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05-1066 (RPL)m Taf °F 4VQ” P.O. Box 1504 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760)„777-7012 FAX (760) 777-701.1 INSPECTION REQUESTS (760) 777-7153 Application Number . . 0.5-00001066 Date Property Address . . . . 4.5.525 DEERBROOK CIR APN: 604-404-0:16-17 -2.3995 - Application description POOL - RESIDENTIAL Property Zoning . . . . . . . LOW�DENSITY RESIDENTIAL Application valuation . . . . 2,0000 Owner ------------------ LA MERE 45-525 DEERBROOK C LA QUINTA ------------------------ Permit Additional desc . Permit Fee .. Issue Date . . . . 3/25/05 Contractor ------------------------- NPARZINSKY POOL, INC'., RICH P.O. BOX 8.97 LM SPRINGS CA 92263 60) 324-5827 Ce STATE FUND 1739513 01/01/06 LB: 4'31055 10/31/06 C: C8-053 ------------------------------------------- PERMIT 207.00 Plan Check Fee 134.55 Valuation 20000 Qty Unit, Charge Per Extension BASE FEE 45.00 18.00 9.0000 THOU BLDG 2,001-25,000 162.00 Permit MECH POOL Additional de't . Permit Fee 24.00 Plan Check Fee 6.00 Issue ;Date 'Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 1.5.00 1.00 9.0000 EA MECH FURNACE <=100.K 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 . Permit Fee . . . . 33.00 Plan Check Fee 8.25 a .% P.O.. BOX 1504�� VOICE (760) 777-7012 78-495 CALLS T.AMPICO Taf FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760') 777=7153 &UILDING & SAFETY DEPARTMENT Application Number: /0 fP iy 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 de, and my License is in full force, and effect. / License Class 0-1%C_ 5 3 License N6-_4 31 O 5 5 r�18�0__ Contractor✓k c � Qsa2-z_'% wt SJR'. P_.n 1 S I hereby affirm under penalty of perjury that I am exempt from the Contra&oWState LicenseLaw for the.following reason (Sec. 1031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter; improve, demolish;,or'repair any.sfruclure, 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. Contrktors' State License:Law (Chapter9 (commencing with.Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the, basis forthe`alieged exemption. Any violation of Section 7.031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)0: ;- U I, as owner of:the,property,, or my employees with wages as their sole &mpensation will do the work, aprd;tho structure is notIntended.or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Li iidpe5 not apply to:an owner of`property"who builds or improvewthereon, and who does the work. himself or herself or through his or her own, employees,iprovided,thai thp;improvements dreenot.interided'oroffered for sale. If, however; thebuilding or improvementIs. sold within one year of completion, the owner -builder will have the buW0rl.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 contractori'to constru 'the pf6ject`(Sec..7044, Business and Processions Code: The Contractors' State License Law does not apply to an owner of property who builds or improvbs:tiiereori, and who contracts for the projects with a contractors) 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 Secfion,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. My workers' compensation insurancecam nd policy number artier 5--_P�,. S v�rr<w.v.►ct;c Policy Numb 1,certifythat, in the ,performance of the work for which this permit is issued, I shall, not -employ any personIn any manner so as to become subjectto the workers' compensation laws of Califomia; an6 agree that, if I should become subjectYo the workers' compensation provisions of Section.3700 of the Labor Code, I shall forthwith comply with those provisions. D� OS Applicant tk r 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 3708 OF THE LABOR CODE, INTEREST,,AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of pedurythat'there is a construction'lendingragency 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�permitsubject 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 ofthis application, the owner, and the applicant, each agrees to, and shall, defend, indemnity 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 J have read'this application and state that the above infornatiowis correct., I agree to comply with all qty and county ordinances and state laws relating to building construction, and hereby authorize representatives of this;county to enter upon the above-meenndonedd:prrooperty for inspection purposes. 'Date3 3 �QS Signature(Applicant orAgen,�, %%l.—. is ApplicationNumber . . . . . Issue Date 05-0 GO 01066 Valuation Page 2 Date 3/25/05 . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.0,000 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 PRIOR TO PRE -PLASTER INSPECTION.. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due 'Permit Fee Total 30.9.00 .O� .0.0 309.00 Plan Check Total 160.05 .00 .00 160.05 Grand Total 46.9.05 .00 .00 4.69.05 �pa Raised 12" concrete cap and face spillway Colored Saft finish concrete. score at 45 To match existing imps jets/circ 420 filter 0000 Heater Gate CITY OF LA QUANTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE -3 —12-Y/mss gy !fM SCALE: 1/8" =1' V Block Wall Rich Parzinsky Pool Const. Designed by: 05-011 Randy La More P.O. Box 897 Phone: 760-324-5827 Steve P. Designed 45.SH Deer Brook Cir P.S. CA 92263 Fax: 760-324-7287 3/22/2005 for: —LQ 6z,.< Ai