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04-5743 (RPL)r T44f 4 #Q" 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 . . . . . 04-0000574 Property Address . . . . . 80741 BELL APN: 775-360-02 Application description . . . POOL - RES Property Zoning . . . . . . . LOW DENSIT Application valuation . . . . 15000 Owner ------------------------ M/M THOMAS 80741 BELLERIVE LA QUINTA CA 92253 TIIIP SI. NTIAL' Conths-c' o 7/27/04 MCINTYRE POOLS & SPAS, INC. P.O. BOX 1791 LA QUINTA CA 92253 (760) 342-3612 WCC: HRH INS WC: 176911104 01/01/05 CSLB: 614611 09/30/05' CCC: C53 ---------------------------------------------------------------------------- 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 . . . . . 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 ---------------------------------------------------------------------------- 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 P.O. Box 1504�� VOICE (760) 777-7012 Tihf 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: G �' ��% 3 Date: %- 30--6q Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: c) & 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 License is in full force and effect. rise Class Class icense No. Date 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 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 cbntracts 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 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 ys workers' compensation ins a carrier p cy umf�/ Ire* I arrier. F� icy Number �� �i�-1 certify that, in the performance of the work for which this permit is issued, I s all notlemploy 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. r 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 1 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. ate 0 ignature (Applicant or Agent): V.- Application Number . . . . . 04-00005743 Page 2 Date 7/27/04 Qty Unit Charge Per Extension 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 --------=------------------------------------------------------------------- Special Notes and Comments POOL & SPA. FIREPIT 496AGAL. 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 264.00 .00 .00 264.00 Plan Check Total 130.80 .00 .00 130.80 Grand Total 394.80 .00 .00 394.80 FAIRWAYS ASSOCIATION July 20, 2004 Mr. & Mrs. John Thomas RE: 80-741 Bellerive Pool, Spa, & Deck Dear Mr. & Mrs. Thomas: On July 12th, 2004, the Arch itectu ra VLa ndscape Committee reviewed your submitted plans and may give final approval upon receipt of the following information: • What is the maximum height of the boulders? • Thee is a boulder on the side yard of the property, what are its dimensions and will it block access to and from the side yard? • What is the distance of this boulder from the side property line? • Before photos need to be submitted. • The pool equipment needs to be shown as enclosed. . • The the deck is not approved. A separate application needs to be submitted. • The fire pit is not approved. A construction deposit was not received for it and not details are given on the plans. If you have any questions please contact me. Sincerely, Nancy inson Asst. Association Manager CC: McIntyre Pools -- Mike Polk .Post Office Box 1658 • La Quinta, California. 92253 • Phone (760) 776-5100 • Fax (760) 776-5111 El T'HOMA5 P 5I V V I L CE V f MATERIAL ST]NE TILE. ' BOULDERS. DECK COLEIR CONTROLLER PEBBLE PLASTER DAM WALE EQ MALL r I Y Y - F! t rj I ri., rOa a 9FA 5ff(-, POOL SIZE 41' , - P0OL. S.A. ;41 POOL PER. {� F' DEPTHS ' • - TO POOL PUMP v HEATER FILTER '- LIGHTS CQNIRQLLER SPA SIZE SPA PER. SPA S.A. �. SPA DEPTH JETS JET PUMP DECK AREA PATIO AREA W.F. ,NJ Elmo No 01�1■ 41 It .us 0 pi1111111 m r10 1111111 II� J LJ a. CD F U V) +0 V DATE SCALE DRAWN :E83 Y SHEET A R SP€CTCO FF-E OF WILL WARDED IF - sH5FT13 a cv d" co F INSPECT°0�IN.