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04-6132 (RPL)Tdf �F�a�rw 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 . . . . . C 04=-0 0 0 0 6.1.32 Date 9/01/04 Property Address . . . . 80869 BELLERIVE APN: 775-350-012z- 75-350-012=Application Applicationdescription . . . POOL - RESIDENTIAL Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . 26.000 Owner A.' Contractor -- - - - - - - -.- - - -_ ----------------------- - PETE HEUSER �`�?�a�`°`,�`t CANYON VIEW POOLS, INC. ,eG�w+ 80869 BELLERIVE �, �.,.�� 3465 LA CAMPANA WAY, 44 LA QUINTA \ O�C��' � CA 92-2` PALM SPRINGS CA 92262 WCC: VIRGINIA CO WC: 000500017765 CSLB: 779165 .01/01/05 05/31/06 =-------------- CCC: A -B --------------------------------------=----------------------- Permit . . . . . . BLDG POOL PERMIT Additional desc Permit Fee 258.50 Plan Check Fee 168.03 Issue Date . . . . Valuation . . . . 26000 Qty Unit. -Charge Per Extension BASE FEE 252.00 1.00 6.5000 THOU BLDG 25,001-50,000 6.50 ---------------'------------------------------------------------------------- Permit . . . . . . MECH POOL Additional desc Permit Fee24.00 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 <=TOOK 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 1.00 30.0000 EA Extension BASE FEE 15.00 ELEC PRIVATE SWIMMING POOL .3.0:00 !,It P.O. BOX 1504• �� VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: Applicant: Applicant's. Mailing Address: Architect or Engineer: Architect or Engineer's Address: N �# Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm 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 License is in full force and effect. s �icense Clas/x i t icense No. ,,,,—Date_q — I ) &4ontractor l � y D e�/ U (t' -y Fib e,, OWNER43UILDER DECLARATION 1 hereby affirm under penalty of perjury that 1 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 wok 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.). 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' 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.). (--) I am exempt under Sec. , BA P.C. for this reason Date : Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declaratiops: _ 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 issued. My�v� X ' tb_rrVrisation ins a carrier and policy number are: / Cartier L! �L'fi I ±— olicy Number RQm b SbQem 17 2 t -1 _ I certify that, in the performance of the work for which this permit is issued, 1 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 comply with those provisions. —1 �olicant . 0- /1- 'I 7147- t-1 ' V' , CLI.-' P� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 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 tending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lenders Name Lenders Address l 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 Ouinta, 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, 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 inform on is correct. I agree to comply with all city and county ordinances and state Tawe relating to building construction, and hereby arlthorize representatives of this county to ent upon the above ntioned property for inspection purposes. / /ate_ ✓ / , S ature (Applicant or Agent): zpv, Page 2 Application Number . . . . . 04-00006132 Date 9/01/04 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------7------------ Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary ----------------- Permit Fee Total Plan Check Total Grand Total Charged Paid 360.50 .00 193.53 .00 554.03 .00 l Credited Due .00 360.50 .00 193.53 .00 554.03 1 pe QIP Pool /3\1 r Raised Bon a �-- so �, }24p *24q I m N +27^u S� m ° 24' A Tanning Ledge -9' 181, 8 p u t Elev. n and V \ M m _ As {' 8" w N Partial Step I required 0° m v w --------------- m 0 \ :146 cn ILDINC"a & S,AFE iY DEPT. FOM ONSTRUCTION i I I I DATE / /—}� .9 A RE -INSPECTION D#dk BE CHARGED ! r ` : _ :' PPR VED ego PLANS AND JOB CARD ;,E NCT ON PS ! THE SITE FOR A S C H E D U L Ebeve all Planters P/L"!!NISPEBONI RDeck I NO EXCETI( Nr)'! Deck !. Heuser �'s/C�C't'l C '' 80-869 Bellerive I August 3, 2DO4 La Quir►ta 92263 Alarms and Springs for Gates per City Code Scale in Feet 01 23 4 5 6 Geek 0 D z 0 z M Z D Z d m PB L I PB Deck D M CS) w r l' S LJ ��' Raised Ban a 4-2V +24" +24"+2T' 40" S S2 `6 PIL Tanning Ledge -T 18, 18' 10'4 u Poo1 a � t8Eley. hand ------------ _ P tt _ V � —14'9--� Entry St4 . — � PB PB 19, 22D L Deck LOm }. Deck PB Sieve all Planters LO P/L Deck N N " Deck S Alarms and Springs for user Gates per City Code Pa C53 He cV Scale iTl Feel Residence0, 2 34 56 .FFD August 3, 2004 La Quhta 92253 Deck :4 PB GMAC `iia www.gmacfs.com