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04-7197 (RPL)o u�l�trGv BUILDING & SAFETY DEPARTMENT Www PABox 1 (760),777-7012 OF 78-495 CA TAMPICO FAX (760) 777-7011 FEB 0,R Q-N§TA LIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 CITY OF LAQUINTA BUILDING PERMIT FINANCE DEPT. Application Number* . . . . 0:4-0-0=007197 Date 11/15/04 Property Address . . . .8-091 BELLERIVE APN: �5-350-0.15- - - Application description . . . POOL - RES.IDENTIAL Property Zoning .. . . LOW DENSITY RESIDENTIAL Application valuation.. 40000 Owner Contractor ------------------------ ------------------------ JIM ZAPPULLA VICTORIA LANDSCAPES/WATERFALL 80917 BELLERIVE 82365 HIGHWAY 111, SUITE #104 LA QUINTA CA 92253 INDIO CA 92201 (760) 863-3808 WCC: EVEREST NTNL WC:. 3800002849041 08/26/05 CSLB: 801813 12/31/05 CCC: C2.7-053 ---------------------------------------------------------------------------- Permit . . . . . . BLDG POOL PERMIT Additional desc Permit Fee . . . . 349.50 Plan Check Fee 227.18 Issue Date Valuation 40000 Qty Unit Charge Per Extension BASE FEE 252.00 15.00 6.5000 THOU BLDG 25,001-50,000 97.50 -----------------------------7------------------7--------------------------- 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 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 33..00 Plan Check Fee 8.25 it 00 P.O. Box 1504I4 CE VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: a -71q 7 Date: a • �'Q�_ Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: 14 Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals and my License is in full force and effect. .,cense Class (! Fj 3 icense No. T51 3 2`3�0� i�ontrartor �I��XU�IArJ�SN,PrPzS .A- vJt�LL.S 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 fora 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. , 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 issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number 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 provision ate Sscant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAQADITION UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN 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 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 co enter on the above-mentio d property for inspection purposes. 2t 2) Signature (Applicant or Agent): 1� Application Number . . . Issue Date . . . . Page 2 04-00007197 Date 11/15/04 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 ---------- ---------- 451.50 .00 252.68 .00 704.18 .00 Credited Due ---------- ---------- .00 451.50 .00. 252.68 .00 704.18 concrete color is omaha tan AR-4TA N EXISTING GRADE AT GOLF COURS ALL 'TREES 51 FROM P/L PLANT LEGEND = QUEEN PALMS �F a CITRUS 166 HONEYSUCKLE Q ■ MOREA LILLY ■ CHAMEROPS LAWN ■ BERMUDA SOD • Decomposed granits plantar apace and pathways (600 SP) Smooth River rock IA planter moos by house gander Words Behind the pfonter bode wssd barrier underfaymant rock areae ALL Tana WZ L • e To ba determined by owmr at MUCID a ABT FROM PROMTV WALL ........................ m IRRIOATION LINES • Automatic Irrigation control eyetam dock • Two (2) alsNNc valve actuators • Ralnblyd drip am"Ups • Clan 200 pvc undarround Ilna LOW VOLTAGE LIGHTING SYSTEM DIE-CAST EFNTERM 17C 20 WATT HALOSEN BLACK GOLF COURSE SPA SET @ •t18" 576 l P/L:�; I''a BQ SETBACK TO P/L 161 is` - '440� �A* 7M COMPOSITE BROWN BOARD BETWEEN GOLF COUR E AND PLANTER AREAS. PN. MAINTAIN EXISTING GRADE AT GOLF COURS�N��,�2,taEEN r v `. POOL AND-T-� �'�!!/ quartzite spillway pool 3' ------------- J decking I ( ZAPPULA RESIDENCE I IAT 42 BAOLE BEND i BELLBRIVB ST. .� © G/E KITCMN I MASTR I DRAINS DOWN SIDEYARDS CORE DRILL AT CURB BEDRM I BENDER BOARD IS COMPOSITE BROWN TREES SHALL BE PLACED MIN. 5' FROM P/L I VINES SHALL BE ESPALIERED TO WALLS -- TREES AND TREE WELLS TO BE DEEP ROOT BUBBLERS HOA REVISIONS I . ER ROCK IN HOUSE PLANTERS ONLY G/1TE; L- I IY S P E C T I O N FEE O F , i L SETBACK AT Y FROM P/L bobca�ILlcegrE CHARGED IF THE APPR�STUCCO WALL BETWEEN PILASTERS tt55 ASTERS ® 24 HEIGHT (STUCCO/BLOCK) .3-1 ANS AND JOB CARD ARE N0T•®PBCATENTRY NOT FROM GOLF COURSE THE SITE FOR A SCHEDULED INSPECTION, NO EXCEPTIONS! D.G SPILLWAY SETBACK AT Y TO P/L NTA OF LA QE'TuY' DEPT. & SA PPROVE�D R CON (SCREEN WALL. FOR EDL fT MEa U F P