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RPL (12-1150)-..-Afft P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T -44t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: WILLIAM & JANE EMERY 27701 GOLDEN RIDGE LANE SAN JUAN CAPISTRANO, CA 92675 VOICE (760) 77 2 FAX (760) 777-70 INSPECTIONS (760) 777-7153 Date: 10/01/12 Contractor: Applicant: Architect or Engineer: LINDLY' S POOLS OF CALIF A /� 30755 DESERT PALM DRIVE f� THOUSAND PALMS, CA 9227 (760)343-0600 t� L i c . No.: 833313 C1 �r0� /^ 1WANPe op_ - LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am 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 Business and Professionals 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 License Class: C53 License No.: 833313 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is � issued. ate: t 7 6ntractor: 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 DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 9014035 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 to become 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 should become subject to the workers' 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 Code, I shall forthwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by r� any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:ate: _J \ L plicant: (_) 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 SECURE 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 (_) 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. 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, (_ 1 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 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 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 :his unty to enter up n the above-mentioned property for inspection purposes. Dom: \b �b1t ignature (Applicant or Agent): )O:i / V Application Number: 12-0 0 0 01150 Property Address: 81075 MONARCHOS CIR APN: 767-320-999-268 -32879 Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 34000 T -44t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: WILLIAM & JANE EMERY 27701 GOLDEN RIDGE LANE SAN JUAN CAPISTRANO, CA 92675 VOICE (760) 77 2 FAX (760) 777-70 INSPECTIONS (760) 777-7153 Date: 10/01/12 Contractor: Applicant: Architect or Engineer: LINDLY' S POOLS OF CALIF A /� 30755 DESERT PALM DRIVE f� THOUSAND PALMS, CA 9227 (760)343-0600 t� L i c . No.: 833313 C1 �r0� /^ 1WANPe op_ - LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am 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 Business and Professionals 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 License Class: C53 License No.: 833313 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is � issued. ate: t 7 6ntractor: 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 DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 9014035 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 to become 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 should become subject to the workers' 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 Code, I shall forthwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by r� any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:ate: _J \ L plicant: (_) 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 SECURE 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 (_) 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. 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, (_ 1 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 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 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 :his unty to enter up n the above-mentioned property for inspection purposes. Dom: \b �b1t ignature (Applicant or Agent): )O:i / V Application Number . . . . . 12-00001150 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 310.50 Plan Check Fee 201.83 Issue Date . . . . Valuation . . 34000 Expiration Date . . 3/30/13 Qty Unit Charge Per Extension BASE FEE 252.00 9.00 ---------------------------------------------------------------------------- 6.5000 THOU BLDG 25,001-50,000 58.50 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/30/13 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 3/30/13 Qty Unit Charge Per Extension BASE FEE 15.00 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 Expiration Date . . 3/30/13 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 Permit . . . . . . WALL/FENCE PERMIT LQPERMIT Application Number . . . . . 12-00001150 Permit WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 192 Expiration Date . . 3/30/13 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA, 12 L.F. 4' SCREEN WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. 2010 CODES. ----------------------------------------------------- ---------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary Charged Paid -------------------- Credited -------------------- Due ----------------- Permit Fee Total 429.50 .00 .00 429.50 Plan Check Total 227.83 .00 .00 227.83 Other Fee Total 2.00 .00 .00 2.00 Grand Total 659.33 .00 .00 659.33 LQPERMIT Personalized Property Management 68950 Adelina Road Cathedral City, CA 92234 (760)325-9500 (760) 325-9300 fax Gfifffi Ranch Homeowners ASsoclaxlon__ Sep 20, 2012 Mr and Mrs Emery 27701 Golden Ridge Ln San Juan Capistrano, CA 92675 81705 Monarchos Circle La Quinta, CA 92253 Re: Pool Project Your application to install a pool and spa in your rear yard has been approved �5 as per the plans presented. Please ensure your contractor keeps the area in and around your property in a clean condition. rll — For the Board of Directors Dayton Dickey Community Manager Community Living at its Finest E-USTING 6' BLOCK NVALL SCALE 1/8"= 1 FT MONARCHOS CIRCLE Maitf Block gey,w" 3' Rii%ed Bond beam F' TSTINCT 6' BLO(.'K NV :ALL Length: 29' Width: 12'6" Depth: 3'6"- 5'6" Perimeter: 83 LN FT Square Footage: 363 SQ FT Capacity: 12,234 GALLONS Material: Pebble mix glass beads Water Features: 3-18" Sheer Descents Length: 7' Width: 7' Depth: 3'6" Perimeter: 28 LN FT Square Footage: 49 SQ FT Capacity: 1,286 GALLONS Material: MATCH POOL FINISH Water Features: STACKED STOONE SPILLWAY Filter Pump: 3HP VARIABLE SPEED UMP Filter Type: 420 SQ FT CLEAN AND CL AR L R Other Pumps: 1HP WHISPERFLOVk1 Heater: 400K BTU HEATER Sanitation: EASY TOUCH SALT SYSTEM WIRELESi