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04-6145 (RPL)Tdf 4 4 a", P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . . . 04-00006145 Date 9/02/04 Property Address . . . . . . 53470 AVENIDA CARRANZA APN: 774-081-011-14-000000- Application description . . . POOL - RESIDENTIA R �j Property Zoning . . . . . . . COVE RESIDENTIAL '31 Application valuation . . . . 15-000' Owner Contractor - �,; . :; {1,'W- ----------fir.,--.=-=-- PATRICK DENNEHY AZURE POOLS AND SPAS 53470 AVENIDA CARRANZA P.O. BOX 10641 LA QUINTA CA 92253 PALM DESERT CA '92255 (760) 322-7665 WCC: . STATE FUND WC: 0001705853 03/01/05 CSLB: 802919 01/31/06 CCC: C53 Permit . . . . . . BLDG POOL PERMIT Additional desc . . Permit Fee 162.00 Plan Check Fee 105.30 Issue Date . . . . Valuation . . . . 15000 Qty Unit Charge Per Extension BASE FEE 45.00 13.00 9.0000 THOU BLDG 2,001-25,000 117.00 ------------------------------------------------------------------------- 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 . . . . . . 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 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 3.0.00 P.O. BOX 1504 a 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: — % 7 5 Date: q054 Applicant: I Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: '10 Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affrr under penalty of 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 Licenser rnjUl fgrcq and effect. f arise Class ) � --kfcennse No 1 x___WNER-aUiLDER 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 conslruct. alter, improve, demolish, or repair any structure, prior torts issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions a 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 1, as owner of She property, or my employees with wages as their sole compensation, will do the work, and the stricture is not intended or offered for sate (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. She building or improvement is said within one year of completion, the owner -builder will have the burden of proving that he or site did not buiki or improve far the purpose of sale.) [� I, as owner of the property, am exclusively confradtin9 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 properly who builds or improves thereon, and who contracts for She projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). L) I am exempt under Sec- , B.& P.G- for this reason Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations 1 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 aintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance.of the work for which this permit is rJJ��ssp�d- My ❑rkers' c pens insrrance Carr a an paEic +r6 rrccv Number a I certify that, in the performance of the work for which this 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 agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith complywith those provisions. /Applicant r �F WARNING: FAILURE TO SECURE WORKERS' COMPENSATION C01. RAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 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. 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.). Lenders 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 applicalion 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 lot [owing issuance of this peril, 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 1aO days from date a issuance of such permit, or cessa lion of work for 180 days will subject permit to cancel lation. I certify that I have read this application and state that the above information is correct, I agree to comply with all city and county ordinances and state laws retailing to building construction, anld hereby authorize represe nta lives of this Z to enter upon the above nbon ad property for inspection purposes. ate L ti " gnature (Applicant or A enl 3 1. Page 2 Application Number . . . . . 04-00006145 Date 9/02/04 ------------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Permit Fee Total 264.00 Plan Check Total 130.80 Grand Total 394.80 Paid Credited Due .00 .00 264.00 .00 .00 130.80 .00 .00 394.80 LIC# C-53, 802919 POOL SPECS POOL SIZE: 13' X 26' POOL AREA: 283 sf POOL PER: 71 ft POOL DEPTH: SPA SPECS SPA SIZE: 7dia SPA AREA: 38 SF SPA PER: 22 FT EQUIPMENT PUMP: FILTER: HEATER: POOL LIGHT: SPA LIGHT: FINISHES DECK AREA: 359 SF PLASTER: TILE: 1 "=8' SCALE DENNEHY RESIDENCE DRESS: 53-470 AVENIDA CARRANZ CITY: LA QUINTA LOT # : SPA +18" WITH TILED SPILLWAY RE /NSPECTJO�j ""It DE.^ FEE OF A RG IF THE PLAP4S AN fop : _D yr r r THE RD AE FOR re J"JOT ON cl/N. ED ND EK('Er")T/O�jSj