Loading...
04-4763 (RPL)0 Ti4f BUILDING & SAFETY DEPARTMENT _ jv4 P.O. BOx'1504 (760),777-7012 " CSM 9 78-495 CALLE TAMPICO , +s1 c-4. ' 1 OFTt� FAX (760) 777-7011 LA.QUINTA, CALIFORNIA -92253 INSPECTION REQUESTS.(760) 777-7153 BUILDING PERMIT Application Number. Date. 6/03/04 Property Address . . . . . . 78735 WAKEFIELD CIR APN: 604-43,1-009-17 -23995 - Application description POOL—RESIDENTIAL Property Zoning . LOW DENSITY RESIDENTIAL Application valuation . . 15000 Owner`--- Contractor - ----------- - - - - -- -- =.-- - - -- - - - � --- BONSTEEL JAMES OWN, ..78735 WAKEFIELD CIRCLE LA QUINTA CA 92253 JUN 2 '1 2004 ------------ ----------------- r;ATy®FL�(t11l�TA --------------------- •Permit . . BLDG POOL PERMIT FI°�ArJC€'i.--_-- Additional desc Permit Fee. 162.00 Plan Check Fee 10'5..30 Issue..Date Valuation 15000 Qty Unit Charge. Per Extension BASE .FEE", , 45.0.0" 13.00 9.0000 THOU' BLDG 2,001-25,000 117..00 Permit MECH POOL Additional desc Permit Fee 24-00 Plan Check" ,ee 6.00 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 1.00. 9.0000 EA MECH FURNACE <=100K 9.0`0 Permit ELEC POOL PERMIT -RES Additional.descl. Permit Fee . . . -45:00 Plan Check Fee 11.25 'Issue'Date . . . . Valuation . . . 0 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 --- P.O. Box 1504. 78-495 CALLE TAMPICO VOICE (760) 777.7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: O q - 47 (o 3 Applicant: Applicant's Mailing Address: Date: Architect or Engineer: Hrcrinect or Engineer's Address: Lic. No.. BUILDING PERMIT DECLARATIONS I hereby affirm under penaltyof LICENSED CONTRACTOR'S DECLARATION perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code. and my License is in full force and effect. License Class License No. Date Contractor I hereby affirm under penaltyof OWNER -BUILDER DECLARATION perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: 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 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 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 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.). 0() 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.). U 1 am exempt under Sec. , BA P.C. for this reason A, I hereby affirm under v WORKERS' COMPENSATION DECLARATION Y penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _ I have and will maintain workers' compensation insurance, es 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 I certifPolicy Number y that in the performance of the work for which this permit is issued. I shall not employ an y person in any socompensation laws of California, and agree that, if I should become subject to the workers' compensation Provisionsrof as 3700 become of the Labor Code,subject to therI shall forthwith comply with those provisions. WARNING: FAILURE TO SECURRKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR THOUSAND 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. I hereby affirm under penalty of perjury that there is a construction lending agency orJthe Performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lenders Name Lender's Address IMPORTANT APPLICANT ACKNOWLEDGEMENT 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, indemnity and hold harmless the City of Le pointe, 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 dayt 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 