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05-3335 (RPL)I. 1,1•� 4 Q" , - P.O. BOX 1504 ; r VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX "(760) 777-7011. LA QUINTA; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date:. 8/01/05 Application Number: ZOgS A.Ob-03335" Owner: Property Address: 80025 VISTA GRANDE CURIEL FERMAN C APN: 649=142-001-18 -35C 80-025 VISTA GRANDE Application description: POOL - RESIDENTIAL ID [n! LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENI Application valuation: 20000 AUG 2 3 2005 �+ , Contractor: Applicantt`. Archite or Englf{ LA QUINTA BLUE HAVEN POOLS dBdAKM E DEPT, WCC: CLARENDON NATL. WC: 08KR0000891 03/10/06 CSLB: 618892. 05/31%07 LICENS CONTRACTOR'S DECLARATION " WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury I a license6nepr 'ons Chapter 9 (commencing with - I hereby affirm under penalty of perjury one of the following. declarations: Section 7000) ofDivision 3 of theBu Hess a Professd cense �1r,(�J'10we and effect. _ _ I have and will maintain a certificate ofconsent to self -insure for -workers' compensation, as provided License Clas : ` ` / `Q JJ� '/o'er - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is � issued. ' o(Date: ontractor 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 NER- D DECLARATION I hereby affirm under penalty of perjury that I am exempt fro A he Contractor's State License Law for the , , J following reason (Sec. 7031.5, Business and Professions C e: 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 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).: (_) 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 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 (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 the Contractors' State License Law.). ( 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: .. 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 permit is issued (Sec. 3097, Civ. C.). Lender's Name: - Lender's Address: r LQPERMIT insurance carrier and policy number are: •Carrier C53 Policy Number - - - - - - - - - - - - - -- _ I certify that, in the performance of th work for which this permit is issued, I shall not employ any person in any manne - as to be me subject to the workers' c mpensation laws of California, and agree that, if 1 should eco esubleci to th orke ' co ensatjon provisions of Section 37Q0 of the Labor Code, s f forthwith co ply with provisions. WAXING: FAILURE TO SECl7Rf-W¢flKERS' 4OMPENSA`TT COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM7fJAl PENALTIES AND IL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. IN ADDITION TO THE COST OF MPENSATION, 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. ^ I . 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, /ortcetion of work for 180 days will subject permit to cancellation.I certify that I have read this application and state that the infois correc a to c ply with all city and county ordinances and state laws relating to b 'ding c st nd her y autho ize r resentatives of this count o ant upon the above-mentioned p arty f 9 ec ' n purpos ^ - ate: O3✓ rSi nature (Applicant or.Age 1: - I Application Number ... . . . 05-00003335 Permit . . . .BLDG POOL PERMIT . Additional desc . Permit Fee .. . . 207.00 Plan Check Fee 134.55 Issue Date Valuation . . . 20000 Expiration Date 1/28/06 Qty. Unit Charge Per Extension BASE FEE 45.00 18.00 9.0000 THOU BLDG 2,001-25,000 162.00 Permit . .". MECH POOL Additional desc . Permit Fee• 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . 1/28/06 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 0 Expiration Date 1/28/06 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 1/28/06 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 Special Notes and Comments POOL .ONLY. ALARMS/BARRIERS SHALL BE IN LQPEPMIIT