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08-0390 (RPL)P.O. BOX 1504 0 78-495 CALLE TAMPICO v LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT - 3� Application Number: 08-00000390 Property Address: 80245 VIA CAPRI APN: 772-440-0557 - - Application description: POOL - RESIDENTIAL - Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 40000 Owner* LE LEVINE 80245 VIA CAP LA QUINTA, CA' 9 VOICE (760)777-7012 FAX (760) 777-'7011 ;TIONS (760) 777-7153 Date: 3/05/08 - Contractor: /05/08• 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: - . LQPERMIT of La Qumta, 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 asa result. of this appli n becomZ id if ork is not commenced within 180 days from date of issuanc of su h permitof ork for 180 days will subject permit to cancellation. 1 certify that I have read this application and state t at the Bove i orrect. I agree to comply with all city and county ordinances and state laws relating o buildi g c ereby authorize representatives . of/this�co /try boy ej�r upon the above-mentioned p operty for ' s s. /ate: JJ[[ 'O �v v ignature (Applicant or Agentl: Contractor: Applicant: Architect or Engineer: AINSWORTH POOL CONSTR, ROBERT" 40900 GLENMORE DRIVE PALM DESERT,'CA 92260 (.760) 200-2800 Lic. No.: 598681 ' ------------------— CENSED CONTRACTOR'S DECLARATION. WORKER'S COMPENSATION DECLARATION .1 hereby affirm under penalty of perju th - f am I' ensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the B sines and r fessionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided .license ass: C53 ense No.: 598681 �te:� ' V G6ntractor: for bySection3700 of the Labor Code, for the performance of the work for which this permit4s issued. I have and will maintain workers' compensation insurance;.as required by Section 3700 of the Labor I Code,.for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION - insurance carrier and policy number are: _ I hereby affirm under penalty of perj that 1 am exempt from the Contractor's State License Law for the Carrier CALIF INS Policy Number . 460030110103 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to I� _ I certify that, in the p or ane of the work for which this permit is issued, I shall not employ any . construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any man er s as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State ubject to the workers' compensation provisions of Section ' and agree that,.if 1 shouVffrs1hwith 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 ` 3770 of the Labor Code comply with those provisions. - I tY any applicant for*a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001.: at () plicant: (_ 1 1, as owner of the property, or my employees with wages as their. sole compensation, will di the work, and . the structure isnot intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FA RE TO SECURE K S.COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL . Contractors' State License Law does not apply to an owner of property who builds or improves thereon, 'SUBJECT AN EMPLOYER TO CRI I AL NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ' and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). •IN ADDITI TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN .. improvements are not intended or offered for sale. If, however, the building'or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ' 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.). . ' - APPLICANT ACKNOWLEDGEMENT. ' (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. - .IMPORTANT Application is hereby made to the Director of Building and Safety fora permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. ' property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to -the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, 1 _ 1 .I am exempt under Sec. B:&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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: - . LQPERMIT of La Qumta, 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 asa result. of this appli n becomZ id if ork is not commenced within 180 days from date of issuanc of su h permitof ork for 180 days will subject permit to cancellation. 1 certify that I have read this application and state t at the Bove i orrect. I agree to comply with all city and county ordinances and state laws relating o buildi g c ereby authorize representatives . of/this�co /try boy ej�r upon the above-mentioned p operty for ' s s. /ate: JJ[[ 'O �v v ignature (Applicant or Agentl: LQPERMIT ' Application Number . . . . . 08-00000390 . Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 349.50 Plan Check Fee 227.18 Issue Date Valuation . . . . 40000 Expiration Date ... 9/01/08 Qty Unit Charge Per Extension BASE FEE 252.00 15.00 6.5000 --=------------------------------------------------------------------------- THOU BLDG 25,001-50,000 97.50 Permit. . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date 9/01/08 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 9/01/08 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 9/01/08 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 Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN LQPERMIT ' Application Number .08-00000390' . --- - Special Notes and Comments ----------------------- - PLACE AT PRE -PLASTER INSPECTION.. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged Paid Credited•. Due 'Permit Fee Total 453..50 .00 .00 453.50 Plan Check -Total 253.18 .00 .00 253.18 Grand Total .706.68 .00 .00 706.68 V � � w9w I:.a.t- P • - O 1 4 OFFICE (� lam 1111111. 1111 ill ��■� ,, ,t '��1111 111 ] �■� .1..11.... m-71 C. ir - _ • � . �r• Vii/ HIDDEN MI _CISE tIVATE •�1 �1 m •�,� EXEROOM I Q SII! • lii� - SII 11 ' • m ,� p P Q � RAISED AD Iq EQ. SPACE EQ. SPACE EQ. SPACE EQ. 5PGE b' -6n t / 1� TYP. / )-JETS 7 EQ• SPG. o (� I I I •• •• U9 (TY • y. : 0 0 6 0 LOW TILE 0 13 0 0 0 0 0 0 0 0 0 POOL DEPTH = t 4' 0 PLINTHS TYP.) D LAPS ° I POOL 13 - •. 20 14 r STEPS 15 i '-4 `•' t. ••'• — ° • LOUNGE _ — — — ` , 2 -- I — ---- --_— __AREA 15 Ib n -- --IYF.to 15 1w - 15 I •. ,•••• .� • ' --- V � � w9w I:.a.t- P • - O 1 4 OFFICE (� lam 1111111. 1111 ill ��■� ,, ,t '��1111 111 ] �■� .1..11.... m-71 C. ir - _ • � . �r• Vii/ HIDDEN MI _CISE tIVATE •�1 �1 m •�,� EXEROOM I Q SII! • lii� - SII 11 ' • m ,� p P Q � RAISED AD Iq V � � w9w I:.a.t- P • - O 1 4 OFFICE (� lam 1111111. 1111 ill ��■� ,, ,t '��1111 111 ] �■� .1..11.... m-71 C. ir - _ • � . �r• Vii/ HIDDEN MI _CISE tIVATE •�1 �1 m •�,� EXEROOM I Q SII! • lii� - SII 11 ' • m ,� p P