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05-0270 (RPL)9 Tait �a_ BUILDING & SAFETY DEPARTMENT P.O. B x 1504 (760).777-7012 D u 2 ,5 CALLE TAMPICO FAX (760) 777-7011 LA QUI 4TA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777=7153 CITY OF LA QUINTA FINANCE DEPT BUILDING PERMIT Application Number . . . . . 05-00000270 Date 1/27/05 Property Address . . . . . . 80912 BELLERIVE APN: 775-350-007- - - Application description . . . POOL'- RESIDENTIAL Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 18000 Owner CRV LA QUINTA 70 LP C/O INNOVATIVE RESORT COMMUNIT 200 E WASHINGTON AVE 100 ESCONDIDO CA 92025 Contractor CALIFORNIA POOLS &.SPAS P.O. BOX 1280 COACHELLA CA 92236 (760) 398-9222 WCC: SEABRIGHT INS WC: BB1050510 01/01/06 CSLB: 656128 10/31/06 CCC: C8 -C27 -C29-053 ----------------------------7----------------------------------------7------ Permit . . . . . . BLDG POOL PERMIT Additional desc Permit Fee 189.00 Plan Check Fee 122.85 Issue Date . . . . 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 --------------7------------------------------------------------------------- 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 -------------------------------7-------------------------------------------- Permit . . . . . PLUMBING Additional desc P.O. Box 1504�� VOICE (760) 777-7012 78-495 CALLS TAMPICO TVf 4 4 V' FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: e2 7 Applicant: (� Applicant's Mailing Address: , n "C/. - - Date: ' Architect or Engineer: Architect or Engineer's Address: f 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 Lice i I I force and effect. C/ /License Class CE J ens No.--�JG7' 7/ ! i,/Date l ontractor 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 contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). C-) 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 maint workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is is ecj;�My wo compensation insurance camey�and I number are: /Carrier s r'[ti Policy Number✓ C�G1 �%l I certify that, in the performance of the work fo which this it is issuedmall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro isions. /bate 'Applicant WARNING: FAILURE TO SECURE WO ERS' 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 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, 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 not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. r 1 certify that I have read this application and state that the above information is co I a ree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this /county to nter upon abo ntioned property for inspection purposes. ✓ Date �® Signature (Applicant or Agent): 1 Page 2 Application Number . . . . . 05-00000270 Date 1/27/05 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, 15 L.F. 4' BLOCK WALL, CITY STANDARD, BBQ.(ANSI Z21-58-1995). ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. Fee summary Charged Paid Credited Due ------------------------------------- Permit Fee Total 306.00. ---------- 00 .00 ---------- 306.00 Plan Check Total .148.35 .00 .00 148.35 Grand Total 454.35 .00 .00 454.35 • _ i r A R _ .iF=yrrF'�' ,+ + ��y, rr ' �+SF s �I.,_' 'C I S i r, SPECIE 71iJ ••ar '•r• r- ".ex ..... -i • 'v _ _- - F'- •i' . x....-1'.. ,+ i I — _. -. ..— r}�; }'} �1r}y[M71 I i 1.�_ vL s-4V "7 1 + - • •j' `♦'�4 w .. • 'Y "' ,' r.� � r 'ti+• r f t . r _I - t@ TAC I..� f M" • -- k 19_4 - .c ViTT _ .S.- i '. - 7-4. r •!+ , J4! 2 .'1 L P ...�� P If"#i suRFAts AREA OF POOL�' _ J r .n_',; - ',-` • .•• 'e '' -'IP'•:''L -;..-Ik .. f T111#C c- F' 1 1 I Lam_- nitoo iEA _`0 - - OEMS Min. MAX. a i:- 1eN CI) " CO ‘711 P A SPEC jf ATl TONS 11LE . 175 - ti SIZE. _x - Sa Fr, in E I' - ' f I - __ , SPA PAM WALL'�1�711 $ w iPATER U L F '.i 1 NO. OF JETS ,.F TILE TR N `ytI-x' 4-' , t, • 0 / 1 A . .C.-___447‘ ucita• I - • e ` RASED SPA AT �--1... 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OR OlI4DI ITEMS IN li1E AOC£SS J Ea �r'rir 1r (S) StZ •^i&LT JWI• .FENCI 1G• GAPES, AND BAR►.G€ yf TT AL ;DOM, FOW rs Too_ €NCLOSLIIIe [■ / i PRIOR j0 ❑f JI TEN iIISPECTICIH { ' 6 j f�q�1 ' . .- - . r I (s) FILL PM, I11umtATELr)F P1,AST#R' (!`OLLpW r*STP.LJCWINS -- vo N07 USE RYI�BER WW1 4itri V*Off¢�'� �^1 -- I (7) TAKE 1{O11L T AI INS-DiOMIN IS CIE 54"A P TT CF O.ICLFFORRLA PDr 5 MD 'HAT I Y Ust WIT,A u1 AMEN_ PTRTALE ON OF C:AJF- I POpLS, INC.IS PROFS PIED SY LA'W. '• . °WHEN IFPROMM PLAT:,POOL. A! EUL1IPMEWT LG,ATIONS OLD PEAS READ TINE RESPOh151BILaTIES .U+C NOTICES ADM. • 9R�AiUgE{Si .. • , I SWIMMING POOL PLAN FUR- , I r: .,,, ' NAME MA RESIDENCE r I ' I I STET-8U 12 L.Lfi�{' ]til -- r �I7JFF �]$ A DfiESS AGL CITE` LA 4E1lINIT r • 1 r iPH.OIE DFIGE — - RES 6 . LOT .11'7 TRACT PAGE 8OOk• _ L-.- 4 ' I MAP BOOK PAGE NO. - 'CITY - • MAIL .DRESS w ti ; 'CONS LICT1O OFFICE PHONE NO. - - - -- -- L . .: . ._ Li, . F .1 __._..._______. i 4 600AL E`• DRAWN BY I CI;-....44cilD. Er;p :1°E11/)11;04 F: EVIS ON S DATE 1 -F�'• - - ___ - _—__- ___ —_ — - I # J VI + r 1 I i } "' - -i �r r I . ' i I. - - r CITY OF QLM A Lu • � _ - 1 • -- BUILDING &SAFETY DEPT. I CI APPROVED k FOR CONSTRUCTION 11.1 • ■ V CE ELF ' - • CONSTRUCTION ALJTHIATION I ' - SA.I_:F.S FIT:I[.D TILE — - �--�-- BOULDERS • i- - DECK COLOR a PRE-G UNFIT • , ^- - r 1vr I VVNDFR R[ i1NLY I ,aA? DY '1 I MASONRY PEBB./F'LA$ j I t SIGNATURE ' k Di•=C K i . . , . _ .- • - . - - • - - — Drainage and rr•igctUcr- icr pi'7r+t€rs ono pots, by • , ._.. RP P P ,� DRAINAGE. NOTE: r l sot rwise4. noted, ' _ __—_ ._-_— - _ - _- ___ ___- - I _ / - - _- �- a_�— may_ —_r_�� `� - � , t��___-_� �- - N__�_w _ _. -_ • • • . •f•. - . - • ' •.. -