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05-0139 (RPL):ter. '40;1 y BUILDIN3 & SAFETY DEPARTMENT 1504 (760).777-7012 AT T I AMPi( (1 FAY f,?r m 7,7,7 7 n i i "'W"Iaot DEPT. pA pl'icat-ion=N.Jber ... . . . . 05-00-000139 -' Date 1/13/05 Property Address . . . . 5076-0—NECTAREO APN: 772-070-015- - - Application description POOL.- RESIDENTIAL Property Zoning . . . . LOW DENSITY RESIDENTIAL Application valuation 17000 Owner Contractor HUNTER CALIFORNIA POOLS & SPAS 50760 NECTAREO P.O. BOX 1280 . LA QUINTA, CA 92253 COACHELLA, CA 92236 (760) 398-9222 WCC: SEABRIGHT'INS WC: BB1050510 01/01/06 CSLB: 656128 10/31/06. CCC: C8—C27-229—053 P.O. Box 1504 78-495 CALLS TAMPICO VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: Applicant: I Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION Fln rebyaffirm under penalty of perjury that I am licensed and r provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals eand ss Lice is I force and effect. nse Class�/'� - / en e No. '�iCLX_ /Date l �D ! `� Ldontrector OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that 1 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.). U 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 contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date 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 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 maint ' workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ed u1y wort compensation insurance carrier a d tic nu be are: Carrier Policy Numb I certify that, in the performance of the work f which is pe it is issue shall employ any person in any manner so as to become subject to the workers' compensation laws of California, and agr hat, if I hould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall y forthwith comply wi those p visions. /Date / Applica t WARNING: FAILURE TO SECURE W RKERS' CO ENS ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL S ($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 Ouinta, its officers, agents and employees for any act or omission related io the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomLenterupon d if o commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to ca I certify that I have read this application and state that the above inn- 1 agree comply with all city and county ordinances and state laws relating to building cq�truction, a;��Ze presentatives of this county te b e -me oned property for inspection purposes. Date (Applicant or Agent): -- - - - - -- ---- - - - - - - t-°--- - -- - -- ------ --- - - - - -- - -- Application Number 05 00000139" ------------------------------------------------------------------------------ Permit . . . . . . MECH POOL Additional desc Permit Fee 24:00 Plan Check Fee 6.0"0 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. 180.00 Plan Check Fee 117.00 Issue Date Valuation . . . 17000 Qty Unit Charge Per Extension BASE FEE 45.00 15.00 9.0000 THOU, BLDG 2,001-25,000 135.00- 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-P•OOL 30.00" 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 & SPA ONLY. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION-EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. .Fee summary Charged Paid Credited Due Permit'Fee Total 282.00 .00 .00 282.00 Plan Check Total 142.50 .00 .00 142.50 Grand Total 424.50 .00 .00 -424".50 N TRU TION AUTHORIZATION FIELD DIG _ 3' i'\Iii=ic��R()('\INIASONRY --