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04-6024 (RPL)".i t uc� BUILDING & SAFETY- DEPARTMENT c m �f--p-B-ox—/1--5.0.4- n- ; (760).777-7012 OF It�9 `I 4.9.5 Cl/K`VLE TAMPICOn FAX (760) 777-7011 Ln QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 U AUG 2 7 2004 UILDING PERMIT CITY OF L4 C,�UINT. FIN�INCE ®EPT Application Number :. 04-00.006024 Date 8%24/04 Property Address 44670 VIA"CATALINA -•APN: 1604-032-999-83 -305212 Application.description`.' POOL - RESIDENTIAL Property Zoning LOW-DENSITY RESIDENTIAL App.licati'on. valuation 16000 Owner Contractor LENNAR HOMES OF CALIFORNIA.' CALIFORNIA POOLS & SPAS 78401 HIGHWAY 111, STE C P.O. BOX 1280 LA QUINTA,:;CA COACHELLA CA.92:236� .LA QUINTACA 92253. (760) 3.98-9222 WCC: STATE FUND WC- 04600061.168. 01/01/05 CSLB: 656128 .10/.31/04 CCC: C8-C27•-C29=C53. 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.<=10QK 9.00 Permit . . . BLDG POOL 'PERMIT Additional desc , Permit Fee 171.00 Plan Check Fee 111 15 Issue;Date ; Valuation 16000 Qty Unit Charge Per Extension .BASE FEE 45.00 .14.00. 9:0000 THOU BLDG.2,001-25,000 126.00 -------------=--------=-----------,------------------------------------------ Permit . . . . . . ELEC POOL PERMIT -RES Additional desc Permit Fee •45.00° _ Plan Check Fee 11.25 :Issue Date Val,'cation 0 Qty:' Unit ,Charge ' Per Extension BASE FEE 15.00 P.O. Box 1504 78-495 CALLE TAMPICO VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant:. Applicant's Mailing Address: Date: _^ai-Ca N Architect or Engineer: Architect or Engineer's Addres , Lic. No.: BUILDING PERMIT DECLARATIONS LIC NSEO CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under pro i ' of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my Licey, a iS (Lill force and effect. s License Class C Lice se o. 6 Da._,F/7 7-Z,0, Contractor l DOWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that am exempt from i8�ontractors' 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 rale (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.). V 1 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 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 mi orkers' compensation insurance, as required by Sectiofm 3700 of the Labor Code, for the performance of the work for which this permit is iss d. orkers' ompensation insurance carrier a d licy number re: Carver Policy Number certify that, in the performance of the work for which thi ermit is i ued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, 'f I ould beco a subject to the workers'. compensation provisions of Section 3700 of the Labor Code, 1 shall �%forthwiitth comply with those p sions. Date [— / Applicant WARNING: FAILURE TO SECURE WOkERS' COMP IONOVEGEIS UNLAWFUL, ANO SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNS_ 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 IMPORTANT Application is hereby made to the Director of BuildingAPPLICANT aCKNOWLEDGEMENT 1. Each Safety APermit subject to the conditions and restrictions set forth on this application. 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, indemnity and hold harmless the City of La Ouinta, 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* o menced 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 gree to mply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county t nter upon time bo ehti ed property for inspection purposes. rDate 1 Z 1 oSi ,` J . 9 nature (Applicant or Agent): t Page ' 2. Application Number . . . . 04-00006024 Date 8/.24/04• Qty Unit Charge Per Extension 1.00 30.0000 EAELEC PRIVATE SWIMMING POOL 30.00 ---------------------------------------------------------------------------- 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 "Permit . . ... WALL/FENCE_PERMIT Additional desc.. Permit Fee 15.00: Plan Check Fee .00 Issue Date Valuation . . . 320 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments POOL & APS. FIREPIT 496AGAL. 20 -LF OF 4' BLOCKWALL CITY STND. ALARMS BARRIERS SHALL BE IN PLACE PRIOR,TO.PREPLASTER INPSPECITON. Fee summary Charged. Paid Credi•;ted Due Permit Fee Total 288.00 .00 .00 288.00 Plan Check Total 136.65 .00 .00 136.65 Grand Total 424.65 .00 .00 424.65