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04-5338 (RPL)ooot V . Tdf BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760)•777-70.12 OF94`� 78-495 CALLS TAMPICO FAX (760) 777=7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING: PERMIT Application Number 04-0.0005338 Date 7/02/04 Property. Address,... . . 49565 ALI CT ..APIC: 649-520-014-33-290532- Application.descr.iption POOL . RESIDENTIAL Property Zoning . . . . LOW DENSITY RESIDENTIAL Application valuation.. 17000 Owner- Contractor' TRANS WEST CALIFORNIA POOLS & SPAS 49535 ALI.CT P.O. BOX'1280 LA'QUINTA CA 92253COACHELLA CA 92236- 060) 398-9222. WCC: STATE FUND t WC: 04600061168 0.1/01/05 CSL -B': . 65612.8 10/31/04 l CCC: C8' -C27 -C29-053 ------==-----------------------------------=- - - - - -- j Permit MECH POOL .0 Additional- desc Permit.Fe.e . . . 24.00 Plan Check Fee.. 6.00 Issue Date . . . . Valuation 0 .Qty Unit Charge Per Extension* BASE FEE 15.00 1.00. 9.0.000 EA MECH FURNACE.<=10OK 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': (j 0 Qty Unit .Charge Per ►x- n Q BASE FEE 1 0 1.00 30.0000 EA ELEC .PRIVATE SWIMMING L wL 6 2QO4 3 10 111111111111111111111111127 A�CEO T IE P.O. BOX 1504 79-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT VOICE (7 66) 777-7012 : FAX (760) 777-7011 INSPECTIONS (760) 777-7153- Application 77-7153 Application Number: y `.1; 3Date: Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer d r 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 Lker7is in full force and effect License Class License No. lD (o T! Date � � / Contractor ` . OWNER-B1fILDER DECLARATION 1 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 Is permit to construct. alter. improve. demoilsh, or repair any structure. prior to its Issuance, also repuiros the appliceM for the permit to file a signed statement that he or she is fioensed pursuant to the Provisions of the Conkaclors' State License Law (Chapter 9 (commencing with Section 7000) of DMsion 3 of the Business and Professions CoQe) 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 dvl penalty of not more than five hundred dollars ($500).)= U I. as owner of the property, or my employees with wages as their sole Compensatloo, will do the work, and the structure Is not Intended or offered for sale (Sea 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 safe. IL howew the building or knprovembnt is sold within one year of completion. the owner -builder will have the burden of lxvAng that he or she did not build or knprove for the purpose of sale.). U 1, as owner of the property, am exclusively contracting with ilcensed contractors to Construct fie project (Sea 7044, Business and Professions Code: The Contractors' . State License Law does not apply to an owner of property who builds or knproves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractus' State License Law.). U I am exempt under Sea B.& PA. for this reason Date Owner ; . 1 hereby affirm under pens of WORKERS' COMPENSATION DECLARATION penalty per(ury One of the following declarations:, _ 1 have and.will maintain a Certificate of consent to selfansurefor workers' compensation, as provided for by Section 3700 of the tabor Code, for the performance of the work for which this permit is Issued. 1 -have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performince of the work for which this pemdt is I sued. MY rs: comgensation.insurance carrier and pofi�y�yrt�ber are: Carrier i'P 1. , �1, PolicyNumber D �/(o/9/a/� — I.certify that, in the performance of the work for which this permit Is issued, I" not employ 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 10 the workers' compensation provisions of Section 3700 of the Labor Code, l shall fortth/hwith comply with those ProvitA. [� �• Date —,/ -C Applicant 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 D& ARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY 1 hereby affirm under penalty of perjury that two is a conshuction lending agency for the performance of the work for which this permit is Issued (Sam 3097, Civ. C.). Lender's Name Landeh Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application Is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictioons' set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose and for whose benefit work b pertofrtmed under or pursuant to any permit Issued as a result of this application, the owner, and the applicant, each agrees ,and defend, Indemnify and hold harmless the City of La Qukmta, its officers, agents and employees for any act or omission related to thetiieork beMg u or following issuance of this permit 2 Any pefrtdt issued as a esuk of this application becomes null and void if work co mrmmon within 180 days from date of Issuance of such pefrndt, or cessation of work for 180 days will subject permit to canoeffatiom 1 certify that 1 have read this application and state that the above Info tion is Correct 10 with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county upon thea for inspection purposee, Date G Signature (Applicant or Agent): Page 2 Application Number 04-00005338 Date 7/02/04 ---------------------------------------------------------------------------- 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. 10 LF 5' BLOCK WALL PER CITY STND. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. Fee summary Charged Paid Credited ----------------- Due ------------=----------------- Permit Fee Total 282.00 .00 ..00 ---------- 282.00 Plan Check Total 142.50 .00 .00 142.5.0 Grand Total 424.50 .00 .00 424.50 rs— I Cv., OWNER 7SPONSIBILl TIES 0Ml4ER TO: (T) DETERMINE THE APPRO)AWATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION (2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SU6 ECT TO ACCEPTANCE OF LOCAL BUILDING DEPARTMENT AT AME OF ISSUANCE OF PERMIT (3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SM DAYS AFTER SMELL IS INSTALLED (4) AGREE THAT CALIFORNIA POOLS IS NOT RESPONMILE FOR UNDERGROUND CONDITttTNS OR OBJECTS AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTNER ITEMS 1% THE ACCESS AREA (5) SEE THAT ALL FENCING, GATES, AND GARAGE'DOORS MEET LOCAL CODES FOR A POOL ENC'I.OSURE PRIOR TO PRIPLAStER INSPECTION (8) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW WTRUCTIONS -- DO NOT USE RUBBER HOSE) (7) TAKE NOTICE THAT THIS DRAWING IS THE SOLE PROPERTY OF CALIFORNIA POq„S AND THAT ANY USE WTHOWIT WRITTEN PERMISSION OF CALIFORNIA POOLS, INC. IS PRCMMBtTED By LAW. OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCAT'ONS AND HAS READ THE RESPONS UTIES AND N0110ES ABOVE. SIGNATURES) A SWIMMING POOL PLAN FOR: NAME FlOREMOD.EL %*'_333 J 1 1 NL -L- 02 a /"E' / C- T JOE ADDRESS 0 CITY PHONE OFFICE RES LOT TRACT PAGE BOOK MAP BOOK PAGE NO. CITY MAIL ADDRESS CONSTRUCTION OFEICE PHQNE NO SCALE DATE SPECIFICATIONS OLD BY CHECKED BY SAi.t I, t' TYPE3SIZE x SURFACE AREA OF POOL N G PERIMETER t A. rn F d C,0I '3 . RIUCIi N Dun" MIN. C4 00 I TILE SPA SPECIFICATIONS SDE X S_ SQ. FT. lu TYK SPA DAM WALL WADTH WATER UNC 4 SIGNATURE NO. OF .ITS 7LE TRIM DrQina e and irrigation far -- planters and pats, b -others, unless 0f rwise noted. U04T QUARTER ROUND � < tg RAISED SPA AT 4 W SPILLWAY TYPE 21 r V 04 SPECIAL NOTES 0 N W to DECKING ;