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09-0418 (RPL)P.O. BOX 1504 782495 CALLE_TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 09-00000418 57565 ROSEWOOD CT 762-240-011-3 -32279 - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 31600 Architect or Engineer: �W M BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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: C53 LicenseNo.: 856383 Date: Contractor: OWNER -BUILDER 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).: (_ 1 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 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.l. (_ 1 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 _ 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 ofthe work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERA11T Owner: D. CRANE 57565 ROSEWOOD COURT LA QUINTA, CA 92253 (949)789-1600 Contractor: STEWART POOLS & SPAS. P.O. BOX 961 PALM DESERT, CA 92261 (760)217-7777 Lic. No.: 856383 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/09/09 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 EXEMPT Policy Number EXEMPT 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. Date: Applicant: 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. 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 complywith 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:• Signature (Applicant or Agent): LQPERAIFT .Application Number . . . . . 09-00000418 Permit . . . . BLDG POOL -PERMIT Additional desc . Permit Fee 297.50 Plan Check Fee 193.38 Issue Date 5/05/09 Valuation 31600 Expiration Date 11/01/09 Qty Unit Charge Per Extension BASE FEE 252.00 7.00 6.50.00 THOU *BLDG 25,001-50,000• 45.50 Permit. . . MECH POOL Additional desc " Permit Fee 26.00 Plan Check Fee.. 6.50 Issue Date 5/05/09 Valuation 0 Expiration Date 11/01/09 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 . . . . 5/05/09 Valuation 0 Expiration Date 11/01/09 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 . . . . 5/05/09 Valuation . . . . 0 Expiration Date 11/01/09 Qty Unit Charge Per Extension BASE FEE 15.00- 2.00 6.0000 EA PLB FIXTURE 12.00 'I. UU 3 . UUUU EA PLE WATER IN'ST/ALT/REP 3.00 1.00 3.0000 ---------------------------------------------------------------------------- EA PLB GAS PIPE 1-4 OUTLETS 3.00 Permit WALL/FENCE PERMIT Pte. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: A ....i:,,...,.. 09_-00000418- 5�7565 ROSEWOOD CT 762-240-011-3 -32279 - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 31600 Architect or Engineer: aim BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 1-1 ---------- ------------------------------------- LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of theAu iness and Professionals Code, and my License is in full force and effect. License eCClass: �8[�82160 nse No.: C53 ate:/1Y11 (7/ nuactor: �T� OV�EERp-�oILDER DECLARATI I hereby affirm under penalty of perjury that I am a m-the-C-om . or'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 (5500).: (_ 1 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 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.). (_ 1 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 ther6 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: D. CRANE 57565 ROSEWOOD C LA QUINTA, CA 9 5 (949)789-1600 Contractor: CABRERA POOLS AND 1111 WALNUT STREET TUSTIN, CA 92780 (949)554-9709 Lic. No.: C53 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/05/09 ------------------ 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 1804401-2009 _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any t. person in any manner so as to become subject to the workers' compensation laws of California, . and agree tha i I should become subject to the workers' compensation provisions of Section 3//7.100 of th bo Code,'I shall forthwith comply with those provisions. ate. pplicant. _ WARNING: FAILURE TO SECURE WORD. ENSATION COVERAGE ISU FUL, 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 an9 state laws relating to building construction, and hereby authorize representatives of ou tytogenter upon a above-mentioned prop y for inspection purpose Date• 1 nature (Applicant or Agent) - LQPERA4[T `j Application Number . . . . . 