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04-5401 (RPL)Taf�F�Q�ra BUILDING & SAFETY DEPARTMENT _P.O. Box 1,504 (76-0).777-7012 ) . 78-495 CALLS TAMPICO FAX (760777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 -USd 5 2004 CITY OF LA Q.UINTA FINANCE DEPT.' BUILDING PERMIT Application Number V 1 -504_-:_0�6008401 Date 7/09/04 Property Address .,-4-6-4 2-9-R OAjDRUNNER LN APN: 649-052-014-19 -266-,-, Application description POOL - RESIDENTIAL Property Zoning LOW DENSITY RESIDENTIAL Application.valuation . . . 13039 Owner 5.Contractor ------------------------ REYES JAMES.ROBERT ------------------------ OWNER 46-429 ROADRUNNER LN LA QUINTA. ..CA, 9225.3 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-7-7 - - - - --- - --- - Permit MECH POOL. Additional d.'e s c. 24..00 Plan -Check. Feei 6.00 Issue Date. Valuati,o"n 0 Qty Unit Charge. . Per Extension BASE FEE _15. 00 1.00 9.00.00 -------------------------- EA MECA FURNACE <--100K 9.00 Permit, -------7 - - - - - - - - - - - - - - - --- - - - - - BLDG POOL PERMIT - - - - - - - - - -- Additional desc* Permit Fee 153.0-0..: Plan Check Fee 99.45 Issue Date Valuation 13039, Qty Unit- Charg6 Per Extension BASE FEE '45.00 12.00 .9.0000 - - - - - - - - - - - - THOU BLDG 2,.0-01-25,000 108.00 7 - - - - - - 7 - - - - Permit - - - - - - - - --- - - - - - - - 7 - --- - --- - - - - - - - - - - - - - - ELEC POOL PERMIT -RES --- - - - 7 Additional desc Permit Fee. 45.00 Plan Check Fee Issue Date Valuation 0 - Qty '-Unit Charge Per Extension BASE FEE 15.00 .1-.00 30.000.0 - - - - - - --- EA ELEC: PRIVATE SWIMMING'POOL' . 30.00 .7 7 --- - --- - - - Permit - - - - - - - - - - - - - - - - - - - - - - - 7-7 7 - ------- PLUMBING - - - - - - - - - - - Additional desc Permit Q Fee U -i 0'0 Plan Check Fee 6.75 -USd 5 2004 CITY OF LA Q.UINTA FINANCE DEPT.' P.O. BOC 1504 • '�C,�� 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: ao,/ Applicant: Applicant's Mailing Address: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: Architect or Engineer: Architect or Engineer'st1ress: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 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 Code, and my License is in full foresand 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 �Ipplipnt to a civil penalty of not more than five hundred dollars ($500).): , 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 aces 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 contractors) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. BA P.C. for this reason Date gl5hv Owner Gym LW-OR� =OMPENSATIONAAON 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 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: Cartier Policy Number _ I certify that, in the perforhance 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 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 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 Lenders 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, indemnity 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 the above information is correct I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date g s oy Signature (Applicant or Agent . Page 2 Application Number .04-00005401 Date 7/09/04 Issue Date . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE _ 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 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 ONLY. ALARMS/BARRIERS SHALL BE IN. PLACE PRIOR TO PREPLASTER INSPECTION. Fee summary Charged Paid Credited Due Permit Fee Total 249.00 .00 C0 249.00 Plan Check Total 123.45 .00 CO 123.45 Grand Total 372.45 .00 Co 372.45 OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/ Builder" you are the responsible pasty of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law" to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you -should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your -immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an'employer, you must register with the -State and Federal Government as an ernploper.and you are subject to several obligations including State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Adminstration). For more specific information about.your 6ligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Own_r/Builder" building permit, erroneously -implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensedcontractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY .78-495 Calle Tampico La Quinta, CA 92253. , (760) 777-7012 FAX (76;9L777-7011 OVIAR'S SIGt,1ATURE/DATE 4a - 4A.$2C­--1A cit 9.7-7,53 PROPERTY ADDRESS PERMIT NUMBER(s) I s 0 New self-closing and self -latching device installed on existing gate with the release mechanism located a minimum I CITY OF LA C�L11�1TA of fifty-four inches (54") above grade. BUILDING & SAFETY DEPT. APPROVED FOR COINS-FRUC;TION 01 � I I DAT[________- I _ f 1 I I I � I I I 1 E i 1 I 1 R L------------------------------------ - - - - - - - - - - - --------- 60 - --� °-011 A RE -INSPECTION FEE OF $30 WILL BE CHARGED IF THE APPROVED PLANS AND )OB CARD ARE NOT ON ROADRUNNER L THE SITE FOR A SCHEDULED INSPECTION. N0 7LnCEP 1011! Site Plan Scale: 1/4" = 1'-0" Revisions O O N -V N U d