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04-4058 (RPL).1 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: HppllC8t18P1 V91U9tl6n! Applicant: 04-00004058___._{ ._ 53180 AVENIDA.,NAVARRO 774-065-008-16 -00000 POOL - RESI.DENTIAL COVE RESIDENTIAL Architect or BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ------------------ 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 License is in full force and effect. License/C-lasss- C27 C53 License No.: 801813 Date: x/43 Contractor` i(.((//J1�64���� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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 155001.: (_ 1 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 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.). (_) 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 contractorls) licensed pursuant to the Contractors' State License Law.): ( 1 I am exempt under Sec.. , B.&P.C. for this reason Date: Owner: 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: 4 LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 . INSPECTIONS (760) 777-7153 Date: 6/23/05 Owner: CANYON WEST ENTERPRISES; INC PO BOX 1828 LA QUINTA, CA 92253 Contractor: VICTORIA LANDSCAPES/WATERFALL 82365 HIGHWAY 111, SUITE #104 INDIO, CA 92201 .(760)775-0449 Lic. No.: 801813 ------------------ WORKER'S 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. have and will maintain workers' compensation insurance, asrequired 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 EVEREST NTNL Policy Number 3800002849041 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. Date. 7/ Applicant �U�J WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL ' SUBJECT AN EMPLOYER TOICRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 whoserequest 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 cou ty to enter upon the above-mentioned prope y for inspection purposes. 1Daie:' fur _Signate,.(APPlicant or Agent): j Application Number . . . . 04-00004058 Permit . . . MECH POOL Additional desc... Permit Fee _ 24.00 Plan Check Fee 6.00 Issue Date . . . . 5/24/04 Valuation . . . . 0 Expiration Date 12/23/05. 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 . . . . 117.00 Plan Check Fee .. 76.05 Issue Date . . . . 5/24/04 Valuation . . . . 10000 'Expiration Date 12/20/05 • Qty Unit Charge •Per Extension BASE FEE 45.00 8.00 9.0000 THOU BLDG 2,001-25,000 72.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . - Permit Fee 45.00 Plan Check Fee 11.25 Issue Date 5/24/0.4 Valuation . . . . 0 Expiration Date 12/20/05 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 . . . 30.00 Plan Check Fee 7.50 Issue Date 5/24/04 Valuation . . . 0 Expiration Date 12/20/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 . 2.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 6.00 Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN LQPERMIT • .. Application Number . . 04-00004058 i ----- ------------------ Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. EFFECTIVE 6-23-05 CHANGE OF CONTRACTOR FROM AJF(787537)TO VICTORIA LANDSCAPE & WATERFALL. Other Fees . . . . . . . . CHANGE OF CONTRACTOR 4.50 REPLACEMENT INSP CARD .15.00 Fee summary Charged Paid Credited Due Permit Fee Total 216.00 216.00 .00 .00 Plan Check Total 100.80 100.80 .00 .00 Other Fee Total 19.50 .00 .00 19.50 Grand Total 336.30 316.8.0 .00 19.50 LQPERMTT i LQPERMTT Lol�•� 00 Box 1504 LA QUINTA, CALIFORNIA 92247-1504 BUILDING & SAFETY DEPARTMENT 5 cis�t9`s' 78-495. CALLE TAMPICO (760) 777-7012 OF T1 LA QUINT A, CALIFORNIA 92253 FAX (760).777-7011 June 23, 2005 . ,Mr. Randy Meador Victoria Landscape and Waterfalls 82365 Highway 111 Suite 104 Indio, CA 92201 RE: Building Permit Extension. Request — 53180 Avenida Navarro. Dear Mr. Meador: I have received your letter dated .6/16/05, requesting a change of contractor and permit extension for the swimming pool being constructed at the above address under Building Permit#04-4058: Inspection status: Permit issued: 5/24/04 Pre-gunite: 5/25/04 Underground PGE:. 12/14/04 180 -day expiration date: 6/13/05 180 -day extension date: 12/12/05 Under the provisions of California Building Code Section 106.4.4, your request is hereby granted: Because the Building Code specifies that "no permit shall be extended more than once," please be advised that unless -the project passes its next requi,ed inspection on or before Monday,.December 12, 2005,'your building permit will expire automatically. YOK§ truly,. �1 Greg -Butler Building &Safety Manager Sun, M 05' 07:32p CTX-USER 772-5572 P. 1 i VICTORIA LANDSCAPE AND WATERFALLS office: 82-365 HWY 111 SUITE 104 Indio, Ca. 92201 Phone(760)775-0449 Fax(760)775-9063 License #801813 City of La Quinta Building and Safety Dept." Building and Safety Manager Attention: Greg Butler After talking to Kay at the front desk, I am faxing over a request for an extension . necessary for the completion of a pool and spa permit Ifor address 53180 Avenida Navar. . The reason for the extension request is that iVe will be taking over the completion of the pool for the eunrent contractor Larry Shields of Canyon West Const. Mr. Shields has passed away, and the family. is requesting otir assistance in finishing the pool. We will need.a change of contractor card, and your approval.The work will include a encap and final inspection: Thankyou for you consideration, �andy Meador 343-6887