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04-7149 (RPL)C&lf 4 44�rw P.O. Box 1504 '78-495 CALLE TAMPICO ` LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT Application Number . . . Property Address APN: Application description Property Zoning Application valuation Owner SCHENKMAN TRUST C/O GEORGE &JUDY SCHENKMAN 53540 AVENIDA VILLA LA QUINTA CA 92253 BUILDING & SAFETY DEPARTMENT (760),777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 04-00007149 Date 11/09/04 77890 CALLE,COLIMA 774 -093 -024 -12 -000000 - POOL - RESIDENTIAL COVE RESIDENTIAL. 16000 Contractor TORRES. CONSTRUCTION, A.O. 81900 AVENUE 52, #30 INDIO CA 92201 (760) 772-2848 WCC: STATE FUND WC: 176906703 12/01/04 CSLB: 55.0498 12/31/04 CCC: B ---------------------------=------------------------------------------------ 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 . . . . 171.00 Plan Check Fee : 111.15 Issue Date . . . . Valuation 16000 Qty Unit Charge Per BASE FEE ��uJ 14.00 9.0000 THOU BLDG 2,001-25,000 -----------------------------------t�- -----16------ Permit . . . . . . ELEC POOL PERMIT -RES Additional desc U:-17(717' :-1 (7 777,7Eu Permit Fee. 45.00 Pln .0 aheck Fee Issue Date . . . Valuation . . . . I ;Extension 45.00 126.00 --- --------- 11.25 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 P.O. Box 15044 �� VOICE•(760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: y�7l�- I Date: it- 1(o -o4 Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Ad r s: Lic. No. - BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pedury.that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class License No. Date Contractor 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 Code: 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'imprcivements 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.). 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 r improv s 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. , B.BA.0or this reason �e �% ner- WORKERS' COMPENSATION DECLARATION rjury one of the following declarations: n a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance h this permit is issued. . n workers' compensa 'on insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is compensa ' ce carrier and policy number are: olicy Number forrimance of the work for which this permit is is�ped, I&hall not employ any person in any manner so as to become subject to the workers' of California, and gee that, if I shout ecopje sub' to the workers' compensation provisions of Section 3700 of the Labor Code, I shall h those provisio0s I hereby affirm under penalty of pe I have and will manitai of the work for whic _ I have and will mairitai issued. My workers .. A,�Carrier I ✓ I certify that, in the be compensation la, forthwith comply WARNI G: /FAILURE TO SECURE WORKERS' COM NSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND D LLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE; INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY 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 an void if work is not co enced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellati certify that I have read this application and state that the above info n is corrJV!� and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county t e r upon thepection purposes. Date l �� ignature (Applicant or Agent): tea'\ Page 2 Application Number . . . . . 04-00007149 Date 11/09/04 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 ----------------------------------------------------------------------------- Permit . . . . . . WALL/FENCE PERMIT Additional desc Permit Fee . . . . 81.00 Plan Check Fee .00 Issue Date . . Valuation . . . . 5250. Qty Unit Charge Per Extension BASE FEE 45.00 4.00 9.0000 THOU BLDG 2,001-25,.000 36.00 --------------------------- ------------------------------------------------ Special Notes and Comments POOL & SPA. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. 210 LF 6' BLOCK WALL PER CITY STND. Fee summary Charged ----------------- ---------- Permit Fee Total 354.00 Plan Check Total 136.65 Grand Total 490.65 Paid Credited Due ---------- ---------- -------_-- .00 .00 354.00 .00 .00 136.65 .00 .00 490.65 v� I -INSP CTION FEE OF $30 WILI BE CHARGED IF THE APPROVED PLANS AND IOB CARD ARE NOT ON 6' THE SITE FOR A SCHEDULED INSPECTION NO EXCEPTIONS! CITY F LA UINTA BUILDIN & SAF DEPT. AP RO ED v� q FOR C NSTR J CTION DATE l l I gY 1, c CA [l c Co Lran � •- f r WA-IJ4 1,7