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05-1840 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 � I Application Number: 05._00.001840 Property Address: 81124 RED ROCK RD APN: 764-270-999-155 -300233- Application description: POOL -. RESIDENTIAL .Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 17000 - T -4,`,t 4 4 Q" BUILDING & SAFETY DEPARTMENT . BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 :S- VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: L__` Applicant: Architect or Engineer: CALIFORNIA POOLS & SPAS WCC: SEABRIGHT INS WC: BB1050510 01/01/06 CSLB: 656128 10/31/06 --------------------IF/ -------------------------- LICENRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I ander provisions of Chapter 9 (commencing with Section 7000) of DiY ion 3 of the Bus' a andals Code, and ryy Ljce�i i� n full,{or and effect. Licen�se�Cla�/s': lam—'S License Ng/ /�l v tie: Contractor: ER P ILDER DECLARATION I hereby affirm under penalty of perjury that I amjN m t 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 a signed statement that he or she is licensed pursuant to the provisions of the Contractor's 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 through hisorher 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.). (_) 1, 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.). (_ 1 4 am exempt under Sec. , B.&P.C. for this reason Date: Owner: 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: LQPERMIT Date: 5/13/05 M Ay ----------------------------------------------- WORKER'S 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 required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: 2C27 /6_61_ 6 C29 C53 Polic Num r { Ei CL�4 CS7 ' _ I certify that, in the performance of the ork for which this permit is issued, I shall not employ any person in any manner so as to be e ' ct to the workers' compensation laws of California, and agree that, if I sho d ecom s ject to the workers' compensation provisions of Section 37JDO of the Labor C e, shall ort ith mply with those provisions. / fpplican WARNING: FAILURE TO SECURE RKERS'.CO ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL D 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. 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 commenced within 180 days from date of issuance of such permit, or cess ion o ork for 180 days will subject permit to cancellation. I certify that I have read this application and state that thea a informatio i orrect I agree to comply with all city and county ordinances and state laws relating to buil ' g nstruction, d h eb authorize representatives of thi ou y to �Gter upon the above-mentioned pro for insp/e/c#ion pu ose te: L5 ignature (Applicant or Ag t): 1 Application Number . . . . . 05-00001840 Permit BLDG POOL PERMIT Additional.desc . Permit Fee 180.00 Plan Check Fee ... 117.00 Issue Date Valuation 17000 - Expiration Date 11/09/05 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 . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/09/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K ------------------------------------L--------------------------------------- 11.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/09/05 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 8.25 Issue Date . . . Valuation . . . . 0 Expiration Date 11/09/05 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 BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT LQPERMIT Application Number 05-00001840 ---------------------------------------------------------------------------- Special Notes and Comments INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due Permit Fee Total 284.00 .00 .00 284.00 Plan Check Total 143.00 .00 .00 143.00 Grand Total 427.00 .00 .00 427.00 P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 C'ALLE TAMPICO LA QUINTA, CALIFORNIA 92253 August 26, 2005 Ms. Esther Sanchez Riverside County Assessor's Office 325.5 E. Tahquitz. Canyon Way, Suite 114 Palm Springs, CA 92262-6962 BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760) 777-7011 APN: #764-270-999-55, L Dear Ms. Sanchez: Please be advised of an address change for the following pool. The pool was incorrectly issued to.81-124 Red Rock Road, La Quinta, Permit #05-1840. The correct address is 81-141 Red Rock Road, La Quinta. Please make a note if this change. If I may be of further assistance; you may contact me directly at (760) 777-7074. Sincerely,. Therese Vella-Finorio Senior Secretary