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RPL (04-4269)4 �wQ�rw Qty Unit Charge Per BASE FEE 13.00 6.5000 THOU BLDG 25,001-50,000 ----------------------------7-------------------------- Permit . . . . ELEC POOL PERMIT -RES Additional desc Permit Fee 45.00 Plan Ch-� Issue Date Valuat '-G)'7 Qty Unit Charge Per 1.00 30.0.000 EA BASE FEE ELEC PRIVATE SWIMMING Extension 252.00 84.50 11.25 0 Extension 15.00 30.00 BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 OF4.9 78-495 CALLE TAMPICo FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 7774153 BUILDING PERMIT Application Number . . . -,-04'00004269 Date 5/14/04 'Property Address . . . . . 79758 MISSION DRIVE EAST APN: 649=450-025- - - Application description . . . POOL- RESIDENTIAL Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL .Application valuation . . . . .37300 Owner ------------------------ Contractor MASON BILL ---,----------.-.----------- MASTER POOLS AND SPAS 79958 MISSION DRIVE EAST 73555 HIGHWAY 111 LA.QUINTA CA 92253 PALM.DESERT CA 92260 (760) .346-6115 WCC: STATE FUND WC : 15764'31. 07/01/04 CSLB:, 238947' 03/31/05 CCC: C53 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 <=100K 9.00 Permit . . . BLDG POOL PERMIT Additional desc Permit Fee 336.50 Plan Check Fee.. 218.,.73. Issue Date . . . . Valuation 37300 Qty Unit Charge Per BASE FEE 13.00 6.5000 THOU BLDG 25,001-50,000 ----------------------------7-------------------------- Permit . . . . ELEC POOL PERMIT -RES Additional desc Permit Fee 45.00 Plan Ch-� Issue Date Valuat '-G)'7 Qty Unit Charge Per 1.00 30.0.000 EA BASE FEE ELEC PRIVATE SWIMMING Extension 252.00 84.50 11.25 0 Extension 15.00 30.00 P.O. Box 1504 • " VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4 4 a INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT � Tr Application Number: Applicant: Applicant's Mailing Address: Architect or Eng Architect or Lic. No.: Date: 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. 3 �Q �/ 7 License Class_ SS3 License No. DateZS-may Contractor/�'1i¢ Ar S SPAS 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 ji sued. My workers' compensation insurance carrier and policy number are: .Carrier_ S%Ff" P-�Hn Policy Number _ 15i 6 9:r) _ I certify that, in 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, 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. Date Applicant /V).4S7-04f Pam, LS -t- .SfAJ 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 lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lenders Name Lenders 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 within 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 correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date �� Signature (Applicant or Age . j1 Page 2 Application Number 04-00004269 Date 5/14/04 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 'PLBFIXTURE 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 Fee summary ChargedPaid Credited Due'. Permit Fee Total 438.50 .00 .00 438.50 Plan Check Total 244.23 .00 .00 244.23 Grand Total 682.73 .00 .00 682.73 r . N N GAP OF SPA TO BE COLORED CONCRETE FRENCH BEISE SAME AS DECKING rn ro OUTSIDE VERTICAL w PAGE OP SPA TO BE m NATIONAL TILE G-SO� r m&1G14T PEWTER GROUT . 0 m r (QUEEN PALM) 5YA44RUS ROMANZO"IANA WSW- 2D rO DO FM aFRtAm I! TO % FST I,. ".AAIh1A 0aRA4A)_ CYNODON DAGTYLON 3` J 601D QUARTZITE_ STACK® STONE SPILLWAY EXISTING POUNDA-noN PLANTS 4A' SCUS t GROIM OWPING PLANTS. .f I -fin_ ' CRESTA 6OLD BOULDERS NOT TO ' EXCSD 86" IN D1AMEMt F EXISTING 90" TALL BLOCK WALL N (QUEEN PALM) Q, 5YA6RUS ROMANZOFFIANA_ a lelow, as To W FST &WAV, 10 W 29 FST Q (2) VV SLEEVES TYP.--- tw=mmUDA GRAS.w_ 00 GYNODON DAGTYLON a w W Q N a 0 A RE -INSPECTION FEE 0 WILL BE CHARGED IF THE APP PLANS AND JOB CARD ARE NUT ! THE SITE FOR A SCHED JLND INSPECTION. NO EXCEPTIONS! II LANDSCAPE it FURNITURE r,ok ILL n"noN oNLY NOT INCL. VW IN CONTRACT WITH MASTER POOLS t SPAS GOLF COURSE VASTINSr GONGRETE CURB UNDER EXISTING 104ROVOW IRON FENCING b p tit (SND A ISRASS) N Z4". X T1. } /—PAI PNTW TAN IDTN (QUEENPALM) YA6RU5 ROMANZOFFIANA \y 1 ♦ (QUEEN PALM) SYA6RUl3 ROMANZOPFIAN IeISNr. 7 To 6O FST OPOWAD, h TO 25 RW ® ($ERI -WA 6RA S) GYNODON DACTYLON 91 Q (QUEEN PALM) b' SYABRUS ROMANZOFFIAI. MOW. a TO W FST eFFEAvi W TO 7S FWT EXISTING 90' TALL SL PZA jy�1 l 6A9 t ELEC. °• a — --�A`; '72°X80" B.B.Q. ISLAND WWI' BBQ. EXISTING DECKING TO REMAIN ; v CITY OF LA QUINTA BUIB&IM"o9kf- V"Wr T. APP/ROVED FO C NSTRU TIO.J DATE BY .5/12/2004,11:.0,1:44 PM CUSTOMER SIGNATURE DATE