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04-5739 (RPL)l' a Q��III BUILDING & SAFETY DEPARTMENT 1504 (760).777-7012 OFTl $ (7C8� 495 LLE TAMPICO FAX (760) 777-7011 2 LA Q11.1 TA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 CITY OF LA QUINTA F144 BUILDING . BUILDING PERMIT Application Number --,04-000.0-57-39 Date 7/27/04 Property Address . . . . . . 43707 CORTE DEL ORO APN: 609-600-040- - - Application description . . . POOL - RESIDENTIAL Property Zoning . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 20000 Owner LENNAR HOMES OF CALIFORNIA 78401 HIGHWAY 111, STE C LA QUINTA, CA LA QUINTA CA 92253 Contractor MACHIR DEVELOPMENT, INC. P.O. BOX 1685 LA QUINTA CA 92253 (760) 391-5300 Qty Unit Charge Per BASE FEE Extension 15.00. WCC: STATE FUND WC: 1061487 02/10/05 CSLB: 792681 03/31/05 CCC: ; B -C27-053 ---------------------------------------------------------------------------- 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`<=100K 9.00 ----------------------------------------------------------------------------- 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 . . . . . . ELEC POOL PERMIT -RES Additional desc Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation 0 Qty Unit Charge Per BASE FEE Extension 15.00. P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING &c SAFETY DEPARTMENT / Application Number: l/y — Applicant: Applicant's Mailing Address: Architect or Engi Architect or Lic. No.: BUILDING PERMIT DECLARATIONS Date: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commQncing with Section 7000) of Division 3 of the Business and Professionals Code, and m Liyensp� full force and effect. (i9C/O G / License Clas/sC =J . License No. 1 o Date G Contractor 4 PEV 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. 4 , BA P.C. for this reason 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 and will maintain workers' compensation insurance, as led by Section 3700 of the Labor Code, for the performance of the work for which this permit is M work ' cons tion insuranc n polic nu Rare: Cartier Z Y 11 Policy Num er _ I certify that, in the per(ormanctrof the work for ich this permit is sued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree tha , me subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall f rthwilh comply with those provis' Date Applicant WARNING: FAILURE TO SECU RKERS' CO ENSATI OVERAGE I UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OOL 100,000), IN A (TION 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 toSQmply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to-ny—the above men i n property for inspection purposes. Date Q Signature (Applicant or A 14 Application Number 04-00005739 Page 2 Date , 7/27/04 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. BBQ/FIREPLACE BY SEPERATE PERMIT. 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 ------ - --- ---------- ---------- 309.00 .00 .00 309.00 Plan Check Total 160.05 .00 .00 160.05 Grand Total 469.05 .00 .00 469.05 I POOL SIZE )�3g6EPTHJ YO S 'TO 3`bl TEMP NO FILTER NO AA 4 �a. SHAPE pZU� NO RETURN LINES ACCESS FT. FENCE MOTOR Pump PUMP N S HP LIGHT R� HEATER ELECTRICAL TILE GAS FT TILE DECKING /V/0 MACHI I)EV-1MOPMENT, INC. GCNCRA: I?00%;A, LDSCAPE TEL: 760i NAC:" Aw CONTRACTOR'#; B-.1 C= "27 792681 PERM POOL / 1 r PER SPA SQ FT POOL 2 SQ FT SPA �v POOUSPA NOTES b/f LOT TRACT JOB ADDRESS 43 707 ®R�e CITY PLAN `,113V y- , LANDSCAPE NOTES Ste€ S�cc CaITY CSF IA.QUINTA BUILDING & SAFE IFQjR %C��Y RUCTION I Y OWNER RES #: ' > OFF #: FAX #: