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04-7785 (RPL)T4hf 4 4 a" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760) ,777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . . 04-000.07785 Property*Address . .. . . . . 81278 BARREL CACTUS RD APN: 764 -270 -999 -25. -300233 - Application description . . . POOL - RESIDENTIAL Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES Application valuation . . . . 17000 Owner ------------------------ SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE AZ 85258 Contractor Date 12/14/04 CALIFORNIA.POOLS & SPAS P.O. BOX -1280 COACHELLA CA 92236 (760)3.98-9222 WCC: STATE FUND WC: 04600061168 01/01/05 CS.LB: 656128 10/31/06 CCC: C8 -C27 -C29-053 -------------------------------------------------------_--------------------- Permit MECH POOL Additional desc Permit Fee . . . 24.00 Plan Check Fee 6.00 Issue Date Valuation . . . . 0 Q.ty 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 . . . . 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 e Qty Unit Charge Per Dtension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWI NG�EQOQ,9 2001 30.00. Permit . ... . . . PLUMBING CITYOFLAQUINTA - Additional desc FINANCE DEPT. 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: ©y--77�5 f Date: Applicant: I Architect or Engineer: •.. Address: Architect or Engineer's d r ss: Lic. No.: BUILDING PERMIT DECLARATIONS NSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed unde pro S 'sions of Chapter 9 (comrnenan with Section 7000) of Division 3 of the Business and Professionals Code, and my Licens"in fu and effect. �S / License Class Lise o. 0 Date Z Za G Contractor OWNER -BUILDER DECLARATION 1 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 applicanffor 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 tot 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 sate (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 1 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 nd 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 ed. y wort compensation insurance carrier o'cy nu bar a Cartier Policy Number . i 6 _ I certify t at, in the performance of the work for whi is pe it is issued, I shall note ploy any person in any manner so as to become subject to the workers' I compensation laws of California, and agree that i shout come subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. DateZ 111t C Applicant WARNING: FAILURE TO SECURE WORKI&RS' 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 1 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 wo 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 I a ree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to ter upon a ov ntioned property for inspection purposes. Date Z/ Z ` % Signature (Applicant or Agent): Page 2 Application Number . . . . . 04-00007785 Date 12/14/04 .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 ---------------------------------------------------------------------------- Permit WALL/FENCE PERMIT Additional desc Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 80 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL &,SPA., SPUG BOR BBQ. 5 LF 4' BLOCK WALL PER CITY STND. ALARMS BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 297.00 .00 .00 297.00 Plan Check Total 142.50 .00 .00 142.50 Grand Total 439.50 .00 .00 439.50 7 1 L f -si F A'4P SpIT-i SPA A-r -;0-1L IkJ1"r,4 ---- Y;Ap hwJ17 %JE rF WAT C��f+.�� J C. G J C i 'r—_ T*E-: 6.k P, S-riwE--I fl -V E' JAI I- S ' 0 LOA IN LA MW 'k A 1 t �. F� k #F• i 1 y ��}•J Y��I• ��S• ,3/ y�:,M { ._-- .._.�� ` 4r�r.�L�~ ��i-4 �'�� - 1�4rfi 5 `+r •J rL� -y51 Y N e �Y1LwR • r�, 4 _� `• F JF( r /ff • t P , ` � I Yir ;!— • ii� ti I . • � -. rrl� I` ray � �J L. �'+s/ E%W l �"I G. �� �l1 �+ 4_r�Jt-•7 lf7 i P � F--F � �� 9C 1 cn r ` pERsAf�4A -- , EfFT4.- U.L SJAJI 7 �.O c ,. #, � PA SPEG:FICA 1]ON'S ?} � r~ �P4 CIM RALL OLTM rkTp{ L.r v co h6. v .CTS TILE T--v T cv LkW L - • .] W AA R'L� d L6 Rk-= SPA r4T ti .Ll PLA8.rm 1'• ��. 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EG.3'vrh,- .fzarL< & Ra RE40+41t7 M9:ti'T�i �9.•�� - _ S',YEh,1MING POO'- PLAN FOR: { _ CHANCELLOR RE l DE i E S REET 16 1 — .� lz d C,4-c--�-r� } A, t -- - JOB ADDRESS T r IC:�L aiiJ IIN' TA PHONE ,'OFFICE RES LOT w§ TRAC Z-7, µ �, PAGE DC� K YAP -200K PAGE NO, CITY MAIL ADDRESS COlqSTRUCTION OFFICE PHONE NO - SCALE 0ATE DRAM BY SCL Y-,HD'l+4E7 BY JOB# 11 t vi ��)l UIN DATE A RE -INSPECTION FEE OF S30 __ P1AM_M_0] �ffld AR[ NOT M. THE SITE FOR A SCHEDULED k - -1 SP T+9N. NO EXCEPTIONS! LL] LLI D co ui CONSTRUCTIONAUTHIZATI! _aT`' __-- - LE i -APPROVED- -j F L --_ - ! DECK CCLOR � W,IrN —' = L� FOR CC? STRUCTION it k •� -_____— _•___ - �_ ++-.. -._. -.., �_.a. .. �...._.._.••-._. .,.��_... . r _- ... _t� + .. - -ti. �• .-'J {tit �, , E —I