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04-7521 (RPL)Tdf 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 . . . . 0,4.-00007521 Date 12/01/04 Property Address h 79827 CASTILLE DR APN: - 609-380-99.8-33..,322= Application description . . . POOL - RESIDEN,TIaOtAL,_/i�•s__ g Property Zoning . . . . . . . LOW DENSITY RESIDw,.ENTIAL {S Application valuation . . . . 33000 E�v ® 2004 Owner ContractorCjTynFLAQ01"T" -------------------------------==--- rw.iivl^s�� ---- JEANNIETTIES CAL-NEV POOL, INC. 79827 CASTILLE DR P.O. BOX 2222 LA QUINTA, CA RANCHO MIRAGE -CA 92270 LA QUINTA CA 92253 (760) 883-5561 WCC: STATE.FUND. WC: 2290022990 01/01/05 CSLB: 777601. 04/30/06 CCC: C53 ---------------------------------------------------------------------------- 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 . . . . 304.00 Plan Check Fee 197.60 Issue Date . . . . Valuation . . . . 33000 Qty Unit Charge Per Extension BASE FEE 252.00 8.00 6.5000 THOU BLDG 25,001-50,000 52.00 ----------------------------------------------------------------=----------- 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 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: 0 If - `ram- / I I Date: Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engin is dr f, 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 Licensg is in f f ce and effect. f License Class G License No. ? 7C5 a • - ..Intractor 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, after, 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 fhe 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 viotation of Section 7031.5 by any applicant for a permit sutl ects the applicant to a cMf penalty of not more than five hundred dollars ($500).): L) 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 a impmve for the purpose of sale.). it 1 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.). �} ! am exempt under Sec. , $.& P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is SALled. orkers' cempen on insurance carrier and policy number are: �. Carrier /"111/1 policy Number- Ideiti that, in tm once of the work for which this prmift is issued, s a 1 not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. - _ y WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($I00,000), 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 Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of 5uiIding and Safety for a permit subject to the conditions and restrictions set forth on this application. 1, Each person upon whose behalf this appllcaflon 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 actor 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 oommenced within 180 days from date of issuance of such permit, ar cessation of work for 180 days will subject permit to cancellation. I certify IheI I have read this applicatlon 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 county to enter upon a ve-mentioned p party for inspection purposes. Da Signature (Applicant or Agent): w Page 2 Application Number . . . . . 04-00007521 Date 12/01/04 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 ENLCOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due Permit Fee Total 406.00 .00 .00 406.00 Plan Check Total 223.10 .00 00 223.10 Grand Total 629.10 .00 .00 629.10 is J CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATEsY 0 00 M W W O O n-- Z O uj T . w¢�= ww ¢ U vi `�- InCn z O ¢ z ¢ci- O0 � CD U C7 Om O W ¢ p Z O CD Z Z w Q- c/) Cn W _m af ¢ n z C I4UMM OL, MARK TOW Mix07iAMM ROAD RANCHO WRAG6, CA. 92270 PH 1310860 LAC. +1777601 N �T ;vq'' ShiltA, 6eie T T72"_`1 *" Q �pJ I VICINITY MAP CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE -L . a .o`1BY POOL SIZES S_o�om3 �h x MA IMON Access &Wft_ ltfrom Obstacles Vhl s Ponvred Reowed rte. PLUMBING Fater P, J,aLv ► size a .W �. Booster F'um — skim Run Main Orcin Ret FIB lane ftff r Auto cleaner t�azyne rA R� �iai,•'� bas t1F FOUrrMS—PRff HOS—� ATM UFECTS rType , -Boaos Yei tFO TIP isce - M8TEEL�UNREt�g Sur�haroa _�.� Step ttiseis spa wu WmIl — %Be lls Love $. eals Spa Dam Wan Notch n, ELECTRIC Total Run * Fiber�Opt?ic,A Remote .tom_..- - A. . �EC1UN6 Sq R �•l QOQ � _ Tiwe '` = " s D.O.D. L�Step Risers ' _ _ __ t—..�.-� _ - • � � ASllilw � +b''r� S ST 11 46A Site t pU p �.a r Blower INTERIOR FINISH Ba TsTuc 7 r OWNER %fetax `p0o1 area dila kin so c Sing OW sell D "P� code. - ��. '.w: 'tIO�1tWiNbOfE111011ed. grOrAded.ittet - -'; .droocavatioit. OWNER �����1 '���# 3 a ae�acIon a owlartac In Do fAt ilk fi,o nosy �i►o mss } fill dk,6madW* T7 NOTE OO f10T tlJlii am i4�d1 oo IS tthplY mmium � , -- ?`NOTE Wet down st�e11 At Mast thrice dilly br savari days 9W 9"ll a e1 ailed CRY P� SOLD have ieriew this.tplan WKI Iter approve total plan Jl<spe s. p}lp(11E -ORAVYN _-4— PATE., l !DATE S _ i 7 PATE .. �: _. �. • SIGNATURE t z e f t.