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04-3331 (RPL)�F �w4�rw BUILDING & SAFETY DEPARTMENT m ..Box 1504 (760) 777-7012 OFTIsV 78 495 CALLS TAMPICO FAX (760) 777-7011 GITYGf cRQUIOTA LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . 0-4--0-0003331 Date 4/08/04 Property Address 523K6.0 AVEN-IDA OBREGON APN: 774-155-002-2 -000000- Application description POOL - RESIDENTIAL Application valuation 14000 Owner Contractor ------------------------ ------------------------ KUA ALEXANDER P LEE CONSTRUCTION, MICHAEL 53760 AVENIDA OBREGON 53,930 AVENIDA MADERO"' LA QUINTA CA -92253 LA QUINTA CA 92253 (760) 333-8690. WCC: EXEMPT WC: EXEMPT 02/28/05 CSLB: 6029470 02/28/05 CCC: C53 ------------ ,Permit . . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 153.00 Plan Check Fee.. 99:45 Issue Date . . . . Valuation 14000 Qty Unit Charge Per Extension - BASE FEE 45.00 12.00_ 9.0000 THOU BLDG 2,001-25,000 108:00 ------------------ 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 FURNANCE <=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 30.00 ------------------ Permit . . . . . . PLUMBING r' 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: y- 3 3 .> I I Date: y" 8- o V Applicant: /ti'I I c ttA E L Lr= Co.,vsT,2, c -r, o a Applicant's Mailing Address: 3-930 1*iVjy-� M11-0E12O Lig- cT v/,./ i -A G4 ? 22 J Architect or Engineer: D/ E'Nrs15 2. P05(-rl es Architect or Engineer's Address: Lic. No.: 3 3 V Y,6 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I 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. 6 License Class C S'3 L' nse No. Data �' L Contractor ` OWNER -BUILDER 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 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.). 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.). U I am exempt under Sec. , BA P.C. for this reason Date Owner 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 issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number certify that, in the performance of the work for which this permit is issued, 1 shall not effoby any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if 1 should become subject to the ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. JDate Applicant WARNING: FAILW4 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 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 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 wi in 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. 1 certify that I have read this application and state that the above information is cored I agree to compjy4ith all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county toent on the adove-mentione operty for inspection purposes. Date 601-)V Signature (Applicant or Agent): Page 2 Application Number 04-00003331 .f., Additional desc Permit Fee . . . . 33.00 Plan Check Fee 8.25 Page 2 Application Number 04-00003331 Date 4/08/04 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. PERMIT DOES NOT INCLUDE BLOCK WALLS OR EQUIPMENT ENCLOSURE. ALARMS & BARRIERS MUST BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. 2001 CBC. Fee summary Charged Paid Credited ----------------- Due ------------------------------ Permit Fee Total 255:00 .00 .00 ---------- 255.00 Plan Check Total 124.95 .00 .00 124.95 Grand Total 379.95 .00 .00 379.95 OF L, a'TA C1T� SAFE-� ®EpT' gUILDIN �R®�,E® F0 ( ONSTFt GTION ---�� , DA v a "BACKYARD RESORTS'A By Michael Lee Construction Office (760)777-9838 fax (760)771-9676 Licensed since 1990 0 .0 C53-602947 Name: Alex & Carmie Kua Street: 53-760 y City: La Quinta Ob ddress: 53-76o Semvts-Kay 0Ip O h Phone Office Res. Lot Tract Page Book Scale 1/8"=1' Date Spa spec. Size 6' x 6' , Area 42' Per. 26' Spa dam wall width 9' No. Jets 5 No. Lights 1 Spa raised 18" Spillway Type Stack spillway Special notes Pool spec. Size 13'9" x 27' Area 308' Per. 78' Depth Min. 3'6" .Max. 5' R.B.B. .Love seat Extra steps Tanning Ledge Rock pockets xcavation: Type Bobcar Elev. Deep end ramp Removal: Sod Plumbing: Hayward Equipment Size: Filter 3020c Heater 400,000 Pump 2hp 2nd pump . 3rd pump Type of controls time clock Fountains/sprayhead,s No. of Skimmers ,1 Lights 1 Decking: Sq -ft: 400' Finish broom Color .natuaral grey Deck drains 40' Steps None Notes Tile: Type Step trim. None Type Masonary: Coping type Cantalever Access wall Equip wall Fire pit Per plan BBQ length Pebble Sandy Beach Plaster Color Size