04-6739 (RPL)0 0
u�l'Gu
BUILDING .& SAFETY DEPARTMENT
csv4 _P.O.. BOX 1504 (760)_777-70.12
0F19`�' 7�4�95 CALLS TAMP.ICO FAX (760) 777-7011
t6 UINTA, CALIFORNIA .92253 INSPECTION REQUESTS (760) 777-7153
BUILDING. PERMIT
OCT
1 ge1G�Tfa .
pplic-:action Number 04-00006739 Date 10/12/04
FPr pert;y. Address: 77914 DESERT DR
APN: 658-140-999-145 -29436 -
App.lication.description... POOL _ RESIDENTIAL
Property Zoning'. LOW DENSITY RESIDENTIAL
Application valuation.. 0
Owner. Contractor
-IVANHOE LA QUINTA.COVE CALIFORNIA POOLS .& SPAS'
C/O R BARRY MCCOMIC P.O. BOX 1280
7'979.IVANHOE AVE STE 550. COACHELLA CA 92236
...03.(76.0LA JOLCA 8-222.
WCC:' ..STATE -.FUND..
WC: 04600061168 01/01/05
CSLB..: 6561281 . 10/31/0.4.
CCC: C8=C27-C2-9=,C53
Permit MECH POOL
Additional desc
Permit Fee 24.00 Plan Check Fee 6.00
Issue Date Valuation 0
Qty Unit Char..ge P.er Extension
BASE .'FEE - `. 15.00
1.00 9.0000 EA MECH FURNACE <=1.0.OK - 9.00-
Permit BLDG POOL PERMIT
Additional desc
Permit Fee 54.00 Plan Check. -Fee, 35.10'
Issue Date Valuation 2500
Qty Unit Charge- Per Extension.
BASE 'FEE 45-.00
1-.0,0, 9.0000 THOU BLDG 2,001-25,000 9.00
Permit . . . . . ELEC POOL PERMIT• -RES
Additional desc
Permit Fee 45.00 Plan Check Fee 1.1.25
Issue Date Valuation 0.
Qty: Unit Charge Per Extension
BASE. FEE' .15.0 0
p.0. Box 1504 amVOICE VOICE (760) 717-7012
-78-495 CALLS TAMTICO :..• F.AX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777.7153
BUILDING & SAFETY DEPARTMENT
Application Number. — ? % te:. V'�7�'�%
Applicant: Archttect or Eriginee
l j
Applicant's Mailing Address: -Architect or Engin. s:
Uc. No.: .
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that 1 am Somised under provisions of Chapbr 9 (oommenckhg wlth Section 7000) of Division 3 of t o'Buslness and Pratesslonsls
Code. and my Is in full force and -effect.
L.ioense Mass L-' S 3 license No. l
Dale `� ' Coihtiactpr
0MER43U1L•DER DECLARATION
I herdby.affirm under penalty of perjury Biot 1 am exempt Iran the ContractW State License law for the following reason (Sec. 7031.6. Businssrand Pmfs$sWd Code: Any
elty or county that AmOrbs a.pemdt to construct altar. Improve. demolish, rxropak arty structure, pbr to its issuance, also Requires the applicant for the. pelma b fife a signed
staumwA that he or she Is Roensed pursuant to Be provisions of the Comtrsclom�' State t ioa►se taw (Chapter 9 (commencing wfih Section 7000) of Divlslon 9 of the Business
and Professions Code) or.that he or she.Is exempt therefrom and the basis for the alleged axe Vitt Any violation of Section 7031.5 by any applicant for a pemtit subjects
the applicantb s civ. penalty of not more than five hundred dollars ($500).r
U 1. as owner of tte propaty.-ormy enployees with wages. as thele sola cwVw ton, vial do the work, ant! 1ta *ucbm is n►ot intended a dWed for sale (Sec. 7044. .
Business and Professions Code: The Coftaetors' State License Law does not appy b an owner property who builds or improve; thereon. and who does the work
himself or herself or through his or her own empk"", provided that the improvements -we not Intended or oltered for seta If, however. the bt Gvp a Ih�rCdOrmlOnt is "
sold within one year of completion, the owner4Ader will have.the burden of provkp that he or she did not build or improva for the purpose of 6310.).
() 1. as owner of the property. an 8=1 i0vely contracting with licensed contractors to construct the.irojeet (Sec. 7044, Business arid ProfessiaK Code: The Contractors'
State Licensb Law does not appy t0 an owner of property who builds or Improves therson, and who contracts for the projects with a contactor(s) licensed pursuant to
The Contractors` State License Law.)
(, 1 am exempt under Seo. B.3 !!A. for this reason
Date Owned
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury the of the following declarations:,
l.have te and.wnnaintain o cadr4ate d oonserd to setbinsuro for workers' em. nation, as provided for by Section 3700 of" Labor Code. for- perf0mhanoe .
of the work lex which Oris pm* Is Issued..
.X I have and will maintain workers' compensation Insurance, as required by'5ection 3700 of the labor Code, for the pef mance of the work kir WNCh this Penna IS
My tion:Iuuronce carder and
person In any manner so as to become subject b the wodcens'
compensation laves of Cafiforda. and agree that 91 should become subject b the waken' compensation provisions of Section 3700 of the Labor Code, l shall
fodtw tth comply with Base provtogns. _
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).;N ADDITION TO THE COST OP COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE. INTEREST. AND ATTORNEYS FEES.
CONSTRUCTION LENDING AGENCY
1 hereby atfimn under penalty of perjury that Bare Is a construction lending agency for to performance of the 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 permh subject b the conditions. and restrictions set forth on this application.
1. Each person upon whose behalf this applicatlon is made, each person at whose request and for whose benefit wok Is performed under or pursuant b any permit
Issued as a result of this application, the owner, and the appticaM each agrees 10, and shall, defend. Indemnity and hold hamNess the Cityof Le Quints. Its
otfioers, agents and employees for any ac or omission rolatad b Be wvmk (((ffformed-under ar fotlowtng issuance of this pemaJL
2 Any permit Issued as **result of this application becomes nuq and void B is notoed wfBh1n.180 days from data of issuance of such penmdt or
oessatioh of work for 180 days wilt dubject pemNt to gnoeflatton
1 certiy, that 1 have read Buts application and state that the above Mfomnetion b oorot I agree,bb comply with all city and county ordinances and state laws.rela8ng b building
const uc�fiim and hereby authorize representatives of this county ter upon, bored property for Inspection purposes.
pate L' Signature (Appticent or Agent):
F
Page 2
Application Number .
. . . . 04-000016739
Date 10/12/04
Qty Unit Charge
Per
Extension
1.00 30.0000
EA ELEC
PRIVATE SWIMMING POOL
30.00
-----------------------------------------------
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
-------------------------------------
Special Notes and Comments
----------------------
-----------------
WATER FEATURE INTERIOR COURTYARD
Fee summary Charged
---------------------------
Paid Credited
Due
*Permit Fee Total
----------
150.00
----------
.00 .00
----------
150.00
Plan Check Total
59.10
.00 .00
.59.10
Grand Total
209.10
.00 .'00
209.10