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05-2580 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: ©wl4 e 05-00002580 77170 CASA DEL SOL 773-360-006- - POOL - RESIDENTIAL. MEDIUM DENSIT:Y.RES 18000 Architect or BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ---------------------------------------------------- LICENSED.CONTRACTOR'S DECLARATION I hereby affirm, nder penalty of perjury that I.am,lloensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and'Professionels Code, and'my License is in dull force and effect. License Class:. License No.: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm.under penalty of perjury that 1 am.exempt from the Contractor's,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 signed statement that he"ohshe is Licensed pursuant .tothe provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000Yof 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).: (_) I, as owner of the.property, or my employees with wagesas•their able 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,himseff"or herself through'his or her'own,employees, provided that the improvements are not intended or offered1or sale. If; however, the building'or improvement is sold within oneyear 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.). 1. ) I,, as owner of the property, am exclusively contracting With licensed contractors to constructthe 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.). 1—) I,am exempt uniderSe"c.. : S.&P.Crfo?this reason V Date: ,771-14-!5 cONSTitucn N LENT AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performanceof the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: THOMAS J. BRANNIS TRUST 5,26 JOHN STREET MANHATTAN BEACH CA MANHATTAN BEACH CA 90266 Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-70.1.1 INSPECTIONS (760) 777-7153 Date: 6/24/05 WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following:declarations: _ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as°provided for by Section3700•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 required by Section 3700 of the,Labor Code, for the. performance of the work for whim this permit is issued. My°workers' compensation insurance carrier and policy number are: Carrier ----------------------- Policy Number I certify that, in the performance of the work for which this permit is°issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I shouldb ome subject to the cera' compen§ation.provisions of Section J 7 f the Labor. Code; I all forthwith Zrt .those:provisiort Dater // •/°' rent: WARNING: FAILURE FAILURE To SECURE WORKERS' COMP NSATION COVERAGE IS UNLAWFUL, AND 'SHA LL 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 3700 OF THE LABOR CODE; INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building; and Safety for a permitsubjectto.the conditions end. restrictions set forth on this application. 1. Each person upon whose behalf this application i&m,ade, each person at whose request and for whose benefit work4s.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 Ouinta, 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 vold'if work1s not commenced within 180 days from date of issuance of such permit, or: cessation of work for 180 days will subject permit to cancellation. 1 certify that -I have read this application and state that the -above information+hereby correct. I roe to comply with all city and county ordinances and state lawsrelating to WWIce etion,. aa orize representativesof _ "s counto. �er��upon,the above-memionmd props or ins ction purate: 2i5ignature (Applicant or Ag Application Number Permit . . . Additional desc . Permit Fee Issue Date Expiration Date . . . . 05-00002580 BLDG POOL PERMIT 189.00 Plan Check'Fee 122.85 Valuation_ 18000 12/21/05 Qty. Unit Charge Per Extension BASE FEE 4-5.00 16.00 9.0000 THOU BLDG 2,001-25,000 144:00 Permit . . . MECH:POOL Additional d_esc . Permit Fee . . . . 26.0.0 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/21/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000EA MECH FURNACE >100K 11.00 Permit . . . E_LEC POOL PERMIT -RES Additional desc . . Permit Fee 45.00 Plan Check Fee 11:25 Issue Date Valuation 0 Expiration Date 12/21/05 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 8.225 Issue Date . . . . Valuation . . . . 0 .Expiration Date . . 12/21/05 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 LQPEmre Application Number . . . . . 05-00002580 -------------------------------------------------------- Special Notes and Comments BE IN PLACE PRIOR'TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due Permit Fee Total 293.0.0 .00 .00 293.00 Plan Check Total 148.85 .00 .00 14.8.85 Grand Total 441.85 .00 .00 441.85 LQPE "4 f CITY OF LA QUINTA SUB-CONTRACTO LIST , JOB ADDRESS 77" r 0 �(- S�� PERMIT NUMBER 0S -Z '190 OWNER T6� ��'"a^ 4S BUILDER OW ^161 This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "Un File", is not an acceptable response. .., :> trade / Class�ficat�on ;.;' Contrac or: r I x .. ::. State:Contra. or-'s,L�canse:; II ::: :-._ Workers:Coiri p ensation Insurance' ; . City Business license Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format. Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) BARTHWORK (C t21 Vs -(T-0 9 � C. -5 l j 3r 0 tV0n1&T0A4 0 3toox; i0-19$ 05 6k1b06 ewavlz C ` U0 FRAMING: 41:�t1 II STFiUCT STEEL {C-51) It I Z.TU�l,1 "D 1 „�l sc9�ne l - 3 I- 4�� Iii h a.l ' l os l &)e &&s -r w o ioW S l PLASTER (P«3%:: "1 UtGi-(dA1�(1 �.Ah� T(A�l�i1� ��3 ��1 3 U� ��il�� �� 9UC� �.d5' N#9�4IId� 1 �J L 007gi� . 74/04 00 1 & 10010101 bfu CT -09X# L.4##sC� I c'573 1231 �0�,tut7 Ndl Aa+1 oy( I I I I I I . . - A POOL ADDITION TO: T&B DEVELOPMENT 77-174CASA DEL SOL "FLORES DE. MONTANAS" LA QUINTA, CA 92253 t I I I I I 1 I II KEYNOTES II 1. NEW t7TIDLCOLORED0ONCAETESLA3 2 INTERIOR mm 3. POOLBIUP" 4. PROP9tT1rLDE & CONCRETE STEPS 6. DECORATIVESIM 7. WO DPM & SI0im 9. r COLORED CDNC: BALD 10. 21•Kr. LOWWAL WIRAGMEONTOP 11. UNDERWATERLOifFWM 12 CBMTLE CITY OF LA QUI'NTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DA �-240-fBy k k DRAWN BY: J. CONTRERAS DATE : sepame.., soon SHEET TITTLE.: SCALE DIMENSION SHEET FLOOR PLAN SECTION 4