The URL can be used to link to this page

05-0267 (RPL)r :a Tdf 4 44�rw P.O. Box 1.504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . . �0�5�00"000267—) Date 1/31/05 Property Address . . . . . 81360 GOLF VIEW DR APN: 762-410-025- - - Application description POOL'- RESIDENTIAL Property Zoning . . . . ... . LOW DENSITY RESIDENTIAL Application valuation . . . . 25000 Owner Contractor JIM HATZOPOULOS AINSWORTH POOL CONSTR, ROBERT GL DRIVE 40900 GLENMORE DRIVE D LA IN CA 92253 PALM DESERT CA 92211 (760) 568-4993 MAR 12005 WCC: VIRGINIA SURETY WC: 005-0024833 01/01/06 CITY OFLAQUINTA CSLB:' 598681 07/31/06 FINANCE DEPT. CCC: C53 ----------------------------------------------------------------------=----- Permit ... . . . . BLDG POOL PERMIT Additional desc Permit Fee . . . . 252.00 Plan Check Fee 163.80 Issue Date . . . . Valuation . . . . 25000 Qty Unit Charge Per Extension BASE FEE. 45.00 23.00 9.0000 THOU BLDG;2,001-25,000 V '----------------------------- 207.00 -------------------------------------- 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 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 ----------------------------------------=----------------------------------- Permit . . . . . . MECH POOL P.O. Box 1504ICE 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: I Date: J? ' i ' O 5 Applicant: Applicant's Mailing Address: G 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 provisioR4,pl Chater 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and ss Ljceasq is in full force and effect. % License Class ("fes / I�A6�jON- f/ Lice isse No.P09tf ate If A! ContractoN If h OWNER -BUILDER DECLARATION 1 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.). U 1, 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.). U I am exempt under Sec. . B.& 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 Section 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 �issu T tv-) wqr Mf Qe�sation insurance Num a rriek d-0oliyrynrt�rr`��e� Cartier ]iii�Z 77 PolicyNumber () U 1 C I certify that, in the performance of the work for which this permit is issued. I s all n� of 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 provisions. Date Applicant'.AA- POOL� 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 3706 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 (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 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 Quinta, its officers, agents and employees for any act or omission relate the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes nu an 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 cancell tion. 1 certify that I have read this application and state that the above info tion cc I to co y with all city and county ordinances and state laws relating to building construction. and hereby authorize representatives of this county to en r up • n ntion property for inspection purposes. to ✓ ' `/ Signature (Applicant or Agent): V Page 2 Application Number . . . . . 05-00000267 Date 1/31/05 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 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. GATE & SCREEN WALL BY SEPARATE PERMIT *, Fee summary Charged Paid ---------- Credited Due --------------------------- Permit Fee Total 1354.00 ---------- .00 .00 ---------- 354.00 Plan Check Total 189.30 ..00 .00 189.30 Grand Total 543.30 .00 .00 543.30 CITY. OF bt-...: BUILDING & SAFL: ; f DEPT. APPROVED xtsT,.cn6rr NES/ VARD pizAw - U r,E twro VkAW NE Raaoo� �t�fl FOR NSTRUCTION CTS) CPROV\��o ay To�-�- VaR � R� � 't� S-A, ?1 L- WALL P. C. A �� o RAt 1 s_ o _ 1 .777 N£v,/ w A LA . ISS C, �iE� GAS ` N�vJ YARfl- D►ZA%O COt--oR Ila - ►,i �o�r1"( t, ��'�� CONCP Ems-- W Al -K W�`� `ma y ' �• - �x1STING= �o� Stns Awo Q � .SOD ► .P , - 1 1Z`�Ap, `I�rSZt7 DRI-��NAG-� DaA►r1 - � — , A / r --0 ; •. - To THIO ct' �� t LAWN ON`D - , t t�`('a i•At I` I l 4� Ex -r. �l� i ►o --f i - �'' C CD 0 E)C1 TING REST DEN CEr-n r�AST IN G pA pool^ '6 U)=: ` ' OTDR, V E WTA N A-10 SToNEs ': _D x`F �. �U IRTA cN 3 r 01 A 73�> 3> ITA�)A 710-- —1 K !A) %� •' PA PA' SNL + _TJ-� SDA (� ,< C � PA �X1S7lNG t`1E\n► ►r1T Rr GAL C o`o R S CRrr! VJAu.. A wI STA0A F��11S�i ►- SPA D ) R1v£R R®cK !�►�( 5 1' A PA "r'' PA rt AT CVS , A. PIL- : ..-- -- -_ S1T� �DRAI1elACs� Pl�.�l Ll c r� r