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RPL (05-1726)o`` BUILDING 8C SAFETY DEPARTMENT 4 o s (760),7.77-7012 OFTt�9 5 CA�L PICC FAX (760) 777-701`1 O LA Q11�60' C LI RNIA 92253 , INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Applic t' Number 05-00001726 Date 5/05/05' Property Address . . . . .. 81265 MUIRFIELD VILLAGE APN: 762 -410 -014 - Application description POOL - RESIDENTIAL Property Zoning.. LOW DENSITY RESIDENTIAL Application valuation-. 24000 Owner Contractor HOLT CARD PARZINSKY.POOL, INC., RICH 81-265. MUIRFIELD.VILLAGE WCC: STATE FUND LA QUINTA, CA 92253 WC: 1739513 08/15/05 CSLB: 431055 10/3.1/'06 CCC: C8 C53 ----.----------------------------------------.-------------------------------- P.O. BOX 1504 • /: , w VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-70-11 La Qu►Nra, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING 8i: SAFETY DEPARTMENT Application Number: Date: Applicant: I Architect or Engineer: Applicant's Mailing Address: �n/��iAC�O� Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS n�41 LICENSED CONTRACTOR'S DECLARATION I hereby affinn 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 P6de, and my License is in full force and effect. / License Class C- S3 °(cense No. CFF 14 3 10 S S ate q O S Contractbf -Z,-, `. h 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 70.00) 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 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 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. 1G 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 woVs' compen ation insurance ca and policy number are: ,/ Carrier -4 A4- E F— %-A—UAPolicy Number 1—) 'b 9 51 3 _ 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. ate s q O ApplicanA J11 g % 1 g 1 4, 1 Pon I S 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.). Lender's 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 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 this county to enter upon the above-mentioned property for inspection purposes. Date S 9. 0 S Signature (Applicant or Agent): ---------------------------------------------------------------------------- Application Number . ---------------------------------------------------------------------------- . . . . 05-00001726 r Permit BLDG POOL PERMIT Additional desc Permit Fee . . . . 243.00 Plan Check.Fee 157.95 Issue Date . . . . Valuation . . . . 24000 Expiration Date . . 11/01/05 Qty Unit Charge Per Extension BASE FEE 45.00 22.00 9.0000 ---------.-------------------------------------------------------------------- THOU BLDG 2,001-25,000 198.00 Permit . . . . . . MECH POOL Additional desc . . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/01/05 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 11/01/05 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 11/01/05 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 ONLY. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary -------------- Permit Fee Total Plan Check Total Grand Total Charged Paid 347.00 ...00 183.95 .00 530.95 .00 Credited Due .00 347.00 .00 183.95 .00 530.95 Bin # City of La Quinta. Building 8i Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 5_ �� P Building Permit Application and Tracking Sheet Project Address: 'b _ a (05 r-'` �2 V 1; Owner's Name: 'Address: _ Z S v City, ST, Zip:L,aQw�+�iA LA ct2ZS3 ,,t Telephone: -7(a c S L ............ Project Description: S w. C,C. � S Construction Type: .P Occu pancy: Pr oe ' J cttype ( circlc one): New Add'n Alter Repair Demo 11 Sq. Ft.: # Stories: #Units: Estimated Value of Project: 2�1 , Op p WRITE BELOW THIS LINE TRACKING PERMIT FEES ed Item Q� Amount corrections Plan Check Deposit A. P. Number: Legal Description: Contractor:T-�,, Pte, Q, z ` *4 5' il` Pool C� Address: P. Q• o X $ 9 --) t City, ST, Zip: P. S S z, �J C_ P, Zz c Tele hone P w o 3 ay SB State Lic. # : y -a f p5S City Lic. #: Arch., Engr., Designer: R Address: q 19 -Z I E Al I City, ST, Zip:) A1,,..� ��SEtL-i- �i� 9ZZ �1 Telephone: L? o O � 7q — cS7 Sta to' Ltc. # f to 1 y _ ............... Name of Contact Person: J G Telephone # of Contact Person: -7 r corrections/issue APPLICANT: DO N No # Submittal Req'd Rec'd Plan Sets Plan Check submitt Structural Cates. Reviewed, ready fo r Truss'Calcs. .Called Contact Per Pers Title 24 Calcs. Plans picked up Flood plain plan Plans resubmitted Grading plan 2"d Review, ready fo Subcontactor List Called Contact Pers Grant Deed Plans picked up H.O.A. Approval Plans resubmitted IN ROUSE:- Review, ready fo Planning Approval Called Contact Pers Pub. Wk s.,�r��D teof permit issue Scho r Plan Check Balance Construction r corrections/issue Mechanical Electrical On Plumbing SAI.I. Grading corrections/issue Developer Impact Fee on A.I.P.P. Total Permit Fees No Pool Queen Palms -te $ f: 6j/7 CITY OF LA QUIIVTA Turf grass BUILDING $ SAFETY DEPT. APPROVED, CONSTRUCTION DATE al0. sr SCALE: 1/8" = 1' 4' High Equipment wall Stucced to match house Citrus Trees 8' Spa Raised 18" Sit N Spin Style Concrete cap and faced 3 - 18" Sheer Descents T grass t Annual color 1. +1 � 18" Annual color ._ ! +�vrfgrass 3'6" ; .j 5'6" 42 ft. 0 in. t/s 6" i Turf grass 1 Patio t 5 Existing House Rich Parzinsky Pool Const. Designed by: 05-006 Carl Holt P.O. Box 897 Phone: 760-324-5827 Steve P. Designed 81-265 Murifield Village P.S. CA 92263 Fax: 760-324-7287 4/13/2005 for: LO CA A +18 Turf grass Colored Bro m Decking to match existing Amber beige 6 sack 2000psi PGA mix concrete =+r CA 316" Future BBQ - .' i . � I Enisting pool 1 � O _ i 5' Gate