04-3727 (RPL)w�
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n
BUILDING dt SAFETY DEPARTMENT
�, A�'�.8 ��415 � •
C � (760)777-7012
OF CIT1(VF'��fCeA;E T��MPIco FAX (760) 777-7011
12" NTA..S;.AbFORNIA 92253 INSPECTION REQUESTS (760)777-7153
BUILDING PERMIT
Application Number 04-.00003:727\ Date 4/27/04
Property Address 52825 CLARET COVE
APN: 770-330-008-44 -28867 -
Application description'. POOL - RESIDENTIAL
Property Zoning LOW DENSITY RESIDENTIAL
Application valuation*. . . . 18000
Owner Contractor
------------------------ ------------------------
CAPETZ ROBERT J CALIFORNIA POOLS & SPAS
42590 BRIGHTON. P.O. BOX 1280:
PALM DESERT CA 92260 COACHELLA CA 92236
(760) ' 398.-9222
WCC.: STATE FUND
WC: 04600061168 01/01/05
-
CSL
$: :`656;1.2.8` :' .10/31/04
CCC: C8-C27=C29-053-
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 . . 189.00 Plan Check Fee.. 122.85
Issue Date Valuation 18000
_,_Qty Unit :Charge Per Extension .
BA,SE.:..FEE :. 45.00
16.00. 9..0000 THOU BLDG 2,001-25,000 144.00
Permit ELEC POOL PERMIT -RES
Additional desc
Permit Fee 45.00 Plan Check Fee 11.,25
Issue'Dat.eValuation 0
Qty Unit Charge Per Extension
BASE FEE 15.00
.1100 30.0000 VA- ELEC PRIVATE SWIMMING POOL 30.00
P.O. Box 1504• �� VOICE (760j 777-7012
79-495 CALLE TAmrico FAX (760) 777-7011
LA QUINTA. CALIFORNIA 92253 4INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Or/— Date:
Applicant:
Appl'icant's Mailing Address:
Architect or Engineer.
Architect Or Eng'ineer's Address:
Lic. No.
BUILDING PERMIT DECLARATIONS
LXENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty ofperjury tug I am licensed under provisions of Chapbr 9 J(—. -nenci g w1M seclion 7000] of Division 3 of to Business and Rdessionals
and P111, I
License cucode. andm hrS Lloense No, tr'�10 �20
Dab- %'•C '� Carrtrsclor .
ON04E•R-11UILDER DECLARATION
I hereby affirm lender penalty d perjury riot 1 inn eurerrpl lronm tens Cortraciots' Stats Lloermse L sur for Ire tatowirq mason (Sac T031.6. Busnezt and Profsssbns CodE My
Cky or =NAY orad Levulinic a Pamir b CWft%KL aper. knprove. denmAd or repair ami sbuc*m prior to IIs issuance, afro requires are applicant for ria permk b Ila a signed
stabnmamt that he or she k fionenssd pmssuart b tens prOviclons d tme Contractors' Stale lioeeae law (CAapler 9 (Cortarmencimg wiri Section+ 7000) of Division 3 of ria Business
and Probsskma Code) or ihtt he or she k wwrpt rierdronm and the basis for the alleged acanp6pr. Any violation d Semon 7031.5 by any applicant for a pesrit subjects
the applicant b a cM pesky d eat mite tlmarm live Iwndred doiars %%10).x
(, j 1, as owner d the property. army employees with wages as treir sob conVeraaian, wit do the work and the rine is not kMaded or oft for tab (Sec 7044.
Business and Pedessaont Coda The Conkaobre Stab license Law does not apply b an owner of property who builds or =% oves tmnreon, and who does to work
himself or herself or taough his or her own em*yses. provided that the improvements we not amended or olfere0 br ask It. howeverthe buidng or improvement is
sold wit in one year d earmpletiorm, the ownsabuider wit haus the Orurdee d proving that he or she dd not build or improve for Mme purposed sat.}
as ow WN of the properly. am exdusivefy oorrtracfir g with licensed contractors b construct Ire project (Sec. 7044. Business and Professions Code: The Contactors•
Slob Uoense Law does eat appy b an owner d property who builds or improves tmsieom. and who wrmtrsds for are projects with a contractor(s) froensed pursuant to
the Camtraclow State Linxnse law.).
U 1 am exempt under Sec. BA P.C. for tis mason
Dab Owner
1 hereby affirm under penalty of perjury one of tw foiowing lip -cin rai 0 e:
_ 1 have and will maintain a eertit'rcate of consent b satirmwre for workers' compensation, as provided for by Section 3700 of the Labor Code, for to performance
d the work for which tris pa.. k issued.
_ 1 have . win maintain wakes' conmpenmatiorm irmsrxsnce. ss regmired by Section 3700 d the l abor Code, for the performance of the work for which Itis permit Is
Carrie u d rfu , canvernationP� carrier and poficY
• ber
— 1 6&Tq tmat into performance d tens work for whidm this permit is issued. l shall not employ any person in any mannerso as b become caged b Ire workers•
oonrpam sum caws of caiam ia, thaL g i should became .ub ea b the workers' corrpensation provisions of Section 3700 alto Labor code. )shalt
bfty lh comply with those
Date Z �� Applicant
WARNWG: 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 ($/00.000). IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CCOE. t4TEREST, AND ATTORNEYS FEES. .
CONSTRUCTION LEN01N1G AGENCY
1 hereby afrarn ander penalty of perjury ant Ihae is a construction lending agency for the performance at the work br which this pemrt Iq issued (Sec. 3097. Civ. C.).
Lrenders Name
Lenders Address
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby moo to the Director of Bulking and Safety for a permit subject to the conditions and restrictions set forth on itis application.
1. Each person upon whose behalf airs application is made, each person at whose request and for whose benefit work is performed under or pursuant b any permit
issued as a rest Of itis application, the owner, and the applicant, each agrees b, and shat. defend, indemnity and hold han. ss the Cally d La Gutta. IIs
drrcers. agents and employees for any ad or omission related to the work being performed under or foaowig Issuance of tis pemiiL
.2 Any permit issued as a result d this application beoom'Fit null and void K work is not commenced within 160 d4Ys kom date of issuance of such Pa.. or
cessation of work for 160 days will subject grit to cancellation.
1 certify that I have read this application and stab that the above . on as con I agree b comply with all city and county ordinances and state laws relating to building
construction. and hereby aut orlte representatives of this or upon t above-mentioned property br Inspection exposes.
Date "l w l Signature (AppkaMor f�
Page 2
Application Number . . . . . 04-00003727
:
Date 4/27/04
-----------------------------------
. . . . . . PLUMBING
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 ONLY. ALARMS.BARRIERS SHALL
BE IN PLACE PRIOR TO PREPLASTER
INSPECTION.
Fee summary Charged Paid Credited-
•Due
-----------------------------------------------
Permit Fee Total 291.00 .00 .00
----------
291.00
Plan Check Total 148.35.. .00 .00
148.35
Grand Total 439.35 - .00 .00
439.35