09-00000418 Permit WALL/FENCE PERMIT, ` Additional desc . Permit Fee 15.00 Plan Check Fee .00 Issue Date, 5/05/09 Valuation . . 80 Expiration Date 11/01/09 Qty Unit Charge Per Extension BASE .FEE' 15.00 - -------------------------------------------_--- Special Notes and Comments POOL/SPA, 5 L.F. 4' SCREEN WALL CITY STANDARD, 20 L.F. 3/4" GASLINE TO FIREPIT. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. -" ----------'-------------------------------------------=---------------------- Other Fees, . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 CHANGE OF CONTRACTOR 4.50 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 416.50 416.50 .00 .00 Plan Check Total 219.38 219.38 .00 .00 Other Fee Total 6.50 2.00 .00 4.50 Grand Total 642.38 637.88 .00 4.50 LQPERA4[T Bin # Qty Of La Quinta Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet • PeTLa Project Address: .57- 6 5,974j&00 Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: a— Contractor. Address: -TV 5,OX %L/ Telephone � Project Description: City, ST, Zip:i Telephone: 7 7 State Lic. # :g?.3$ 3 City Lie. #; Arch., Engr., Designer: Address: City, ST, Zip: TeleP ho ne . State Lie. #: `.` Name of Contact Person: .164.0 ,/T' Construction n o Type: anc P Ocxu P Y• Project type (circle one):: New Add' n Alter Repair Demo Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: 7d O Zf7>f7 % Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check reposit Truss Calcs. Called Contact Person Plan Check ftlance Title 24 Cates. 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:- ''' 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 /-"" CIKY- OF LA QUINTA• SUB -CONTRACTOR LIST - JOBDD ESS SG.S�=woo. �� PERMIT NUMBER' OWNER /U� BUILDER.��� ✓ "''C s J:� AR This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to wort on this job. Any -changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidanc( of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response: T■adP / Classfcation Contractor :.: State:Contractor's L�cettse ..::..W.orkers°.Corrlpensat%n-:insur-. • e:°':: ; ..: ;><;.. ;:";::.:. .:�- .City.. Busioe�s PLUMBING (C -36i. Company Name Classification License Number Exp. DateCarrier Name (e.g. A, B, C-8) (xxxxxxl I (xx/xx/xxl (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date License Number Exp, Date (xx/xx/xx) I (xxxx) I (xxlxx/xx) DRYWALL (C-9) / , —&& ` HVAC. (C-20)' ucrwcn�. 0)*:'t✓ ®61 Y.S0 -0 Y,7 zy0 103.7- 3/ /:0 SHEEP METAL FLOqFUNG (0-'15Y. GLAZING (C-17) INSULATION `IG -21: SEWAGE DISP (C-42) PAINTING (C7'33)'-: CERAMIC TILE (C-54) CABINETS IC -6) FENCING (CA3) LANDSCAPING POOL (C-53) /?�_ I 673;s ew"O-> i LAND5CAPl✓ 15Y POOL AND 5FA AND DECKING ONLY OTHE.K5 w pool and spa .a color concrete decking 4-- — I-- �Aebo- r' •� da NquonmISNOO H0:1 0D M!c!eV '1.d3C] AC=AVS LINA -ling Vi` ino v -i �O AilO PALOVF.RDE.. color concrete decking ❑ ❑ 11■11 !!'mill color concrete decking CRANE RE5IDENCE. 57565 R05EWOOD COURT LA QLIINTA CA, 92523 POOL EQUIP POOL F QUIP 5CKE E N WALL FIRE. PIT ON POOL NAT• GA5 LQPERMIT Application Number . . . . 09-00000.418 f� } LQPERMIT Application Number . . . . 09-00000.418 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 297.50 Plan Check Fee 193.38 Issue Date Valuation 31600 Expiration Date 11/01/09 Qty Unit Charge Per Extension BASE FEE 252.00 7.00 6.5000 ------------------------------------------------•---------------------------- THOU BLDG 25,001-50,000 45.50 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation 0 .Expiration Date 11/01/09 Qty Unit Charge Per Extension BASE FEE, 15.00 1.00 11.0000 ---------------7------------------------------------------------------------ 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 11/01/09 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•. 