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04-6338 (RPL){ o BUILDING & SAFETY DEPARTMENT �P �- Box 1504 (760).777-70.12 . OF 9 .�,�7 ,,4 95 CALLE TAMPICO FAX (760) 777=7011 QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING. PERMIT 11A .1 a -t; :ev-Number . . . . 04-0.0006338 Date 9/16/04 rbperty Address;••. 48364 BIG HORN OR ON: 658-140-999-8 -29436 - Application description POOL -RESIDENTIAL Property.Zoning . . LOW DENSITY RESIDENTIAL ..Application valuation 17000 Owner Contractor IVANHOE LA QUINTA COVE CALIFORNIA•POOLS & SPAS C/O R BARRY MCCOMIC.. P.O. BOX 1280 1919 IVANHOE.AVE. STE 550 COACHELLA CA 92236 LA JOLLA. CA 92037:. (760) 39879222- WCC: .STATE FUND.' WC:' 04600061168 01/01/0.5 ` CSLB 656128 10/31/04 CCC: C8 -C27 -C29-053 --------------------------------------------------------------------------- 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 1.0.0 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 --------------------------------------------------------- . . . . 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• P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number _ Applicant: Applicant's Mailing Address: BUILDING cit SAFETY DEPARTMENT VOICE (760) 7.77-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: Architect or Engineer. Architect or Engineer's Addr s: Lic. 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 wlth Section 7000) of Division 3 of the Business and PM%Uionsts Code. and my Linens ls in ti force and effect �� License License No. l0 Data OG Contractor 4tue-; ` OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that t am exempt from the Contractors' State License Law for the following reason (See. 7031.6. Business and Professions Code: Any city or county that requires a permit b construct, alter, improve. demolish, or repair any structure, prior to its hm-u a. also requires the applicant for the penM to Me a signed statement that to or she Is licensed pursuant to the provisions of the Contracbrs' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of time Business and Professions t ) outhat he or she is exempt therefrom and the Deals for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant b a dvk penalty of rot more than *m hundred dollars ($500).); U 1. as owner of the property, or my employees with wages as their sob compensation, will do the work, and ftia *acture is not intended or offered for sale (Sec. 7044, Business and Professkms Code: The contractors! State license Law does not apply to an owner of property who builds or Improves thereon, and who does the work himself or herself or through his or her own ampbyees. provided Gnat 1M improvements ani not intended or offered for sale. If, however. the buAQlp or Improvembnt Is sold within one year of completion, the owner-buDder will have the burden of proving timet he or she cid not build or Improve for the purpose of sale.). U 1. as owner of the property. am exclusively contracting with licensed contractors to construe the project (Sea. 7044. Business and Professions Code: The Contractors! State License Law does not appy b an owner of property who builds or improves thereM and who contracts ler the protects with a controctor(s) loansed pursuant to the contractors' State License Law.). U I am exempt under Sea . BA PA. for this mason Date Owner. _ WORKER$' COMPENSATION DECLARATION I hereby affirm under penalty of perjury ora of the following dedamtlons:, I have and will maintain a cerifioate of consent to self4rmn for workers' compensation, as provided for by Section 3700 of the Labor Code, for to pafomnanoe 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 pedo mance of the work for which Us Pw* Is My ' oomgensation.insurence caller and poi y�ymber are: Cartier P ' u gi. Policy Number //le _ I certify that; in the performance of the work for which this pertNt Is issued. I shall not employ any person in any manner so as to become subject to the workers' conpensadon taws of Caftnta, and agme that lf1 should become subject b the woftW compensation provisions of Section 3700 of the Labor Code. 1$1189 comply with those Provililans. r7/4 Date Applicant WARNING: FAILURE TO SECURE WORKERS- COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES LIP 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 ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY I hereby affimn under penalty of perjury that them Is a construction lending agency for the perbw ence of the work for which this permit is Issued (Sec. 3097. Civ. C.). Landers Name Lenders Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application Is hereby made to the Director of Building and Safety for a permit subject b the conditions and restrictions set forth on Ws application. 1. Each person upon whose behalf this application Is made. each porton at and for whose benefit work Is performed under or pursuant b any pwd issued as a result of this application, the owner. and the sppUcant each s , and . defend, Indemnify and hold harmless the City of Le Ouinta, Its officers, agents and employers for any act or omission related b thework under or following issuance of this permlL 2 Arty permit Issued as a result of this application becomes null and void K not, wtthin 190 days from date of Issuance of such permit or cessation of work for 180 days will subject permit to cW494tion. 1 certify that 1 have raid this application and state that the above inf on Is b with all city and county ordinances and state laws rate" to building eonstruictjgn, of this county upon a ab (7�, s -me nerd property ler inspection purposes. 7auttotmropresentalives Date j Signature (Applicant of Agent): Application Number . . . . . 04.-00006338 Page 2 Date 9/16/04 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 ---------- 282.00 -------------------- .00 .00 282.00 Plan Check Total 142.50 .-00 .00 142.50 Grand Total 424.50 .00 .00 424.50 • I* s SPECIF1�A.T:GNS I 0 w il r t A Y I! 1 92-0• 'rit CAM AT A 1-� i r Jf+y`fy • � � �� V l ■ .t q -. C 24 �Id�WSM ! 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DATE DRA3Mv Y SOLD SY C111*CKED 8 ' E VI I i DA 1' A RPECJ" FEE - I R�THEAP JO1RD ARE 1 r� "SELECTIONS cl ON T U TIN AUTHO I A ON - DEM MOM --�--� uu SIGNATURE 9 �1 C� 1?Li'K Drainage and air-igotion far �I n#�br d pats, bi 4'ftf.-1'I 4�i 1 1 'k � ..6b- .-I- .Ii►I..,.r:as-j%6A.e c� v A— J