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04-5363 (RPL)BUILDING ft SAFETY DEPARTMENT P_.O.BOX 1504. c l. (760)-777-7012 tpg�n�V 9 78495 'n E TAMPIC.O FAX (760) 777-7011 LA QUINI�A� CALIFORNIA 92253 INSPECTION REQUESTS. (760).777-71.53 SEP 2 9 Zook BUILDING PERMIT C17Y OF LA QUINTq FINANC IDEP-r Application Numbe . . 0.4=00=0=0:5:3-63�_ Date 9/29/04 Property Address 54640 AVENIDA RUBIO APN':'. 774-272-007-18 _000D00 - Application description POOL - RESIDENTIAL Property Zoning COVE RESIDENTIAL. Application valuation 15000 Owner Contractor WILLIAMSON KERRI KqREN DEVINE SWIMMI=NG POOL DESIGN E N'&410 al:- 8.0844 BOULDER DRIVE CA -9-9�'�'9 I ND I O CA : 9 220-1 (760)..989;='0354 WCC: STATE FUND.. WC:. 1641733 07/01/05 CSLB::. 786814 11.%30/04 .... CCC: C53 Permit BLDG POOL PERMIT. Additional desc Permit Fee 162.00 Plan Check Fee 105.30 Issue Date 7/08/04.. Valuation 15000 Expiration Date. .1%05/'0`5 Qty Unit. Charge.''Per :. Extension BASE 'FEE. 45.Q0 13• .0'0...:. ,9. 0000 ".THOU.:. BLDG 2; 001=25,.0.00..` 11.7:00 -- --------------- - =----------------- - ---- --_ ----------- Permit MECH POOL Additional desc Permit.Fee 24..00 Plan.Check.Fee 6':00 Issue, 7/08/04 Valuation 0 Expiration Date 1/05%05 Qty 'Unit Charge Per. Extension BASE FEE 15.00 1..00 ..9,.0000 EA MECH FURNACE <=100K 9.00 Perriiit ELEC.POOL PERMIT -RES Additional. desc' Permit Fee .. 45.00 Plan. .Check. Fee 11:25 Issue Da.te.. 7/.08/04' Valuation 0 Expiration Date.. 1/05/05 Qty Unit Charge Per Extension r P.O. Box 1504 VOICE (:770) 777 -701-2 78-495 CALL a T FAX (760) 777-7011 . LA QUiNTA, CALIFORNIAFONI922.53 Qumrcv'INSPECTIONS (760)-777-7153 BUILDING & SAFETY DEPARTMENT Application Number: OZ4 Date: 'owl Applicant: I Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: (16.7 - 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 License is in full force and effect License Class License No. Contractor 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 fife 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.fhe alleged exemption. Any violation of Section 7031.5 by. any applicant for a permit subjects the applicant. to a cM1 penalty of not more than five hundred dollars ($5110).): 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 forsale (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.). 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 o 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. _.B.& P.C. for this reason zq_9 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations:. _ I have and will maintain a certificate of consent to self4nsure 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 pemult is Issued. My workers' compensation Insurance carrier and policy number are: Carrier Policy Number _ 1 certify -that, in the performance of the work'for which thW per 1t Is Issued, I shall not employ any person In any, manner so as to become subject to the workers' compensation laws of Cardomia, and agree that, N 1 should become subject to the workere compensation provisions of Section 3700 of the Labor Code, l shad fotimith comply with those provisions/ . . 1� 'd pficanf ��A�(^i /4 &JAA-- 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 37 SECTION 08 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,perfornance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lenders Address N 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 0uinta, 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 Ifwork 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 ent pon the above -mention A property for inspection purposes. ate �-I —zCl "dature (Applicant or Agent): Page 2 Application Number . . . . 04-00005363 Date 9/29/04 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, -: . . . 27.00 Plan Check Fee 6.75 Issue Date . . 7/08/04 ,Valuation , 0 Expiration Date 1/05/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB.FIXTURE 6.00 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 ONLY. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. ****Note: Change of contractor on 9/29/04. $4.50 fee assessed, new job card printed ------------------------------------------------------------------------------ Other Fees . . . . . . CHANGE OF CONTRACTOR 4.50 Fee summary. Charged Paid Credited Due Permit Fee Total' 258.00 258.00 .CSO .00 Plan Check Total 129.30 129.30 .00 .00 '"Other Fee Total 4.50 .00 GO 4.50 Grand Total 391.80 387.30 CIO 4.50 NOTICE OF CANCELLATION . To: Purrfect Pools From: Homeowners; Jeff and Kerri Williamson Date: September 27, 2004. Re: Cancellation of Pool Contract . CC: City of La Quinta and County Recorders Office This letter is to serve as a Notice.of Cancellation for the Pool Contract on 54640 Avenida Rubio, La Quinta CA. This Contract is held between Jeff and Kerri Williamson and Purrfect Pools.We reserve the right to cancel this