The URL can be used to link to this page

04-6220 (RPL)T44f 4 4Q" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT Application Number . . . Property Address . . . APN: Application description Property Zoning . . . . . Application valuation . . Owner IVANHOE LA QUINTA COVE C/O R BARRY MCCOMIC 7979 IVANHOE AVE STE 550 LA JOLLA CA 92037 BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 04-00006220 Date 9/09/04 77893 GREY WOLF TR 6.58-140-999-97 -29436 - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 17000 Contractor CALIFORNIA POOLS & SPAS P.O. BOX 1280 COACHELLA CA 92236 (760) 398-9222 WCC: STATE FUND WC: 04600061168 01/01/05 CSLB: 656128 10/31/04 CCC: C8-C27-C29-053 ---------------------------------------------------------------------------- Permit . . . . . . MECH POOL Additional desc . . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 ---------------------------------------------------------------_-------__--- Permit . . . . . . BLDG POOL PERMIT Additional desc . . Permit Fee 180.00 Plan Check Fee 117.00 Issue Date . . . . Valuation . . . . 17000 Qty Unit Charge Per Extension BASE FEE 45.00 15.00 9.0000 THOU BLDG 2,001-25,000 135.00 ----------------------------------------------------------------------------- Permit . . . . . . ELEC POOL PERMIT-RES Additional desc . . Permit Fee 45.00 Plan Check Fee 11.25 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 P.O. Box 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: a Date: Applicant: Applicant's Mailing Address: tgjna Architect or Engineer: Architect or Engineer's Ad ess: Lic. No.: BUILDING PERMIT DECLARATIONS L SED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under rovis ns of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my Licise is ''a f ! force and effect �� License Class L —J 7) Lio N❑ Date k/Mo t % e, tWNER-BUILDFR DECLARATION I hereby affirm under penalty of 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 rive hundred dollars ($500),): (J I. as owner of the property, or my employees with wages as their sale 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 nat intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owns r-bullder wlI have the burden of proving that he or she did not bulid or improve for the purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' Slate 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 Contraclors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date WORKERS' COMPENSATION DECLARATION I hereby affirm under 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, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is iss ed y w.ori�p27rs' compensation insurance carngb olir�y rlurbe fe Carrier P "' y Numb V L! U (I I certify that, in the performance of the work fo hich t is permit is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre that, if I hould become subject to the workers' compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those pr9visians. _ Date WARNING: FAILURE TO SECURE WORIFERS' COMPEaSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1 D0,000), 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 I 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 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 the City of La Quinta, its officers, agents and employees for any act or omission related to the ork being performed under or following issuance of this permit. 2. Any permlI Issued as a result of this application becomes null and vo' i 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 i rmation 's orrect agree to comply with all city and county ordinances and state laws relating to building canstructlo and hereby authorize representatives of this coup t enter o the ab e-mentioned properly for inspection purposes. Date I Signature (Applicant orAgen Application Number . . . . . 04-00006220 Page 2 Date 9/09/04 Qty Unit Charge Per Extension 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 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 . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 240 Qty Unit Charge Per Extension ----------------------------------------------------------------------------- BASE FEE 15.00 Special Notes and Comments POOL & SPA. 15 LF 4' BLOCK WALL CITY STND. ALARMS BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. Fee summary Charged Permit Fee Total 297.00 Plan Check Total 142.50 Grand Total 439.50 Paid Credited Due .00 .00 297.00 .00 .00 142.50 .00 .00 439.50