Loading...
04-5934 (RPL)r TW9P 4 4 Q" BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT 4 . Application Number . . . .00005934 'Date .8 /13/04 Property Address . . . . . . 539_05 EISENHOWER DR APN: 774 -165 -021 -10 -000000 - Application description . . . POOL - RESIDENTIAL Property Zoning . . . . . . . COVE RESIDENTIAL Application valuation . . . . 18000 Owner Contractor ------------------------ ------------------------ HEIDI BISHOP CAIPO, GUILLERMO W. 53905 EISENHOWER DRIVE 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 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Permit . . . . . . . BLDG POOL PERMIT Additional desc . . Permit Fee 189.00 Plan Check Fee 122.85 Issue Date . . . . Valuation . . . . 18000 Qty Unit Charge Per Extension BASE FEE .45.00 16.00 9.0000 THOU BLDG 2,001-25,000 144.0.0 -------------- =---------------------------------- 7 --------------------------- Permit . . . . . . MECH POOL Additional desc . . Permit Fee 24.00 Plan Check FeeQ 6.00 Issue Date Valuation q� 0 Qty Unit Charge Per ----BASE FEE ------------------------------------------------------ -------1_00--------9_0000-EA MECH FURNACE <=100K ------------------ Permit . . . . ELEC POOL PERMIT -RES Additional desc Permit Fee . . . . 45.00 Plan Check Fee Issue Date . . . . Valuation . . Qty Unit Charge Per BASE FEE 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL OLT 1'OEXttE wN aJ� PAI 11.25 0 Extension 15.00 30.00 P.O. Box 1504 • 1����V 78-495 CALLE TAMPICO�p 4 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: Q`f' S I Date: Applicant: Applicant's Mailing Address: 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 I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals ,bode, and my Licen is in f fo nd effect. d / / License Class y� Ucen No. Q �ss �6 ate V / 1 v ontractor 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. , 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 in rance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation i nce mer and policy number are: �arrier u olicy Nmb r I certify that, in the performance of the wo w ich 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 gre th if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall p11,7 forth 'th comply with those provisio s. Date t7 ��ant WARNING: FA(URE TO SECURE WORKERS' COMPENSVRNEY'S RAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARIN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANDAEES. 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 im 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 wt 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 appl cant, each agree o, and shall, defend, indemnity and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work bei g performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if wo is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancella' 1 certify that I. have read this application and state that the above info lion i corec agree to comply with all city and county ordinances and state laws relating to building construction, nd h eby authorize representatives of this county to a er up the a -mentio property for inspection purposes. /Date d g-n.ture (Applicant or Agent): Page 2 Application Number . . . . . 04-00005934 Date 8/13/04 ----------------------------------=----------------------------------------- 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 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited ----------------- Due ---------- ---------- ---------- Permit Fee Total 291.00 .00 .00 -7 -------- 291.00 Plan Check Total 148.35 .00 .00 148.35 Grand Total 439.35 .00 .'00 439.35 £ Pool ,£ Existing House ID Existing Patio 38077 Crocus Lane, Palm Desert CA PROPOSED POOL:iE� C G 92211 Phone/Fax: (760)200-1000 HEIDI BISHOP Cel: (760) 578-6713 53905 Eisenhower Av, La Quinta CA 92253 W l;k6o E-mail: williamcaipo@aol.com GENERAL CONTRACTOR LICENSE: B(81fifi93 Phone #: (760) 5644525 / 218-7778 POOL CONTRACTOR LICENSE: C53 (A 16693 � -- � ; �,,, rf � tir { i /�`-- I . . �� _' �.�-�: -. _ r� r ,.� �. � � - .; . i y y Y " 4 .,. 4` .. . 7 ,� ) � -- � ; �,,, rf � tir { i /�`-- I . . �� _' �.�-�: -. _ r� r ,.� �. � � - .; . i y 1 4` � -- � ; �,,, rf � tir { i /�`-- I . . �� _' �.�-�: -. _ r� r ,.� �. � � - .; . i J-3 7 j f Jp ��CITY OF LA QUINTA SUB -CONT r� C4F3 L Tr JDB AISt�RESS PERMIT NUMBER OWNER bl� This form shall be osted on the job with the Building Itlsl! action Card at all times (n a conspicuous place. Only persons appearingfon this list or their employees are authorized p — to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Fai t om y will res It in a stoppage of work and/or the voidance of buildinq permit. For each applicable trade, all information requested below must be completed by applicant. ,'On File" is not an acceptable response. EARTHWORK IC -12) CONCRETE (C-8) . FRAMING (C-5) STRUCT. STEEL (C-611 MASONRY (C-291 PLUMBING CC -361 LATH, PLASTER (C-361 DRYWALL IC -91 HVAC IC -205 Company ty /1 �� �J'rC Classification. (e.g. A, B. Com) License Number Exp. Date Carrier Name (xxxxxx) ixxlxx/xxl (e.g. State Fund, C�Coanpl Policy Number lFtrrrrmt Varies) Exp. Date Ixx/xx/xxl License Ntanber ixxxxl � e- 1440 FLOORING (415) edru� a' i I -T-4 3 JJ 6 6 3 �� Z J`.r' AZ-7 5e�Y . � a3.!"J"�j �i ^s g � 2z OOL f� T! e� e� a T� 1"'o1"r ��� �_ �d�d.�©I 3�© t� zzymo��r T7 ELECTRICAL IC -101 ei%G%CGle Jf 0 �J�.l`i� l �l p (�'�Ge ZLt%d ly'�T'f �l i O X07` % ROOFING (C-39) 01 SHEET METAL IC -4M FLOORING (415) GLAZING IC -17) INSULATION (C-21 SEWAGE 9114P.1042) PAINTING (C-331 CERAMIC TILE (C-541 CABINETS (C-6) FENCING (C-13) LANDSCAPING (C-271 I Pant rc.631 I Gi`a� 6/Dd Cell -f" J I �1 E!� Y3 I `/��/�f I �/`tom 1 751 1 */r, I 'Y`4-44- 17/,P -"H