Contract due to the following circumstances: The Contract that was signed on June 15, 2004 by the Contractor and Homeowners states that Pool Excavation was to begin within 20 days of the date the contract was signed. The Excavation did not actually start on this pool until August 21, 2004. This is 67 days after the Contract was signed. The Contract states that the pool is to be completed within 60 days of proposed Excavation. This would put the pool completion date to be September 3, 2004. As of September 27, 2004 the pool has not yet passed Electrical Inspection or been Gunnited. This will put the completion date of the pool to be way past. the date that was proposed to us in the contract. We have been informed that the flex installed in the Spa is of questionable materials and not UL Listed Approved for Application. Therefore, the materials installed must be removed and replaced with UL Listed Materials. The only option that was, given to us for the placement of the Pool Equiptment, was in a location that would not be within .code unless a barrier wall is installed around the Equiptment. This wall would be an additional cost to the owners. We have since found that there are several other locations that the Equiptment can be installed without additional cost to the owners. Due to the length of time and the problems we have encountered, we the owners, choose to cancel this contract and seek other contractors to complete this pool. We believe that this is in our best interest. All fees owed to Original Contractor will be payed for work completed up to Pre-Gunnite Inspection. This includes First Draft of Contract, all Labor' and Materials installed to this date. These fees will be paid upon receipt of Unconditional Waiver and Release form along with signatures of all Material Suppliers, Sub -Contractors and Laborers involved in this Phase of Construction. This Release form is as persuant to Section 3114 of the Civil Code and must be provided prior to payment of work completed on draft one. Upon reciept of Release Forms and Payment, Contractor will be released of any Contractual and Legal Obligations to this property.* Sincerely, �7'/n Jeff Williamson and Kerri Williamson Tdf BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number 0=4--00` 500 366 Date 7/06/04 Property Address 5464-0AVENIDA RUBIO APN: 774 -272 -007 -18 -000,000 - Application description . POOL - RESIDENTIAL Property Zoning . . . . . COVE RESIDENTIAL .Application valuation . . 15000 Owner Contractor WILLIAMSON KERRI KOREN /Jtj�p PURRFECT POOLS & CONSTRUCTION I E P.O. BOX 1524 //�� CA -9�� PALM DESERT CA 92261 ��•�o�f�!%fi /io X22.53 (760) 568-4963 WCC: STATE FUND WC: 1680230 10/01/04 CSLB: 483498 12/31/05 CCC: C53 ------------------------- -------------- MECH POOL Additional desc Permit Fee . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation 0 Qty Unit Charge Per�a �'�0�� to sion BASE FEE •5.00 .1.00 -- -_--9_0000 EA MECH FURNACE <=10% '��' (�v��R. 9.00 ------------- ----- Q" Permit BLDG POOL PERMIT Additional desc Permit Fee . . 162.00 Plan Chec ee 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 1.00 30.0000 EA ELEC,PRIVATE SWIMMING POOL. 3'0.00 P.O. Box 1504 78-495 CALLS TAMPICO � VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: Applicant: I Architect or Engineer:,) A Applicant's Mailing Address: n Architect or Lic. No.. t3UILUINU 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 Lic'II forV anM Cr License Class License No _q ' '` & Date to Contractor 4.-P Q �� OWNER -BUILDER DECLARATION 1 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 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. 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 is5�e�� M wo rs' om en anon insurance carrier nd policy ber a _Cartier - _4.C-� policy Number��j 0 V _ 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. 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 Lender's 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. r---- -Date '+c Z9 8 Signature (Applicant or Agent): C� a y Page 2 Application Number 04-00005363 Date '7/06/04 Permit . . . . . PLUMBING Additional desc Permit Fee . . . 27.00 Plan Check Fee 6.75 Issue Date . . . . Valuation 0 Qty Unit Charge Per, Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 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 ONLY. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. EQUIPMENT ENCLOSURE -NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due Permit Fee Total 258.00 .00 .00258.00 Plan Check Total 129.30 .00 _00 -129.30 Grand Total 387.30 00 .00 387.30 .i 07/04/2004 05:38 760-360-9829 PURRFECTF'OOLS PAGE 06/06 refs , -;� tot 1 CITY OF LA QUIN`FA r ^ ,�g r,an�r• ,� �n�-Y DEPT. 1. E�1 "`i , DATE BY C-\ ��'�j . CITY OF LA QUINTA BUILDING & SAFETY DEPT. .,APPROVED FOR CONSTRUCTION �llrf��tt DATE I� I