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04-6699 (RPL)< 4 o _5 BUILDING.& SAFETY DEPARTMENT P.O.. Box 1504 (760).777-70.12 OF 9 78-495. CALLS TAMP.IC6 FAX (760) 777=7011 LA QUINT'A, CALIFO»N1A.92253 INSPECTION REQUESTS (760) 777-7153 . BUILDING: PERMIT Application Number 04-00006699 Date 10/11/04 Property Addre.ss., 79731 CASTILLE DR APN: 609 -380 -9.98 -39 -293232 - Application -description... POOL _ RESIDENTIAL Property Zoning-. LOW DENSITY RESIDENTIAL Application valuation .17000 Owner. Contractor -LENNAR HOMES OF CALIFORNIA CALIFORNIA:POOLS & SPAS 78401 HIGHWAY 111, STE C P.O. BOX.1280 LA-QUINTA, . CA COACHELLA -CA. 92236 LA QU I NTA.. CA9.22-53 .' (7.6 0) 3 9 8 :9 2 2.2. WCC STATE 'FUND.. WC: .04600061168 01/01/05 CSLB'.: 65612810./31/0.4 CTTL UA��- CCC: C8-C27=C2.9-.C53 -----------=-- - :r14�---- -- ----------------------- Permit 7.qn(M_ECH POOL Additional desc Permit Fee 24.00' Plan. Check' Fee' 6.00 Issue Date ...Valuation 0 Qty Unit. Charge .Per -.Extension $ASE' FEE 15.010 1:00 9.0000 EA MECH FURNACE..<=100K 9.00 Permit . . BLDG POOL PERMIT Additional desc' Permit Fee 180.00 Plan Check.Fee. 117.00 Issue Date Valuation 17000 Qty Unit Charge.. Per Extension BASE FEE 45.00 15:00 .9:0000 THOU BLDG 2,001-25,000. 135.00 Permit ELEC POOL PERMIT -RES - Additional desc Permit Fee .45.00 Plan Check Fee.'.. 11..25 Issue Date. Valuation 0 Qty Unit Charge Per Extension BASE' FEE 15.00 tlfL�P.O. BOX 1504 � VOICE (760) 777.7012 '78-495 CALLS TAmpico F..AX (760) .777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION$ (760) 977-7153 BUILDING & SAFETY DEPARTMENT Application Number. O y-- &6q Date: Applicant: Architect or Engineer: Applicant's Mailing Address: -Architect or Engineer's AddrAss: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION i hereby sftirm uunnddenrsppwofty d pwMy t* 1 sm k* t W under provisions o(eChaplx 9 (cwmmxbV wNh Secsm7000) of DMsim 3 of tw Bu**O sr d Protasaionals Code. and license Class Is In full force and affect License No. �`� 12 S Da O/ d Contractor ' OWMER.BUILDER DECi.ARATION I hereby stfirm under penally of perjury that I am exempt from the Contrtctors• state License law for the blowing reason (Sec. 7031.6. Business and Professions Code: Any city or county that requires a permit to construct. atter, improv, demolish, or repair any structure, prior b Its Issuance, also wpAres too applicant for ria.pwm& b Sea signed statement flat he or ala Is Wormed pursuant b the provisions of Un Ca tclors' State License Law (Chapter 9 (Mn mand ng with Section 7000) o(Divsion 3 of the Business and Professions Cooe) or -tat he or she Is exempt therefrom and the basis for M» atbged exemption. Any violation of Section 7031.6 by any applicant for a pout subjects the applicant to a civil penalty of not mora than rive hundred ddlaa ($500�r U 1, as owner of iris property. or my employees will wages ss their sob comptraation, wM do the wok and itis structure Is not intended or offered for $ale (Sec. 7044• Business and Professions Code: The Cotutrackwe-State Lk»nse Law does not apply b an owner of property who builds or Improves thereon, and who does the work himself or herself or through his or her own smpbyea. provided that In knprovements art not Intended or of rad for safe If, however, tie betiding or improvemsr>t k ' sold w(ttin one year of conpletbn, the owner -builder will have_ the burden of proving that hear she did not bold or. irprove for the purpose of sae.). • (� 1. as owner of file property. am ex lu** contracting with licensed contectors b construct Ihe project (Sec. 7044, Business and Professions Code: The Contracture' - state License Law does not apply to an owner of property who builds or improves twoon, and who contracts for the projects with a contractar(s) licensed pursuant b the Contractors` State License Law.). V I am exempt under Seo. B.14 PSC. for this reason Date Owner. ':. _ WORKERS' COMPENSATION DECLARATION 1 hereby o irm under penalty of perjury one of the Wo"V declarations:. 1 have and.wta maIn ain a certificate of consent b setf4nsiura 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.. Fhave and will maintain workers' compensation im mnce, as required by'Sedion 3700 of the Labor Code. for rie of the wok for vAiufi Itis permit is +i�susQQ. worycgrs. Corm ensation.insurance carrier and po �� r�ber are; Carrier � J2g CL -cat., Policy Number -_ (.certify that In the b ke performance of tie work for wfich Us ponTA Is Issued, l slap not employ any person b any manner so as 10 become subject the won• compensation laws of Caftria, and agree that tt I should become subject b the workers' compensatlon provisions of Section 3700 of the Labor Code,1 thea forthwith comply with those providons. Data „per A WIN ARNG: FAILURE TO SECURE WORKERS' O�1PENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND M CiVIL FINES UP TO ONE 14ORFD THOUNDOSAU.ARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY I hereby afiam under penalty of perjury that there Is a construction lending agency for the performance of the work for which this permit is Issued (Seo. 3097, CN. C.). Lenders Name. Lenders Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application Is hereby made to the Director of Bultding and Safety for a permit subject b the conditions and restrictions set forth on this appticslion. 1. Each person upon whose behalf this application is made. etch person at whose request and for whose bw*fd work is perfumed u►der or pursuant b any lug Issued as a result of this application• the owner. and the applicant, each agrees b, and alai, defer4 indemnify and hold hanNess the City of La Quinta, Its officers. agents and employees for any act or omission related b the work being p6rfomred•under or. following Issuanoe of this permIL 2 Any permit Issued as a result of this application becomes "and void not com+enoed wt"n ito days from data of Issuance of such permit. or cessation of work for 180 days wNl subject permit b cancellation. 1 certifythat I have read this application and state that the above information hsI b comply with cap city and county Ordinances and state taws relating to building construction, and hereby authorize representatives of this county to enter upon tinned property for inspection purposes. Date�� Signature (Applicant or Agent): Application Number . . . . . 04-00006699 Page 2 Date 10/11/04 Qty Unit Charge Per Extension 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 -------------------7-------------------------------------------------------- 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 BE IN PLACE PRIOR TO PREPLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total ---------- 282.00 -------------------- .00 .00 282.00 P1an'Check Total 142.50 .00 .00 142.50 Grand Total 424.50 .00 .00 424.50