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04-6510 (RPL)BUILDING & SAFETY DEPARTMENT P.O.—Rol 1504 , lyy l,, 1 (760).777-7012 ��►rpF�-��f� 78 49CAt[E TAMPICo FAX (760) 777-7011 �LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT .Application Number. . . . . 04-00006510 Date 9/29/04 Property Address .51345 CALLE RONDO APN: 770-171-014-151 -000000- Application description POOL.= RESIDENTIAL Property Zoning . . . . . LOW-DENSITY RESIDENTIAL Application valuation . . . . 15000 Owner Contractor TUVELL MARK F MTB INC. 72850 SOMERA RD 50855 WASHINGTON ST STE 149 PALM DESERT. CA 92260 LA QUINTA CA 92253 (760) 272-6044 WCC: STATE FUND WC: 1795095-2004 .08/01/05 CSLB:. 838089 05/31/06 CCC: B -------------------------------------------------=-------------------------- 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 . . . . . BLDG POOL PERMIT Additional desc Permit Fee 162.00 Plan Check Fee 105.30 Issue Date . . . . ''Valuation . . . . 15000 Qty Unit Charge Per Extension BASE FEE 45.00 13.00 9.0000 THOU BLDG 2,001-25,"000 117:00 - --------------------------------------------------------------------------- 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 P.O. Box 1504 �/,/��� 78-495 CALLS TAMPICO �If� VOICE (760) 777-7012 .4 4 QUINTA, CALIFORNIA 92253 LA FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: .� — S% Date: Applicant: Architect or Engineer: Applicant's Mailing Address: Architect or Engineer' dress: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I h reby affirm under penalty of perjury that I am licensed under rovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals I and my License is in full force and effect. License Class 13 L/ ;cense No. contractor A4 / L.✓G 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).): U 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. , BA 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 workers' compensatio . rance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation ' rance carrier and policy �number are: Carrier �fl±7 - ,Ct>..//� Policy Number 1 7 "t S—D4 r—Z40CD4 _ 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 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. i ,,,�.te plicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGEIS NLAWFUL, 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.). Lenders 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 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 cored. I agree to comply with all city and county ordinances and state laws relating to building construction, and h�authloldzetatives of this countyto enter upon the above-mentioned pro rty for inspection purposes. Date licant or Agent): tL +4 Vet � Page 2 Application Number 04-00006510 Date, -9/29/04. ----------.-----------------------------=---------------- Permit . ------- . . PLiJMBING =------------ Additional desc .. 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 ------------------------------------------------------------------------------- Special Notes and Comments POOL & SPA. ALARMS BARRIERS.SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid CreditEd Due Permit Fee Total 264.00 .00 _00 264.00 Plan Check Total .130.80 .00 _00;. 130.80. Grand Total 394.80 .00 _00 394.80 51-3415) CLLE RONDO A LA QUII[�,,� A7 CA 92253 770-171- 0 1 4i LOT #151, DESERT CLUB -1 RACT, UNIT #5 0 _j CL LU V11`141CUINITY IVAP RIMMUNISHM 0 0" LLJ I—NEW 6--0" H. "H BLOCK '''ALL 5. GAL MULTI TRUNK nnccnLLLTc w X: BLOO WAI 0 0 N PLANS PREPARED BY: MARK TUVELL (760) 272-6044 Avpt,iinA TnRRFS AVENIDA NUESTRA RUN A HL-MFLU11UN FLL OF $JU MULTI TRUNK WILL BE CH MESQUITE I CHARGED IF THE APPROVED MESA ITE 4 PLANS ANbJdB CARD ARE NOT ON AL iNH±=±BE=:A 1f:BiJL E D CURB PALM SPRINT S INSPECTION. 210 - COLD GROUND COVER NO EXCEPTIONS! IQ /7r 3,46- 5 CALLE rR 0” Ple D 0 2, e? AoLoy�,d �b Data Peso # • Planning Commission • City Council Community Dev, Dept. Case No. Exhibit 0 With Conditions BUILM'NIG T. FOR Ox I DATE _ I APPROACH REQUIRES DRIVEWAY A SEPARATE PERPTI AND INSPECTIOIJ FROM CITY Or LA QUINTA PUBLI,.- WORKS DEPARTMENT GENERAL NOTES SHEET: , 00302 A DATE: 09-28-04 SCALE: 4„--1,-®„ POOL PLAN F Avpt,iinA TnRRFS AVENIDA NUESTRA RUN A HL-MFLU11UN FLL OF $JU MULTI TRUNK WILL BE CH MESQUITE I CHARGED IF THE APPROVED MESA ITE 4 PLANS ANbJdB CARD ARE NOT ON AL iNH±=±BE=:A 1f:BiJL E D CURB PALM SPRINT S INSPECTION. 210 - COLD GROUND COVER NO EXCEPTIONS! IQ /7r 3,46- 5 CALLE rR 0” Ple D 0 2, e? AoLoy�,d �b Data Peso # • Planning Commission • City Council Community Dev, Dept. Case No. Exhibit 0 With Conditions BUILM'NIG T. FOR Ox I DATE _ I APPROACH REQUIRES DRIVEWAY A SEPARATE PERPTI AND INSPECTIOIJ FROM CITY Or LA QUINTA PUBLI,.- WORKS DEPARTMENT GENERAL NOTES SHEET: , 00302 A DATE: 09-28-04 SCALE: 4„--1,-®„ POOL PLAN F V i MARK TUVELL BUILDERS 50-855 WASHINGTON ST. #149 LA 0UHN-TA7 CA 92253 PI-IMNIE/FAX: (7G1) 772-0004 CELL: (760) 272-GO44 SANITA FE Hf.CIEND1. 51-3;15 CALLE RON DO [J, QUIN!TA, Ct-,,, 92253 PROTECT: SHEET: , 00302 DATE: 09-28-04 SCALE: 4„--1,-®„ POOL PLAN