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RPL (04-3707)Ot 4V Qgwav BUILDING•& SAFETY DEPARTMENT P.O. Box 1504 (760) 777-7012 78-495 CALLE_TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . 04-OOOi03'707� Property Address 52580 AVENIDA NA APN: 773-305-004-20 0 Application description 'POOL-.RESIDENTI i Property Zoning COVE RESIDENTIAL Application valuation. 15000 Owner PINE MOUNTAIN REAL ESTATE INC C/O CALIFORNIA DESERT CONSTRUC` 73170 AMBER ST PALM DESERT CA 9.2260 Contractor ate 4/ 04 RO 0 0 OAN 2 71004 CITY of �A QuiNTA CALIFORNIA DESERT CONSTRUCTION 73.170 AMBER STREET PALM DESERT -CA 92260 (760) 340=9844 WCC: STATE FUND WC:. 1542304 04/01/05 CSLB: 628404-. 07/31/05 CCC: 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 ME CH FURNACE <=100K 9.00 Permit . . . . . BLDG POOL PERMIT Additionaa desc . Permit -Fee 162.00 P1an.Check Fee 105.30 Issue.Date Valuation 15000 Qty Unit Charge Per Extension 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 P1an.Check Fee 11.25 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 P.O. BOX 1504 7E-495 CALLE TAM►ICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: _i �(-- Applicant: Applicant's Mading Address: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: Architect or Engineer. 1 iP ni s- F, • Poe, 14, Architect or Engineer's Address: Lic. No.: 33 4f C/41 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 thereby affirm under penalty ll perjury that I am ioensed ,r,det Provisions d ChWW 9 (commencing with sectio, 7000) d Division 3 alto Business and Piolessionals ICikwm Sind ClClass License / lo full face and Niect I License No. 6�-2 S41or l Dab_ I hereby strum under penalty at perjury that I am OWNERS DECLARATION city «cosrnly that requires a OmNI b cornstrmrCL corn ria Conbaclors' Stole Liow" Law for the following mason (Sec 7001.6. Business and Professions Coda: Any stalenm that he or she k icwwW move. # #W C t1. «roper army structure, Ori« b b kswnce, also aegsrras the appicarsl far 1M PermR b frim a signed and Prolessions; Code) or 1* he « b O ohs d rh Contractors' Stab Lkxnee Law (Chapbr 9 (OMMOnCing with Section 7000) d Division 3 d the Business the appisxnt b a rimri e700mma •1°'d"on and the tresis for ria alleged exempimt Any violation of Section 7031.5 M a^Y aPPicarnt br a pannit subjects U I. as owner a the d not more than llva hundred doors ($500).) Property. or my employees with wages as their sob eompenmation, wi do the work, and the strUclra k not imternded «offered for Sale (Sec 7044, himself Business and Pelf or throuonsgh Code: The Cambempl s' Stab Lkernse Law does not apply b an Owner of property who burls or improves thereon, and who does the work « o► rira+gh his or her own employees, provided that the inprovements aro not intended or offered for sale. If. however. the 6u15 g or irprovemeM is soN within am U 1, as owner d rim year at am OXMI66M the owner-bulder will have the burden d proving blot he or she did not build or improve for d r the purpose sale.). State License Low does not .) es with �n� contrawors b conA -1 the project (Sec. 7044, Business and Piolessions Code: The Corwractors• the Ctrscbrs• Stale Licensee Low).an owner d property who h"h"«improves thereon, and who contracts for the projects with a corkracbr(s) licensed pursuant b („) I onam exempt under sec . B.& P.C. for this reason Dab Owner 1 hereby affirm under penalty d perjury one of theWORKERS 'COMPENSATION DECLARATION _ I have and will maintain a certificate b sell4rnsure I« vrorlkers' Of the work for which this permit is issued. COrtpQnsatiO^, as provided for by Section 3700 of the labor Code, forte pufonnanoe _ 1 have and wi maintain wOMMs' conper»pborn insurance, as required by Section 3700 a the Labor Code. for the performance of the work for velid n Sus permit k Carrier 1af • compensation Insurance canter and Policy n umber are: Policy Number _ / —Gla- Ll Vt- —1 � W" of narn� a the work for wfniCh Ahs permnit ns issued. I shall naipfoy any person in any manner so as b becmm�e subject b ria workers• forthwith �y with that• If i should become subject brie workers' compensation provisions a section 3700 of the Labor Code. I Thai Date 1- 0 7- o C Applicard___O,Re, WARNING: FAILURETO SECURE WORKERS* CIV FINES UP TOONE COMPENSATION COVERAGE IS UNIAWFUI- AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND TO THOUSAND DOLLARS ($100,000). M ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE. MEREST, AND ATTORNEYS FEES. . I hereby affirm tmda penalty of CONSTRUCTION LENDING AGENCY Perjury that there is a construction iendrng agency for the Performance d the work for which Oft Permit k issued (Sec. 3097, Civ. C.). Lenders Name Lenders Address IMPORTANT Application Is hereby moble b the Dirocbr d Buildunp APPLICANT ACKNOWLEDGEMENT 1. Each person upon whose made he Safety for a Permit subject b the wnmons and restrictions set forth on Itis appicaoW Issued es o result d hos a application k fie' each Person at whose request and for winose benefit work k performed under «pursuant b any permit agents and pp b• the owner. and the appieant, each agrees b. and shelf. defend. indem ify and hold harmless the City d La OuIr". its 2 My Perrot issued as a ere � any ad «omission related b the wok being Performed under or r pew application becormnes null and void if work k no(commenced within issuance a ells cess tion d wok for 180 days will subject perarsit b r tion. d+lYs from date a issuance d such peril « 1 certify that I have road this application and stab that the above bormation is cot, co189 b comply with all city and county ordinances and state laws retatirng rArsUucbM and hereby auth0fts representatives a tis hupon the aboveanen ' property for inspection purposes b lntrYdinp Date �� 7 t7 L/ Signature (ADP"M or Agent): ��" 4�V Page 2 Application Number . . . . 04-00003707 Date 4/26/04 Qty Unit Charge Per Extension 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 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 ONLY. ALARMS BARRIERS SHALL B E IN PLACE PRIOR TO PREPLASTER INSPECTION. Fee summary Charged Paid Credited Due Permit Fee Total 264.00 .00 .00 264.00 Plan Check Total 130:80 .00 .00 130.80. Grand Total 394.80 .00 .00 394.80 PT) Ncdhr y I V • 1! LOT -2® °l F8 siQlft PAD= ra two .66 5� �V.&I, t*ela Nava r f Y : A 8 $E 1 1 • • ®• CITY OF Il� TPS a�wafto�® ;• •. BUILDING & A OF ECTION FEE $30 • APP' - • ' • ' ' ' ' ' �'�', , �' IL. H GED 1F THE APPROVED F O TR CT�ON � •- �` • • � PLANS AND JOB CARD ARE NOT ON DATE THE .SITE FOR A SCHEDULED. � sY INSPECTION. NO EXCEPTIONS!