The URL can be used to link to this page

05-0841 (RPL)Tiffif 4 4-a" Box 1504 5 CALLE TAMPICO UINTA, CALIFORNIA 92253 ibe r Is BUILDING PERMIT APN: Application description Property Zoning . . . . . . . Application valuation . . . . Owner ------------------------ HULMER 79-725 CETRINO LA QUINTA CA 92253 BUILDING & SAFETY DEPARTMENT (760),777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 05-00000841` Date 3/15/05 79725 CETRINO 772-330-025- - - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 30000 Contractor ------------------------ AMERICAN POOL CONSTRUCTION INC P.O. BOX 11996 PALM DESERT CA 92255 WCC: STATE FUND WC: 2380001188 09/22/05 CSLB: 518742 06/30/06 CCC: C53 ---------------------------------------------------------------------------- Permit . . . . . . BLDG POOL PERMIT_ Additional desc Permit Fee . . . . 284.50 Plan Check Fee 184.93 Issue Date Valuation . . . . 30000 Qty Unit Charge Per Extension BASE FEE 252.00 5.00 6.5000 THOU BLDG 25,001-50,000 32.50 -------------------------------------------------=--------------------------- 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 . . . . . . 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 . . . . 33.00 Plan Check Fee 8.25 s - P.O. Box 1504I4 CE 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: U -S Of I/Date: Applicant: Applicant's Mailing Address: 0 hl 7-1;?!q &7_0 2 Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I heroy 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 9906, and my License is in full force and effect. LYcense Class L5-_> Licens o. r'Date 3 1114 I CE Contractor/ D" OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that 1 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 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 1, 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 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 <�! is ped. wori ers' compensation insurance carie�d policy number are: artier moiI � ikA14 Policy Number n n 118 f -r _ I certify that, in the performance of the work for which this perfnif 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. &Ate o'S 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.). Lender's 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. 1 certify that I have read this application and state that the above informal n is correct. I agree to comply with all city and county ordinances and state laws relating to building constyuction, and hereby authorize representatives of this county o ente upon the above-mentioned property for inspection purposes. Da✓te/ `T % 1 Signature (Applicant or Agent). Fee summary Charged ----------------- ---------- Permit Fee Total 386.50 Plan Check Total 210.43 Grand Total . 596.93 Paid Credited Due ---------- ---------- ---------- .00 .00 386.5.0 .00 .00 210.43 .00 .00 596.93 Page 2 Application Number 05-00000841 Date 3/15/05 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. BBQ ANSI#Z21. 18_" WALL ACTING AS BENCH RUNS LENGTH OF DECKING (COURTESY INSPEC. ONLY)-. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged ----------------- ---------- Permit Fee Total 386.50 Plan Check Total 210.43 Grand Total . 596.93 Paid Credited Due ---------- ---------- ---------- .00 .00 386.5.0 .00 .00 210.43 .00 .00 596.93 moll Pool t: o �.. s ` • 1 ,� C ec�v-cc15 -�v you -v- C�U-u'V -LC,<-\ o v, -�-4�a wo-\- ". NOTES= n 1.4coQc�� \S �- �' d� d- + in G ► cu.�4tNco s T ��'' t r. %\2.�\c,��n. (3�C, i � rw� 30' o 6 eck Z<\1� co� Lib' ]on R�;��n« • c�UQ Ansi �S z.al a Inc - FL CITY OF .A BUILDING ;° o Aper.y ,. 1 i ION a-,. c- U. C- l — . --4 o - c AiWA MAP C .IGT••.V T�� g �xiSi•.na' .6 - � rc.t'vattrn� s 30" p(c,❑_ De k n 1cL....: a.i...ta C.Ylts;x L C. 18742. rr•.u+E . ® UTRJ".FOU p ARCT a aM rose, .r slower deaaoe w - W - UTLmr Ei�+T (D fm BC W?VL ® aau •- Fri M } ueT (� nr+FA OMPA JAN t� ccl� s'-4-za.> Fro a.ee (� 601ET�" p.aE�� p FUER CRa:n� -- PYC aw+ i co, �@- OVERHEAD EiEG WMER DMH cast LVE; ® wit aww -. AERATOR LAOM 3%' -�-®-- OvERiEJJ1D-IT-:. a SwTck ® P TARP o PLLP CAS oat (760) 340-2588 EB ELEC iEDE5Ti1L ACCESSC� 0 RMEP'TACLE —3 -STUB d CLP. SEE NDTES