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04-4460 (RPL)�F�Q�rw 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 Nutwbnr.04-00004460 ate 5/21/04 Property Address . . . . 80832 BELLERIVE e APN:. 775-360-001-11 -28- - Application description . . . POOL RESIDENTIAL �I w3 Property Zoning . . . . . . . LOW DENSITY RESIDE TIAL ,AY 24 2004 Application valua.ti.on . . . 50000 CIN OF LAQUIlTA Owner Contractor F1 NCE DEPT. ------------------- SPITZER ; ALPINE SERVICES 80832 BELLERIVE P.O. BOX 4687 LA QUINTA . CA 92253 PALM DESERT. CA 92261 WCC: HRH INS WC: 229002323604 01/01/05 CSLB: 786324.. 10/31/04 CCC: C53-HIC ------------------------------------------------------------------------------- Pe_ 10 4.t BLDG POOL PERMIT Ad ?i cional !de sc PE.r`At Fee. 414.50 Plan Check Fee . 269.43 Date, Valuation . . . . 50000 E. -,p. r a t i oq,., Date 11/21/04 Qty. Unit Charge Per Extension BASE PEE 25.2.00- 6.5000 52.00• 6.5000 THOU BLDG 25,'001.-50,000. 162.50 Permit . MECH POOL. Add .t_i`on,;A],_ desc Perrot Fee . . . . 24.00 Plan Check Fee 6.00 Issue Dat Valuation . 0 Ex.viratibr Date. 11/21/04 Qty UpIt Charge Per Extension BASE FEE 15.00 "1.00 9.0000 EA MECH FURNACE <=100K 9.00 --------------- -:---------------------------------------------------------- Permit ELEC POOL PERMIT -RES f.,' P;dditional die - a,.. Permit.:Fee 45.00 Plan.Check Fee.. 11.25 Issue IIate Valuation 0 Expiration Dat&. 11/21/04 Qty Unit der Extension P.O. BOX 1504 �� VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 C&t!tLA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Ma ng Address: Date: S 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 m Licen!e is r II force and effect. Lf )License Class �r " S License No. �i Date�rOZ l Contractor �LDiWir' SO�LU m't, OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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-be-or- heAs.exempt4hemfrom-and-the•basis-for-fhe-alleged-exemption-Any- iolation oTSec-ai n 7031 -5 -by any applicant r a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U 1, 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 tie or she did not build or imprare 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 contrector(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 selfinsure 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. _ 1 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 ued. My workers' compensation insurance prier nd fi number ark Cartier ��A 7E Policy Number _ I certify that .in the performance of the work for which this permit is issued, l shall not employ any penton 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, 1 shall forthwith comply with those provisions. _ _ _ A 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 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 Lenders 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, indemnity 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. 1 certify.that I 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 ent!9oMn the above-mentioned property for inspection purposes. F' Date J Signature (Applicant or Agent): l 1�0�� r> k J . \ Page 2 Application Number. . . . . . 04-00004460 Date 5/20/04 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 ONLY. ALARMS BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. Fee summary Charged Permit Fee Total 516.50 Plan Check Total 294.93 Grand Total 811.43 Paid Credited Due ---------- ---------- ---------- .00 .00 516.50 .00 .00 294.93 .00 .00 811.43 P GA WEST- FAIRWAYS ASSOCIATION May 4, 2004 Mr. & Mrs. Leonard Spitzer RE: 80-832 Bellerive Pool, Spa, Water Feature, deck, fire place Dear Mr. & Mrs. Spitzer: At the April 19th, 2004, Architectural/Landscape Committee .meeting the committee reviewed your submitted plans and will give approval once the following conditions have been met: • The construction deposit in the amount of $500.00 is required for the installation of the deck • The pool equipment area needs to be shown on the plans The deck color needs to be indicated The fireplace has not been approved; please re -submit with specifications and locations. If.you have any questions, please do not hesitate to contact this office. Sincef 'I Nancy Dual, CACM, CCAM Association Manager ND/ncp CC: Alpine Services May 5, 2004 All of the above conditions have been met and approval has been given. Post Office Box 1658 • La Quinta, California 92253 • Phone (760) 776-5100 • Fax (760) 776-5111 SPA TiZ�1�LESS Sa,A WAY -To L2,,SM-e-K f) SPA R'R1�� 16" S� � N `5P�) 0 �osi�z�-cE To mpm,-a1- 111%e �ALk�h Q.,�caciZi,rtE PztL ' 3-L Ito s=o , �b e - i P, S P. I TZ E FR $ w 84=832 BELLERIVE 1 b� LA QUINTA,CA fi; cQE PLACic 4 iyi kf o— aa' F� A Ply r• . i N 59) � -CQ�U�Lv-sS Sa,11VwAY "So L�STc�c�rD ,t�E Rt�,cr �jts�4le+t. SPS Ratio lb" 5..� ��k�`l� Q�AQ(LiZ��TE t�z►Z D - �lO-tf • TANNI TI ac Lip PIP'. I SP.ITZEFR W-832 BELLERIVE LA QUINTA,CA - .----------- -