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05-1772 (RPL).o CO P.O. BOX 1504 . f j o 78-495 CAI:LE TAMPICO LA QUINTA, CALIFORNIA 92253 T4t(t 4 e(P Q" Application Number: C 05-00001772 Property Address: 46370 CAMEO PALMS DR APN: 643-182-026-3 -2043 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 18000 Applicant: Architect or Engineer: - FMAY i aDS BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: CHESTER JIM 46-370 CAMEO PALMS DRIVE LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: FAMILY POOL CONSTRUCTION WCC: STATE FUND WC: 1344032-2005 03/01/06 CSLB: 658996 11/30/06 Date: 5/10/05 - ---T--- CUYOFLj A_4-------------------------------------------------------------------------- '.vranl.t ICENSED CQNTRACTOR'S DECLARATION I hereby affirm under pen �! of penury d under provisions of Chapter 9 (commencing with coon 7000) of Difiiq;3�the Businessland Professionals Code, and rrwTcense is in full force and effect. Licenses: Lj ! ! License No.91 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that Ilam exempt from the Contractor's State License Law for the following reason ISec. 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).: (_ 1 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 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.). (_) 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.). (_ 1 I 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 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 issued32­006r My workers' compensation insurance carrier and policy number are: /2i % q0 3 Z ­ .G7 6 Carrier C53-HIC Policy Number ! C/r J _ 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 t come sub'ect to the workers' compensation laws of California, and agree that, if I should bec ect to the workers' compensation provisions of Section 3700 of the Labor Code, - f rthwith comply with those provisions. Xe. Applicant: WARNING: FAILURE TO SECURE WORKERS'OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL IES 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. 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 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 thea ' v ormation is correct. I agree to comply with all city and county ordinances and state laws relating to bui construction, and hereby authorize representatives of this u ty t en r upon the above-mentioned pro rty 'n ection purposes. 0 1 Signature (Applicant or Age Application Number . . . . . 05-00001772 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 189.00 Plan Check Fee 122.85 Issue Date . . . . Valuation . . . . 18000 Expiration Date . . 11/06/05 Qty Unit Charge Per Extension BASE FEE 45.00 16.00 9.0000 - ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 144.00 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/06/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 ---------------------------------------------------------------------------- EA MECH FURNACE >100K 11.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/06/05 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 7.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/06/05 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 INCLUDED IN PERMIT. Fee summary Charged --------------------------- Paid Credited ------------------------------ Due Permit Fee Total 293.00 .00 .00 293.00 Plan Check Total 148.10 .00 .00 148.10 LQPERMIT Application Number . . . . . 05-00001772 ---------------------- Special Notes and ----------=--- Comments ----------- ----------------------------- INCLUDED IN PERMIT'. Fee summary ----------------- Charged ---------- Paid ---------- Credited Due ---------- Permit Fee Total 293.00 293.00 ---------- .00 .00 Plan Check Total 148.10 148.10 .00 .00 Grand Total 441.10 441.10 .00 .00 LQPERMIT v 0. pial "/ 9uilda io b&4 G 8 r ❑ o 2� J/ I GtifSTEP e, 46310 Came" PO/M5 Olive La Wlhia Cons truc' P00% �pa� r0uda1,n9 -C7GO�G4 3G�� Wel A RE -INSPECTION FEE OF $30 WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. NO EXCEPTIONS! CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCT f1N