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RPL (04-4759)14. T-Vf 4 4 a" BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICO A ) 777-7011 LA QUINTA, CALIFORNIA 92253 INS ) 777-7153 BUILDING PERMITU JUN 07 2004 U 71Ty of eauora �� Application Number . . . . . . FINANCE /03/04 Property Address --812-0"5_-MUIRFIELD VILLAGE APN: 762-410-008-8 -28838 - Application description . . . POOL - RESIDENTIAL Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 15000 Owner ------------------------ Contractor CHESWORTH ------------------------ PICASSO POOLS, INC 81205 MUIRFIELD VILLAGE 78078 COUNTRY CLUB DR, #206 LA QUINTA CA 92253 PALM DESERT CA 92211 (760) 345-4600 WCC: STATE FUND WC: 1709395 12/01/04 CSLB: 81011 11/20/04 ----------7----------------------------------------------------------------- CCC: C27 -053-B 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 . . . . . . MECH POOL Additional desc Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuatipn 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 ---------------------7------------------------------------------------------ EA MECH FURNACE <=100K 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 Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 P.O. Box 1504 _ 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Applicant: Applicant's Mailing Address: UP • f 4 4 a" BUILDING & SAFETY DEPARTMENT Architect or Engineer: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: Architect or Engineer's Address: 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, Li nse,�iti p full Jylce a �efjV � License Class C� 03 �� ^ License No. �ld -4!! �v I hereby affirm under penaltyof OWNER -BUILDER DECLARATION 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 n 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 the applicant to a civil penalty of not more than five hundred dollars ($500).): any applicant for a permit subjects 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 I herebyaffirm under WORKERS' COMPENSATION DECLARATION penalty of perjury one of the following declarations: I have and will maintain a certificateof consent to self -insure for workers' i of the work for which this permit is issued. compensation, as provided for by Section 3700 of the Labor Code, for the performance 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 ssu My�vork r 'compensation iI nce carrier and olicy gur�b9f a /Carrier_S'f r(�j �/.) /folicw Number / �O % S f _ 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 //,^, f thwith comply with those provisi mate X2/�n 2* WARNING FAILURE TO SECURE WORKERS' COMPE S SECTION 3706 OF THE LABOR CODE, INTEREST, TION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND .' AIRS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury that there is a construction lending CONSTRUCTION agency or the LENDING eeNof the work for which this Lender's Name permit is issued (Sec. 3097, Civ. C.). Lender's Address CA IMPORTANT Application is hereby made to the Director of Buildingand Safety NT ACKNOWLEDGEMENT Ato the 1. Each person upon whose behalf this application is made, each person at Permit Subject request and for hlose benefit work snperfo s set frtned under or puorth on this lrsuant to en 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 Le Quints, pemut 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, d hereby authorize representatives of this count enter upon the above-rnentioned property for inspection purposes. c ate Signature (Applicant or Ageht): I ,.r r• 5 Page 2. Application Number . . . . . 04-00004759 - Date 6/03/04 ---------------------------------------------------------- Permit . . . . . . PLUMBING ----------------- r• 5 Page 2. Application Number . . . . . 04-00004759 - Date 6/03/04 ---------------------------------------------------------- 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 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, BBQ (#118006). ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED 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 AREA DRAINS pIcRssO POOLS I-Ic #810111 POOL SPECS SIZE: W z AREA: 1 sF E o PERIMETER: � V) p 5PA PEcs - N ww� SIZE: qXq AREA: o DAMWALL: a �1 RAISED @:LU SPILL TYPE. 03 -(n4 01 F JETS: IL LIGHTS: 0 N FACE FINISH: z 3 DIG EL w 'TYPE: < ACCESS: A Z N ELEVATION: N < p DEEP RAMP: o 0 BENCH/`T"AN-LEDGE: u$ iCONC/sOD REMOVAL: TREE REMOVAL: o IRRIGATION REPAIR: 110n�1S 40011 RBB LENGHTS: 2 Nc®��C3 ROCK POCKETS: ��yg'8 0N1 ,`. PLUMBING �i N .1daQ 1.1 �® FILTER: m �1no POOL PUMP: -2HP N n BOOSTER PUMP: 1.5 Wz HEATER: 400boo mo TIME CLOCK: SUB PANEL: o EXTRA OUTLETS: w SKIMMER: AUTD-FILL: GAS LINE: w D.4 z o STUB OUTS: z CASCADES: C') SPRAYHEADS: u Q POOL LIGHTS: :�. u SPA LIGHTS: PLUMBING SIZE: STUB SET EQ: o w GQ N N DEEP END RAMP: o Q a 2nd STEP: ui c LOVE SEAT z -4 N SPILLWAY TYPE: 0 3 uu Lu CANTILEVER: p < COPING: z QLu RBB:SEE STEEL u o a: co 1ILE TILE TYPE: TO A WATERLINE: QUAgTZMz TILE TRIM: L RBB TILE: S (� w DECKING � t COLOR: AAATC14 TpLL m A x SQ FT. 1229 SFN • >` o FINISH: o < Z EXTRA JOINTS: w z 3: CANTILEVER: a: o < DECK DRAINS: DECCO DRAIN: CURB CORE: STEPS: STEPS FACE: z SUB BASE: ¢ VISQUEEN: o BANDING: Wim - STAMPED: RELEASE : �a MOW STRIP: m MASONRY a COPING TYPE: Z< RBB FACE: Lu SPILLWAY: N o r STEPS: . P/L EXT WALLS: z o PLANTER WALLS: Lux 0 w RETNG WALLS: Z�-j - EQ WALLS: Q W GATE 7YPE� .. R&R GATE: z 6B4 SIZE: . BBQ MODEL: ° TOP FINISH: MATCH WATER LINE W< SIDE BURNER: o Q c FACE FINISH: f) PEN LIGHT Q w PLUG OUTLET: z LIGHTS SWITCH: < 1 PLA5TER PLASTER COLOR: z N PEBBLE COLOR: � W POOL LIGHTS: N SPA LIGHTS: 4 ROLLED BOND BEAM: $ w x EYEBALLS: a 021H ER Z a PLAN FOR Q < CHESWOR RESIDENCE ADDRESS: 81-205 AA1 IRMELD VILLAGE R LOT# g TRACT# REVISIONS: (1) DATE: (2) DATE: (3) DATE: Date Printed 1/8 =1p Scale 1:27 PM 6/2/04 Drawing by: JUDY