The URL can be used to link to this page

04-5995 (RPL)T4hf 4 4Q" BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BASE FEE 15.0.0 BUILDING PERMIT Application Number -04--:-0�0005995 Date 8/20/04 Property Address . . . . �--7_8690--AV_E_NI_bA_ TORRES APN: 70-171-011- 770-171-011- - - Application Application description POOL - RESIDENTIAL Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . 15000 Owner Contraqtor - - - - - - - - - - - - - - - - - - - - - - - - -=•-------'-,-----------------. .RILEY LEBRUN ------------------- ADDINGTON' - DAVID P.O. BOX 1573 41760 HERMITAGE DRIVE LA QUINTA, CA INDIO CA 92201 4A QUINTA CA 92247. WCC: STATE FUND WC: 2290'0.197817 01/01/05. CSLB: 682901 12/31/05 --------------- -------------------------------------------------------------- CCC: B Permit . . .. . . . MECH POOL Additional desc Permit Fee, 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE !:--1-,r-.,- 15.00 .1.00 EA!", M]ECH1_FURNACE..<=100K 9.00 Permit Permit -----------.--------------------------- ------------------- 7 -------------------- BLDG POOL PERMIT Additional desc Permit Fee . . . . 162.00 Pian Check Fee 105.30 Issue Date . . . Valuation' 15000 Qty Unit Charge Per Extension BASE FEE 45.0 . 0 13.00 9.0000 - - - - - - - - - - - - - - - - - - - - - - - - - - THOU BLDG 2j001-25,000 - - - - - 117.00 - - - - - - - - ------------------------------------- ------------------------------------Permit. . . . . . . ELEC POOL PERMIT -RES Permit. Additional desc Permit Fee 45.00 PlanCheck Fee 11.25 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.0.0 t' P.O. Box 1504 ��G% VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0-41599-6, Date: _,f "1o'0 7 Applicant: I Architect or Engineer: Applicant's Mailing Address: 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 Licens in full force and effect. /License Class e`[iic�ense No. /Date Contractor If OWN UILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt 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 1, 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 sate.). 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 pedury 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 NJof the work for which this permit is issued. t�J 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 ss ed. y w rs' ompensation inyss rance carrier and �glicy number are: Q Cartier -Po`ticy Number g �j7no _ I certify hat, in a performance of the work for which ermt is iss e , I s not e�loy 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. — WARNING: FAILURE TO SECURE WORKERS' COMP N ATICWCOVERAGE 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 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 u on the abo -mentioned property for inspection purposes. ate AL/ignature (Applicant or Agent): Page 2 Application Number . . . . . 04-00005995 Date 8/20/04 Qty Unit Charge Per Extension 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 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; ALARMS/BARRIERS SHALL BE IN PRIOT TO PRE -PLASTER INSPECTION Fee summary Charged Paid Credited Due Permit Fee Total 264.00 .00 .00 264.00 Plan Check Total 130.80 .00 .00 130.80 Grand,Total 394.80 .00 .00 394.80 r73 C CITY OF LA QUINTA BUILDING .& SAFETY DEPT. A.P PROVEb FOR CONS -FRUCTION LA DATE 'Ty OF' �A BU�LD'NG & PPR FOR CONS R:j LATE 13Y