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04-6836 (RPL)` BUILDING.& SAFETY DEPARTMENT r. w� P.O.. Box 1504 (760).7.77-70.12 pF•9 78-495 CALLE TAMP.ICO FAX (760) 777-7011 LA QUINTA, CAIjFOPNIA.922.53 INSPECTION REQUESTS (760) 777-7153 BUILDING: PERMIT Application Number 04-00006836 Date 10/19/04 Property. Address.._ 43179 CORTE DEL ORO ..APN: 609-380-997-10 -293233- Application.description:. POOL. -.RESIDENTIAL Property Zoning . . . . LOW DENSITY RESIDENTIAL Application valuation. 18000 Owner Contractor -LENNAR HOMES OF CALIFORNIA CALIFORNIA POOLS & SPAS, 78401 HIGHWAY 111, STE C P.O. BOX..1280 LA QUINTA, CA _COACHELLA CA .92236 LA QUINTA. CA 92253. . (76.0) 398-9222.. WCC ..STATE -FUND' . FUND.. WC: - -0460006116.8'01/01/05 CSLB.: 656128. 10/31/0.4. 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'.00 9.0000 EA MECH FURNACE <=1.0.0K 9.00 Permit BLDG POOL PERMIT Additional.desc.: Permit Fee 189.0'0.'Pla==ne Che.ck__Eee_ 122.85 Issue. Date Val'uation'-18000 Qty Unit ' Change. Per ��;,�i� �, .:Extension BASE FEE y 45.00 16'.00' 9.0000 THOU BLDG 2, 001-25,,0'00 144.00 --------------------------------------------- -'---- ----------- Permit ELEC POOL PERMIT -RES L ---------- - Additional desc Permit Fee .45.00 Plan Check Fee 1.1.25 Issue bate 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 t . '• P.O. BOX 1504 � � VOICE (760) 7.77.7012 7$•495 CALLS TAMPICO FAX ('760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION$.(760) 777-7153' BUILDING cit SAFETY DEPARTMENT Application Number. Date: . Applicant: Architect or Engineer 'Applicant's Mailing Address: Architect or gi. t' dress: ' Uc. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty oI perjury Met I am licensed under provisions a Choplar 9 (commencing with Sec5on'7000) of DMsl6n 3 of ahe-Business and Prb%ssionak Code. and my Is I full force and.effecL License Class L=- 53 Li err" No. tip DateI. cwtr'ctor�Aak4e_g,4CA ezk. OWNER$dIWFR DECLARATION 1 hereby affirm under penalty of perjury flat. 1 am Wom pt from the Contractors' State Llosnse law for the foNowkq reason (Sec, 7031.5. Busitms'and Professions- Any city or county that requires a permit to construct after. Improve. demolish, or.mpak any atruclum prior to its issuance. also requires the ap*anl for ane: pe n* to flea signed statement that he or she k licensed pursuant to the provisions of the contrat'6onf' State License Law p=pter 9 (Commencing with Section TM) of DMsion 3 of In Business and Professions Code) or that he or she. k exempt therefrom and the bass ler In alleged azenption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil. penalty of not more than five hundred dollars (M).r, U I. as owner of the property.,or my si ployese with wages, as their sole compensation, YA do the watt, and the structure Is not Intended or offered for sale(Seo. 7044, Business and Professions Code: The' Cwttractore State License Law does not appyto an ownerot property who builds or krproves therem and who does the work hlnseff or herseN or through his or her own employees, provided that the improvements am not intended or oNeed for safe. It; however. the building or Improvement k " sold within oyear of comhplegon, the owrtner buildw will have too burden of proving that he die e did not bund or improve for the purpose of sale.). • (, I. as owner of thne e property. am exckWyely contracting with licensed contractors to construct the.pmleet (SeG 7044. Business and Professions Code: The Contmoors' State License Low does not appy to an owner of property who bunds or Improves thereon, and who contracts for the projects with a contractor(s) roensed pursuant to the Contractors` State License Low.). (.) 1 am exempt under Sea B.6 !!A- for this reason - Date Owner • WORKERS' COMPENSATION DECLARATION . I hereby ofrvm under penalty or pelury one of the Wowing declarations.. — .,have'and.wlll malydain a certlRcete of consent to self -Insure for woekeW cor. castton, as provided for by Section 3700 of the Labor Code. for-** performance . Of the work for which ids permit Is Issued.. I have and will maintain workeW compensation knsuranoe. as reacaired bySecWn 3700 0(#w Labs Code. nix M» per(orirnance of the oak fol which this pertrdt k sued My don.Isurance carrier and l.cettify That I the pedwmanee of the work for which this ppmdtls Issued. I shall not employ any person I any manner so as to become sublect b the workers' corrpensatlon laws of California. and agree that 9.1 should became aublect to ane workers' compensation provisions of Seciion 3700 of the Labor Code. I shad kdtn th comply with those pvYwarks. Date 0 021 Applicant WARNING: FAILURE TO SECURE WORKERS' C014PENSATION COVERAGE IS UNtAWFuL, AND SHALL. SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ('5100.000), INADDITION 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 artimn under penalty of perjury that trere is a construction lendicg agency for the Wo mance of the oak for which thimi permit k issued (Sec 3097. CN. C.). Lenders Name. Lendoes Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application Is thereby made to the Director of Building and Safety for a mal subject Io the conditions and restrictions set forth on ads appticsook 1. Each person upon whose behalf this application Is made. each a request and for whose beneat rock Is perfomned under or pursuant to any permit Issued as. a result of this application, the owner. and the applicant, ach ogees b, and shall, defend, indemnify rand hold harmless the C y'of Lo Q*". its of ioers, agents and employees for any act or omission related rVork Wormed under ori following Issuance of this Pernik 2. Any permit Issued as a result of this application becomes nu181 d tit wt rk not commenced wttdn.180 days" date of issuance of such permit or cessation of work for 180 days will subject'pemmbt to canoenatlon i certify that I have read this application and state that the above Information agree to comply with at city and county ordinances and state laws.retating to building constnrctiom and hereby authorize representatives of this county enter the a toned property for inspection purposes. Date /OW /6� Signature (Apptkant of Agent): Page 2 Application Number . . . . . 04-00006836 Date 10/19/04 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 ---------------------------------------------------------------------------- Special Notes.and Comments POOL & SPA ONLY. BBQ ANSI Z21-58-1995. 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 291.00 .00 .00 291.00 Plan Check Total 148.35 .00 .00 148.35 Grand Total 439.35 .00 .00 439.35