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RPL (04-6069)57188 Medinah 04-6069 BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760);777-70 12 c OFTOn 78-495 CAL IMI !1 LE TAMPICO FAX (760) 777-7011 U LA Q uI TA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 SEP 0 12004 BUILDING PERMIT CITY OFF Ila 1Q211F9T1 Applcatori Number 04-O.00A 6069 Date 8/27/04 Property Address . . . . 57188 MEDINAH APN: 762-110-023- - - Application description . . . POOL - RESIDENTIAL Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 1 26000 Owner ------------------------ Contractor SNITKOFF MICHAEL H TOPMAN BUILDERS 18624 MERRIDY ST P.O. BOX 10202 NORTHRIDGE CA 91324 PALM DESERT CA 92255 (760) 772-7296 WCC: VIRGINIA SURETY WC: 00500019402, 01/01/05 CSLB: 455121 11/30/05 CCC: B -C29 .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 2.5,001-50,000 6.50 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 <=10'OK 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 P.O. BOX 1504 7$-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: 0 Date: Applicant: I Architect or Engineer: Applicant -s Mailing Address: Arcnitect or Engineer's Address: .7 /A Lic. No.: 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 Lic e i force and effect. cense Class_icense No. 11 L Date 1 _-F,, OWNER -BUILDER DECLARATION I hereby affirm under penalty of peUisexem empt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permiter, 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 licenseprovisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he otherefrom 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 noe hundred dollars ($500).): U 1, 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 declaratiogs: 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 Iof thework for which this permit is issued. t 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 `r is d. My ork rs' com ensation i nce carrier and policy number are; rier Y %11 11411 olicy Number a:: C7 M%—AOZ _ I certify that, m 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, ani agree t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisirbn`s . > 1 ,Qct WARNING: FAILURE TO SECURE CIVIL FINES UP TO ONE HUNDRE SECTION 3706 OF THE LABOR C( I hereby affirm under penalty of perjury that JMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY 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 IMPORTANT Application is hereby made to, the Director of Buildingand Safety NT ACKNOWLEDGEMENT IMPORTANT 1. Each person upon whose behalf this application is made. each person at whosfes quest and ubject to efor whose benefit and work isnperformed under set forth on thisar 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 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 Zabovefo is Cortagree to comply with all city and county ordinances and state laws relating to building connstruction. and hereby authorize representatives of this ent r u on th a ove-mentioned property for inspection purposes. OSignature (Applicant or Agen l a • 3r b.l R.:•t+4 . Page 2 Application Number . . . 04-00006069 Date 8/27/04 Permit . . . . . PLUMBING Additional desc Permit Fee . . . . 33.00 ,;,. Plan Check Fee - r 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, WATERFALL. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary. Charged Paid..:-'•, Credited Due Permit Fee Total 360.50 ..`00" .00. 360.50 Plan Check Total 193.53 0'0 .00 193.53 Grand Total 554.03 .00 .00 554.03 - -- -- -------- _•-_—_ _ - - —— .- ..._._. - - - '. ` . :.. "* s -.,.,..r "' .-"'"''-€-'---mss-.+-„:,::., . • SIOLF COURSE RA SED SPA AT +1811 .WITH CONCRETE w RAISED BOND BEAM AT +1811— CA AND STACKED STONE SPILLWAY r WITH STONE CAP AND FACE r I BOULDERS TO BE SELECTED . r_ • , t>' i _ 4 _2 BOULDER -SPILLWAY F 7'i :fes. w .. a,r.`i , ?- •`}S9 _ 4 y ,.... • '# >, i - ADJACENT r 1 NEIGHBORS `* , .fa n it r`S .a• _ 'Grze i s'' u;,sST _..... ; i;y 4•t,,v WITH BLUE GRANITE 2 M' t..+, a. ..+ '. t``x+i'x?z3 }Y?, • v W ;”, ' ., W _•k PEBBLE SHEEN INISH 1#,+•q- }e..s a ;c ' e ViI ENTRY • Y ti ADJACENT~re-.y 1 - STEPS,' • P y NEI GHBORS YARD >4, v - •, 4 WNGM1'r' e I hNall •,} • 5 its , I REMOVE AND REPLACE EXISTINtS CONCRETE WITH NEW SALT FIN15H I PB. .M , . .f ,5 N s , ,1; • c' ': ' K' SAN DIF -00 eUr—r COLORED +. CONCRETE DECKING - ! _ •-•---fin---=••^-••-. P8. _ s . • Y ' j. ' .. EXI9TIN6 WALL TO REMAIN PB ADJACENT r - - REST DENCE w .. - _ , - ' I .. .- - 1 .J'•• ' \ . ' , Q ' .. s -'yr , obi .` W ;- W S t'dS 1 • " I _ I 'i NO NM LANDSCAPIN6 (PLATINUM POOLS TO • , e . ie' ut t r wzn RN Exls IN6 LANDSCAPINS TO GURRBVT CONDITION k - .. a' `( I ' _. •. t f • \ ` `_ _ e+, .. tin °sem .. -