Loading...
04-7589 (RPL)BUILDING & SAFETY DEPARTMENT �v P.O. BOX 1504(760).777-7012 �t3pF� c9 -„_7.8 4A`5-GALLE TAMPICO , FAX (760) 777-7011 LA_Q 1;%)'TA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 1,11T , 11N ,11 1 1 9nni, SIU ° BUILDING PERMIT AppGly Cdr il6M Number Property Address . . . . APN: Application description Property Zoning . . . . . Application valuation - . x=04=0-0-0-0-7589 Date 12/03/04 52-945 AVENIDA HERRERA 773 -324 -023 -10 -000000 - POOL - RESIDENTIAL COVE RESIDENTIAL 25000 Owner Contractor ------------------------ JOEL MINSKER ------------------------ CAIPO, GUILLERMO W. 52945 AVENIDA HERRERA 38077 CROCUS LANE LA QUINTA CA 92253 PALM DESERT CA 92211 (760) 200-1000 WCC': EXEMPT WC: EXEMPT 07/31/05 CSLB: 816693 01/31/05 CCC: B-053 ---------------------------------------------------------------------------- Permit . . . . . . BLDG POOL PERMIT Additional desc Permit Fee . . . . 243.00 Plan Check -Fee 157.95 Issue Date Valuation . . . . 23723 Expiration Date 6/03/05 Qty Unit Charge Per Extension BASE FEE 45.00 22.00 9.0000 THOU BLDG 2,001-25,000 198.00 ---------------------------------------------------------------------------- Permit . . . . . . MECH POOL Additional desc Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/03/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00'9.0000 EA MECH FURNACE <=100K 9.00 --------------------K --------------------------------------- ---------------- Permit . . . . . . ELEC POOL PERMIT -RES Additional desc.. . Permit Fee 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/03/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 -=-------------------------=------------------------------------------------- EA- ELEC PRIVATE SWIMMING POOL 30.00 Page 2 Application Number . . . . . 04-00007589 Date 12/03/04 Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date Valuation . . . . 0 Expiration Date 6/03/05 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 . . . . . . WALL/FENCE PERMIT Additional desc Permit Fee . . . . 31.00 Plan Check Fee 00 Issue Date. Valuation . . . . 1277 Expiration Date 6/03/05 Qty Unit Charge Per Extension BASE FEE 15.00 8.00 2.0000 HND BLDG 501-2,000 16.00 -----------------------------------------=---------------------------------- Special Notes and Comments POOL/SPA, 59 L.F. 5' GARDEN WALL, CITY STANDARD. ALARMS/BARRIES SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. Fee summary Charged Paid Credited Due -- - - - - - - - - - - -- - ------ - - - - ------ - - - - ------ - - - - ------ - - - - - - Permit Fee Total 376.00 .00 .00 376.00 Plan Check Total 183.45 .00 .00 183.45 Grand Total 559.45 ..00 .00 559.45 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- 15fN - Date: /,e_�'- -0 Applicant: I Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: 1A Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under-enalty of perjury that I am licensed �nderrovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Cod , and my License is in full force and effect.�se Class / (n(q No. Q 6 G J I 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 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 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 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.). U I am exempt under Sec. , BA P.C. for this reason 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 issued. My workers' compensation insurance carrier and policy number are: Cartier - Policy Number I certify that, in the performance of the work for which this permit 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 provisions. 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 0 r t 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 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 cgmply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. ate SiAgent): gnature (Applicant or Ant): AUNV. i a �aelel Wd�l.1� nn,,''��w CITY ®F LA QUINTA SUB -CONTRACTOR LIST ORESs5a- 9#5 4 �� PERMIT NUMBER 0¢' 758 r OWNER BUILDER t� a shall he ao5ted on the jgb with the Building InEpection Card at all times In a conspicuous place. my persons appearing on this list or their employees are authorized to work ,b. Any changes to this list must be approved by the Building Division prior to commencement of work. Fal t comply will res It in a stoppage of work arid(or the voidance ig permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable resaonse. Classification Contractor State Contractor's License —Goners orMensation Insurance CJIV Business License Company }dame Classification. (e.g. A, S. C-8) License Number (xxxxxx) Exp. Date Carrier Name (xxlxx/xxl (e.g. State Fund, CalComp) Policy Number (Format varies) Exp. Date lxx/xx/xx) License Number Exp. Date (xxxxl Iaxlxxlxx) IaRKIC-t2) e"-r://eYG TE (C-11) -v� l�di�r �,t I.TG5 di 'f 2 J'r (C-5) STEEL (C•51) �eu-r • Be= 6j�3.1'�'� i Y� �� �? `��.� �'Z prjL �S/TJ i/ r�/ C C r / / Ad i fY (C•291 - JG (C-36) lj�� lid tai�q¢/s° V (/ �Y `% 3l ©�i �!/dC"� y 4��Gi, r T7 0,9�1?1'7' ?,✓ �� LASTE+R (C•35) .L IC -91 :•201 . CAL (C-40)�wv' «�r� ��' �,i' .,`� ��o v�� ZL�=vd Zy�yTJ it �" O 6.717 <✓ �, "+ (C•39) ' 4ETAL IC -43) la tats) 3 tC-T7) - rinN (C-21 3 A125P.1C-42) . G IC -331 C TILE (C-54) I's (C-$) a (c-13) 'APING (c � 7 7 7,3 -531 E7 f �-