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04-6004 (RPL)P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT Application Number . . . Property Address . . . . APN: Application description Property Zoning Application valuation Owner ------------------------- JIM RUTH 81736 SUN CACTUS LANE LA QUINTA CA 92253 BUILDING & SAFETY DEPARTMENT' (760).777-701.2 FAX (760) 777-701 l INSPECTION REQUESTS (760) 777-7153 0 4_= 0.0. 006-00-4-- 1736 06-00-4-- 1736 SUN CACTUS LN 764-270-999-60 -300 POOL - RESI,DENTIAL MEDIUM HIGH DENSITY 15000 Dat 81/23/04 2 31----� ` AUC 26 2004 f RES CITY OF LA QUIMTA Contractor ------------------------- AMERICAN POOL CONSTRUCTION INC P.O. BOX 11996 PALM DESERT CA 92255 WCC: STATE FUND - WC: 2380001188 09/22/05 CSLB: 518742 06/30/06 CCC: C53 Permit. BLDG POOL PERMIT Additional desc Permit Fee 162.00 Plan Check Fee 105.30 Issue Date . . . . Valuation . . . . 150D0 Qty Unit. Charge Per Extension BASE FEE 45.D0. 13.00 9.0000 THOU BLDG 2,001,-25,000 '=---------- 117.0 --------------------------------------- Permit . . . . . . MECH POOL ------------------- -------- Additional desc Permit Fee 24.00 Plan Check Fee .6.)0 Issue Date . . . . Valuation 0 Qty Unit'. Charge Per Extension BASE FEE 15.00 1,.00 9.0000 EA MECH FURNACE <=TOOK 9.00 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 POOL .30.00 P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 04- &00f Date: �'��• 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 m full force and effect. Q cense Class �� icense No. ./�ate_C4,—c>Ttor 1-Q_tit CLlt� �pt�\ OP1�� 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 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 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 Owner. 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. M workers' compensation i nce carrier icy nummberr are: �rtier g ',% c{ /Policy Number 4 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. 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.). Lenders Name Lenders Address IN) / 1 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 1 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 ente upon the above-mentioned property for inspection purposes. ,date S Jo ���t - Lure (Applicant or Agent): Page 2 Application Number 04-00006004 Date 8/23/04 Permit . . . . PLUMBING Additional desc;, Permit Fee 27.00 Plan Check Fee 6.75 Issue Date Valuation 0 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 1.-00 3..0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 --------------------;------------------------------------------------------- Spec•ial Notes and Comments, SPA.,'ALARMS/BARRIERS SHALL BE IN PLACE'AT PRE-PLASTER.INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due- Permit Fee Total 258.00, .00 .00 258.00 Plan Check Total 129.30 .00 ..00 129.30 Grand Total 387.30 .000B0 387.30 r OF LA QUINTA CITY BUILDING & SAFETY DEPT. I_ APMRUV! � I NOTES: r._ ,•,-r rr�-rilnfll � o l �• � ovt �e � . I QOw j ��J6O� �� Bi, --- _ I'5-70 10 —�_ - •t r.! r •_vIrl �, L) ,. I' a \. A 1�1_ti L C. * 518Z ReciAonft- rn fL i,,t • Q Ji f '73r .ih L�n< UMY POLE 0 � cmit WK®IQSE 1� SO Daum�� am*~'1164R G -1?0l g ca q 9-v-xl U� EASEWta ® V=Pry: ® stage+ -- FL3: LM -> LMW ® ars► oana E E 0 F $ 3 0 FEME t1Q r.TTK GAS un8t Q v�a� B fury .� aztensa 1C7 tel, Mg., i SSS & �� MARK �iE WUM N� PALS : 11�TMUMR -- a ® �� ®�t.,� r -„�� s ANS Ion) '_- �/ SM CH P 'TRAP' 0 FVW "s CALL 6 EXE P DEST/ L ppMs� RECEPTACLE SNB tl MP AND OR (� SEE t01F5 C r u C n I r 1 C n � INSPECTION. NO EXCEPTIONS! NOTES: C�olsr Lovcse Lis Jnr. npcnn. S inner I $' i Q s_S . I.k. k- . c6�� Sv,rO�,�^ W a� (6tv+1 a l7oos}cc or, ono •_ lot— �p Lor[�Srr.�.N OCfTIGlY1 L g I + , � 40 3 box O AREA MAP UnALC (Ex,s{;�5 ask } w/ Pa{:ol de�� w� �;o� G, C:�cuc /•..cenc,.ro�, • ,��\. Ari � lam_ - • �J . , I � y:r.•s c _ �/6,c'n ,CITY F-L�'. QUINTA d . ,.K solar ...s • C! `$AtEPT. + - U !L C.4* 5187 UILDI — 3/a" gcn.e\ Vnc:nuS( S wo\ o4c� ��' APPROVE® Coln A RUCTION DCom��x n\\ tl C'A-1\�\ O L; ^�� R'^}h FOR CONSTw I"aca ... a �. _.� �a. (1. w n_A c AAc,olf 9�ao 1 VOd i 4 \ aUS e�r.r.ic } ATE BY low yol�ieya�=1 °�—Tr— i/R�-r—^--. �' LOrT-zQ_Bf:�c �<x���i' 0%4 VNtr QU U1LtTY POLE QAICTION B( ® W6' A SIKER �DECKOaf ,?FiF `S7-I�O1 w�c4 64-�6i9 -- — PROm.# AREA DRAIN AMERICAN -- UTLfTY EASEMENT Q El EC FWAt ® DER -- FILL: IE �1 L13iHT Q P POOL � — FENCE CHE>EW TYPE O GAS &XTER " Q MRTER OF FLTER —+ ORFIETWN -� PVC DRAIN CONATVICTICN IW- -E—E— L*QERGROIAD ELEC. & 8EN CH MAW (f} ra TE W_VE Q NEATER --• T►e� GRAB RAL'' � P 0. B(:)X 11996 --G--G— uwERWIROU D GAS *ATM DEPTH ® GATE wLVE Qo IAAJN oww —. AERATOR � L�� y�_ _ PALM ERT.CA. OVERHEAD ELEC ®,� c PiAO GAS Gi�LL -- (760) 340-2588 RAb�J S�MRCN P P TRAP ® ELE��ESSTALL ACCESSC� 0 RECEPTACLE O STUB ti CLP ANQ3"O: © SEE NOTES