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04-6654 (RPL)a 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 . . . .04-00006654 Date 10/06/04 Property Address . . . . 80944-BELLERIVE } APN: 775-350-005- - - Application description . . . POOL --RESIDENTIAL Property Zoning . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 20000 Owner Contractor PENNY ZENKER ALPINE SERVICES 80944 BELLERIVE P.O. BOX 4687 LA QUINTA CA 92253 PALM DESERT CA 92261 WCC: STATE FUND WC: 229002323604 01/01/05 CSLB: 786324 1.0/31/04 CCC: C53 ---------------------------------------------------------------------------- Permit . . . . . . BLDG POOL PERMIT Additional desc Permit Fee . . . . 207.00 Plan Check Fee 134.55 Issue Date Valuation . . . . 20000 Qty Unit Charge Per Extension BASE FEE _%(45.00 18.00 9.0000 THOU BLDG 2,,001-25,000 -162'. 00 ----------------------------------'------------------------------------------ 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 t°_ Permit Fee 45.00 Plan Check Fee 11.25 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE Q 15.00 1.00 30.0000 EA ELEC PRIVATE SWIM ING POOL 30.00 .,.00T- 13 2004 P.O. BOX 15044 4 �� VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0 Date: Applicant: II Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: P3 1A Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals / ` , and my License is in full force and effect. ,cense Class C- -5 3 ^,cense No. ?�ji3d k' 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 Coda: 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 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. , BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 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 issued. workers' compensation ,n nce carrier and otic n r�be� arrier STRT6r �c..�( -licy Number � �U of os 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, I shall forthwith comply with those provisions. __BSte 1/" f 3 /b LC,cant . 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 Lender's 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. 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 o: -'a s county n the above-mentioned property for inspection purposes. ate O i O S� i nature (Applicant or: 7 Page 2 Application Number . . . . . 04-00006654 Date 10/06/04 ---------------------------------------------------------------------------- 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. BBQ BY - SEPARATE PERMIT Fee summary Charged ----------------- ---------- Permit Fee.Total 309.00 Plan Check Total 160.05 Grand Total 469.05 Paid Credited Due ---------- ---------- ---------- .00 .00 309.00 .00, .00 160.05 .00 .00 469.05 PREPARED 3/14/05, 15:35:08 INSPECTION HISTORY REPORT PAGE 1 PROGRAM BP521L 0/00/00 THRU 0/00/00 CITY OF LA QUINTA ------------------------------------------------------------------------------- APPLICATION PROPERTY ADDRESS APN ----------------------------------- Alternate ID - - STRUCTR ------------------------------------------------------------------------------------------------------------------------------------ PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR 04 00006654 80944 BELLERIVE 775-350-005- - - 000 000 M001 00 MECH POOL 499 0001 MECHANICAL FINAL 2/28/05 APPROVED GH 000 000 P001 00 BLDG POOL PERMIT 170 0001 PRE-GUNITE 10/22/04 APPROVED ST 000 000 P001 00 BLDG POOL PERMIT 175 0001 PRE -PLASTER 12/20/04 DISAPPROVED ST 000 000 P001 00 BLDG POOL PERMIT 175 0002 PRE -PLASTER 12/30/04 APPROVED GH 000 000 P001 00 BLDG POOL PERMIT 199 0001 FINAL 2/28/05 APPROVED GH 000 000 P002 00 ELEC POOL PERMIT -RES 305 0001 UNDERGROUND ELECTRICAL 10/22/04 APPROVED ST 000 000 P002 00 ELEC POOL PERMIT -RES 399 0001 ELECTRICAL FINAL 2/28/05 APPROVED GH' 000 000 P003 00 PLUMBING POOL 200 0001 UNDERGROUND PLUMBING 10/22/04 APPROVED ST 000 000 P003 00 PLUMBING POOL 205 0001 UNDERGROUND GAS 10/22/04 APPROVED ST 000 000 P003 00 PLUMBING POOL 299 0001 PLUMBING FINAL 2/28/05 APPROVED GH .�y� .w.�-•--Zr.-sue.--�•rr�. Y•- .Xrr�.`. f i._:� '_%' { L^-`!-' - `' MR ne+� + 1. fL F y. -_ - Y -• W+ _,T. r,i-•i1 71-# RVI; T �.-r _r 1i - .}LJ 51 • }, 1 i N 4 _• � • ' 1 • Mr 1 ` 5i 4� 1 Lr F� ECG �r 0 I %n 7 r- min, VEQ 0, ) .fi LL C.6 ��P M � err 1W ti � n Oaa .t1U)iUrACE . 4 PL f 1�l ! L2E�1�, l `� •"1�leF fR r `I t�rr���t11A �v� We-V,l e-OLOR.Ct A 7' 13tQ- oz-au-Na- feE tMar-5 k;- A 11 LS r - # ;r N,14 a Iy —,, !� i [ JQ DEc.i' I10L n fpN t P�-TF-QL 2.0 NQ J; MIA C41nbgS:v J N,0 me -A L#G - L1) IDt419 $ L LIL-v Pw� . {- A iz r, - S, Lrt 6q rc- A . QAc �- iFAi D 1 • 1 • l 11 r•�y, 5 �+f1 ,�. j�,µy rA&- �Gd-'50 /.Y{L�L�f /Vt& ,51 A1AJ LE-45 _D o a to O C--)o L ¢ C 1 :r Z 2 r "This plan is part of the contract; any changes- to this plan will necessitate a change order. Please review plan carefully with your designer" 4. 1 _� ..�+rf`_•• ._tf�. ��' ... :st `. +i�i.T - may`[-p�ViriV 44 ..•rra-+s .'.:ylYr•� 4•"+ft.,Y•:c�'"��'�.{`s'T L x""' .�-"�..{y �_•i -�r. 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