Loading...
04-4055 (RPL)f a� Q• t�W c� �. BUILDIN°3 & SAFETY DEPARTMENT P.O x 1504 (760).777-7012 P OF 2 200- CALLE TAMPICO FAX (760) 777-7011 LA UI TA, CALIFORNIA 92253 INSPECTION REQUESTS (760).777-7153 CITY OF LA FIN�►NCE DEPTTA BUILDING PERMIT Appl•icatiori Number s: 04.-0000405.5 `~ 'Date 5/11/04 Property Address_ 560_799WINGED—FOOT APN: C,,_..---775-300-.011-19 728538 - Application description POOL'- 'RESIDENTIAL Property Zoning . .. LOW DENSITY RESIDENTIAL. Application valuation 30000 Owner Contractor M/M KENNETH MEADOR CONSTRUCTION DESIGN SYSTEMS,.I ..560791 -WINGED FOOT DR .7.8401 HIGHWAY . 11.1,, SUITE F-2 LA QUINTA LA QUINTACA :922.53 LA QUINTACA .92253 (76.0) 771-3593' WCC:, STATE FUND WC: 1709785-03 02/01/05 CS LB: 767C.86 -08/31/05 CCC: B HIC A. ----------- Perrhit.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 . . . . . BLDG POOL PERMIT . Additional desc Permit Fee 284.50 Plan Check Fee . 184.93 Issue Date •Valuation 30000 Qty Unit Charge Per Extension BASE FEE. 252.00 .5..00 6.5000 THOU BLDG 25,001-50,000 32.50 ----------------------- Permit ELEC POOL PERMIT -RES. ----- Additional desc Permit •Fee 45.00 Plan Check Fee 11.25 Iasue Date .. Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 P.O. BOX 1504awcu VOICE (760) 777-T012 78-495 CALLE TAMPICO FAX (760) 777-701.1 LA QUINTA, CALIFORNIA 92253 INSRECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number• I Applicant: Applicant's Mailing Address: Date: Architect or Engineer: Architect or Engineer's Address: Lic. No.: .. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 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 Code, and my Lice i 1n II force and effect. License Class License No. . c - Date l O 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 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.). (--) 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.). (--) 1 am exempt under Sec. BA P.C. for this reason Date Owner I hereby affirm under persalt of WORKERS' COMPENSATION DECLARATION Penalty 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 permit is issued. My ers' ce pensation insurance prier ti r re: Cartier. Policy Number Z2 I certify that, ih the performance of the work for which this per 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 that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those stons. Date Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATIONERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10 , 0), 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 perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sea 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 Ouinta, 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 f agree to comply with all city and county ordinances and state laws relating to building construction, and hereTgnat rize representatives of this cou en r upon the abo tinned property for inspection purposes. i Date ! (�ure (Applicant or Agent) Qfitn.(rt� �. Page 2 Application Number . . . . . 04-0.0004055 Date 5/11/04 Qty Unit Charge Per Extension 1.00 30,.0000 EA ELEC PRIVATE SWIMMING POOL, 30-00 Permit PLUMBING J 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'OUTLET'S 3.00 Special Notes and Comments POOL&SPA ONLY. ALARMS/BARRIERS SHALL BE IN-PLACE PRIOR TO PREPLASTER INSPECTION. Fee summary Charged Paid Creditei Due ----------------- J--------- ---------- ---------- Permit Fee Total 386.50 00 00 ----- 386.50 Plan Check Total 210.43 .00 D0 210.43 Grand Total 596.9,3 .00 D0 596.93 . L GOLF COURSE P/ 82'0 '66crC^oyy' • _ y t': . LAWN t .12°5'0 F planterbench k y P/A 56 ARE -INSPECTION FEE OF POOL WILL BE CHARGED IF THE APPROVE ' i n.len r 5 +18° PI ANS'ANn inR CARD ARE NOT ON , HIPI 34'6 �11E�T �r °"�''�"'" THE SITE FOR A SCHEDULED 370 INSPECTION. ' TANPQN6 LED6E •� ® PA - umbrella sleeve quartzite spillway PIL planter LAWN NO EXCEPTIONS!. 7 decking BBQ 21.0 s /n loggia c rea . 13 --I - mrmam bond 0.6 l�l / EF' JANDY 1154 REMOTE THIS ElH AREA .. P' El exists wail R LOT 19 EAGLE BEND HOMES 56-079 WINGED FOOT DR. LA QUINTA, CA. 92253 PGA WEST d patio deck KENNETH AND ANNA MARIA MEADOR r ` 760-275-3314 t CITY OF Ll, QUI t. F BUILDING`ETY T/ SAF HOA OVERVIEW'S , APP ®Ep� bobcat access FOR ��ED .: GATE OPJSTRUCTIO q DATES l - BY.