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05-3852 (RPL)4_ P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA CALIFORNIA 92253 Application Number:00 85~ 2 Property Address: 78330 PAIV AVION APN: 604-032-999-45 -305212 - Application description: POOL - RESIDENTIAL Property Zoning: .. LOW DENSITY RESIDENTIAL Application valuation: 29800 Applicant: Architect or Engineer: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: " WEAVER 78=330 VIA PAVION. LA QUINTA, CA LA QUINTA, CA 92253 FF ntractor: C CALLUM POOLS WCC: EXEMPT WC: EXEMPT. CSLB:. 818835 VOICE (760) 7.77-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/31/05 " LICENSED CONTRACTOR'S,6ECLARATION - - WORKER'S COMPENSATION. DECLARATION ' - • I' hereby affirm under penalty of perjury that I am licensed 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 th u and P fessionals Code, and my_License is in full force and effect. - I have and willmaintaina certificate of.consent to self -insure for workers' compensation,. as provided License Class: Licaipse Nc • _ for by Section' 3700 of the Labor Code, for the performance of the work for which -this permit is - " �,��o'OS issued. Cont ate: ractor. 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 - OWNER-BUIDECLARATION - L R insurance carrier and policy number are: - . " t hereby affirm under penalty of perjury that I -am exempt from the Contractor's State, License Law.for the Carrier C53 Policy Number - - - - - - - - - -"- - --- - ' following reason (Sec. 7031 .5, Business and Professions Code: • Any city or county'that requires a permit to I certify that, in the performance 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 annerlso 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 ct t the wo rs' comp a n provisions of Section and agree that, ould bFALTIES License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Coder or ' . 3700 of the Labor e, Ih it se p visi - s. 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).:" '-Date: •yS Applicant' ' (_) 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. WARNING: FAILURE TO CUREWORKESATION C AGEIS UNLAWFUL, AND SHALL Contractors' State License Law does.not apply to an owner of property who builds or improves thereon, _ SUBJECT AN EMPLOYER T RIMINAL PD 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 ADD F 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 - (_) 1, 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 for a 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, 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 ' - - - 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. - Date: Owner: - , 2,. Any permit issued as a result of thisapplication 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 - CONSTRUCTION LENDING AGENCY - permit to cancellation. I hereby affirm under penalty of perjury that there is.a construction lending agency for the performance of the I certify that I'have read this application and state hat the ab a information is re t. I agree to compl with all work for which this permit is issued (Sec. -3097, Civ. C.). - - city and county ordinances and state laws relating t building.co truction, an her y aut repr ent tives - _ Lender's Name: of this cqjknty to enter upon the above-mentioned prop ,for insp _ tion pur ose _ Date: 6 Signature (Applicant or Agent): - Lender's Address: • _ - .. , LOPERMIT _ - . :Application. Number. . . . 05-00003852 :Permit BLDG POOL PERMIT Additional desc . Permit:Fee . . . . 284.50 Plan Check Fee,, . 184.93 Issue Date Valuation 29800 Expiration Date 2%27/06 Qty Unit Charge Per, Extension BASE FEE 252:00 5.00 - •6.5000. THOU BLDG 25,001-50,000 32.50 Permit - MECH.POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . Valuation 0• Expiration Date 2/27/06 Qty-- Unit Charge Per Extension -BASE FEE.. 15.00 ' 1.00 11.0000 EAMECH 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 2/27/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE.SWIMMING POOL: 30.00 Permit PLUMBING Additiona'l.desc Permit Fee . . . . 33.00 Plan Check Fee- 8.25 Issue Date... Valuation 0 Expiration Date 2/27/06 . 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 . -- ---•=----------------------------------------.-----7 -- ------- --- - - - - -- Special Notes and Comments POOL & SPA ONLY. ALARMS/BARRIERS SHALL • LQPERMIT .. - .. - .. f Lr) co (D \ N Ln E_ , 7 f Lr) co (D \ Lf) . Ln 7 O. - - .. CD r EXISTING COVERED PATIO a t CL co I- o EXISTING RESIDENCE Ln -78-330- VIA PAVION DEL ORO DEVELOPMENT .o m ' zo0o Uj+U Tm 06 Z 0 0 (�� z CL -cc -- 6' �3< W m o ' 7 - - ..