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05-2840 (SOTB)_ 1 TAt 4 P.O. BOX 1504' VOICE (760) 777-7012 4Q 78-495 CALLE TAMPICO %` FAX (760) 777-7011 ...LA QUINTA;:CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153- BUILDING PERMIT Date: 7/08/05 -. Application Number: x.05-0000.284"0� Owner: Property Address: 51317 VIA SORRENTO - CORAZON JOSE APN: 772-250-997-92 -31349'- 51-317 VIA SORRENTO Application descr' i STRUCTURES OTHER THAN BUILDINGS LA QUINTA, CA 92253 — ------ Per y ning: LOW DENSITY RESIDENTIAL Dlicatio V ati 3500 11 (� Contractor: JUAppl�'an't: C� Architect or Engineer:' PICASSO . POOLS, INC WCC: STATE FUND r,l IWC: 1709395 12/01/05 FINAIf� E�F–PT. CSLB: 810111 07/31/06 LICENSED CONTRACTOR'S DECLARATION _ WORKER'S COMPENSATION DECLARATION _ I hereby affirm under penalty of perjury that I 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 Business and Professionals Code, 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 Class: License No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date 7 -C- S Contractor: 1 _ _ 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 OWNER-BUILDER DECLARATION insurance carrier and policy number are: , I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier B C27 C53 Policy Number ---------------- following -------------- following reason (Sec. 7031 .5, Business and_Professions Code: Any city or.county that requires a permit to- _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any - 1_/ � construct, alter, improve, demolish; or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject 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 should become subject 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 Code, hall forthwith comply with those provisions. - - 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 ($500).: Date., Applicant: _ - 1 _ I 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 WORKERS 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 CRIMINAL PENALTIES AND CIVIL FINES 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 TO 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 1, 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 for the projects with a contractor(s) 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, (_ I 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 fnr any act nr 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 180days from date of issuance of such permit, or cessation of work for 180 days. will subject CONSTRUCTION LENDING. AGENCY permit to cancellation. . I hereby affirm under penalty'of perjury that there is a construction lending agencyfor the performance of the I certify. that I have read this applicationand'state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). - - - .. city and county ordinances and state laws relating to building construction, and hereby authorize representatives - - of this county to enter upon the above-mentioned property for ins ection purposes. - Lender's Name: a Date' %�� Signature (Applicant or Agentl: Lender's Address: _ ' . 7 - - LQPERMIT - Application Number 05=00002840 Permit . . . . . BUILDING -PERMIT Additional desc Permit Fee 63.0.0 Plan Check Fee 40.95 . - Issue Date . . . . -..- Valuation . . . . 3500- Expiration Date 1/04/06 - Qty Unit Charge Per _ Extension BASE FEE 45.00 2.00 9.0000 THOU BLDG 2,001-25,000 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee 16.35 .Plan Check Fee 4.09 Issue Date Valuation . . . . 0 Expiration Date 1/04/,06 Qty Unit Charge Pet Extension BASE FEE 15:00 3.00 `:4500 ------------------------------------------------------------------------------ EA ELEC DEVICE/FIXTURE >20 1.35 Permit .. PLUMBING Additional desc . Permit Fee . . . . 18.00 `P1an.Check Fee.: 4.50 Issue Date . . . . Valuation 0 Expiration Date 1/04/06 Qty Unit. Charge Per Extension BASE FEE 15.00 1.0.0 3:0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00. ---------------------------------------.----------------.--------•----- Special-Notes and Comments BBQ #3020914 Other Fees . . . . . . ENERGY REVIEW FEE 4.10 Fee summary Charged Paid Credited Due Permit. Fee Total 97.35 .00 00 97:35 Plan Check Total 49.54 .00 .00 49.54 Other Fee Total 4.10 .00 '.00 4.10 Grand.Total 150.99 00 .00 150.99 LQPERMIT 14 = Bin y CL• of L2Cl�I� ta' Buium, ez Safery Divfsion j P.O. Boz 1304, 78-Y5. C- Ae T a apico . IPermit► a C,,Ldnra, CA F 3 - (750) /7/7T7012 2-,?�0 &JIainc Permit Appfic3don and Tracking Shpt. Pmj= Adds: =3i �, mer's Name: N=mb=- � L=pI, Dscripkicn. Cp==-r _.c3s Q iclephone:1 • � I I �-+�C moo` �`le'� 2..� Projc.-- Desaiphoti: 4 ' Cay. Si -_Tap. . ' rI TeieDl4ofle '� �L 0 State Lk-t : I Ciry Lic- f: ® Arch- F=-.i,ts:snLr: ` Aridrt, ` Ctn'. 5-f- Zip: Tciephane =-'{-s'` = ;-_ _-= = '-'' Corst monT)-.pc: Oczr c- =f:� _ -- State lie �: --. _ -- - -- Proje� n-pc (circie one): N--%v 4dd'r: '.4iter R-u r. Dano 411 Name of Cott3au?etson: �!� A �:%$'6laD Sq. FL: f Stories: � � Uri= l Tei aonc }i C�ntaa Person: -"®� i rst mamd Value orproi 5bo APPUCAN T : DO NOT WR=r- BELOW THIS UNE R I Submittal I Req'd I ger'd TRACKING } �PEWMTFEES ..� man cep Pan Check submitted I Item I :4m'runt y� ( Reviewed- reach- for corrections I Plan Check Drwsh Trus Calc Called Contact Person. I Plan Check Rzlanct -Tibe'_z C-k- I Plans picked up I Construetinn i \ Flood ptaisplan I I Plans resubmitted I '�iechanie5l I' r iGnding psn I I '_" Rnac.t•, rctdv for correction sri_sue I El=rictl • ,3 w . Subenataeair List ' I C211ed Contact Person I Plumbing i 0OiLfr Grant Des Plans picked up I3 J.�.Approval I 'Plans resubmitted 1 I Grading -N HOUSE- I � '-'Review. read_, for correrbonsitssue `. Dcv6oper ltupacl ra 'Planning approval 'I: Caked Contact Person I,Pub. WI:s Appr I Date Scitooi CITY OF Q U TAt c= 1 1o cos uc o tttal.PrsmitFe� I � ACCESS D BTU* TOP VIEW �(CC.�, rvw►nr� rwb FIRST COURSE ' OF MASONRY BLOCKSLIMP. TO Pool - if er. 4 � f fC4 waTER G.F.I. �► ,• MBAR fI0RI2ONTAL OVERLAP MIN IS" ERPROOF G.F.1 1�1�1�.L OLTAI L BENlow D STEL _ To RFINFoacE COMM #* HORI20N�'AC' BLOCKS#� RE6AR 2�F« O.C. i+ CONCRETE DECK +JQRIzONTAL FOOTING 7W0 # REAR � • • ,- IN FOOTING S7u000 AND PAINT To MA7C.11 +iousE SIDE 2« GAS UNE 28 FEET