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04-4693 (RPL)i ed .4 #'QUb& BUILDING & SAFETY DEPARTMENT BOX 1504 (760).777-7012 )5 CALLE TAMPICO FAX (760)'777-7011 UINTA, CALIFORNIA 92253 INS'PECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number 04-0004693 "- Date Property Address. . . . . 43-6-8-6—PARKWAY-ESPLANADE E APN: 609-600-0.03- - - Application description•.. . POOL.'- RESIDENTIAL Property Zoning.. . . LOW DENSITY RESIDENTIAL Application valuation 20000 6/01/04 Owner Contractor CHRIS CANNON CONSTRUCTION DtESIGN SYSTEMS, I 43-686 PARKWAY ESPLANADE EAST-- 78401 HIGHWAY 111, SUITE F-=2 . LA QUINTA, CA LA QUINTA CA 92253 LA QUINTA CA :92253- (760) 771-3593 WCC: STATE. FUND " WC: 17"0978.5-03 02/01/05 CSLB; '767086 08/31/05 CCC: A' B . Permit .. . . . MECH . POOL Additional desc . Permit Fee .24.00 Plan Check Fbe .. 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 BLDG POOL PERMIT Additional desc . Permit Fee 207.00 Plan Check Fie 134.55 Issue'Date . . . . Valuation 20000 Qty Unit Charge `Per Extension BASE FEE 45.00 18.00 9..0000 THOU BLDG 2,001-25,000 162.00. 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 P.O. 150.4 78-4955 CALLE TAMRICO LA QUiNTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application NUmber: _ (51y `y ( S Applicant: e Applicant's Mailing Address: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: Architect or Engineer. Architect or Engineer's d Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I herebyaffirm under pen ►y of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and ss Lice a is o furca and effect O License Class Uoense No. f Date O Contractog 9UAO_n 611 �af7 �yi(5 ��G OWNER -BUILDER DECLARATION I hereby affirmunder penalty of perjury that 1 am exempt from the Contractors' State Uoense Law for the following reason (Sec, 7031.5, Business and Professions Code: Aoy city or county that requires a permit to construct. alter, improve, demolish, or repair any stnx3um, 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).): .0 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 Cmntractors' 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 e purpose of sale.). . (, 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 appy 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 self4nsure 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' compensation. insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this pertdt is ssu . frsmpensation insurance carrier n r > Carnet c- p,� PolicyNumber _� -- Z>�j _ i certify that, in the performance of the work for which this permit'* issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomi ree that, If I should became subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fodhv th cornoly With th _ my t1nna Jl\ WARNING.' FAILURE TO SECURE WORKERS' COMPENSATIOITCOVY4GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700, ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 (Seo. 3097, Civ. C.). Lenders 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 Qulnta, 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 cormmenoed within 180 days from date of Issuance of such permk, or cessation of work for 180 days will subject permit to cancelation. I certify that I have read this application and sta a that the above ornation is correct I agree to comply with all city and county ahimnanoes and state laws relating to building construction, aandd hereby authorize rep tives of this cou to nter upon ironed property for inspection purposes. ate KV OI ignature (Applicant or Agent) c Page 2 Application -Number 04-00004693 Date 6/01/04 Qty Unit Charge Per Extension 1.00 30.0000 EA ELEC.PRIVATE SWIMMING PO -DL 30.00 . Permit PLUMBING Additional desc . Permit Fee 33.00 Plan Check Fee 8.25 Issue DateL Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 2.00. 6.00.00 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 PREPLASTER INSPECTION. Fee summary Charged Paid Credited- Due Permit Fee Total -309.00 .00 .0D 309.00 Plan Check Total l 160.05- .00 .0D 160.05 Grand Total 469.05 .00 .0-J 469.05 P/L P/L e4sting wall I bobcat access lawn lawn IN town FOUL 1 51 3 TANNING LEDGE umbrella sleeve decking, -patio cover light switch �-5-68� � ZEN SIE P/L U91 - /L