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04-8032 (RPL)Tihf 4 4 a" BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 (760).777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA•, CALIFORNIA 92253 INSPECTION.REQUESTS (760).777-7153 BUILDING PERMIT Application Number . . . . T-0-4 - 0 0 0 0 8 2--J. Date 12/28/04 Property Address . . . . . . 81230'BARREL CACTUS RD APN:, 764-270-999-29 -300233- Application description . . . POOL - RESIDENTIAL Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES Application valuation . . . . 18000 Owner Contractor ---------- --------- -------------- --------------- ----------------- SHEA LA QUINTA CALIFORNIA POOLS & SPAS C/O JEFF MCQUEEN P:O. BOX 1280 8800 N GAINEY CENTER 350 COACHELLA, CA 92236 SCOTTSDALE, AZ 85258 (760)398-9222 WCC: STATE FUND WC: 04600061168 01/01/05 CSLB.: 656128 10/31/06 CCC: C8 -C27 -C29-053 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0q- S03.a_ Date: / • ` . Dr Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: A) /A Lic. No., 'BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commenting with Section 7000) of Division 3 of the Business and Professionals Code, and my License m a II force and effect. cense Class inatP 11V1s-on/C tractor 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 Date Owner WORKERS' COMPENSATION DECLARATION 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 lodof the work for which this permit is issued. Ulh e a d will maintain rkers' compensation i urance, as required by Section3700 of the Labor Code, for the -performance of the work for which this permit is u rke mpensation i ce carrier and policy number ale Cartier. olicy Number if�.�®�%� G, _ I certify th t, in the performance of the work for whine thesis per it is issued..1 shall not—employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that �Id become subject to the workers' compensation provisions of Section 3700 of the Labor Code. l shad forthwith comply with those pro* ions. f /❑ 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 oe 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 Ouinta, 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 wo 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. 1 certify that I have read this application and state that the above information is co I ree to comply with all city and county ordinances and state laws relating to building const ction, and hereby authorize representatives of this county to enter upon ab o ntioned property for inspection purposes. Date 4• Signature (Applicant or Agent): ----------------------------7----------------------------------------------- Application Number . . . . . 04-00008032 s---------------------------------------------------------------------------= Permit . . . . . . Additional desc Permit Fee Issue Date BLDG POOL PERMIT 189.00 Plan Check Fee . . 122.85 Valuation . . . . 17760 Qty Unit Charge Per Extension BASE FEE 45.00 16.00 9.0000 THOU BLDG 2,001-25,000 144.00 ---------------------------------------------------------------------------- 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 . . . . . . Additional desc. . . Permit Fee . . . . Issue Date . . . . ELEC POOL PERMIT -RES 45.00 Plan Check Fee . . 11.25 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 Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . 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 Permit . . . . . . WALL/FENCE PERMIT Additional desc Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 240 Qty Unit Charge Per Extension BASE FEE .15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA. BBQ #ANSI Z21581995 AND FIREPIT #496AGAL. 15 LF OF 4' BLOCK WALL CITY STANDARD.ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. Fee summary Charged Paid Credited Due ---------------------------------------------------------- Permit Fee Total 306.00 .00 .00 306.00 Application Number 04-00008032 Plan Check Total 148.35 .00 .00 148.35 Grand Total .454.35 .00 .00 454.35 I fF l , IN Y� � 4 f 3JJ � '} a s � 4 ,: _ ,-�,,,' - }T� i;, EDIDGhE�-T t l,r:�-AIL !►JIB►: $M ALAP � y Ae�Al i �'-"I- 5�DWE �-A - IJJ!SH Z-0�Ie-.-yG�A{F, 6DI�yLDI:Z +P'E.TAR,� AO AJ,J V �+__► -� .•R � a f f i �� "r fL�.+ , �-•-AP-TZ 14 L' ,ram' I V 1J G� 2-V 1JT AOIb t5P,L V- 1 t iMLI k _ f Li I:- "-%- WALr.- 4' �-l'G-�k-I=:. t a i��f� •S :aA �� '.-' r ; ''' 7. �V i3 k�l i �r L.1�7 1._ :.lJNTI(.,�!!� ALJp P1+.! r-- - --- 1 ; �r�}=�€--- -T _ ,° ' f �3 1 + =vim � r1 14. E- -I o try F F 1 - + PIL 51S L � 7-' - t . , .� � +yr,` _ -Orv' fti1TCR5?Ft + _a. ITT; '! 'I . j_�r 4�, __'S ,+ T * �� •. F I}`'rF~ 4� •�� 5+r � - t,-- _I rZ� ,�� G.�.-`NC.- i�L/ ICI ��i r_0n{r ra I �- �- r-x:t ... _;+? ' t 1--v - g. ,-_ +'y �_yw - r i'-'1i !D I l _E 4 1E ,•-. .� . -may 1 �~ - - . ` + _ r ,� Y `J C`7 *I 7 I T 1-y 7 {iI ltil 1 _ .�..� �'L �{�;7*- iD A1f4L=SS S`T} L rC �S E I. r + _fir �• -�_� _ � _• r 1 , Fr trl I rk i 7 { 4 5 , a• ; F 0 I r SPEOFICAi10N5 , ME srT F la %FWAGE AMA 0r POM • yr r "2 PM%cr }I up-k5 H'd W k SPA PSP C IC TICKS F T3E 921C I .__.� sa rr_ : ` 4 ` TLC TYK u w 7Jk 4rW TFALL MON � h F +jiIn LP'[ � < h4. GP im � ME v ry LOITt — Z"p QUARTO Po" L` 1 r Ali L sR qv SrKau "a -Is um t3fl KING ' cc s: v-rXCAVAJ10N f SIEEL ra lt4SA+ jxwls 1 SGE� C>•O R+ E C-M CRAJIS f R!- CL l.Otii SEAT L11cw QwioL , TRU FCW%WAL By fA'• STP fkCE R Pr.ArjC h ADOO,AL • 2[ dA'� r KS � t wr aes MASONRY _ cop., s, r r'-E � . SPLL*Ay rrK C C T= i _ !7a PLUMBING iXTM E wzi l f "Wr Ell ; PLkh'm ilia p'OG f s � T s 4 uis e D�ST{R R1JYl� '~ srE Ew;p, rALRS AWL PLZ&— ss FF:[T% _ rac CL= irk -•- 1 ti--ltix mePAi m e'er` SMAM T►¢[ mea ML UnZ b4�'KQ_. - EBE ILE PLhSTFF C.&S Lot �_�t�• Sl?eS tID+T3 • ` _ up•ITS #PA Y TOLNT,6ws/7RArcLM ~ MM WO MAU � 3num cc � 00:IO WA rJprTs IN FM 5PA ' t 14a 0 Or r.:..tA r ssa ST EWMIDIT FENCING • 5+ :c ` 1 Ma TIK ' LATE G U ICI TE C,ATE PrOCU9 orTE a ; s Tr;0�1�� "� 17- f"� _ - ---- -- -- - -- - - ';° t,-- L :.t ., 1al. aTAnT f• �- Rom- t iJi.G9r�i'RCTSflr. ��1[_'.t]R'-.' -- - � , LIIHI_R * 1 _ f�- S•- -*T.• �, f+iR cep-0 TV tT) CETXWdE THE APPA'S1`1 rE ULVATCM OF POOL CR VA AT LATWT 04 DAY OF UICAVAn7 x (71 TALE WAX rMt PM ANJ MW If %DCI,TTR,S AW Ugk(C: to A=IEpfA.VX CIr LOCA, PURAw0 MAR,"ho? #T rW or ISSI AWX Or FERIAT 1 (3) KT 44r4 C#+-W[T< !XU AI ILAST rW1 i DA&Y FO $EYLN OAYS MM W11 M M14LO (4) AMU !W CN"SfA PC= E; 15'07 R '�Cf.S,W FOR L 0EWX9t3W OWO?106. DR 0361CM J AW MY DAMkM 7D WAML U.7EWV1.ir1f. Cr'1. TWAM LA*4 OR OtMER frDJ$ A '5< ma's AkCA SfE MAY ALL TOKrG• CAr" A,O CAItJ= DOM raT UX L =0 fpq A PM Vw:=� CD MM 10 PRD%ASrS T,SpfCTTdS (t) M roa raIMArMT AMR PL rM (FMLCU r,sL"TION5 — 13C KF USE M-VMR (]j IAa kC= DLAT MS CAAM1; M M W r Tr Or Cu7[R'-k ?0XS W0 F4AT AhT USE Tr1TMplpT IMifTTi]1 P945X--,*1 Or P DiL : PIG TS Psl" ram. By LA WL QWO A**avu JcT .C[It,Aw's ma w FT-',7 w m A.Cl .0 nM ►3O''+C. C -I r S41 IMI-LYING POOL PuN FOR: _ NAME MONDO/JOHNSON C)p STR EET JOB ADDRESS --:250 -a-,f;Z �+'~L_ CAC-J5 '��•DCITY ,:P'1 PHONE OFFICES SAES OT ' ,' L s TRACT :,::, . PAGE BOOK MAP BOOM PAGE NO. 5TT` !SAIL AODIRE=SS CONSTRUCTION OFFICE PHOFaE NO. SCALE DATE DRAMN BY SOLD BY CHECKED BY 0!3 REVISIONS DATE 'I ' T-Y0E—L——QUE -' — BUILDING R SAFETY DEPT. -APPROVED FOR CONSTRUCTION I 1 E •,.41 QAT BY �- y� 1 h 1 • 1 - EIEC [ ON S CONSTRUCTION AUTHORIZATION-=,77 + I' a SALFS it FIl:I+I) DIG 1'NI)I=RGR0 t'NI]� MzkSoNff rll-t - - - --TZ - ti • _- __ � DECK COLOR ON 0 1,_�_-__ ❑'!7+rr{7Cj$ �rG� irrigot cn for pEariters and pots, by DRAINPGE N07E- i otrlc-s, wfle�i1 otherv,,sc Haters. r