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04-3660 (RPL)o`` 0 2 9 2004 awcu O A. caIMITAu DE BUILDING &SAFETY DEPARTMENT tc - � P.O. Box 1504 (760) 777-7012 OF'i1� 78-495 CALLE TAMPICO FAX(760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760)777-7153 BUILDING PERMIT Application Number • 04=0-0-0.0-3.6-6.0 Date 4./23/04 Property Address 80030 VIA VALEROSA APN: 772-250-999.-3 -30357 - Application description *POOL -.RESIDENTIAL Property Zoning LOW DENSITY RESIDENTI.AL Application valuation. 18,000 ` Owner Contractor TOLL CA V CALIFORNIA POOLS & SPAS C/O KEVIN D DUERMIT_ P.O: BOX 1280 8901 E MOUNTAIN VIEW 2.00 COACHELLA CA_9223b SCOTTSDALE P,Z 85258 (76.0) 398:--9222 WCC: STATE FUND WC: 0460006116"8 01/01/05 CSLB : 6561'.2-8:-, 10'/ 31 / 04 . CCC:. C.8. -C27 -C29-053 Permit . . . . . . BLDG POOL PERMIT Additional. desc- 169. esc .. Permit Fee 189.00 Plan Check Fee 122.85 Issue DateValuation 17459 Expiration'Date 10/23/04. Qty Unit Charge. Per, Extension; BASE FEE 45.00 16.00 9..0000, THOU BLDG 2,001-25,000 144.00 Permit . . . ... MECH POOL Additional desc. Permit Fee 24.00 Plan Check Fee 6.00 -Issue Date .. . . Valuation 0 Expiration Date'. 10/23/04 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE<=100K 9.00 Permit ELEC POOL PERMIT -RES Additional desc Permit Fee. 45'.00Plane Check Fee 11.25 Issue.Date Valuation . . 0 Expiration -Date .10./23/04 P.O. BOX 1504 VOICE (760) 777-7012 7E-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4v a INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0 I Date: Applicant: Architect or Engineer: Architect or Engineer's Address: Lic. No.. tSUILDING PERMIT DECLARATIONS under 1 hereby afrrrrm LICENSED CONTRACTORS DECO WATION penalty of Peery that 1 am licensed under provisions of chapter 9 ( wth Section 7000) a Division 3 a the Business and Professionals Comae. �� a tryfr/,to� e No. (os� �2°a ° 0 "Or % firm under - OWNER -BU LDER DECLARATION 1 hereby affirm Ve�ty a perjury that 1 am amaeept from the Conuacl ors' State Lioerhse Law for ft Iotowi g reason (Sec. 7031.5. Business and Professions Code: Any, day or Canty teat mquies a permit b Casbum3, @herr improve, doi.mid>, a repair arty strmrctue, pelor b ks ksmrarhoe, also requires the appicamt tot the pemhN b ffa a signed decreer k h►e err she r i he o purshe Is e b the provisions a ria Camlracic`W Stab License Law (Chapter 9 (Commencing with Section 7000) a Division 3 a is Business and Pnofassiors Code) or trot he a she k ehhenmpt therefrom and the basis for the Moped exception. Any violation On I"rd a Section 7031.: M any applicant ter. permit subjects appb a chi penalty a not mere than fee hundred dollars (5500).r U I, as owner a the Property. or my employees with wages as their sole oompasatim wi do the wor1L and tha strmx�ere Is nit intended or offered for sob (sec 7064, Business and Professions Code: The Contractors! License Low does not apply b an owner a property who builds or inpmves thereon, and who does the vrhimselfontu el r or though his or her awn employees, provided that the improvements ane not intended or offered ler sale. U. howeyer. the bLm*q or inpmvemsold or is dlin One Y= a Compbbn, the ownenbrider will have the burden a proving that he or she did not build or improve ler the purpose a sale.) U L as owner of the Property. am exclusively conb*ding with I - ' ' A d contrsclm b construct the project (Sec 7044. Business and Piofessiors Code: The Contractors' Stab License Law does not apply ban owner of property who builds or improves tneiem and who oontmcts br the projects wHh a Cw*aCbr(s) licensed pursuant b the Contractors' Stale License Law.). („) 1 am exempt under Sec. . B.& P.C. for this reason Dab Owner 1 hereby affirm under penalty of WORKERS' COMPENSATION DECLARATION _ I have and will makdain a certificate of corsent to sd{4nwm ler workers• compensati a the work for whidm this per.. is ksuea 0n' °5 provided for by Section 3700 a the Labor Code. ler the perfomanoe I have and will maintain workers' compensation insurance. required by Section 3700 a the Labor Code. for the performance a the work ler which this permmlt k policy rte: I o�aWWV%K In the perWmance of the work ler which arc pm mit is issued. I shall not empby any person in any manner so as to become subject to she workers' oompeehsstion laws of CM(omia. and agree VOL If I should become subjec b ane workers' tion forthwith �y with LoseCompensa Provisions a Section 3700 a the Labor Code. I shall ,cat.7ons. � WARNING: FAILURE TO SECURE WORKERS*CIVICOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND SEC FINES UP TO ONE h BOR CO THOUSAND DOLLARS (i100.00o), IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR W SECTION 3706 OF THE 1/1608 CODE. M�(TEREST. AND ATTORNEY'S FEES. . 1 hereby affirm underCONSTRUCTION LENDING AGENCY Peemnity of perjury anal there k SimnstrhectionWI&V agency for erre Performance a the work for which this permit is Issued (sec 3097. Civ. C.). Lendefs Name Lender's Address IMPORTANT Application is APPLICANT ACKNOWLEDGEMENT hereby ride b the Diecbr a Building and Safety ler a permit subject to the conditions and mstri tions set brth on outs appkal;w 1- lowed arse �a alar: app tiwhom behalf thi � is Vie• each pew at whose request and for wthose benefit work k performed under or pursuant b any permit officers, agents and employees for any as or omission Mated to the work applicant. each agmes 10' eror shaft. defend. indene i and hold fmarntess the City a La Oulrmta, its 2 Any permit Issued as a result a thk application becomes nuc and void If work is no performed noted wiroun following issuance afrmdaat of of issuance of such Pen. or Cassation a work ler 140 days will subject permit b cancellation. I certify that I have read this sPpication and state that the above information k correct I agree b comply with all city and county ordinances and state caws reUting b building consWcbm and hereby su ftrize representatives of alai county b enter upon the above- mtioned y for inspection purposes- . r natle iwP CIO or �� Agent)- r" Page 2 Application Number 04-00003660 Date 4/23/04 Qty Unit Charge Per Extension BASE FEE 15.00 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 Expiration Date 11/23/04 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 Permit WALL/FENCE PERMIT ' Additional desc Permit Fee 17.00 Plan Check Fee .00;. Issue Date Valuation 541 Expiration Date 10/23/04.'' .Qty Unit Charge -Per Extension, BASE FEE 15.00 1.00 2.0000 HND BLDG 501-2,000 2.00 Special Notes and Comments • POOL/SPA, 25 L.F. 5' BLOCK WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. Fee summary Charged Paid- Credited. Due Permit Fee Total. 308.00 .00 .00 3.08.00 Plan Check Total 148.35 .00 .00 148.35 Grand Total 456.35 .00 .00 456.35