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04-5104 (RPL)c -�P-O-Boz 1504 ., u�_� A�Z8�CALLE TAMPICO LA QUINTA, CALIFORNIA 9225.3 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760),77.7-7012 FAX (760) 777=7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . . 04-00005104 Date Property Address 54465 AVENIDA HERRERA APN: Application description Property Zoning . . . . . ..Application valuation . 774-245-023-11 -000000_- . POOL.= RESIDENTIAL COVE RESIDENTIAL . 12000 6/23/04 Owner Contractor COVE DEVELOPMENT LEGACY HOMES 54425 AVENIDA MARTINEZ -.'P.0'. BOX 696. LA"QUINTA CA: 92253 LA QUINTA CA 92253: (760) 777-8317. WCC: KNOX.INS WC:' 1576313 06/01/05 CSLB: 778280 05/31/.06 CCC :. . B 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 <=10.0K .9.00 -=---------=-=----=----------------------------------------- . - r-- -- ---------- Permit'.." ." BLDG POOL PERMIT Additional desc . Permit Fee . . . . .135.00 Plan Check Fee .. 87.75 Issue Date Valuation 12000 Qty. Unit Charge.. Per Extension BASE FEE 45.00 10.00 9.0000 THOU BLDG 2,001725,000 90.00 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 P.O. Box 1504 VOICE (760) 777-7012 4 4 78-495 CALLE TAMPICO . .FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 7774153 BUILDING & SAFETY DEPARTMENT Application Number: Date: Ao ` 0 Applicant: Applicant's Mailing Address: Architect or Engineer: i Architect or Engineer' jd r Lic. No. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I 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.Professiohals Code, and my License Is in full force and effect 'License Class Ucense No. 7 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).): (,..) 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 sate. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that hme 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)'Iicensed pursuant to ft Contractors' State License Law.). U I am exempt under Sec. . BA, 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 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 I ued. My�workers' compensation insurance carrier and Gcy number are: Cartier � J� L� L� Policy Number / 0 Z� S J 7�9 _ 1 dbrtithat, in thle performance of the work for which this.pemmiI Is Issued, I shWI not employ any person in any manner so as to become subject to the workers' compensation laws of California, and -agree that, if 1 should become subject to the workers' compensation provisions of Section 3700 of the labor Code, l shall forthwith comply with those provisions. Date r 61 1-0 1 Applicant 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 tending agency for the performance of thio work for which this permit is Issued (Sec. 3097, Civ. C.). Lenders 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 Aulnta, 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 inf tion is correct 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this coun o en t n the an purposes. Date —O Signature (Applicant orAge ///,j N Page 2 Application Number '04-00005104 Date 6/23/04 ---------------------------------------------------------------=------------ Permit . . . . . . PLUMBING Additional desc . Permit Fee .27.00 Plan Check Fee 6.75 Issue Date . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 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---------------------------------------------7------------------------- Special Notes and Comments POOL ONLY. ALARMS BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. EQUIPMENT.ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited ----------------- Due ---------- -7 --------- --- ------ Permit Fee Total 231.00 .00 .00 ---------- 231.00 Plan Check Total 111.75 .00 .00 111:75 Grand Total 342.75 .00 .00 .342.75 N DRAW) A.RADOM CHECKED S.L. DATE 06-15-04 SCALE 1/8"=1'-0" SHEET #1 FINISH SALT WATER LINE '4 Ln LONGITUDINAL SECTION SCALE: NONE UNAUTHORIZED USE WARNING THESE DESIGNS ARE THE PROPERTY OF LENCH DESIGN GROUP. REPRODUCTION INANY FORM WITHOUT WRITTEN CONSENT IS EXPRESSLY PROHIBITED. UNAUTHORIZED USE EXTENDS TO ORIGINAL AND MODIFIED DERIVATIVE PLANS AND IS APPLICABLE TO INTENTIONAL AND UNINTENTIONAL INFRINGEMENTS. 3,%" N 18" 3--� BENCH DETAIL SCALE: NONE A.P.N.: 774-245-023 ADDRESS: 54-465 AVENIDA HERRERA LEGAL: LOT a 11 , BLOCK 290, UNIT 28 SANTA CARMELITA AT VALE LA OUINTA APLANS PREPARED RY: LENDEL VENTURES, INC. dba LENCH DESIG31-GROU A.P. a O O �• U a w d�$ z F z U o U uWQI O a as 1� -•i w a O a w A a O o 0. ORAVkN A.RADONI CHECKED S.L. DATE 06-15-04 SCALE NONE SHEET #2