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04-6336 (RPL)d'f 44QUArw BUILDING &'SAFETY DEPARTMENT P.O. Box 1504 (760),777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253_ INSPECTIQN REQUESTS (760) 777-7153 BUILDING PERMIT 4�- Igo Y.�a rjjp.L.iucit_lun Numbery_04=00006336= Date Property Address -x-5.6 VIA CATALINA APN: 604-032.-999-87 3052.12-. Application.description POOL - RESIDENTIAL Property Zoning LOW DENSITY RESIDENTIAL Application,valuation 17000 9/16/04 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.QUINTA CA 92253 (760) 398-9222 WCC: STATE FUND WC: 0.4600061.168 01/01/05 CSLB: 656128 10/31/04 CCC: C8-C27.7C29-053 . ------------------------------------------- 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 15.0 0 1::00 9.0000 EA MECH FURNACE <=TOOK 9-00. Permit BLDG. POOL PERMIT Additional desc Permit Fee 180.00Plan Check Fee 117.00 Issue Date. Valuation. '17000 Qty Unit Charge Per Extension ..BASE. FEE 45.00 .15.00. 9.0000 THOU BLDG 2,001-25,000 135.00 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 P.O. Box 1504 79-495 CALLE TAMPICO TA VOICE (760)"777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant:. Mailing Address: Architect or Engineer: Architect or Engineer's Lic. No.: Date: BUILDING PERMIT DECLARATIONS LIC NSED 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 myjLice is in ll forceand effect.License Cla Lice se o. Date Contractor WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that am exempt from 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 9 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.). (--) I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 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 porkers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is 5 mss ed. workers' ompensation insth ier a d licy number, re: Cartier Polic _ certify that, in the Perfom�a41h thi i rmit is i ued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of CaliI ould beco a subject to the workers'. compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thosDate / Applicant WARNING: FAILURE TO SECURE WOON OVE GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND D10 ,000), ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, RN EES CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that thereis a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lenders Address IMPORTANT Application is hereby made to the Director of BuildingAPPLICANT a Safety CKNOWLEDGEMENT 1. Each H 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, indemnify 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, /dhereeby authorize representatives of this county t nter upon the b ehtio ed property for inspection purposes. dher Date 14 Signature (Applicant or Agent): 77,---f Page 2 Application,Number . . 04-00006336 Date. 9/16/04 Qty Unit Charge Per Extension ' 1.00 30.0000 EA ELEC 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 Special Notes and Comments POOL & SPA ONLY. ALARMS BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due Permit Fee Total 282.00 .00 ..00 282.00 Plan Check Total 142.50 .00 .00 142.50 Grand Total 424.50 .0'0 .00 424.50 . October 10, 2006 Ms. Esther Sanchez Riverside County Assessor's Office. 3255 E Tahquitz Canyon Way, Ste 114 Palm Springs, CA 92262-6962 Dear Ms. Sanchez; Please be advised of an address change for the following permit. Permit # 04- 6336, issued to 44-750 Via Catalina, should be corrected to 44-790 Via Catalina. Enclosed please find a corrected copy of the previously issued permit. Please note this change and contact me directly'at (760) 777-7084 if I may be of further assistance. Sincerely, Kay Hensel Counter Technician • r y � . s 4h� P.O. BOX 1 504 BUILDING & SAFETY DEPARTMENT 78-495 CALLS TAMPICO (760) 777-7012 OF t19�`'w LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 October 10, 2006 Ms. Esther Sanchez Riverside County Assessor's Office. 3255 E Tahquitz Canyon Way, Ste 114 Palm Springs, CA 92262-6962 Dear Ms. Sanchez; Please be advised of an address change for the following permit. Permit # 04- 6336, issued to 44-750 Via Catalina, should be corrected to 44-790 Via Catalina. Enclosed please find a corrected copy of the previously issued permit. Please note this change and contact me directly'at (760) 777-7084 if I may be of further assistance. Sincerely, Kay Hensel Counter Technician • r y � .