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04-6587 (RPL)-BUILDING:& SAFETY DEPARTMENT P.O., Box 1504 (7.60).777-70.12 78-495 CALLE.-TAMP[e0 FAX (760) 777=7011 LA QUINTA, CA1IF0I04IA.92253 INSPECTION REQUESTS (760) 777-7153 . BUILDING -PERMIT 'Application Number 04-00.00*6587 Date ---10./ 04 Property .Addresa­. 48655 EISENHOWER APN 658-14.0_99,9 - - Application description POOL. RESIDENTIA Property.Zoning. LOW DENSITY RESID IALf,arl Application valuation. 3.00`0 _. - Owner.': Contractor F I NA jN! 1! j L.:{ - — IVANHOE LA QUINTA COVE CALIFORNIA7POOLS & SPAS C/O .R BARRY MCCOMIC P.O. BOX' •12:80 -7979IVANHOE.AVE STE 550 `. .. COACHELLA CA 9223"6 LA JOLLA ...CA 92'03:7 ...(760)3;98-9222-. WCC: STATE FUND... WC r 04.6,000Z1168 01/0:1/05 CSLB:: 65612.8 - 1:0/31./04. CCC: C8 -C2.7 -C29-053 Permit MECH POOL Additional desc . Permit -Fee- 24.0.0 Plan' -Check Fee : 6.00 Issue Date Valuation 0 Qty Unit , Charge .Per -Extension BASE. FEE 15.00 1:00 '9 0,000 EA MECH FURNACE <=1010K 9:=00 Permit BLDG POOL PERMIT Additional.desc Permit .Fee .. 54. 0`0Plan,' Check -Fee • . 35-.10 Tsstie..Date . ' Valuation 3000 Qty- Unit Charge Per Extension -BASE FEE 45, GO 1:00, 9,0090 THOU BLDG 2,001-25,000 .9.0,0 Permit- .ELEC POOL PERMIT -RES Additional desc . Permit Fee •45.00 Plan Checkt ee 11.25 Is.sue Date Valuation b Qty: Unit Charge. Per Extension BASE'.FEE' 15.00; 77-7012 p:O...Box I5O4 VOICE (760) 7 78-495 CALLE TAmipico... FAX (760) .777.70'11 LA QUiNTA. CALIFORNIA 92253 INSPECTIONS. (760) 777-7153 BUILDING & SAFETY DEPARTMENT Appiic aUon Number. (oSB % Applicant: Arc hoot or Engineer: Appiicanrs Mailing -Address: Alc;hked or Engineer' Lic. No.: , BUILDING PERMIT DECLARATIONS LICENSED CONfRACTORI DEM"ATION Date: Lheraby afBnn under penally d pw y Q�et l sm tieertsae under pmvkb u(0. a( $ (oo�... wIR� 8aedon 7000) d DMsion a orthe 9ua and PrdaalaWs Um Chm L bens b i it 1 tome and 011141alime- No. (0 Delle conkactor ' -6wE BUO.DERDECLARATION t Mrdby.atlt m'Wider penally d po)jry fiat.! am eosempt from tw CmUsciaw. slow Lkew LawbNtw Wwft rdasort (Sec 7031 , eu*tess and Pm%sstom Codec 'Any colt or cmdy that roc# "a.psmA b makt4 dbw. kWovs. deaOahBansbuNm p or b Its k u me. alsonuisIo appia stabnmttahe'erstN&moodpusatb1spnoldo aft* leu N for on: p�ndt b ab a sipnsd Ltcenea Law (Ohmpler 9 (contamp* p *% Secdw 7000)01 Didsfon 3 dt w 8udrw.s and Pideado= tbQe) or list Iw orstw.ts sum npf twwbom and 1hsbeds forte e sllepsd wwwq Q L Any vlabtlon d 8sclan TOI-5 by anytpplc@M fire permit subjbds the gViloantb a dvg pemKyof riot mom tan the bandied dotlara (55001 U k as owner of ills property. or my eimpbyses wOh woo" as iamb cola ciomperiellan, vA do oa wok Grad Ole Gbv*n IG not ktteadsd or otlsred for sale (Sec. T044, . Budness and Rafeasioes Code Mw Calbackwe Stale Umms Law does not appylo an owrwd propwty wtq bubds cr a thew % and who does a» work Nknsetf a herself a thtougfl Ns or harowm employees. povidedibat OIs h+pnv�nsnb.arb pct iniwded or ollwed 1a sots ft, hoMiever. the buldkq aknprcvemiml Is " sold wiQtln ons ye"rd r a ; I mOon, tfwowner-bullar wAI haw,>t►e burden d p'off W he ardie did not bW or m ." br the pwpobe Cr Gale.). (,' 4 siowner d1I1a-properly. sm eoadvaivay oorMraetlnp with Gowned oontractaa b w—uct.ors Project (Sei 7044. Bue�sss aid PmkW m Cods: The Conbq�t W subs Uoensa Law'does not appy to an owner of propsry who bulls er hnprorvs thoeon. and who.00nbml lw to pa jests wpb a ox*ackw(a):oensed puraer�t b theca acbw StateLk&ve Law.} V l am wwppt under Sac . BA PAtor oda reseal Dab - Owner,:;,._ • WORK EW COMPENSATION DECLARATION . hereby affirmunderpenallyN..pe "onedthefbl0wbrpdedaralom • _ 1 haus and:wll mnirdain a oeraleab d oonaent b sattansuw fa wodowG' aomparaafon, at provided Corby Sectfona700 01 t►al laborCode. brtN pwfamvtmoa . Cron .wormbrw ft 1Ha,pwmdt is boued.. hays and,wllwn�aet)nceu�sb'� wakare" oanpa►Getlon hnuranoa. p wgWwd by"SeWon 5700 o1Aw LaborCOde, for oaA of the wa* brwHch Ods Pei" be Canter �t�rru-piflourance Pallc �rrlar and p�ltpr� �l _i.ewdtY wet. in tie pet(atnanoa'd tM► wnrk forwtdd► tNsthis tse+ad, l any par#on in sny miro�x so ere b beoon+e,aii4iectb Ore waklra• ' oompeneagon laws dCalfondei. and agree that. it l thotdd baoane auto jeotb the wolkw0' oanpsAGelon prvNebm of Seatlon a700 d Ora Labor Cods. I Thal forowold oompy wt h oase lee i& - A WARNING FAILURE'TO SECURE WORKERS'COWMATION COVERAGE IS UNLAWFUL, ANO SKML SUILIOCT AN EMPI.OYERTO CRUNAL PENALIIE9 AND CML FINES UP TO ONE HUNDRED' THOUSAND DOLLAM (siogA00), IM ADDi o TO im cosr CF 00MPENSAmoK DAwaES AS PROVIDED' FOR •W SECTION 3706 OF THE LABOR CODE. INTEREST. AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY 1 Newby aflkm under penalty of pm?Ay Gist bn Is a oombucdm I m&V apeney for to pwfamnmod d the wok