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05-0814 (RPL)Tdf 504 LE TAMPIC.O CALIFORNIA 92253 BUILDING PERMIT APN: Application description . Property Zoning . . . . . Application valuation.. . 10. !', MARGULEAS YOUNG HOMES C/O AVAIL PROPERTY MGT P 0 BOX 1032 PALM DESERT CA 9.2:261 BUILDING & SAFETY DEPARTMENT (760)_777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-71.53 0'5-00-000'814 Date 3/10/05 81802 COUPLES CT 764-0.60-047- - - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 18000 Contractor CALIFORNIA POOLS & SPAS P.O. BOX 1280 COACHELLA . CA 92236 (76,0) 398-9222 WCC: SEABRIGHT INS WC: BB105.0510 01/01/06 CSLB: 6561-28 1:0/31/06 CCC: C8 -C27 -C29-05.3 Permit . . . . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 15..00 Plan Check Fee 9.75 Issue Date . . . . Valuation 80 Qty Unit Charge Per Extension BASE FEE 15.00 ----------------------------------------------------------------------- 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 9.00;00 EA MECH FURNACE <=100K 9.00 Permit . . . . BLDG POOL PERMIT Additional desc . Permit Fee 189..00 Plan Check Fee 122.85 I-ssue Date Valuation 17920 Qty Unit Charge Per Extension BASE FEE 45.00 1,6..00 9.0000 THOU BLDG 2,001-25,000 144.00 Permit . . . . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee 45.00 Plan Check Fee 11.25 P.O. BOX 1504�� VOICE (760) 777-7012 Titf 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 922"53 INSPECTIONS (7,60) 777-7153 BUILDING &, SAFETY DEPARTMENT Application, Number: % Date: 3 : Applicant: Applicant's Mailing Address: Ll p N _ 9,A &TDP - Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm underpenalty of perjury that11 am licensed un visions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals erode„and`my Licens in I rce andseffect. // ['�-/ / (+� o� License Class '� 7 L ae oto O/ b/ 2 d ,i”' hJ C -� Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penaltyof perjury that,l am exempt from the Contractors' State License Lawforthe following reason (Sec., 7031.5, Business and Professions Code: Any city or county that requires a permit -to construct, alter, improve, demolish, or repair any structure;:prior to its issuance, also requires ft applicant for the permit to file a signed statementthathe or she'is licensed pursuant tolhet 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,pernit subjects theapplicantto a civil penalty of not more than five hundred dollars($500).): U I, as owner of the property, or myemployees with wages as thairsole 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 town 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 notintended 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 oto 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty.of.perjury one of the,foliowing,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 mainton workers' compensation insuranc , as required by Section 3700 of the Labor -Code, for the performance of the work for which this permit is My work 'compensation insurance ca employ any person in any manner so as to become: subject to the workers' compensation laws of California; and agree:th 1,sh uld, become subject to the workers`oompensation provisions of Section 3700 of" Labor Code, I ishall / forftAdh comply with those provi • s.. [�t6 S L �S F.pplicant. WARNING: FAILURE TO SECURE WORK S' 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 3708 OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEES., CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury thatthere is a construction lending agency for the performance ofthe'work1or which this permit is issued (Sec. 3097, Civ. C.). Lender's Name n ! A_ Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application Whereby made todhe Director of;Building,and Safety for-arpenmltsubject.to the,conditions and.restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person st:whose request and for whose benefitwork 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 Quints, 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 vo A is not commenced within 180 days from date of issuance, of such permit, or cessation of work -for 180 days will subjectpermit to cancellation. certify thatl have read this application and state that the above"inf ation;is, tegree to comply with all city end county ordinances and state laws relating to building c-ons/truc2tion, and he by authonze`representatives of this county a ter upo b ve-mentioned property for inspection purposes. l38te ✓ r 3 Signature (Ap licant.or Agent . P 9 Page 2 Application Number . . . . . 05-00:000814 Date 3/10/05 Issue Date . . . . 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 . . 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. 0,0.0 0 EA PLB'. FIXTURE 12.00 1.00 3.0,000 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. BBQ A14SI#Z21-58-1995. FIREPIT 4.96 AGAL. 5 L.F. 4' BLOCK WALL CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT.. Fee summary Charged Permit Fee Total 306.00 Plan Check Total 158.10 Grand Total 464.10 Paid Credited Due .00 .00 306.00 .0-0 .00 158.10 .00 .00 464.10