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04-5557 (RPL)I T-11ar °F 4 Q" BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (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�!-00005557' Date 7/19/04 Property Address . . . . . . 79210 DESERT STREAM DR APN: 604-341-010-3 -25363 - Application description . . . POOL - RESIDENTIAL Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 20000 Owner Contractor - ----------------------- ------------------------ HARPER JAMES M MCINTYRE POOLS & SPAS, INC. 79210 DESERT STREAM P.O. BOX 1791 LA QUINTA CA 92253 LA QUINTA CA 92253 (76 0) 342-3612 WCC: HRH INS WC: 176911104 01/01/05 CSLB: 614611 09/30/05 CCC: C53 ---------------------------------------------------------------------------- Permit. . . . . . . BLDG POOL PERMIT Additional desc Permit Fee 20'7:00 Plan Check Fee 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 . . . . . . 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 -------------------------------------------- - ---------- -p--- -- --_-- Permit . . . . ELEC POOL PERMIT -RES Additional desc Permit Feb . . . . 45.00 Plan Ch FeA 1 .25 Issue Date . . . . Valuati . . Off. 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 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 04-5557 Date: Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby.affirrn 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 _ and my License is in full force and effect. icense Class 1--L�xense No. '-f Contractor 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 rive 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 sate (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.). (--) 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.). (_-) I am exempt under Sec. , BA 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. I have and will maintain workers' compensa n insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is i sued. My workers' compensatio urance carrier 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 wo ars' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. A _ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION �ERAGE 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.). Lenders 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, 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 I have read this application and state that the above information is correct. I agree to comp) with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon -mentionedparty f inspection purposes. e �b Si� . i (Applicant or Agen d 0i Page 2 Application Number . . . . . 04-00005557 Date 7/19/04 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc 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 309.00 ----------- .00 .00 ---------- 309.00 Plan Check Total 160.05 .00 .00 160.05 Grand Total 469.05 .00 .00 469.05 0i 00t Lan P T..Sleeve HARPER RES.LDENCF, 79-210 DE'-c\FRT STREAM 4�'ZZ5 Or 0 0 A RE -INSPECTION FEE OF $30 WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. NO E#PTIONS! 8'X 6' Oval Spa CITY OF LA. OL7. BUILOING & SAFEFY _-PT. APPROVE FOR CONS RUCT;'- L -W I DATE 11 __1 q __0V BY—IG— Demo