brwtkh tds Penaw Issued (Seo. SM. Civ C Lendet'a Nama LendePs Address APPLICANT ACIWOWLEDGEVaff IMPORTANT Applfca0 is hereby mada'b the Dbeotor of BdW ft.mW Safely for a psmNtwibjed b the oondttlarn,and tee6lclonG Get bill► on Ills epplia>lai. 1. Each person upon whose behalf Ids appacatlon N made, sad► parson at whoa" wgw"1 ofd for whose: beaeltt vratcla psrfomisd wider or P to any perms !erred as a result Croda apphmft% to owner. and to appBpnC, each to. aind Gfrol.,defwid,.bWerrrdfy and hold harmless tlw Card V t]ubda. as ooioers, aper" and amploYess for any act cr omdasfon rotabd b 1hs under or.folowUp ha wm cf ft"mdl 2 . AM peva t Issued ere a result d opts appfto*m bscams nail and wt>tirls not naN "" fa0 aaysYwm deb d kwanos of,auch pemdt, or oamatton dwokfor is0,dayawlll au6(ecfpennit to ea ncellen. 1 derW*mt 1 haw read Ods gvilcallm and stab our! the aborts Is 1 am* Wsh al dty and amm/ ordkrwwn and state Ism.relaing to btA ft oonsbucft% and iipreby authorms mm"entawas or" Oa�sd ProPe�Y w -tPwPm� gats ' /� swat" (Appacar «Agerk P.O. Box 1504 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 9.2'253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760.) 777-7011 INSPECTION REQUESTS (7601) 777-71.5.3 Application Number . . . . . 04-00006587 Page 2 Date 10/01/04 IQ.ty '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 6.7.5 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 ENTRY FOUNTAIN AT HIDDEN CANYON 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 2,09.1.0. .00 .00 20.9.10 P.O. BOX 1504 VOICE (760) 777-701:2 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 9.2253 INSPECTIONS (760) 777-7153 .BUILDING & SAFETY DEPARTMENT Application Number: Applicant:. Applicant's Mailing Address: Date: Architect or Engineer: Architect or Engineer's. Address: Lic. No.:. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby.affirm under penalty, of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000),of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class License No. Date Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that l am exempt from,the Contractors' State License Law for the following reason(Sec. 7031.5,.Buslness and Professions Coder Any city or county that requires a permit to construct, alter, improve, demolish,, or repair any structure, prior tolls 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 (Chapter9 (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 fora permit subjects the applicant to a civil penalty of not more,thanfive hundred dollars ($500):): U I, as owner ofthe property; or my employees with wages as.their sole compensation, will do the work and the strucfureis notintended or offered for sale (Sec. 7044, Business and ProfessionsCode: The. Contractors' State License Law does.notapply to an owner of property who builds or improves thereon, and who does the work himself or herseifor through his or her own employees, provided that the improvements are hot -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 .,as owner of the property, am exclusively oontracting with licensed contractors to construct the project (Sec,,T044, 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 pursuant10 the Contractors' State Licende Lew.). U I am exempt under Sec. , BA P.C. for this reason Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 have and^will maintain certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the worktor which this permit is issued. _ (have and will maintain'workers' compensation insurance, as required.by Section:3700 of the tabor Code, forthe performance of the work for whfchthis permit is Issued; My workers' compensation insurance carver and policy, number are: Cartier Policy Number _ [certify that, in the perfonnance of the work for which this permit is issued, I shall not employany" person in any manner so as to becomesubject 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, l shall forthwith comply with those provisions. Date. 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 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.. CONSTRUCTION LENDING AGENCY I herebyaffirm 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.). Lenders Name Lender'sAddress 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 asa result of this application, the owner, and the:applicant; each agrees to, and shall, defend, indemnifyand hold harmless the City of Le Quints. its officers, agents and employees for any actor omission related to the work being performed under or following issuanee;of this permit. 2. Anypermit.issued as a result of this application becomes null and void If'work Isnot 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 comply 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. Date Signature (Applicent.or Agent):