applicatiori and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county o enter upon the above-mentioned property for inspection purposes. "Datgnature (Applicant or Agent . Page 2 Application Number 04-00004763 Date 6/03/04 Issue,Date Valuation 0 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/SPA. ALARMS/BARRIERS SHALL. BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT •INCLUDED Fee summary Charged ---------- ----- ---------- Paid Credited Due- ---------- Permit Fee Total 264.00 -------- .00 D0. ---------- 264.00 Plan Check Total 130.80 .00 D0 ".130.80_ ' Grand Total 394.80 r .00 D0 394.80 'Y .., 44 . Ttle OF Le e Ap` B s BUILDING &SAFETY DEPT , n .; APPROVE® FOR CONSTRUCTION ; •' _ 'DATE BY j� 1 • . tr , . � ;; J 1 � ~'; I�J + ..; +i.. ;�+ ��V'� •\ �% � r}4,' .t� — •' t /epi3 ..- •- La �' � - _ Wit,.. •, � � � .. *> 1 r� 'yGQ �. _ .. ' v. ��' c , •,k•' C qtr • f e. 1 G F. « -fid/SMF �1• . .•—r� .' _*�.S . _ \• + *" r Jo 46 �� t • r .t . t Zwa" J rYt"' � ,G. d wr i • -- � 4 '� - :l- �' .iii i 'Yi t . •,4 � y,i a 1, of CITY OF LA QUINTA SUB -CONTRACTOR LIST ^ 'JO, ADDRESS �d-T 35 by,4r_E:Fr(-t_Q Cf4GLE PERMIT NUMBER OWNER 5�d SES `/✓1. �oNE5T�6L., BUILDER 5 �»� ' This form shall be posted on the job with the Building' Inspection Card at all times -in a conspicuous place. Only' persons appearing on this -list or their employees are. authorized to work —on this job. Any changes to this list must be approved by the'Building Division prior to commencement of work._ Failure to comply -will result in a stoppage of, work and/or the voidance " of building permit..: For each applicable trade, all information requested below must, be completed by applicant. "On File" is not an acceptable response. „ ................................................ ........ ..... ..... ..... .. ....... ...... r. . ........ ........................................................................................::..:.:.:....... .. ........................... 4�1�latlt :w..: .:::::. �:::: .::::::::::::+..:::::::.::.................................::::::::: .... .:::.�:.:::::::.:.... n...........................:•w:: :v::.�:.�::::::::::::. �::. �:::::::::::::. •.:v.• •::::::::: ..::::::::::.:i':.i.�i..y a:: {:: p: ;.; ....::: v.v..:..�:::::::n�:::fiii:•i:•i:4:!:•iii: .:...iii::4::•::•::::: iii• i:::::::: :v::::::: •::::::::::: w::. �::::::.::.::::.... is i:: is ii<:'^i'.:: '.Y.�;i:y:.;..;v{.ii:•iiiii: w::. �::•:. � ., X v::. •iii is .} :: 4 � �:i:Yiiiiii ' - Name . - A, B, C ) License Exp. / xx xxx/ Carrier .e.9.Stat Fund, Cal om 1(e.g. � Po� _ Number Format-Vares1 Exp. xx xx xx)(xxxxxx N umber xxxx) Exo. .DateClassifcation lxx/xx/xx1 .. � EG aTto�J- 30 oY. tFdJ ® 7Y_ f®0t 6 ©7 i 3 0� . L AVz.�,b7E �- PLu�� �N6 ' G- �j Li �(:3� lZ .'j pr- s'T�,rF i�✓rev f/ 7 10.r..>_ ci�fl& �q Prf ,�l 312 A�WAT iI_r✓! l� � �C' ...J� - _ � % 3 ,� � , _..- 7 O Y Z o 3� 0 / 3 o r RM . r . PftlNJgN«�����::::�::::>::»>:>:<:i>iii; Cl_>r•A(�WATE� PLUI�►gf111& Y �. tf z i S s a T N T� � � � is l 6 2 r� o � 11 7� 3 /- 2 / 0 � err � r o N� 5u Erct Pool r EQ�i�c, r c. e 3 �.6 TQ � 4 � r � i _ 5 4T F No 8 6 � C•; - L / D i46'aw,oT� �L vmB1�G C 53 . y. l . 3 7 1 3 / 0 6 v 9 Yb �0 6 / r 3 7 � 3 z O Me �. :;11ylpPNG:;�:G.;:7.:.#.;;;::.:;::: 2 0. 7 G � 3 . � �z. � P TA . t< N 5 T E f; ' .R 7 :Q t . I 3 12.13 i/o s,