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07-2702 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-000027021 Property'Address:• — 51650 AVENIDA RUBIO APN: 773-122-006-9 -000000- Application description: POOL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation:. 50000 TA. tyl 4 4Q" Applicant: Architect or Engineer: n� ----------------- I LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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. License Class: C53 License No.: 867463 Date .J -5-0 Contractor: OWNER- UILDER,DECLARATION I'hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).: (_ I 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 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 o6e 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.). 1 _ I 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.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason 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 Owner: CARRILLO RESIDENCE 51-650 AVENDIA RUBIO LA QUINTA, CA 92253 Contractor: DISCOVERY POOLS 7071 RUBIDOUX AVENUE YUCCA VALLEY, CA 9228 (760)365-6544 Lic. No.: 867463 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/04/07 ------------------------------------ WORKER'S 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 issued. My workers' compensation insurance carrier and policy number are: - Carrier STATE FUND Policy Number 238-0002777-06 _ 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 s�tcomplly with those provisions. Date: �� Applicant': WARNING: FAILURE TO SECURE ORKERS' 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. 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 prop n�tioses Date: �� Signature (Applicant or Agent): Application Number p 07-00002702 -Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 414.50 Plan Check Fee .. 269.43 Issue Date . . . . Valuation 49760 Expiration Date 4/01/08 Qty Unit Charge Per Extension BASE FEE 252.00 25-.00 6.5000•THOU ---------------------------------------------------------------------------- BLDG 25,001750,000 162.50 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date 4/01/08 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 4/01/08 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 4/01/08 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 . . . . . 07-00002702 \ i Permit . . . WALL/FENCE PERMIT Additional' desc . Permit :Fee 15.00 Plan Check Fee .00 Issue Date Valuation . . 240 Expiration Date 4/01/08 Qty Unit Charge Per Extension BASE FEE 15.00 - ------------------------------------- Special Notes and Comments POOL, SPA, ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. 4' HIGH X 15 L.F. CITY STANDARD WALL. Fee summary Charged Paid Credited Due Permit Fee Total 533.50 .00 .00 533.50 Plan Check Total 295.43 .00 .00 295.43 Grand Total 828.93 .00 .00 828.93 LQPERMIT \ i i CI 01Z & LA QUI NTSSAF S F0 PPF? EPI. C MCED DAT C� N By I Of,T p 3 2007 P/l_ P/L o p p 3- -0" La o® O 9' 5" P/A Two 1'6" sheer descents I / +18" RBB Access V700. SF OO s q concrete v 3' 9/27/07 Scale: 1/8" = V h Debra Carrillo" 51650 Avenida Rubi l La Quinta CA 92253 locovery I I 0015 , �Teoot>e~ Ike dFpafiyPe lic # 867463 office 760-365-6544 fax 760-365-4076 Pool Lights(' 513 SF t ,t 107 LF O O 35' 0" Access V700. SF OO s q concrete v 3' 9/27/07 Scale: 1/8" = V h Debra Carrillo" 51650 Avenida Rubi l La Quinta CA 92253 locovery I I 0015 , �Teoot>e~ Ike dFpafiyPe lic # 867463 office 760-365-6544 fax 760-365-4076 Legend i- Lights(' O t ,t PIA Planter area ' t 14. P/L m PIA Gas and electric O r ® Air conditioning unit location approximate 4' tlla t, OO spillway Skimmer O ,t ; Spa 34 SF l 23 LF 6. V-0 -27 p q -18 I in Legend soI, Lights(' O Depth PIA Planter area ' P/L Property line Gas and electric O r ® Air conditioning unit location approximate OO tt , Auto fill { ' Skimmer Specifications Pool size: '35'X15' Spa: 6' X6' Area: 5 13 5F Area: 3 4 Perimeter: A0 7 LF Perimeter: 23 Depth: 3' to 5' to 3' Depth: 4' max Tile Type: MAKF233 Dam wall: 13 LF Plaster: Grey Master pool finish Deck: 700 5F Equipme4 Filter: Hayward 3 2 5 Swim Clear Pump: 1,5 Hl' Ha wrd Northstar Heater: 250,000 BTU Dedicated Vac Line: Yee Controler: P54 H home Lights: One 40OW, one .100 W Skimmers: One Skimmer Autofill: Yes Pool vac: No Misc/5 ectal K55 Q + 18" 2 T13" long Two 18" Sheer descent in K58 Patio cover (materials Supplied by home owner) Scale: 1/8" = 1' Debra Carrillo 51650 Avenida Rubio 100 LF 1 1/4" La Quinta CA 92 2 53 propane ru V Riocovery .. 010 �lemurh Ike �fe�yPe Lic # 667 463 7071 RuMdom Office 760-365-6544 Yucca Valley LA Fax 760-365-4076 92264 Created on:10/0 1 /07 Created by. Discovery roots Notes: Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # n U Project Address: 5((a 5fl A"ik5 t -4,o 1\ 0 -Jt -;,'6 Owner's Name: li C65 0-A ��►1�.c7 A. P. Number: Address:` 5 l (o'5t,, Legal Description: Contractor: ,15 C."i mQ 1. f City, ST, Zip: Telephone: Address: 0-1 ( Project Description: P�oL City, ST, Zip: uGc� V�cl.(�iP� Telephone: 1(,o e(le -32-$6 City Lie. #: State Lie. # : 6V1 43 Arch., Engr., Designer: t 5 E (26 Address: ll City, ST, Zip: Telephone: State Lie. #: 3 3 4J4 fa Name of Contact Person: 61F& Z6,5- N, �A,J Construction Type: ws wr Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: -I Lo 1310 -7>16G Estimated Value of Project: $d ec-o . APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted o 3 Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan' 2nd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees