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08-0372 (RPL)4 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 0_8=0000.037-2-- ~ Property Address: 53635 VIA MALLORCA "APN: 772-420-999-52 -298943-- Application 298943=Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 60000 r BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) .777-7011 INSPECTIONS (760) 777-7153 D /29/0*8 Owner: TIM WHITE 53635 VIA MALLORCA .n 3 LA QUINTA, CA 92253 Z 0 Z'^ O ; m� C.' Contractor:. 9 Z G Applicant: Architect or Engineer:. AINSWORTH POOL CONSTR, ROBERT T r 40900 GLENMORE DRIVE PALM DESERT; CA 92260 1' (760)20598 800 Lic. No..::598681 ..LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION ' I hereby affirm under penalty of perjury that am licensed, under provisions. of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: - Section 7000) of Division 3 of the Busines a P.rofes ionals C de and my License is in. full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided,- • License CI C53 nse No.: 598681 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is -' issued. te:tractor. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor' `Code, for the performance of the work for issued. which this permit is :id. My workers' compensation OWNER -BUILDER DECLARATION - insurance carrier and policy number are: - c I hereby affirm under penalty of perjury that I am exempt'from the Contractor's State License Law for the Carrier CALIF INS Policy Number 460030110103 following reason (Sec. 7031.5, Business and Professions •Code: Any city or county that requires -a permit to _ I certify that, in the perform ce of the work for which this permit is issued, I shall not employ any .construct, alter, improve, demolish, or repair any structure,. prior to its issuance, also requires the applicant for the .person in any manner o as - beco subject t-to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State. _ and agree that, if I s uld be ome s ect to the workers' -compensation provisions of Section. License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - / 3700 of the Labor C e, I sh 11 ort ' h com `with those provisions. .that he or she is exempt therefrom and the basis for the alleged exemption., Any violation of Section 7031,5 by /1 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: G pplicant: 1 _ 1 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 WARNING: FAILURE TO SECURE WO K S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL -Contractors' State License Law does not apply to an owner of property who builds or improves thereon, - SUBJECT AN EMPLOYER TO CRIMIN L ENALTIES AND CIVILTINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the - DOLLARS ($100,000). IN ADDITION THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN, improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - 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.).. APPLICANT ACKNOWLEDGEMENT ( , 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application..- - - - - property who builds or improves thereon, and who contracts far the projects with a contractorls) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and'for pursuant to the Contractors' State License Law.). - ` whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason - ( - 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. Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. 1 hereby affirm'under penalty of perjury that there is a construction lending agency for the performance of the. I certify that I have read this application and state th the a ove information is correct. I agree to comply with all work, for which this permit is issued (Sec. 3097, Civ. C.L. city and county ordinances and state laws relating t buildin construction, and hereby authorize representatives .of this county to enter upon the above-mentioned pr perty f r inspe on purposes. Lender's Name: / - - I te: , I ignature (Applicant or -Agent): Lender's Address:. LQPERIMIT r Application Number . . . . - 08-00000372 Permit . . . BLDG POOL PERMIT Additional desc Permit Fee 459.50 Plan Check Fee 298.68 Issue Date .. Valuation . . 60000 Expiration Date 8/27/08 Qty Unit Charge Per Extension BASE FEE 414.50 10.00 4.5000 THOU BLDG 50,001-100„000 45.00 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 ” Is.sue Date Valuation 0 Expiration Date ." 8/27/08 Qty Unit Charge Per Extension BASE FEE _' 15.00 1.00 . 11.0000 EA. MECH FURNACE >lobK• 11.00 Permit ELEC POOL.PERMIT-RES Additional desc . Permit Fee 75.00, Plan Check Fee 18.75 Issue Date Valuation 0 Expiration Date 8/27/08 Qty Unit Charge .Per Extension BASE FEE 15.00 2.00 30.0000 EA ELEC PRIVATE SWIMMING.POOL 60.00 Permit ... . PLUMBING Additional desc . Permit Fee 54.00. Plan Check Fee 13:50 Issue Date Valuation 0 Expiration Date .- 8/27/08 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 6.0000 EA PLB FIXTURE 24.00 4.00 3.0000 EA _ "PLB WATER INST/ALT/REP 12:00 1..00 3.0000 EA PLB GAS.PIPE 1-4 OUTLETS 3.00 Special Notes and Comments -------------- POOL/SPA, FOUNTAIN, VAULT & 2 FISH - LQPERMIT