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RPL (04-4617)I JUN.() I BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLS TAMPICO FAX (760) 7.77-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760).7-77-7153 BUILDING PERMIT. n/� �r CApp.lica�3onfgy ber 04-^00004617 . . . , r Date 5/26/04 FP,r,�o�per�tBypAddr ss 79798 -MI-SSIEAST AP1�Y`:ED`p 649-750-0-°20- - - Applicatio escription . . . POOL - RESIDENTIAL Property Zoning . . . . . . LOW DENSITY RESIDENTIAL Application valuation 15000 Owner Contractor LARSEN DANN MCINTYRE POOLS & SPAS, INC., 2040 E. MURRAY HOLLADAY R: P.O. BOX 1791 HOLLADAY, X UTAH LA .QUINTA CA 92253 SALT LAKE -CITY UT 84117 (760) 342-3612 WCC: HRH INS WC: 176911104 01/01/05 CSLB: 614611 - 09/30/05 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 . . . . 162.00 Plan Check 'Fee 105.30,, Issue Date Valuation 15000 Qty Unit -Charge Per Extension BASE FEE 45.00 13.00 9.0000 THOU BLDG 2,001-25,000 117.00 ----------=-----------------------------------------------'-=---------------- 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. P.O. Box 1504 78-495 CALLE TAMPICO �i VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: (9q— 4111-7 I Date: I' .� -- App scant. Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's 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 License is in full force and effect. 1 iI I� cense Class icense No. ✓ Date tr or V I C ) V iO �(1Il �S 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 Me performance Kof 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 performance of the work for which this permit is i e works' corn nsati r urrance carrier oli y ber a Cartier 1-\y cL/V ` — Policy Number I (�/- _ I certify that, in the performance of the work for which this permit is issued, I shall not dImploy 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. /uace plicant V r �t—I J 1-( 4.1 O� 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. 1 herebyaffirm under y perjury CONSTRUCTION LENDING AGENCY penalty of a 'u 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 Lenders Address IMPORTANT APPLICANT ACKNOWLEDGEMENT 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, indemnity and hold harmless the City of La Cluinta, 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 above information is correct. I agree to comply with all city and county ordinances and state laws relating to building consttr/unction, and hereby authorize representatives of this county to enter upon the above-meentioned property for inspection purposes. pateVL1 Lb \± ignature (Applicant or Agent): v Page 2 Application Number . . . . . 04-00004617 Date 5/26/04 Qty Unit Charge Per Extension 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL ------------------------------------------------------------------------------ 30.00 Permit . . ... PLUMBING Additional desc Permit Fee . . . 33.00 Plan Check Fee 8.25 Issue Date . . Valuation . . . . 0 z 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 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ------------------------------------------------------------------------------ Special Notes and Comments POOL &SPA. BBQ Z21-58-1995. ALARMS BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. Fee summary Charged Paid Credited Due Permit Fee Total 264.00 .00 .00 264.00 Plan Check Total 130.80 .00 .00 130.80 Grand Total 394.80. .00 .00 394.80 U. LARSON RESIDENCE LOT 44 RANCHO LA QUINTA�� POOL EQ lel - 7?9- OW � ,�sa2—sat 05/25/2004 11:16 7603469918 DESERT RESORT MGMT PAGE 01/01 April 23, 2004 Larsen/Taylor 79-798 Mission Drive East La Quinta, CA 92253 Re: Proposed Landscape and Pool plans Dear Mr. Larsen: The proposed plans for addition of pool and landscaping at your home at 79-798 Mission Drive Toast iu La Quinta have been re -reviewed and requires the following before being re -presented to the Architectural committee: 1. On the golf course property line, only lawn to match the golf course or a IT wide concrete mow band shall be allowed within a 12'setback from the property line. No planters, including trees, shrubs, or groundcover other than lawn shall be allowed i n this 12'setback. Provide 12"setback to decking. 2. Specify knish or raised planters around pool. it 'd a ove revisions to your plans (a set of six) as soon as possible, ace ommunity Association Manager Cc: McIntyre Pool Fax: 760-342-3832 Best Landscape Fax: 760-347-2964 P.O. Box 4772 • Palm Desert, CA 92261-4772 73-550 Alessandro, Suite 5 • Palm Desert, California • 760.346.1161 • FAX 760.346.9918 Email: drm@drminternet.com • www_drmintemet_com