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04-5266 (RPL)TWf BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760)•777-7012 78-495 CALLS TAMPICO FAX (760) 771-7011 LA QUINTA, CALIFORNIA 92253 -INSPECTION REQUESTS (760) 777-7153 it.Charge Per Extension BASE FEE .45.00 9.0000 -THOU BLDG 2,001-.25,000 72.00 _ ,� _ • ELEC POOL: PERMIT=RES d tiona les:c ;P= 45.00 Plan Check.Fee 11.25 I Valuation 0 Expiration Date.... 7/01/05 Qty Unit Charge Pere Extension BUILDING PERMIT Application Number �4� 0-0-0.0.526-6- Date 7/01/04 Property Address 187`0°0=-VIA-=M­E-LQDIA_ APN: 646-050-044-9 -21555 - r Application description .: POOL - RESIDENTIAL Property Zoning.. LOW DENSITY -RESIDENT -IAL ;Application valuation.. :.. 10000' Owner Contractor MANCILLA JAIME LAGUNA FALLS CUSTOM POOL/SPA 787.00 VIA. MELODIA - 8,1730. HIGHWAY 111., :STS. #22' `tA., QUI NTA CA 92253 LA' QUINTA CA' 92253 - (760)' .34.7 8.977 EXEMPT WC:EXEMPT 0 7./ 31 / 0 5 CSLB:... .8:18149.., 03./31/.0 5 . CCC: ` `C53 .. Permit'MECH POOL Additional desc Permit Fee 2.4.00 Plan Check Fee 6.:00. Issue Date, Valuation' .0 Expiration Date •7/01/05 Qty Unit Charge..:Per Extension BASE FEE 1$.00 1.00 ..9.:0.0.00 EA' MECH .FURNACE.< -100K : 9.:00 Permit' BLDG, POOL PERMIT Additional desc r Permit PPP 117.00. Plan.Check Fee 76.05 ate. Valuatcm 100.00 x ra..- n at 7/01/05 4 1g. it.Charge Per Extension BASE FEE .45.00 9.0000 -THOU BLDG 2,001-.25,000 72.00 _ ,� _ • ELEC POOL: PERMIT=RES d tiona les:c ;P= 45.00 Plan Check.Fee 11.25 I Valuation 0 Expiration Date.... 7/01/05 Qty Unit Charge Pere Extension P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: ing Address: Architect or Engineer: Architect or Engineer's Lic. BUILDING PERMIT DECLARATIONS VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencin Code, and my License is in full force and effect. g with Section 7000) of Division 3 of the Business and Professionals • License No. OWNER -BUILDER DECLARATION exempt from the Co I hereby affirm under penalty of perjury that I nbactors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to co'll; ct 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 ficensed putt M 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 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 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.). (, 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 theContractors' State license law.). U 1 amm%exe/m/pt under Sec. B�& P.C. r this reason Date ( �( - I Owner. /\ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of peduo of the following declarations: . _ I have and will maintain a rtificate of consent to selfinsure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the ,perfornmance " of the work for which this perm 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: Cartier 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 CaGml foa,.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 proonssv D`� ate f.� — 0 Applicant— WARNING: WARNING: FAILURETO SECURE WORKE COMPENSATION C ERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI INALPENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO AND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN. SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY 1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permits liiUed (Sec. 3097, Civ: C.). Lenders Name Lenders Address.. ti i 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 lhe.City•of la Quinta, its officers, agents and employees for any act or omission related to C)e 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. 1 agree to comply with all city and county ordinances and state laws relating to building Zconstruction, and hereby authorize. representafives of thi u to enter upo the a property for inspection purposes. at, (] Signature (Applicant or Agent): Page 2 Application Number 04-00005266 Date 7/01/04' Qty Unit Charge Per Extension ,,BASE, FEE .15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00.x. ----------------------------------------------------------------------------- Permit. PLUMBING Additional desc Permit Fee . . . . 33.00 Plan Check Fee 8.25. Issue Date . .Valuation . . . . 0 Expiration Date 7/01/05 Qty Unit Charge Per Extension BASE FEE", 15.00 2.00 6.0000 EA PLB FIXTURE 12.0.0 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. ALARMS/BARRIERS SHALL BE IN' PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due Permit Fee Total 219.00 .00 .00 219.00 Plan Check Total 101.55 .00 .00 101.55 Grand Total 320.55 ..00 .00 320.55 PARC LA QUINTA HOMEOWNERS ASSOCIATION Avail Property Management P. 0. Box 1032 Palm Desert, CA' 9226.1-1032 (7601,568-2717 June 25, 2004 Mr Jaime Mancilla 78-700 Via Melodia _ La euinta CA 92253 RE: Architectural Variance Request Dear Mr. Mancilla: Your request for the installation of a pool/spa in your rear yard was reviewed and. approved as submitted with the following conditions: • . No materials will be stored in the street • All debris will be cleaned from the front of the house on a daily basis • The construction of the pool/spa will be completed within 30 days • All necessary permits from the City will be obtained. • Any damage to the common area or neighboring houses will be your responsibility to repair or replace. Thank you for your cooperation in this matter. Sincerely, Cam Anderson Project Manager i Y 72'0. - . • ._ fil - a 'i%f 3'0 710 t 30'x18"raised 6ond beam r` 1� ' (° 166 , = ; 23'0 _e ..� 13'0 ISS ' 28'0 P x 30'0 —E 1 }3Yeq r } �,• a .� 13'6 - ---1 --�,— Es �� ' £ s �rYi+. P r f 9'p 3 , k. � ' set 6ac _ } 10. v i +s 9 yL.+.' ♦.. �^. 4SA` {. 4 ti _.r-`i•i� iF' S - '4i - f + fij +l 8 f. r. ,n t-310- i4I -x 30,1 (PooCw/7' Spa + 18" .r .Jy r hw• '-..6'X1212anicing S%reCf'� N C a �' y 4!.Z6 *Ck, ter_ fQQtO 6e 6u at ter,date [j8-700..Vja �VleCodzaly Q�• _ CITY OFLAQUINTA-T BUILDING &'SAFETY DEPT. ` FOR CONSTRUCTION ' M DATE gy '