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04-3405 (RPL)r I "sta`�ul� �F 09wav k BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 77777011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS.(760) 777-7153 BUILDING PERMIT Application Number . . . . . 04-00003405 Date 4/12/04 Property Address . . . . . . 52788 CLARET COVE APN: 770-290-011-5 - - Application description POOL)- RESIDENTIAL Property Zoning . . . . . ... LOW DENSITY RESIDENTIAL Application valuation 45000 Owner Contractor DUTFIELD FINANCIAL, LLC AINSWORTH POOL CONSTR, ROBERT 42829 COOK STREET, SUITE 104 40900.GLENMORE DRIVE PALM DESERT,. CA PALM DESERT CA 92211 PALM DESERT CA -92260(760) 568-4993 (7:60.) .5'8-8' WCC: AU INS.SRVC WC: 005.000.18-173'. 01/01/05 CSLB: 59868.1 07/31/04 CCC:. C53 -=----------- --- ----------------------.-_'=--------------- --- ------------------� 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.FURNANCE <=100K 9.00 Permit BLDG POOL PERMIT Additional desc Permit Fee 382.00 Plan Check Fee 248.30 Issue'Date . . . . Valuation . . . . 45000 Qty Unit .Charge Per Extension -BASE FEE 252.00 20.00 6.5000 THOU BLDG 25,..001-50,000 130.00 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 FLEC PRIVATE.SWIMMING POOL' 30.00 P_O. Box 1504� 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Applicant: Applicant's Mailing Address: BUILDING & SAFETY DEPARTMENT Architect or Engineer: VOICE (760) 777-7012 FAX (760) 777-701 1 INSPECTIONS (760) 7.77-7153 Architect or Engineer's Addres Lic. No.: 14,11) BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION - I 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 see Licens m full force and effect. �( License Class '�� License No. r �1 Date L+ ? Contractor k tin it a ' }f J� Lyi!v 5yl I f (tv OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.6. Business and Professions Code: Any city er 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 fife 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 Dwnef of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended m 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, howeyer, the building or improvement is sold within one year of completion, the owner•buiidef will have the burden of proving that he or she did not build or improve for the purpose of sale.). U 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.). U I am exempt under Sec. , BA P.C. for this reason 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 seINnsure 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, - Carrier Policy Number _ 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 r forthwith comply with those provisions. Date LI Applicant ��( L �� ok 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 (5100,000), 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 Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made Io the Director of Building and Safety fora permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behaff this application is made, each person at whose request and for whose benefit work is perfomroed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees lo, and shall, defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission rotated to the work being performed under or following issuance of this permit. 2_ Any permit lssued as a result of this application becomes null and void if work is not commenced within 18o 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 information is correct I agree to comply with all city and county ordinances and state taws relating to building construction. and hereby authorize representatives of Ihis u to ter upon the above -mentioned property for inspection purposes. Date Signature (Applicant or Agen Page 2 Application Number . . . . . 04-00003405 Date 4/12/04 --------------------7------------------------------------------------------- Permit . . . . . . 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 AND SPA ONLY. ALARMS BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. Fee summary Charged ----------------- ---------- Permit Fee Total 484.00 Plan Check Total 273.80 Grand Total 757.80 Paid Credited Due ---------- ---------- ---------- .00 .00 484.00 .00 .00 273.80 .00 .00 757.80 Sent By: AINSWORTH POOLS; 7602000040; 4pr-2-04 1:46PM; Page 2/2 <� . 6MlID' : 1 hMIP,M A PALM -� Tftm W-0,41 OMNI - _ ... IN C•ONG. � P LM _ �� 'IRIS 116- Ippg PALM � N S .. 6'-C.�.. I/ TYP. _ POOL Lwm+m �,FNSlnr42 1 LL ®J1 1 �Oo l S 1 0 L Re^GL Tyr. :. 604004 ROSS I I ^ 16 WIrm % f SEAT -WALL C OZ w p O I T11A i l6Pl� aw - S►->�,o•• POOL bre Ib! RUN 1 I !�_ I . � I�YTpE • ' . / f _ 6• Rlic- / •. RUN' Chy� STEPS, 0 A RE-INSP 10 FEE 0 $3 b'.O•• PDX LI6NT TYP. PLANS D JOB C dD ARE'N T ON .A RE-I[fslrEM N Fly SI ULED WILL B PLANS AND JOB CITY OF THE ITE FOR A S.CHUL INSPE q • SUILDI G & SA EN DE T. A PRO ED NO EXC PTIONS! I ° IDATE SP 90 -s -o• — MASTER SUITE 5ETV04K l6' WIDE .. .S ''a.. •. hit, '..�`.•.:,,, L`: .. .. .a:�..M�:�'.�\4'<" �'�Y.�ti•a,�i� .:/Zv `ijV_Zi' "-.Y:::, .1, i ,'.Cti'iYr7o-h.<sv:.��\..vw�>.:..`r>....rv..e>s....�.a.Y.�:.... _J;c......:as..`... tiryl.,.,`.din.s.:-.5..:,c.L...,.^.<z:S�. �N.. �t1L`•'x