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04-7459 (RPL)BUILDING & SAFETY DEPARTMENT P.O. Box 1504 a (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number 04 00007459 Date 11/23/04 Property Address 447r5—VIA ALONDRA APN: 604-032-999-69 -3052172 = Application description . . . POOL - RESIDENTIAL�''i,� Property Zoning . . . ... . . LOW DENSITY RESIDENTIAL Application valuation 17000 11vQri . . . . Owner Contractor - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -� LENNAR HOMES OF CALIFORNIA CALIFORNIA POOLS & SPA 78401 HIGHWAY 111, STE C P.O. BOX 1280, LA QUINTA, CA COACHELLA CA 92236 LA QUINTA _.CA= 922-53 (760) 398-9222 a WCC: STATE FUND WC: 04600061168 01/01/05 CSLB: 656128 10/31/06 CCC. C8.-C27-C297C53 �fi ,fei - - - - - - - - Permit MIT - - - - - - - - - - - - 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 . . . . . . MECH POOL Additional desc Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.-00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 ------------------------------------------------------------'---------------- Permit ELEC POOL PERMIT=RES Additional desc Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 --------------------------------------------------------------------7------- 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: d 7-1 5 q I nafa- 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 unns. isions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Cgde, a Class License js mull force and effect. 1�/ �./Av" icense Class [_ � o. 6 �6 n i8ate '1/9hb ontractor� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from a 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 Owner. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perl'ury 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 main "n workers' compens insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is i ue My wo s' compensate ' surance ca 'er n isyy,nyy�r]��e�reeree�� arrier Policy Numbe , �JTJU (OGl _ I certify that, in the performance of the work for w h this pe it 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 th if I shoul become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr^isions. , WARNING: FAILURE TO SECURE WOf*ERS' C61tAl!5ENSA 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 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 160 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 informatio torr . I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize represe tatives of this county to enter, u n t above-mentioned property for inspection purposes. Date S' ature (Applicant or Agent): 0 A P, A AOA4 t 'TAS S tr F --r3 ea--� c n rt, llerj J,4 -c L% rA, 41,ar ares CW OC1441 'tlwr,�A (,r1v)cPk7\c_1 UIV SM WMNAL Wft W M MT" �EPA' ' SPEtOCA *nms • I- R11W MA SAM AM VMM" s t 4 e itaii ft TYPE kt "a SURFACE AREA OF PML • Pam&," DEP" ;VAX �L V4 '2,r R�q.q °' SPA PECIFICATIONS 'n LE 7: PHONE OFFICE RES SPA DAM VALL WD'm bo LOT 6ci TRACT ME b 675K 40. Is 1 -OF a Ar *M OJAR,M ROUND i0 MAIL ADDRESS RAM SPA AT R.B.B.(0 Ouifty TM 7A brLo CONSTRUCTION OFFICE PHONE NO. VMAL "Otit in DECKING xn to SCALE 1, r DRAWN BY, D SOLD BY EXCAVATION STE E TM ACCESS MAION &-v vo Imp _,`DeCK 'iM� W 1w At GRAIN(Si 0 A P, A AOA4 t 'TAS S tr F --r3 ea--� c n rt, llerj J,4 -c L% rA, 41,ar �_77171 ares CW OC1441 'tlwr,�A (,r1v)cPk7\c_1 UIV SM WMNAL Wft W M MT" �EPA' ' MWIM REMOVAL RY" '11i BASE I- R11W MA SAM AM VMM" ..DUKELL 4 e itaii ft kt "a w" .010" STREET pq 1c; V I A ALCY, 422,& 44 it, Pat c '2,r R�q.q �_77171 SAVWN G POOL PLAN FOR It AME 1' S E81 DENCE I- ..DUKELL STREET pq 1c; V I A ALCY, 422,& ICITYtk JOB ADDRESS o,�j�QIT mn, C e.) PHONE OFFICE RES LOT 6ci TRACT ME b 675K MAP BOOK PAGE NO. TCITY MAIL ADDRESS CONSTRUCTION OFFICE PHONE NO. SCALE DATE' DRAWN BY, D SOLD BY CHECKED By JOB# 2 3 4 5 SELECTION S cc CONSTRUCTION AUTHORIZAT16N STONE tic. SAH_'S TILE DIG LDERS DECK COLOR PRI: -GI's ITFi Q Y "-TA-, L% TGROt TN 1) IASONRY 00 PE13B./PLAS SIGNATURE ;' MTK Drainage and irrigation for planters and pots,, b y DRAINAGE NOTE: IIRI:- others, unless otherwise -noted. ------- Page 2 Application Number 04-00007459 Date 11/23/04 ' 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 SHALLBE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due Permit Fee "Total 282.00. .00 .00 28.2.00 Plan Check Total 142.50' .00.,, 00• 1.42.50 " Grand Total. 424.50" 00 .00 42;4.50 �. °� ulcv z U BUILDING &. SAFETY DEPARTMENT P.O. Box 1504 (760) 777-7012 c�dtOFfc9 78-495 CALLS TAMPICo FAX (760) 777-7011 LA QUINTA, CALIFORNIA' 92253 INSPECTION REQUESTS (760) 777.-7153 BUILDING PERMIT Application Number 04-00007459 Date 11/23/04 Property Address, . 44715 VIA ALONDRA APN: J 604-032-999-69 -305212- Application description POOL = RESIDENTIAL Property Zoning . . . . . LOW DENSITYRESIDENTIAL. Application valuation 17000 Owner Contractor LENNAR HOMES OF CALIFORNIA CALIFORNIA POOLS & SPAS 78401 HIGHWAY 111,, STE C P.O. BOX 1280. LA QUINTA, CA COACHELLA• CA 92236 LA.QUINTA CA.52253 (760) 398-9222 WCC: STATE'FUND• WC:' 04600061168 ..01/01/05 CSLB: 656128 10/31/06 CCC: C8 -C27 -C29-053 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 MECH POOL. Additional desc Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date Valuation 0 Qty "Unit Charge Per Extension. BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00. Permit ELEC POOL PERMIT -'RES Additional desc Permit Fee 45.:00 Plan Check Fee 11.25 Issue 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 TWY 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT. VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: a q_ 7 g 5 q Date: Applicant: Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: t3UILUING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals C e, and my License is in full force and effect. nse Class ense No. e—Bate ontractor 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. , 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. 1 have and will maintain workers' compens insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensab ' surance carrier and policy number are: arrier 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 provisions. Date pplicant 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 1 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 Lenders 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 autho=represeatives of this county to enter upon the above-mentioned property for inspection purposes. -Date Sicant or Agent): Page 2, Application Number 04-00007459 Date 11/23/04 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 PLACE AT PRE-PLASTER,INSPECTION. EQUIPMENT . ENCLOSURE NOT INCLUDED 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