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04-6045 (RPL)F1ClA� 03 BUILDING & SAFETY DEPARTMENT P.O. Box 1504.(760) 777-,7012 OFT_"O,9 78-495 CALLE TAMP.ICo FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number-04-00006045``- Date 8/25/04 Property Address 53875 AVENTDA�NAVARR•D APN: 774-174-018-6 000D00-. Application description POOL.- RESIDENTIAL Property Zoning COVE RESIDENTIAL Application valuation 12000 Owner Contractor GARCIA STEVEN A OWNER' 538.75 AVENIDA NAVARRO LA"QUINTA CA 92253 ti y Permit . . . . BLDG POOL PERMIT. Additional desc Permit Fee 135.00 Plan Check Fee 87.7,5 Issue-Date Valuation 12000 Qty Unit Charge Per. Extension BASE FEE %45.00 10.00,. 9.0000 THOU BLDG 2,001225,,000 ,"90.00 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 --------------------------------------------------------------- Permit. PLUMBING Additional desc Permit Fee . . . 27.00 Plan Check Fee 6.75 Issue Date Valuation 0 Qty Unit..Charge Per Extension BASE FEE 1.5.00 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. P.O. Box 1504�� VOICE (760) 777-7012 TVf 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: Applicant: Applicant's Mailing Address: 6B'� Architect or Engineer: Architect or Engineer's Addre s: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of peryury 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 }* in ft force and effect. License ClassLicense No. ! 7 Date !? d / 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 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.). l I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' KT 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. B.8 P.0[4this reason wner WQRKhKS' UUMPtNSA11UN UtI:LAKAIIUN 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' 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 insurancp carrier and policy number are: C eI N— Poliork for ber certify that, in the performance oft 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 v / 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 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 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 ent n the ab ve- tinned property for inspection purposes. Date Signature (Applicant or Agent): t Page' 2 Application Number 04-00006045 Date 8/25/04 ---------------------------------------------------------------------------- Special. Notes and Comments. PLACE PRIOR TO PREPLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credite3. Due Permit Fee Total 207.00 ..00 D0 .207.00 Plan.Check Total 105.75 .00 .D0 105.75 Grand Total 312.75 .00 D0 312.75 CITY OF LA QUINTA o s CITY OF LA QUINTA �„-5UI ING &'SA'FETY DEPARTMENT %F �� F.�,a�. .�.--,, �4 � c`�JBUILDING &SAFETY DEPARTMENT - .7T7-7012 F�OFTN�• !�777-7012 NSPECTI Np'REQUEST LINE .1 INSPECTION REQUEST LINE I 777-7153 777-7153 Owner �'� ! MR/MRS STEVEN GARCIA Owner ' Contrac or .-�`` ".'z�, �. = - OWNER BUILDER _ Contractor Permit N mber 6; 04 3595 ' POST ON JO I POST O NSPICUOUS PLACE Permi' INSPECTOR MUST SIGN ALL APPLICABLE SPACES INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 53 875 Yip ENIDANAV�AznQ O JOB ADDRESS 53-875 AVENIDA NAVARRO POOL ONLY. ALARMS BARRIERS SHALL BE IN 1212 SF. ADDITION AND 232 SF. PATIO PLACE PRIOR TO PREPLASTER INSPECTION. COVER EQUIPMENT ENCLOSURE NOT INCLUDED IN PETIWjT0 INSPECTION DATE INSP. TYPE OF INSPECTION DATE INSP. TEMPORARY POWER TEMPORARY POWER SETBACKS SETBACKS U/G PLUMBING /WASTE U/G PLUMBING / WASTE U/G ELECTRICAL/ GROUNDING U/G ELECTRICAL /GROUNDING FOOTINGS / STEEL FOOTINGS / STEEL CONCRETE SLAB CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED — Quti� — L DO NOT UR CONCRETE UNTIL ABOVt SIGNED ROOF NAIL / PRE -ROOF ROOF NAIL / PRE -ROOF OKAY TO WRAP OKAY TO WRAP AMING C FROMBINATION FRAMING COMBINATION 7=4 S ROUGH ELECTRIC ROUGH ELECTRIC ROUGH PLUMBING ROUGH PLUMF3.IN.G' ROUGH MECHANICAL ROUGH MECHANICAL INSULATION INSULATION — COVER NO WORK UNTIL ABOVE SIGNED COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. (DRYWALL) EXTERIOR LATH INTERIOR GYP. BD. DRYWALL —� i EXTERIOR LATH GAS TEST GAS TEST SEPTIC ABANDONMENT j SEPTIC ABANDONMENT SEWER CONNECTION + SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR SEPTIC/ GREASE INTERCEPTOR MASONRY INSPECTIONS MASONRY INSPECTIONS FOOTINGS / STEEL FOOTINGS / STEEL BOND BEAM BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS 1. POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS - 0V PRE-GUNITE / SETBACKS U/G PLUMBING U/G PLUMBING U/G GAS U/G GAS U/G ELECTRICAL t , U/G ELECTRICAL PRE -PLASTER (ALARMS/ BARRIERSF " PRE -PLASTER (ALARMS/ BARRIERS FINAL INSPECTIONSid' FINAL INSPECTIONS rEMP. USE OF PERMANENT POWER 1'� TEMP. USE OF PERMANENT POWER LECTRICAL ELECTRICAL 'LUMBING PLUMBING V ECHE 11ICAL I MECHANICAL 3UBLIC WORKS DEPARTMENT 1 PUBLIC WORKS DEPARTMENT DOMMU; TY DEVELOPMENT DEPT. COMMUNITY DEVELOPMENT DEPT. =1NAL /JOB COMPLETED FINAL / JOB COMPLETED ETE FLAT WORK SHALL BE PLACED A} ABOVE APPROVALS DO -NOT INCLUDE RIGHT TO U Junnel Intl na ryn nr/ .•qui iair•rn nr+nr•r� —