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12-1223 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO ° LA QUINTA, CALIFORNIA 92253 Application Number:1� 0.001223'� Property Address: 80055 MERION APN: 762-191-010- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 26000 TUV/ 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SCOTT CREIGHTON 80055 MERION LA QUINTA, CA 92253 VOICE (760) 7* - FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/12/12 Date: Owner: 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.). Lender's Name: Lender's Address: LQPERMIT of La Write, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. r 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 issAbpet, , or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this a plication and sorm io corr I agree to comply with all city and county ordinances d state laws relaruct d her y authorize epresentatives of this ounty to enter n the above-mentiot rposes. 0e: ' Signature (Applicant or A Contractor: `i Applicant: Architect or Engineer: SUNAIR POOLS �04°► 72794 RANCHO GRANDE �L PALM DESERT, CA 92260 (760)568-4014 p/ •LiC. No.: 397252 ' LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION - hereby affirm under penalty of perjury that licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the us n, n .P fessi0n Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Lice Class: C53 cense 3 97252 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is �/ ! ! Date: /'— ontractor: 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 �• OWNER -BUILDER DECLARA N insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor State License Law for the - Carrier STATE FUND Policy Number 0517316 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the .. person in any manner so as om subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I shout ec a ject tote worker ' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor C e, I s II hwit c ply wi hose provisions. 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).: ate:/ pplicant: (_ 1 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 WARNING: FAILURE TO SEC RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT 1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. 1 property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit Issued as a result of this application, ( ) I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City Date: Owner: 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.). Lender's Name: Lender's Address: LQPERMIT of La Write, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. r 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 issAbpet, , or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this a plication and sorm io corr I agree to comply with all city and county ordinances d state laws relaruct d her y authorize epresentatives of this ounty to enter n the above-mentiot rposes. 0e: ' Signature (Applicant or A LQPERMIT Application Number . . . . . 12-00001223 Permit . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 258.50 Plan Check Fee 168.03 Issue Date . . Valuation . . 26000 - Expiration Date. 4/10/13 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 Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date 4/10/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 Permit . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . 45.00 Plan Check Fee 11.25 Issue Date Valuation . . . . •0 Expiration Date.. 4/10/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL ---------------------------------------------------------------------------- 30.00 PermitPLUMBING Additional desc . Permit Fee 33.00 Plan Check Fee 8.25 Issue Date . . Valuation . . . . 0 Expiration Date 4/10/13 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 LQPERMIT Application Number . . 12-00001223 Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. INCLUDES 60 L.F., 1 1/4" GAS LINE. EQUIPMENT ENCLOSURE NOT INCLUDED. 2010' -----------------_---------------------------------------------------------- Other Fees• . . . . . . . BLDG STDS ADMIN (SB1473) 2:00 Fee summary Charged Paid Credited. Due •--------------------------------------------------------- Permit Fee Total 362.50 .00 .00' 362.50 Plan Check Total 194.03 .00 .00 194.03 Other Fee Total 2.00 .00 .00 2.00 Grand Total, 558.53 .00 :00 558.53 1.w LQPERMIT i # City. of La Qui , to Buiiding tat Safety Division Permit # P.O. Box 1504, 78 495 Calle Tampico ' La.Quinta, CA 92253 -:(760) 777-7012 i Building Permit Application and Tracking Sheet Project Address: Owner's Name:. A P. Number. Address: ` Legal Description: City, ST, Zip. A— o `. ��— i i Contactor:.>.~. l/ Al�/ 19-Z iZ s Telephone: � Address: 7 04" Project Description:Z Z City, ST, Zip: L L) j Telephone: 76 0 _S74u?>V\ X" 1 Icy r l .✓i; Slate Lic. # : .G S 3 71- L City Lie'. #; Arch, Eagn, Designer. i Address: City., ST, Zip: Telephone:`c Construction Type C% Occupancy: State Lic. #: �" Project type (circle one): New Add'n Alter Repair ep Demo Name of Contact Person: Sq. FL: # Stories: #Units: Telephone # of Contact Person: V Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKNG PERMIT FEES Plpn Sets Plan Check submittedItem Amount Structural Calcs Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance. Titre 24 Cates. Plans picked up Construction " fl— ood plain plug_ _P.lans-resubmitted.. hiechariical — -- Grading plan 2'a Review, ready for correctionslissue Electrical — Subeontaetor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review; ready for correctionsfissue Developer Impact Fee Planning Approval. Called Contact Person A.I P.P. Pub. Wks. Appr Date of permit issue School Fees " Total Permit Fees • *.� eel PLOT PLAN j t S t GENERAL SPECIFICATIONS © - size / .Z X Z do Cade 70-2160 106 Depth 3 to S to T'de Color 2 f :r7 Coping 12' Cantiimw &JCUS Pool coley ` 29 ®@ Gab. Pump Capacity / ZID G.P.M. Finert� N rQ 1 t'? C11F C 2 1/0 Sq. Ft. q of, w , pump H.P. Fitter Rete G.P.M. His b ' Tunaver 1 t S LZ. y .g 1 { Vacuum Line & Skimmer :� W /�rR. Z \3 P: '�' ' F y' Return Line t Main DrainSkimmer Backwash to , - A Antisyphont, valve - of ^'ori Vy% a r 4.: ►nr ((�� I/!� Her )i tA' j.,e,,C Sias Z 6 / ®A'a emu. pf Gmkne by by SVim" �.0 z - +� 1 1 Tune Clock ung 3 r-`1" a+ery@.Vh Qlitoe COW Board '�•' r : t DJ^Ii1�t�' $kCfeIcyColor DINF10 w I Att wr ec Ncl y T2s y e. � d RF 2®v v-/c— vert Asv�t' � ft.ALe- ro �e Name SC91 r C 2 �%0h�nr �o�1) A �l Z IZIV-(C r Address 80- d S'S Yle ER✓ on/ city � y4 U 1 N*f I$ 7 (i C `ONS+R V e�+Q 04 Cross Strom Phone q /b CITY OF LA QUINTA SUNAIR BUILDING &SAFETY DEPT. U /i�.%le `)-Avy nook APPROVED �� DEEPENO S S 3 0-49FOR CONSTRUCTION f, ) 7Z-.-*7-SING 1974 e SHALLOW DATE O 1 f ENO�6w PALM DESERT, CA 92261 PHONE (760) 568-4014 r' SCALE f /r 14` STATE LICENSE C-53397252