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04-6145 (RPL)I. h ceity, 4.44". P.O. Box 1504 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777 -7153 - Application Number . . . . �04l00006145 Date" 9/02/04 Property Address . . . . 5347-0 AVENIDA CARRANZA APN : 774-081-011-14 -0.0.0.0.0=0-Application description . . . POOL - RESIDENTIAAD a Property Zoning . . . . . . . COVE RESIDENTIAL Application valuation . . . . 15-000,SEP. TO 2004 Owner Contractor Gett, 101 �'�yM�� - - - - - - - - - - - - - - - - PATRICK DENNEHY - f�11(LAA - - - - - - - - - - 'r - - PIF4* ",ky o AZURE -POOLS AN AS , 53470 AVENIDA CARRANZA P.O. 13OX 10641 LA QUINTA' CA 92253 PALM DESERT CA '92255 (760) 322-7665 WCC:. STATE FUND WC: 0001705853 .03/01/05 CSLB: - 802919 01/31/06 CCC: C53 ------------ ------------------------------------------------ Permit . . . . . . BLDG --------------- POOL PERMIT Additional desc Permit Fee 162.00 Plan 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 . . . . . . MECH POOL .Additional desc Permit Fee24.00 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 3,0.00 P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: (24— (p/t/5 Date: q -/0—U! Applicant: Applicant's Mailing Address: Architect or Engineer: 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 under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my Licenser +n I f and effect. Ut^ �� 1�Fense Class ;. —License No. L) `�/ �P.FSntrarrnr V l� \--1(6WNER-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 pemmit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Ucense 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 fora 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. , B.8 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. II have and.will aintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance•of the work for which this permit is err jJss d. My orke pensation 0 icy nce Carrie` a_lpol c Z-1: #�1f �'o i�cv Number r �� ^ 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, 1 shall forthwith comply with those provisions. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVSEP(GE 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.). Lender's Name oe Lender's Address /1 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, indemnity 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 construction, and hereby authorize representatives of this to enter upon the above entioned property for inspection purposes. ate ' �0�,g�nature (Applicant or Agent): v Page 2 Application Number . . . . . 04-00006145 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 Fe.e . summary Charged ----------------- ---------- Per mit Fee Total 264..00 Plan Check Total 130.80 Grand Total 394.80 Paid Credited Due ---------- ---------- ---------- .00 .00 264.00 .00 .00 130.80 .00 .00 394.80 AZURE POOLS & SPAS LIC# C-53, 802919 POOL SPECS POOL SIZE: 13'X 26' POOL AREA: 283 sf POOL PER: 71 ft POOL DEPTH: SPA SPECS SPA SIZE: 7' dia SPA AREA: 38 SF SPA PER: 22 FT EQUIPMENT PUMP: FILTER: HEATER: POOL LIGHT: SPA LIGHT: FINISHES DECK AREA: 359 SF PLASTER: - TILE: 1"=8' SCALE DENNEHY RESIDENCE DRESS: 53-470 AVENIDA CARRANZ CITY: LA QUINTA LOT #: %I LLJ SPA +18" WITH TILED SPILLWAY CITU ®I= LA Q�1lni�"1a BUILDING & SAFETY DEPT. APPROVED FOR CO, STRUCTION DATE - gyJ'= A REINSPECTION FEE OF WILL BE CHARGED IV THE APPROVED PLANS AND JOB APPROVED HE SITE FORCARD ARE NOT ON NSPECTION ARE NO EXCEPTIONS!