Loading...
05-1955 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 . T4t�l 4 4 Q" Applicant: Architect or Engineer: 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 D��'yy.. Q3 of the Business and Professionals Code, and my.Licerise is in full force and effect. License Class: XSt 3 d i i � License No.: _!". -C.3 te:! Contractor."Ac-✓gl(5! a�S 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 ($500).: (_) 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.). _ (,_ 1 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.). 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: LQPERAIIT Owner: HIRSCHFIELD_ 78-712 SIENA LA QUINTA, CA ROBERT 922 Contractor: . MCRAE POOL & SPAS WCC: EXEMPT WC: EXEMPT CSLB: 823017 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/20/05 r 09/30/05 08/31/05• ------------------ 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. 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: �rX-��T - - . mer C53 Policy Numb ' -- 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 Co ; I shall forthwith comply with those provisions. ,fXto fj [ 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 (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND Al TOHNEY'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.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 enter upon the above-mentioned propert for inspection purposes. Dpo_VOCSignature (Applicant or Ageno, Application Number: 05-00001955 Property Address: 7 7812 SIENA CT APN: 609-530-016-16 -28457 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 13000 . T4t�l 4 4 Q" Applicant: Architect or Engineer: 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 D��'yy.. Q3 of the Business and Professionals Code, and my.Licerise is in full force and effect. License Class: XSt 3 d i i � License No.: _!". -C.3 te:! Contractor."Ac-✓gl(5! a�S 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 ($500).: (_) 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.). _ (,_ 1 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.). 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: LQPERAIIT Owner: HIRSCHFIELD_ 78-712 SIENA LA QUINTA, CA ROBERT 922 Contractor: . MCRAE POOL & SPAS WCC: EXEMPT WC: EXEMPT CSLB: 823017 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/20/05 r 09/30/05 08/31/05• ------------------ 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. 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: �rX-��T - - . mer C53 Policy Numb ' -- 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 Co ; I shall forthwith comply with those provisions. ,fXto fj [ 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 (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND Al TOHNEY'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.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 enter upon the above-mentioned propert for inspection purposes. Dpo_VOCSignature (Applicant or Ageno, r LQPERMIT Application Number . . . . .` 05-00001955 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 144.00 Plan Check Fee 93.60 Issue Date . . . Valuation . . . . 1300.0 Expiration Date 11/16/05 Qty' Unit Charge Per Extension BASE FEE 45.00 11•.00 9.00.00 THOU BLDG 2,001-25,000 99.00 Permit '. . . MECH POOL Additional desc . Permit Fee . . . . -26.00 Plan Check Fee 6.50 Issue.Date Valuation 0 Expiration Date 11/16/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 ---------------------------------------------------------------------------- EA MECH FURNACE >100K 11:00 Permit ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/16/05 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 . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation 0 Expiration Date 11/16/05 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 PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT e -LQPERMIT Application Number . . 05-00001955 Special Notes and Comments INCLUDED IN PERMIT. - Fee summary Charged Paid Credited Due Permit Fee Total 248.00 .00 .00 248.00 . Plan Check Total 119.60 00 .00 119.60. Grand Total 367.60 .00 .00 367.60 e -LQPERMIT �ac�S.s LAP Pool. yy .I lcp-FAII 'P60LE9vipmEH1 7 CITY OF LA QUINTA BUILDING & SAFETY DEPT. /APPROVED FOR CONSTRUCTION���» DA Sf2'� 05 pY TOO -7724 MO Flo 9L 823M 77y- 63 443 LA Qu WTi4 s+AC)<sroN� : SPiII WAX E '6/4W CITY OF LA QUINTA SUR-CONTRACTnR I IRT - JOB ADDRESS_ 73-'712,�j N PERMIT NUMBER _ OWNER_ 4E32.SCW F1'C,-l1 BUILDER_ MC -P-40 0 �S This form shall be posted on the job with the B ilding Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized�tofk on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Fail a to com I will result in a, sto page of work and/or the. voidance of building hermit. For each applicable trade. all infnrmatinn rprn iactc+�i haln�wi m� ref F,n ...,.,,.,��* ,,� 1.., ar :�� n �"�� '� "`'' pptig Trade / Classification Contractor State Contractor's License�V1lorkers • • Insurance kersCompensationJ` f �'-� City Business License Company Name Classification. (e.g. A, B, C-8) License Number Ixxxxxx) Exp. Date (xx!)t:(/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK IC -12) ectl _ cQIJ TjlfIg O % 12-0-0,5 FUND O j4 G 0010,5-18 - D -0 Lf8 33 O 3-31-49z CONCRETE (C-8) A C 210 902—(07 /, If FRAMING (C-5) ' STRUCT. STEEL (C-51) E -N E'IY�vtl ,'W 6, - -l- 06 b 31- 06 MASONRY (C-29) PLUMBING (C-36) N - Ihl Xr/C LATH, PLASTER (C-35)og DRYWALL (C-9) SV C -s 726 9 D 7(,�j D s D 7 S* I , 'S7 -Los- � 12` n" „/ HVAC IC -20) ELECTRICAL (C-10) H 2i 8 �!� � 2 Z I //,.f `31L1a ROOFING (C-39) SHEET METAL (C-43) FLOORING (C-15) / GLAZING (C-17). INSULATION (C-2) SEWAGE D1SP. (0-42) PAINTING (C-33) CERAMIC TILE IC -54) CABINETS (C-6) FENCING (C-13) LANDSCAPING (C-27) POOL (C-53) L S ')7213 / 3 3 _/ 1.7 S_ /