11/01/09 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.0000 EA PLB FIXTURE 12.QQ 2.00 3.0000 BA PLib WATER iNST/ALT/REP 3.00 1.00 3.0000 -------------------------- EA PLB GAS PIPE 1-4 OUTLETS ------------------------------------- 3.00 ------------- Permit . . . . . . WALL/FENCE PERMIT. Application,Number '09-00000418 Permit . . ,. WALL/FENCE PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 80 Expiration -Date 11/01/09 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA, 5 L.F. 4' SCREEN WALL CITY STANDARD, 20 L.F. 3/4" GASLINE TO FIREPIT. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary Charged Paid Credited Due ----------------- ---=------ -------- -- ---------- ---------- Permit Fee Total 416.50 .00 .00 416.50 Plan Check Total 219.38 .00 .00 219.38 Other Fee Total 2.00 .00 .00 2.00 Grand Total 637.88 bo .00 637.88 LQPERMIT Bin # Qty of La Qudnta 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 #,\ ©� Project Address: 56 5 nC A r\ Owner's Name: , A. P. Number: Address; g "J00 Cad (� Legal Description: City, ST, Zip: Contractor: C (1� L J Tel/� ephone:-; ` :}>�::>::>>:::: <:;<::>s:<•:a:»•:::>>::r f:,,. ;>a:::>: <..::;.;:•:;•:.;:•::.:;,:: ; . Address: WINL _- Project Description:LS— City, ST, Zip: -1a r� �J'Z%� ` ((�� Telephone 7 orf State Lic. # ivp �2) 6c7 City Lic. #: ' v.'L ,l OPT -- Arch., Engr., Designer:. AW4-QJ Address: LP1 City., ST, Zip: 0l' y� i �j'CC t7 Lar_JC Vp/ Telephone: <'•<;'.:'•' .:<;'<:..:>:..'`.::•. .><.::::>•::::;:::<<:;;y:x•.:;.<v.N•:k::'::;.<; State Lic. #: :;,.�..,•..::.<. .;•:.:,.:::.; ;;:•;.:.•;>> >:::< } <:<'::>»:<:<.:'s>"':<'<:: Name of Contact Person: fit_ • Eur Construction Type: Occupancy: ey: Project type (circle one) New Add'n Alter Repair. Demo' -Sq. Ft.: 2gs # Stories: i #Units: Telephone # of Contact Pers : 3 �j p 6 2— Estimated Value of Project: ' APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACIGNG PERMIT FEES Plan Sets . Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Chet{ Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Constructon Flood plain plan Plans resubmitted Mechanical Grading plan 2"" 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:: 3,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 Pemnit Fees Dear Dolores: Enclosed please find your approved plans. Your application for the Pool, Spa,and concrete patio pool deck was reviewed and approved by the Design Review Committee (DRC) subject to notations. Review and follow these notes while Completing these improvements. Prior to entering into a contract, we recommend homeowners Check the status of the contractor's licenses and any complaint information that may be filed against them. You can do this by calling the Contractor's State License Board at 1-800-321-2752. Once you have contracted with a company to install your property improvements, please advise them of the following restrictions: 1 of Contractors Sign Many contractors like to post theirsign on the homeowner's property while -under construction as a. method of advertising their services.. Only one sign identifying tradesman, contractor, or installers.is permitted if consistent with the CC&R's and located within eight (8) feet of the, front of the house. We wanted to let you know this in case .your. contractor asks to post his or her sign on your property: 2. Storing of Construction Materials _ Please advise your contractor that all construction materials must be kept on your property and not placed or stored on the street, sidewalk or in any fashion that may impact one of the neighboring properties. In closing, we would like to .thank you for submitting this important information and hope you construction goes smoothly. If you have any questions, please do.not hesitate to contact me: Sincerely, At the direction of the Design Review Committee PALO VERDE HOMEOWNERS ASSOCIATION Terrin Petorella . 'Architectural Coordinator. CC: Homeowner's File