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04-6653 (RPL)W T44f. 4 4 Q" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . . . r04-00006653 Date 10/06/04 Property Address . . . . . . 79655 BAYA_ APN: 772=330-056- - - Application description POOL - RESIDENTIAL Property Zoning_. . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 0 Owner Contractor ------------------------ CURRAN WILLIAM Q ------------------------ TOPMAN BUILDERS P 0 BOX 1400 P.O. BOX 10202 LA QUINTA CA 92253 - —PALM DESERT CA 92255 - _ - (760) 772-7296 'IWCC: VIRGINIA SURETY WC: 00500019402 01/01/05 ,CSLB: 455121 11/30/05 i�CCC: B -C29 ------------------------------ ar ----------------------------- Permit BLDG POOL;°=°PERMIT` Additional desc . . J___ �- Permit Fee 258.50 Plan Check Fee 168.03 Issue Date Valuation . . . . 26000 Qty Unit Charge Per Extension BASE FEE 252.00 1.00 6.5000 THOU BLDG 25,001-50,000 6.50 ---------------------------------------------------------------------------- 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 P.O. Box 1504�� VOICE (760) 777-7012 Titf 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0't- 3 I Date: Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: 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 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my Licen i�s,��'DD II force and effect. /Xicense Class �7 ce No. ate IICI��Contracto OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that am exe t 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 const t, alter, prove, 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 visions 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 eicemption. 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 Cade: 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 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. 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 sued. MY coon ers^compensation i nce carrier a and�oticy�umber are: �rrier V�14�,\NIP' �UIGf�C`� olicyNumber 688 9 ig4cs4csa _ ('certify that, in the perfbrmancd'of the wo),4 rhic�is permit is issued, I shall riot employ any person in any manner so as to become subject to the workers' compensation laws of California, and a at, i 1 hould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. n WARNING: FAILURE TO SECURE W KERS' COM ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH AND LLARS ($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 11 0C Lender's Address ti I 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 info 'on is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and h eby authorize representatives of this county to ter oIthe ove-mentioned property for inspection purposes. ate '� Signature or Age ): Page 2 Application Number . . . . . 04-00006653 Date 10/06/04 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN PLACE AT -PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited --------------------------- Due -------------------- Permit Fee Total 360.50 .00 .00 ---------- 360.50 Plan Check Total 193.53 .00 .00 193.53 Grand Total 554.03 .00 .00 554.03 m 44 EXIS-rii46 ITZP AND rTGH 14:Xse DE0<INS — ro DE NER RA 15i» Ek>0 BEAN! AT+18" VAITH L0Sr,r MM PAVER GAP, AND 9T0'1E FACE T A15EP BOND FOAM AT t45'' IP41TH f PA GAP, STONE VENEER FACE, AND 4' NIPE 5TAINLE55 5TEEL E*+MR4VE5GEIK7 NATERFALL r t f2A4f5En BOND aEAM AT+I$" WILLH C ONC,R Tr= PAVER GAP, AND 6TONE FACE 1 r + RA15EP 5PA A7 tib' Y+IITH CIGIRETE PAVER GAP, STONE r FADE Aw E,TAc.,Kw s7oN= r ��-PIL.L.YyIl1' { i EXIS71N6 HALL TO REMAIN r 1 k I OPTION f 1 0 C2 r � i PEGIFIGATIONS 5�� ��l�jj wp IOL441 A I-rE C-NITE `J'L X SURFAGL- AREA OF'OOL -- PL7iIME FETR 52 I LI_. MIN. J'^' M 51_011 5FAL SPEC,1FIGATloN5 kk ELEr-TR[C-AL -' -v PT, 9b 5.F.P R L alr LENbTFI -- ft sla!E � — . 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P , oNI OWNER RE5FONSIBUTII-T CvMR To, 0) TAKE- �i1C�E THATAdb EffUFMWT J_ocA.T1aN IS 5L lmr To ACGE-rA.*Ir_E cF LI-AL EUILDiw& DEPART' 4ENT AT TVA OF 15GUW- AF OF (2) TAKE NCrnCE TkAT TIR M FOOL-5 6 NOT Rl Or 9!5LE OCR: 1�oUNF G[%Ig�IT70NS C7F2 C 3 J1 GTS, A?� ANY DA?+hSrE TO GL FRIVF3VAY5. Lhl+A15. C7!� 0714Ea IF45 MI. T> A(rGCS ARErA 5E� Tl{AT ALL :• 6ATE5, 04ND 6•+1<=A6Eh iORS h= LCC 4L covl �5 PoKr A POOL ENGL0arliZE PR!OK TO PI4=�LAEFW &1IN5VFY *?GN (4j HLL E4? IM►EIVA Y �T€R F'.MTC1i [�OLLOA 11V5TRUGTlUN5.C' NOT U5C RU6e1R W75a) e5) T'A4E ; OTIGE TRAT T 5 DRARN& i5 THE SOUFROPL-gTY OF PLAT11,LM POOLS A}V 314AT ANY LK3E "THO(N N1RIT--N PJR.MI5510N OFF PI.-AnKj t roo-s 15 impt#+raITEp Eiy ILA^ GYwN� PLA1, AOGj, A0 EC3JPRMI!gb: LOCATI0N5 A1%7 F+AS REAZ. :£ 0.N5:B;L-MF:5 ANp NOTIr.� AmANT. 540j4A.TVKZ(5J PATE 516hL{Yv(51 PA'E RFVJ51ON5 Colo '.lc av q=a Ql .:r _' 61Uu Q MATERIAL 5ELEGTIOI 5 •L r, l: 9<A. 0.13u- _ I s SWIMMING FOOL PLAN FOR: NAFff#�) URAN RE1 PENCE s-PeEl -7q-655 QI�rA-L �ly LA QUINTA L} I T'' �ir�.i �q}� l} , 7ppCl r LOT PAS G'� MAP Eroo c PA&ff d MA L A_lr.7qeBS � C 7Y GohISTRUI-TION C7mcz F'HOF�z * _ b SCE. PATE; I0-5-04 ORAV'', EY, JOHN $Q?10 5 0HARLENZ CflaCKEV 6"r — ­0 1 OFt'-*IAN -:1PUILDERei Q.B.A. PLATINUM POOLS PALM PE5E T, CA.