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04-6805 (RPL)T4-hf 4�4�rw P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT z. Application:Number . . . . . Property Address . . . . . . APN: Application description . . . Property Zoning . . . . . Application.valuation . . . . Owner CHUCK & MILIE RONEY 79806 BARCELONA DRIVE LA QUINTA, CA LA QUINTA CA 92253 BUILDING & SAFETY DEPARTMENT (760) .777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 X04 000006805 Date 10/18/04 79806 BARCELONA DR 609 -380 -998 -13 -293232 - POOL RESIDENTIAL LOW DENSITY RESIDENTIAL-;'" ESIDENTIAL—''" -- - - 15000 Contractor ----------- VACATION POO-LSa 1°= " 9522 DONALDSON.ROAD LUCERNE VALLEY CA 92356 WCC: STATE FUND 'WC: 2290019334 01/01/05 CSLB: 351673 01/31/05 CCC: C53 ---------------------------- ------------------------------------------ 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 ----------------------------7----------------------------------------------- Permit . . . . MECH POOL Additional desc Permit Fee 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 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 -----------------------------------------------------------------.----------- Permit . . . . .... PLUMBING Additional desc P.O. Box 1504OICE VOICE (760) 777-7012 78-495 CALLE TAMPICo FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 5 I Date: AQ -99102-0y Applicant: Applicant's Mailing Address: ao -69�* I hereby affirm under penalty of p e, and Lic i i f License Class h � in�eo `` l 11 i� CJ Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DEC LICENSED CONTRACTOR'SMI ry that I am licensed under and effect_ TIONS Section 7000) of Division 3 of the Business and Professionals . WNE -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exemp m the o '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 Owner 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 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. have will maintain�ensa insurance, a re tract jy,Section 3700 of th bor e, for the performance of the work for which this permit is iss e w a tamer art c �6aae:arde mber1ertify that, in the perfo which IN p rs issued, I shall oy any person in any manner so as to become subject to the workers' compensation laws of California, and agr e t t, if I Id become suN a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. WARNING: FAILURE TO SECURE WORKERS"eeMPENSATIONiGbVEkil GE 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 1 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 1 04 Lender's Address I-V, 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 an 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 sh , 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 perfo ed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if or is n mmenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject p �ce�llath I certify that I ave read this application and state tha a above orn�ar agree to comply with all city and county ordinances and state laws relating to building construction, d hereby authori a representatives this count to ntea o e -mentioned property for inspection purposes. Datenature (Applicant or Agent): r Application Number Permit Fee Issue Date s Page 2 . . . 04-00006805 Date 10/18/04 33.00 Plan Check Fee 8.25 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. ALARMS/BARRIERS SHALL BE TN, 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 Il VACATION POOLS & SPAS 9522 Donaldson Road Lucerne Valley, CA 92356 (760) 248-6045 (760) 248-2919 FAX Lic. #C-53-351673 Sales Locations Bermuda Dunes, Irvine, California City, Rialto, Lucerne Valley 1 800 999-1811 GENERAL SPECIFICATION SIZE X AREA PERIMETER Qty OF LA QUINTA BLgUMG & SAFETY® PT. APPROVE FOR CO STRUCTION RE-INSPEC ION FEE OF $3G II&L BE CHARG D IF THE APPRUEL L NS AND JOB CARD ARE NOT C:� 42k H SITE FCR A SCHED�,i��.' _ /g - 0,v N PECTION. NO E CE'TIO'q` DEPTH TILE CHOICE ., t -;3 SQ. RBB. -t COPING= POOL CAPACITY GALS PUMP CAPACITY GPM MOTOR HP HP MOTOR HP - HP FILTER C7 SQ FT FILTER RAE GPM HEATER#= tAfz5lZE BTU TURNOVER/ HRS SUCTION LINES RETURN LINES SKIMMER MODEL CHECK VALVE GASLINE BY jjj P, FT. � POOL LIGHT • CLOCK ELECTRICAL BY Ll,. f'FT. AUTO CLEANER ' CHEM. FEEDER PLASTER C IR''PU DECK BY SQ. DECK TYPE STEP FT. SPA SPECS. SIZE RAISED LITE e WATTS DUAL LEVEL SEATS DAMWALL �Fj° ` DAMWALL TOP SPILLWAY SIZE X WIDE CONTRACTOR!cannot assume responsibility for damage to culbs, sidewalks, driveways, cement slabs, sewers, awns, trees, fences, retaining walls, sprinklers, tele oneorshrubs. When access�is,ade through a neighbor's property m it is understood that you, the owner, have that neighbor's permission and assume full responsibility. DATE DATE SPILLWAY Z ' #JETS - Name:0,#(-C/< 4 i Address: � SIGNATURE