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05-0282 (RPL)BUILDING & SAFETY DEPARTMENT P.O. Box 1504 - F (760).777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number 05-00000282 Date 1/28/05 Property Address . . . . . . 812-61 RE.D ROCK RD. APN: 764-270-999-65 -300233- Application description . . POOL- RESIDENTIAL Property Zoning MEDIUM HIGH DENSITY RES Application valuation . . . . 17000 Owner Contractor ------------------------ ------------------------ SHEA LA QUINTA CALIFORNIA POOLS& SPAS C/O JEFF MCQUEEN P.O. BOX 1280 8800 N GAINEY CENTER. COACHELLA CA 92236 SCOTTSDALE Z 81 8 (760) 398-9222 FEB 011005we BB1INBRIGHT INS 0 5 0 510' 01/01/06 CITY OF 1"A UINTA CSLB: 656128 10/31/06 CCC: C8 -C27 -C29-053 ----------------------------7----------------------------------------------- Permit . . . . . . BLDG POOL PERMIT Additional desc Permit Fee . . . . 180.00 Plan Check Fee 117.00 Issue Date . . . . Valuation . . . . 16680 Qty Unit Charge Per Extension BASE FEE 45.00 15.00 9.0000 THOU BLDG 2,001-25,000 135.00 ------- -------------------------------------------------------------------- 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' 9.0000 EA MECH FURNACE <=100K 9.00 ---------------------------------------------------------------------------- Permit . . . . . ELEC POOL PERMIT -RES Additional desc Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . .. . Valuation . . . . 0 Qty -Unit Charge Per Extension BASE FEE 15.00 1.00 30-.0000 EA- ELEC PRIVATE SWIMMING POOL 30.00 ---------------------------------------------------------------------------- Permit ... . . PLUMBING Additional desc P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: ,j �S a Applicant: 19 Applicant's Mailing Address: 1• Date: ,,Z • /- O Architect or Engineer: Architect or Engineer's Adress: P4 Lic. No.. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals ode, and my Licen a is in f I force and effect. / License Class rise o_�� Xte r'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).): (--) 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. , B.& P.C. for this reason Date 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 w ers' compensation insu ce, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issu workers' pensatio, insurance ca er licy num r are: Cam Policy Num ' r 0,1 _ 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 tha • houid become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those p/rovisions. ate 2? D Applicant/ WARNING: FAILURE TO SECURE WORK RS' COMPS 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that th fe 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 Ouinta, its officers, agents and employees for any act or omission relatec 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 co agree to comply with all city and county ordinances and state laws relating to building Iconstruction, and hgreby authorize representatives of this county to enterupon abo ntioned property for inspection purposes. 'male �� Signature (Applicant or Age / Page 2 Application Number . . . . . 05-00000282 Date 1/28/05 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 . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 320 Qty Unit Charge Per. Extension BASE FEE 15.00 -----------------------------------------------------------------=---------- Special Notes and Comments POOL & SPA. 20 LF OF 4' BLOCKWALL PER CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. Fee summary Charged Paid Credited Due Permit Fee'Total 297.00 .00 .00 297.00 Plan Check Total 142.50 .00. .00 -142.50 Grand Total 439.50 .00 - .00 439:50 0 N I.. P: t% NAME WHITESIDE RESIDENCE STREET 4:'rt JOB ADDRESS -T1ZIL.0(,mt 10 TY [A LrR Q I J'rA • PHONE OFFICE RES, PAGE LOT 50(o5 TRACT�rBOOK _ MAP BOOK PAGE NO. CITY MAIL ADDRESS CONSTRUCTION OFFICE PHONE NO. SCALE )ATE DRAWN BY SOLD By F r - CHECKED BY JOB#..* 114 77 RrVISIONS DATE 2 -rA -CjTy-0E-L-A-Q1J1N BUILDING & SAFETY DEPT. w 3 APPKUvtu WR CONSTRUCTION w co 4 DATE A 14 13y, GAA w CONSTRUCTION AUTHORIZATION 0 SELECTIONS STONE ,s SALES DIG PRI__GtTNM'- tj,NDI'RGRO ND NIASONRY w w TILE BOULDERS,,,- r_�r X A R E: I INS P E C I I q� FEE OF $30 WILL R A R G ROVED PLANS AND JOB CARD ARE NOT ON DECK COLOR THE SITE FOR A SCHEDULED JAND Yf. it S P ff PEBB.7PLAS MCK SIGNATURE Drainage and irrigation for planters and pots, b DRAINAGE NOTE: others, unless otherwise noted. PRF -PI t%