RPL (04-5120)BUILDING & SAFETY DEPARTMENT O. BOx 1504 (760).777-7012 78-495r�ALLE TAMPICO FAX (760) 777-7011 LA QUItNTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 . � JUN 2 5 20 �" 04 BUILDING PERMIT CITY OF Lk,'3ll-UTA FINANCE CEP ` Application Nu er 04=-00005120 jl Date 6/23/04 Property Address . . . . . .'>_-,52436.AVENIDA'NAVARRO APN: 773-275-009-14 -000000- Application description . . . POOL - RESIDENTIAL 'Property Zoning . . . . . . . COVE RESIDENTIAL Application valuation 6000 Owner Contractor ------------------------- ------------------------- LAM LEONARD OWNER 111 CHELSEA CIR PALM DESERT CA 92260 ---------------------------------------------------------------------------- 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 . . . . .. BLDG POOL PERMIT Additional desc Permit Fee . . . . 81.00 Plan Check Fee 52.65 Issue Date . . . Valuation- .6000 Qty Unit Charge Per Extension BASE FEE 45.00 4.00 9.0000 THOU BLDG 2,001-25,000 36.00 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 ---------------------------------------------------------------------------- Permit . . . . PLUMBING Additional desc }. Permit Fee 27.00 Plan Check Fee 6.75 if r40 P.O. BOX 1504• �� VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: (9 — do I Date: Applicant: Applicant's Mailing Address: n Architect or Engineer: Architect or Engineer's Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (com encing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. �y License Class / T� License No. / r L V A/4kP -Date 6 �/ d Contractor_ 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�pplicant to a civil penalty of not more than five hundred dollars ($500).): 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 reas Date V Owner W 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 carrier and policy number are: Carrier Policy Number 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 provisions. Date _ Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 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.). Lenders Name Lenders 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 con ct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon th bove-men ' ned property for inspection purposes. Date Signature (Applicant or Agent): q page; 2 Application Number . . . . . 04-00005120 Date .6/23/04 Issue Date . . . . Valuation 0 Qty Unit.Charge Per Extension - BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 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 ONLY. ALARMS BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. -EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT Fee summary ---------------=- Charged Paid. Credited Due Permit Fee ---------- Total 177.00 -------------------- .00 .00 ---------- 177.00 Plan Check Total 76.65 .00 00 76.65 Grand Total 253.65 .00 .00 253.65 q Swimming Pool Plan for: 4 ' �,,...:_. 52-436 ' Avenida Navarro, La Quinta �f Owner: Leonard Lam ' Tel.: 340-9882 . s C TY OF LA QUI Q TA BL ILDING & SAFETY DEPT.. CONSTRUCTION DAT 9'6" 6'0" 3 p 74„ 3 1 C 7' R:ZZ Plu iiiir' fury t y Wc91t �i"� . 8" opening. to }pool RE -INSPECTION EE 0F VI ILL BE CHARGED IF T lE APPROVED ANS AND JOB CARD ARE NOT OT ON "� '• IE SITE FORA CHEDUCED �... ^ . N' PECTION. y. NO EXCEPTIO S,i t ...., .1yMIYawYlygWYYYiyyyy,yp. •` . ^ , ,. 4' 0 10'6 V0 - ' Q -a. 5' 0r! CITY OF LA QUINTA SUB,,,-CO,k1,1TRAACT0R U.S.T. -off--S�� - JOB en -DRESS, (lo A) La!Quinta- PERMIT NO: OWNER: Leonard Lam ILDER:,��prj LaT, This form shall be posted on the iobwith the Building Inspection Card at all, times in a conspicuous place. Only persons Ok--.ust eJ14jJuYj4*S 'Tuiv -P1 must be approved by the Building hg Division prior to commencement of work. Failure to comp=;a itoppado of work and or the voidance on this job. Any changes to this list of bujldin"eilniL�Foreadli 00li4�ibidira-deii4ii.ifif.orin mPleod�Yapplio�.anL*Oti�fild7is,�00t.aC.C.e.Ptab le 2 M &1_4 Cot) tractor O.ontracto ei :.,WO _ mp orj�jnsurance.. ,Workers Co ensat City Business License _at�n * e ClaWificaion Li6erWe W. Ex -p Carrier Name: PcxNumtier Exp Die Lionse No:. Exp. Date toboog, (,)WxxtjA (Fo rmat.varies) (MWXX),- (XXMX=L EARTHWORK (C-112), CONCRETE, . "080 ..2 dbrd;n4G6hstfuCQofi 7 106 STATE PUNDS, 1.741-453 114/05 R� FRAMING . ING (C75): Corpnef)CdhslhjqtJ0rI-' 634§81 V31706 -�]U 044g3 STATEF FUNDS 1/1 STRUCT-STEEL. (f;,-51) MASONRY (P:?p j.co -j' corope Construction` .,B 634081� 1,13,1106 .1 STATE FUNDS 0444.53 111/05 f h Il PLUMBING ffi:�15) Vgllqk, P10 rqoing- 273088: 4130/05. CLARENDON NATL INS - CA 00�7214 lor2WA4 101 3/24/05 LATH: PLA9jEk 035) --CahstructiOn coronel. $349151, .-STATE FU 1744453 IM105 DRYWALL G 'V,,,VA�"L Cor. Stw com on!j. z 1/31/06---' STATE FUN -744-5 3 HVAC_ -2 �Q) La'Qujota,.Air-widitioning C20:', 749342.- 50 1106 STATE FUND& ..04"012856 11.1/06- 59 1 1131/0 ,ELECTRICAL (Q-10) J- M Rect6c C, 631-350 .110/311,05.7 EXEMPT WA NIA, 2901 12/1/04 ROOFING G39 !7'n ROOLE- SOECKLTYINC;! C39- 810537- 71.311.0,4; 8mployer GcOdent birnb 09300 3 2=* 1420 11124/.04 SHEET METAL. - 2 FLO QR 15) Jim.�S �4 _p cer pot.', lang 6 5:... 591'59 STATE FUNDS-.: 6.89 77-01 3/3,1105 157t 916/04 GLAZ4NG.,;(G_-17)' : MAC�SLJNWIRROR 4-r_�,LASS INC -17 C;17 70,C16V 4.Mi Offl5 STATE FUNDS. 229-W!4817 INSWA'404 Q 'Para _ n 6SO atiOn C240 (53:207�, 9130105 TRAVELERS PROP TC2TUB122 .06131/04 3291 8/25/04 SEWAG&6D1SP._4C42 Valley lurhl�kng. 4 4M/05 CL. RENDON N07L A qZ7214, 'A jNgt. 10(25fO4 1101' 3/27/05 PAINTING LC�:33) Le�fwrd Lam B j 3 31,; 1@q E)weig pt6 Na-.° 6426 7/12104 ERA C-54) CERAMIC TiLE-,(i �nardl_am E; ..4 . _ :,� 192-226-- 3/31106 Excerdpt Na 7/12J/04 7/12/04 CABIN' E T. S . Ll 9) C5 787�48 11/30104- STATE FUNDS o46-0012405 P 10/27104 3005 10/4/04 FENCING (013) Coronet Constirbdon B 634981 1131/06 STATE FUNDS 1744453 1 /vos :LANDSCAPING (C7M Leonard Lam B 792225, 3/31106 Excempt .n fa - Na. 6426 7/12/04 POOL (C-53), J & L Material c-6103 472187 _*3TJb5 STATE FUNDS 532-6000137 11/1/04 794 518/05 2 M &1_4