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04-6385 (RPL)�jtf .�Qulnra BUILDING & SAFETY DEPARTMENT (760) .777-70.12 0 FAX (760) 777=7011 IA 92253 INSPECTION REQUESTS (760) 777-7153 . ILDING: PERMIT 04-00006385 Date 48028 BIG HORN DR APN: 658-140-999-20 -29436 - Application description POOL. -RESIDENTIAL Property.Zoning . . . . . . LOW DENSITY RESIDENTIAL ..Appl.i.cation valuation 16000 Owner IVANHOE LA QUINTA COVE C/O R BARRY MCCOMIC.. 7.979 IVANHOE AVE STE 550 LA JOLLA CA 92-037:. i Contractor --------------- CALIFORNIA' POOLS & SPAS P.O. BOX .1280 COACHELLA CA . (760) 398-92-22- 222 9/22/04- 9/22/04 223'6 2236 .' WCC: STATE FUND.. #� WC`... 04600.061168 01/01/05 CSLB: 6'56128 10/31/04• CCC: C.8 -C27 -C29-053 --------------- ----------- ----------- ----- ---------------------- ------=------ Permt MECH POOL Additional desc . Permit. Fee 24.00 Plan Check Fee 6.00 , Issue Date 'Valuation 0 J Qty Unit Charge. Per Extension BASE' -FEE 15.00 1.0.0 9.0000 EA MECH FURNACE _<=100K 9.00 Permit BLDG POOL PERMIT Additional.desc Permit .Fee 171.00 Plan Check Fee ' . 111. 15 Issue.Date . . Valuation 16000 Qty Unit Charge Per Extension .BASE FEE 45:00 14.00.. 9:0000 THOU BLDG 2,001-25,000 126.00 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. e*4j P.O. sox 1504VOICE (760) 777-7012 0,f Ve 4 4 78-495 CALLE TAMPiCO :..• 4 cu FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 . BUILDING & SAFETY DEPARTMENT Application Number: 257�o Date:. R, a V Applicant: Applicant's Mailing Addeess: Architect or Engineer: Architect or Engineer's r z V/1 Uc. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of "'Bualress and Professionals Code, and my Llcensgls in full force and effect. ` �� License lass L-�. 53 License No. [D Date D Contractor OWNER-OUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt ftm the Contract V State Lioense Lew for the following reason (See. 7031 A. Business and Profession Code: Any city or county that requires a permit to construct, alter, improve, demolish, a repair any struchae, 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 time Contrac0ors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Co4e) 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 fnre hundred dollars ($500).)= U 1, as owner of the property. or my employees with wages as their sole compensation, will do to work, and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Cort m doW State License Law does not appy 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 safe. If, however, the building or krproven'tW is sold with=in one year of completion, the owner -alder willhave the burden of proving that he or she did not build or improve for the purpose of sass.} U 1. as owner of the property. am exdusively contracting with licensed contractors to construct the pm)ed (Seo 701.4. business and Professions Code: The Contractors' State License law does not appy to an owner of property who builds or Improves thereon, and who cormtracts for the projects with a contractor(s) licensed pursuant to the contractors' State License Law.). U 1 am exempt under Sea . B.& PSC. for this reason Date Owner,, ._ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations:. _ 1 have and.wlll maintain a certificate of consent to selfansure for workers' coo. on. as provided for by Section 3700'of the Labw Code, for perfomranoe of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by'Sgction 3700 of the Labor Code, for the performance of the wont for which this pemilt Is �tyyssuu�e�t MY rs; cum sation.insurence Cartier and policypymb�r aro: Cartier' 2<7ro P �{— j x Policy Number r I.certify that, In the performance of the work for which this permit is issued, l shall not employ any person In any manner so as to become subject to the workers compensation laws of California, and agree that, If. 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shad forthwith comply with those provbAns. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000)..[N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that them Is a construction lending agency for the performance of the work for which this permit is Issued (Sam 3097, Civ. C.). Lenders 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 appficant, a egress to, and ahafi, defend, Indemnify and hold harmless the City of La Quints, its officers, agents and employees for any act or omisslon related to lima ' g p6dommed under or following issuance of ibis permit•. 2 . Any permit Issued as a result of this application becomes null and vol wtxk fs eom ment�ed WI Nn.ltil days from date of issuance of such demi, or cessation of work for 180 days w. M subject pemilt to cancellation. 1 certify that I have read this application and state that the above I formation f3 I to comply with all city and county ordinances and state laws relating to building oonstrtuctioq, and h,e y authorize representatives of this coun enter a Gooned property for inspection purposes. Date 9 2 a Signature (Applicant o Asenll: A Page 2 Application Number 04-00006385 Date 9/22/04 Qty Unit Charge Per Extension 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 ---------------------------------------------------------------------------- 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 273.00 -.00 .00 273.00 Plan Check Total 136.65 .00 .00. 136.65 Grand Total 409.65 .00 .00 409.65 0 v ,01 rt 6 I I I 11 *SPE AT1(WS 1EL , AL-1 -- . *L& AU i1R+ 7 VJ:1X 1 cons WSPA .. IC ICATIONSfiy NIa 9W iw- Ov}+ 101" Ra W Am 1A u t ShOw 1k:0m gja DAM VA � ,�.r, .. �.�. DES. NG y, r �r EXCAVATION � s Y� L. 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