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04-6998 (RPL)o. r/ 4 A �o X,, (15,04 4+9Sy�C:A•LLE'TAMPICO _.( QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 77777153 Application Number 04-000069.981 Date .10/28/04 Property Address �5_7945_ SOUTH VALLEY--L-N--_. APN:----- Application description . . . POOL.- RESIDENTIAL Property Zoning . . .- LOW.DENSITY RESIDENTIAL Application valuation 12000 Owner, Contractor BILL FAUBION DEBONIS & FAUBION CONSTRUCTION 57 SHEARWATER PL P.O. BOX 306 NEWPORT BEACH MT. BALDY CA 91759 NEWPORT BEACH CA 92660 (909) 223-2030 WCC: EXEMPT WC: EXEMPT 09/30/05 CSLB: 737479 06/30/05 CCC: .B, C39 Permit BLDG POOL PERMIT Additional desc Permit Fee . . . 117.00 Plan Check Fee 76.05 Issue Date Valuation . . . . 9447 Qty Unit Charge. Per Extension BASE ,FEE 45.00 8.00: 9:0000 THOU BLDG 2,001-25,000 ::--.72.00 Permit . . . . . . MECH POOL Additional desc Permit Fee . . . . 24.00 Plan Check Fee 6..001 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 - 11.00 9.0000.EA MECH FURNACE <=100K 9.00 'Permit . . ELEC POOL PERMIT RES Additional desc Permit Fee 45.00 Plan Check.Fee. 11.:25 hssue 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 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: - I Date: Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.: 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 Li eie in ll f rce and effect. / *� 1,� cense Class ^ C_ ///`'''/License No. 73 / ate / (! actor �t`' �d/jj 1 �iyy h f O 7 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.). 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. , B.8 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 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 forthwith comply with those provisiRa5 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 Ouinta, 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 flays 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 enter upon the above-mentioned property for inspection purposes. Oate#�,�ppgnature(Alicant or Agent) Page 2 Application. Number . . : 04-00006998 Date 10/28/04 Permit.Fee 33.001„ Plan Check Fee 8.25 Issue Date Valuation 0 Qty Unit Charge ;Per Extension BASE FEE 15'.00 :2.0.0 6'.0000 EA PLB FIXTURE 1.2.00 - ,1.00 3.000,0 EA PLB.WATER INST/ALT/REP 3.00 .1.00.* 3.0000 EA PLB GAS PIPE 1'=4 OUTLETS 3-.00 Permit WALL/FENCE PERMIT' Additional desc Permit Fee 54.00 Plan Check Fee 00 Issue Date Valuation ". ;2553 Qty Unit Charge Per Extension BASE FEE 45.00 1:00 - 9.0000.THOU BLDG 2,001-25,000 5.00 Special Notes and Comments POOL/SPA,--90 L.F.. . 6' .GARDEN WALL, 14 L.F.'5" GARDEN WALL, BOTH CITY STANDARD.' ALARMS/BARRIERS SHALL'BE IN PLACEAT PRE -PLASTER INSPECTION. Fee summaryCharged Paid Credited Due ". -Permit Fee Total 273.00 00 00 7 -- 273.0'0" Plan .Check .Total 101.55.'' .00 0'0" 101.55 Grand Total 374.55 .00 .00 374.55.