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04-4973 (RPL)s. a141 '�a Tdf . BUILDING & SAFETY .DEPARTMENT c4� P.O. 'Box 1504. (760),777-7012 OF"l n"9 "' 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA., CALIFORNIA 92253 INSPECTION REQUESTS (760).777-7153 BUILDING PERMIT A lication'Number --- -~ - pp ��0-4--0.0004973=.�, Date 6/15/04, Property Address 49607 VIA.CONQUISTADOR APIC:' 649-600-004- Application description : POOL -.RESIDENTIAL Property Zoning . . LOW DENSITY RESIDENTIAL . Application valuation .. 15000 Owner Contractor r" ----.----------<-.----------------------- 7.7- -- AFLALO MOSHE/LAURA -- `` REMBRANDT POOLS & SPAS 49607 VIA CONQUISTADOR .78910. VIA VENTANA . LA QUINTA CA 922-53.- " LA' •QU'INTA ' CA .92253 (760) 77.1=2121 . WCC-::'STP,TE: FUND WC:.. :17.44664 10/01/04 CSLB :.8006"80 10./31%05 CCC: 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 <=100"K 9.00 ----------- --------------------------------=------.----------------=<---.------- ,Permit. BLDG POOL PERMIT Additional desc - Permit Fee 162.00, Plan Check Fee 105'.30 Issue Date .Valuat.on" 15000 Qty Unit' .Charge Per. Extension BASE FEE 45.00 13.00. 9.0000 •THOU: BLDG -2,001-25,.000 117•.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 1:00 30.000.0 EA. ELEC PRIVATE SWIMMING -POOL 30.00 P.O. Box 1564 • VOICE (.760) 777-7012. 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 922.53 INSPECTIONS (760)'777-7153 BUILDING & SAFETY DEPARTMENT Application Number: © Date: Applicant: I Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Addres v %"///.I Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provlsions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals 'Code, and my License is in full Jorge and effect. license Class 1'D 0 �� License No. %. Date r 6 ntractor rnL.:.s..t. / c�� "��"- .... 4 /&,t OWNER43UILDER 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, after, 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.(commericing 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 ($500j.): (_ j 1; 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 imprcverrients 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 1 am exempt under Sec. B.& 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 selfinsure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this pemdt is issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which.this permit is is NVorke .pompe sation insurance carrier and policy num a9� Carrier .i i L� /� ✓ p Policy Number —.I certify that, In the performance of the work for which 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 agree that, If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.. Date & d Applicant - WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE I 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 $706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 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 as a result of this application, the owner, and the applicant, each agrees to; and shall, defend, indemnify and hold hamdess the City of La Quinta, 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 It work Is not 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. 1 agree to comply with 611 city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to ente �r upon, / � ' the above-mentioned property for Inspection purposes. Date I b Signature (Applicant or Agent): i�'te—"C �`► - Page 2 Application Number . . . . 04-00004973 Date 6/15/04 ----------------- 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: BBQ ANSI Z21-1981-1995. ALARMS BARRIERS SHALL BE IN PLACE PRIOR . TO PREPLASTER•INSPECTION.. Fee summary Charged Paid Credited Due Permit.Fee Total 264.00 .00 .00 264.00 Plan Check Total 130.80 .00 .00' 130.80 Grand Total. 394.80 .00 .00 394.80