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04-6445 (RPL)BUILDING & SAFETY DEPARTMENT �.P.,O. Box 1504 (760).777-7012 �y78 49,5 CNALLE TAMPICO FAX (760) 777-7011 C�LA"QvIN A, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 PI BUILDING PERMIT Application Number . . . . . 04-00006445 Date 9/24/04 Property Address . . . . . 52705 CLARET COVE APN: 770-330-013- - - Application description . . . POOL - RESIDENTIAL Property Zoning . . . . LOW DENSITY RESIDENTIAL Application valuation . . 25000 Owner Contractor ------------------------ ---------'--------------- ANDREW PIERCE CORP AINSWORTH POOL CONSTR, ROBERT 52705 CLARET COVE 40900 GLENMORE DRIVE LA QUINTA CA 92253 PALM DESERT CA 92211 (760) 568-4993 WCC: AU INS SRVC WC: 00500018173 01/01/05 CSLB: 598681 07/31/06 CCC: C53 --------------------------------------7-------------------------------------- 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 -------7-------------------------------------------------------------------- Permit . . . . . . BLDG POOL PERMIT Additional desc Permit Fee 252.00 Plan Check Fee 163.80 Issue Date Valuation . . . . 25000 Qty Unit Charge Per Extension BASE FEE 45.00 23.00 9.0000 THOU BLDG 2,001-25,000 207.00 ----------------------------------------------------------------------------- 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 'Gcai�r VOICE (760) 777-701: 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777.71.53 BUILDING & SAFETY DEPARTMENT Application Number: 0V— < I Date: 9- �7 Applicant: Architect or Engineer: , Applicant's Mailing Address: b,R.. INV— BUILDING PERMIT DEdLARATIONS LICENSED CONTRACTOR'S -DECLARATION (hereby affirm under penalty of perjury that I am Incensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3'of the Business and Professionals Code, and my Li s is in full force and effectx License Class ET License No. J pate-' �( Contractor OYVNER-BUILDER DECLARATION I , . I,hereby affirm under penalty of perjury thatll am exempt frorpPh 7Contractors' State License Law for the following reason (Sec. 7031.5. Business and Professions Code: Any r rrity or county that requires a permit to const[ucnt, a�ter, improve, demolish, or repair any structure. pnor tp 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 (Chaptbr39 (commencing with Section 7000) of Division 3 of the Business and. Professions Code) or.that he.br she is -exempt therefrom and the basis for the alleged exemption. Any.violation of Section 703.1.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U 1, as owner of the property, or my employees with wages as their sole compensation, will do the work,nand the structure is not intended or offered'for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law doer not apply to ar"owner Of property who b_@dg or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are. no; intended or offered for sale. If, however, thio building or improvement is sold within one year of completion, the owner -builder will have the burden of probing that he of she did not bu116 or impiove4or the purpos9'of sale.). U I, as owner of the property, am exclusively contracting with licensed contractors to'construc -the pr9jectf($ec. 7044: Buts ess and PTO tessiorls-C`ode:'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.). t • .J s..1 U I am exempt under Sec. BA P.C. for this reason Date - Owner -- - ` (WORKERS' COMPENSATION DECLARATION I hereby affiLrn_under penalty of �i`pury one of the following declarations: :,, r - ;. 1 f ( ; _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Co", for the performance `ofihe work for whkhithis 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. M coo ets' comgen ation insurance carrier _ I certify that, in the performance of the work for which this permit is issued, l thaill not employ any person in any manner so as to become subject to the workers' compensation laws of Califod ag that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall % forthwith comply with those vinic s. Date 10/ Applicant WARNING: FAILURE TO SECURE WORKER OMPENSATION COVERAGE 1S UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DOLL CIVIL FINES UP TO ONE HUNDRED THOUSA ARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTER ST. 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 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 abovnn conation 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 cou ty to nter upon the above-mentioned property for inspection purposes. Date f h Lo -Signature (Applicant or Agent): 2 Application Number 04-00006445 Date 9/24/04 -------------------------------------------- --PLUMB Additional desc OV;. ... ..... 'Plan Check Fee 8.25 M; Z%; ...... Issue Date . . . . Valuati-on. 0 Qty Unit Charge Per Extension .--BASE----FEE 115.00 6. 0 0 0 0 v-EA.. PL5:F.I.XTURE 2.00 ,_12.00 EYV, hB,:"WATER "INS','/ALJ,/REP --3.00 1 _3 r ;a. 00 Q M -9A .: "� .,,:,Spegial..Notes. q nd: .-Comments,,:,.,.,.;, !2 1 ;-,'FOOL` & SPA. AL ARMS-)�- BARRIERS jig t;.IN PLACE.PRI' .P,',T INPii_0T10N;,, 'EQUIPMEN-T,-�->ENCLOS-U�R-E!,' NOT% S Fee summary Charged Paid Credited Due — — — — — — — — — — — — — — — — — — — — 7 — — — — -7 — 7 7 — 7 7..7. 7-=. Permit Fee Total ",3354 .00 354.00 Plan Check Total 189.30 "..'o. Ia." .00-1189.3-Q'. Crdhd Tot a_.:.,_...:'.543:'3"0:;. 00 ` 0 0'..: S4 3--.3 0 Aj Mf v1! Ic Anvil`s 7 !r,,,- Sent By: AINSWORTH POOLS; -1 "T ",w TO. looll ro -1 r oL Sep -24-04 11:35AM; m bi Ira, 9 L.N 3f I / i Rw Page 1/2 ETA A R PECTION TO MATOA 64LF Wupm E HA D Ir Tg#-pkV CA4*%%& a .. JOB. C RD AREWOT P NS ND IT E ITE FOR SCHE*DUL ECTION CL FOA oc ;>