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04-6129 (RPL)FA �F�Q�rw 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 �04=00006129 D°aG-e Property Address . ... . . . 80808 BELLERIVE APN: 775=360-002- - - Application description . . . POOL - RESIDENTIAL SEI' 0 3 2:04 Property Zoning . . . . . Application valuation . . . . LOW-DENSITY RESIDENTIAL . . 35000 C 1py®FIy/%0U 1n Owner Contractor ------------------------ WADAS ------------------------ VICTORIA LANDSCAPES/WATERFALL 80808 BELLERIVE 81720 DRAWBRIDGE STREET LA QUINTA CA 92253 INDIO CA'92201 (760) 863-3808 WCC: EXEMPT WC: EXEMPT 05/31/05 CSLB: '801813 12/31/05 CCC: C27-053 ------------ --------------------------------------------------------------- Permit . . . . . . BLDG POOL PERMIT Additional desc Permit Fee 317.00 Plan Check Fee 206.05 Issue Date . . . . Valuation . . . . 35000, Qty Unit.Charge Per Extension` BASE FEE 252.00 10.00 6.5000 THOU BLDG 25,001-50,-000 65.00 --------=-------------------------------------------------------------------- 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 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 180.00 P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Q 14� 40 t21A I Date: q - 575 Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: 1,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 (commencing with Section 7000) of Division 3 of the Business and Professionals Comae, and my License is in full force and effect. cense Class 2 Z C.t' icense No. Date ! r 3 `OWNER -BU R DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' to iqense 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 rdRaLaaf 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 ($500).): U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). U 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. . B.& P.C. for this reason Date Owner. 1 WORKERS' COMPENSATION DECLARATION w I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance �i of the work for which this permit is issued. 3 ,I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation in ce carrier and policy number are: rtier Number '3$[Sp4)Q -Z�<_ - 0� ( 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 rovisions. . WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000)flN AUDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S -FE-ES. 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 permil, or cessation of work for 160 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 co enter on the above-menbone propeAy for inspection purposes. el Date. q 3 0 ignature (Applicant or Agent): v% Page 2 Application Number . . . . . 04-00006129 Date 9/01/04 ---------------------------------------------------------------------------- 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 ----------------- Permit Fee Total Plan Check Total Grand Total Charged Paid 419.00 .00 231.55 .00 650.55 .00 Credited Due .00 419.00 .00 231.55 .0.0 650.55 GOLF COURSE concrete quartzite � 5l0 pilasters spillwayl f—) I I I I I I1 SPA SET @ +18" is 7'0 J157'OJ '0 11 bench GOLF COURSE 35'6 quartzite spillway 16'6 3 , p ..., 91(lo'6)rella sleeve O ' pool 5' TANNING SHELF ........................... 18'6 T................................................................ 3'1 .............................................................. -14 14'6 ------------------- ---n 20'9 I 13'0 i CITY OF LA QUINTA ER ROCK decking i BUILDING &APPpSAFETY DEPT. CONSTRUCTION i I DATE1,q 3-o(f BY —5'0— i ffm 5'0—. ism 5'6 bench Victoria Landscapes & Waterfalls 82-365 Hwy. 111, Suite 104 Indio, Ca 92201 Contractors Lic #801813 22 • o. 16'0 13'0 I RIVER 60CK BBQ WADAS RESIDENCE MASTR LOT 12 EAGLE BEND BEDRM 80=808 BELLERIVE KITCHEN DRAINS DOWN SIDEYARDS CORE DRILL AT CURB SCREEN WA BENDER BOARD IS COMPOSITE BROWN FOR EQUIP TREES SHALL BE PLACED MIN. 5' FROM P/L : m 611m M, F H P