Loading...
06-2974 (RPL)low Ott! � VOICE760 777-7012 P.O. BOX 1504 O ( )' 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 " BUILDING & SAFETY DEPARTMENT- INSPECTIONS (760) 777-7153 BUILDING PERMIT Date:. 8/11/06 - -y Owner: Application Number: 06-00002974 Property Address: 52920 -VIA DONA ANDREW PIERCE CORP..` APN: 772-410-999-10 -298944- 52920 VIA DONA Application description: POOL - RESIDENTIAL. O LA QUINTA, . CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL (� Application valuation: 45000 W c D1 i TO Contractor: Applicant: Architect or Engineer: P�� �P AINSWORTH POOL CONSTR, ROBERT OGLENMORE DRIVE O�C�O�� PALM DESERT, CA '92260 F�bP (760).200-2800 Lic. No.: 598681 ----------——------ I -------------------------------- LICENSED ---------——- 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 an r sionals Code, and my License is in full force and effect. - Licens la -s: C 5 3 License o.: 598681 Date: `1 trac[or: OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division a 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 than'five hundred dollars 155001.: as oviner 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 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.). 1 _) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Seca 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.l. ( 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: ' - CONSTRUCTIONLENDINGAGENCY 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.I. Lender's Name: ' .Lender's Address: LQPERMIT WORKER'S 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 insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: ' Carrier CALIF INS Policy Number 460030110102 _ 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 become subject to the workers' compensation laws of California, and agree that, if I shout c e subject to the orkers' compensation provisions of Section . 3700 of t bor Cad I all ortInwith co m ith those provisions. . ate:i b ppli nt: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGEISUNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 harmless 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 if 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. I agree to comply with all city a county ordinances and state laws relating to building co tion, and hereb authorize representatives of is cou ty to enter up o the above-mentioned p y for ' s ct, n purpos Date: `) ignature (Applicant or -Agent). _k AA Application Number . . . 06700002974 - Permit . . . BLDG POOL PERMIT Additional desc . Permit.Fee- - 382.00 Plan Check Fee 248.30 Issue Date Valuation 45000 Expiration Date 2/07/07 Qty Unit Charge Per Extension BASE FEE 252.00 _ 20.00 6.5000. THOU BLDG 25,001-50,000 ----------------------------------------------------------------------------- 130.00 Permit MECH POOL Additional desc Permit Fee . 26.00 Plan Check Fee 6.50 Issue Date Valuation 0 . Expiration Date 2/07/07 Qty Unit Charge Per,. Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K, 11.00. Permit . . . .ELEC POOL PERMIT -RES Additional desc.. Permit Fee . . . 45:00 Plan -Check Fee 11.25 Issue Date Valuation s 0 Expiration Date.. 2/07/07 Qty Unit Charge Per Extension -BASE FEE 15.00 1.00 30.00,00 'EA ELEC PRIVATE.SWIMMING ------------------------------------------------------------------------- POOL 30.00 Permit PLUMBING Additional desc . Permit Fee 33.00 Plan Check Fee 8.25 Issue Date Valuation 0 Expiration Date 2/07/07 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 1:003.00.00 EA" PLB GAS PIPE 1-4 OUTLETS 3.00 ----------------------------------------- ----------------------- Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN LQPERMIT - _ Aug 07 06 11:51a Robert Ainsworth 760 200-0040 p.1 L -2 OU;r,1 Mel 0 UtY Of L Quin buil4ips ei Sate 7MODr permtt it P -O. box 1504, 76-495 f.7ie Tampico is Qu'nc3; U 92253 - (760) 777-7012' X Cin. ST: Zap T. !1 r• • ( 1 _ _ V -_ w Teicptwna. v l` Q I� _;t 09 c. L" A SL21C Lac. aF �j ble ` i CIry L,c s` Y AICh., EnXs.. DeSIZA2C .. Addrecs. • Ciq•, ST. Zip Tckpboot: C0r:SSfSiCL061 ip:pancy . Soto. L rc• M rype InaslcONO Ncw AGd"n Aito Ncyiwar is Nwfoc of Contact Pcrsan. Sq Ft a Slonca' 0 LNaau. X Tckphar+c a a(Cpnuo PCrsvn r , { ti 1 nlnaxed V� of Pr*.Kc. 64AC:I Hundintg Pertnit Application asbd �racWe�g Sheet " �j /� X P6JC<-tAddre3! 1- l? 'yI� :}iVI'1 ET amc t^�1HA RaQ'd W.s'A TRACKING - P Numbcr 1 PERAt[T TEES :s .V. /Zb-f rlwe S+aa /TJw CAaeY wMM.4 9t4r L csd D cscrt�puon L3y�� C'ry. ST. Z. p �loz, � S.Yit Mf 91. L.OJCi Ra!�at'aMatrrsY�•:;ttarreegbs . t �tam�bteADtowsw" �YelcPb.— x Ad&— . i -•i U - 4 :ti � , L� N ^'� � (�' U I �Orr,014rc, DC=nP4a0n Swy M,ryL POOL 1 Spy X Cin. ST: Zap T. !1 r• • ( 1 _ _ V -_ w Teicptwna. v l` Q I� _;t 09 c. L" A SL21C Lac. aF �j ble ` i CIry L,c s` Y AICh., EnXs.. DeSIZA2C .. Addrecs. • Ciq•, ST. Zip Tckpboot: C0r:SSfSiCL061 ip:pancy . Soto. L rc• M rype InaslcONO Ncw AGd"n Aito Ncyiwar is Nwfoc of Contact Pcrsan. Sq Ft a Slonca' 0 LNaau. X Tckphar+c a a(Cpnuo PCrsvn r , { ti 1 nlnaxed V� of Pr*.Kc. 64AC:I s• s Sveasutel RaQ'd W.s'A TRACKING 1 PERAt[T TEES rlwe S+aa /TJw CAaeY wMM.4 9t4r A—..6 d � S.Yit Mf 91. L.OJCi Ra!�at'aMatrrsY�•:;ttarreegbs . t �tam�bteADtowsw" . Ttaw C'skx i Ca7>tc4 C*etate S'.rwwa Pt.m cock X-1asce C&Cf= Cwba l7swsitackadnp ff 1 f a*aa►.Kar.. I FlwmfPLUDpie . r9sw.e..ar:.tr0 g aa.•s•.:t.t Gt'salb.6 r+t.e M 1R/"!te71'. r/")' &I farrt6..eel�l rjM [[ Sl.e.IK.! I Set+ro.aseNt Laat i Cett.4 Cowawc, P.n.. . ... u �►vmm.wg , G rnrt DRC 4 l4aw0 path" wP M.0 -A. AW. w•54 hews ttw6wnr.o Grsaa1sm� t t IN 6�Ol/ifr.'.• 4 "' Re.ht.v, Ie4a?int <otic•a.«a+ti..►we :wpaci Vie. f Pls.�.aa((Ap�wwt Cott" Ceatwv Ptrosw a A.O...P. Pmt.WkLApyr @ G.a.e!¢rIa-warlaxra .. - t t ' Sa�Mi iatl F, a J Iw �- �- � .. —r r•- rte, �v4 �. � rs I• JE 011p -V .•ice % ILI 40 10 SV � L � � = � � I •_ . ,. � `� •-•; Tom+._ ��` J� ````��.�/ -_ >. CL.co .., Or f o � - .. w kr! It i LT 71 f - 3L I'VNOCI y '4A. ANDrols"W fll* AV" l 1�—