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05-0177 (RPL)13 r BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 LLE TAMPICO FAX (760) 777-7011 Q°UINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 JAN 2 4 2005 � BUILDING PERMIT C.i7Y OF L/� QUI6 1 Y ApplBeatronPrNumbe=r . . . . 05-00000177 Date Property Address . . . . . . 80960 BELLERIVE APN: 775-350-004- - Application description . . . POOL - RESIDENTIAL Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation 18000 INNOVATIVE HOMES C/O INNOVATIVE RESORT COMMUNIT 80960 BELLERIVE LA QUINTA CA 92253 Contractor 1/19/05 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------- 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 . . . . 189.00 Plan -Check Fee 122.85 Issue Date . . . . Valuation . . . . 18000 Qty Unit Charge Per Extension BASE FEE 45.0'0 16.0.0 9.0000 THOU BLDG 2,001-25,000 144.00 ----------------------------------------------------------------------------- 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 -----------7---------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc f^c 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: S' f'� *7 Date: �• /•O Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION /.dr,, eby affirm under penalty of perjury that I am license under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals and my License r full force and effect. / � se Class C —i,.9 a No. f --5//y,5 C/15 v Date 1165^ ✓Contract OWNER43UILDER 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.). 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. Ive d will maintai orkers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is is orker ompensation insurance carrier an o1rcyAu bg5arQ� Carrie r L Policy Number �� eicol �l�� certify that, in the pe ormance of the work fo hich 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 agr t , 'f I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall /forthwith comply with those provisions. Date S pplicant //I ZX WARNING: FAILURE TO SECURE WOI2ZRS'rr0MPE4QION 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 160 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 applica ' nand state that the above informati0 cc ct. 1 agree to comply with all city and county ordinances and state laws relating to building z traction,anndhe by authrizrepresentatives of this count to enter po above-mentioned property for inspection purposes. �// i nature (Applicant or A ff (" S J, r. , Page 2 Application Number . . . . . 05-00000177 Date 1/19/05 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 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA. BBQ #ANSI/Z21581995, 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 291.00 .00 .00 291.00 Plan Check Total 148.35 .00 .00 148.35 Grand Total 439.35 .00 .00 439.35 J, r. , f :'CL. P ti tT .►art ..1'. F r ar. I 4r I� I ■ r r --- *-Lk5 E r� •i Tom'`''"`�5�."�r �'' �y�r yr r I x f °.- 4-Flp�c �- WT- ; P—E n « ■ w ' r CO"ONSTRUCTION AUTHORIZATION a� 6h 4SJ N CIO I r■ � L � O �# N z C dE M U u CL + h ' 4 � I 1 � I I I j I I LU LU uj If 0 w 0 cc 0 IN1)t:C12•#L:FRo I'NI) 11-(' I, , SPECIFICA710NIS P( PFUVEQ DE7 T4s INF. kla A SPA SPECIFICATIONS TILE 921 ~? IL `� SQ. fT Tu rns s IrATEN L.'.0 roL or XT5 TU L s WARTit RJ1M I' r. FLDL #AtSM SPA V SP*.LWAr TYK SKCS►,L NOTES DECKING *'4 EXCAVATION � STEr sa. 54. r - r - T. Emarsh ANTS J+ iI VAT OFa CANT'. to 5ECX na,WZ, OEEP EUR RAYa Lm SEAT Ot= DRAYS ATE AEY¢vAL :CS w sm REk+4vA+ � d5 TRfF RfYBYAL BY STEP FACE VRZAT$ k+ REWOVAL ' T , B ' • Mt.ArION REPA i 5&* AND Lty �'+ 4-a$, UN S ' Re 7+- k 6 B - r' —ft 3G' R>LB � •�'y Tar s++lz► D rrH :• F V MASONRY wpm TTK STrty': — _JMBING �' Fp"R E37 irki5 —_ 'M L PAIP 9Si- A301 PL P HrATER 9Ii uJ=� . Sip p"EL — Aml Di ru Lm PEBBLEPLAStff- ras �4wm Fmk �� - -- -- .�,TS s" f MMTATNS%7GA14�AFPs O'Cuo BONG Ol " �04%0 SPA UiER DE 'r EYEBALLS r &A�HrSS 17 PWL ft Spy- - r _, S" 5ET laurw NT -' ' r* -1 FENCING wx 12 FJ'T':3P0NSiBlL17!ES- ]*+dA 70. LT] Drroaml r4 AyPROOWE O-E-74N OF POOL OR 5PL At LATW ON DAY 4r [x A Arch Qj TAK h*= NAT FLOM +440 EQAP LENT LOCA-W4 ATE %"0 '0 AC=P'TA M Cr LOM B47 NAY D(PARAINT AT MC Cf g5W&Mi OF PE7RWY (3) rrE'T COmN COCUTE %EU AT LLW TUM GALT FAIR S€1.4-!1 CFAYS 4 LR SQL TS WAI.UD {dj AGM rplAt CALIFO A KOLS IS JOT REPnXMU rW unMAPG" o f*fi CR CMCTS WD ANw DAMA4X 'O opgR A NAV;F. VVMAYS, 4A*d, GN 074R ITW Tb '•K A ARE+ {&1 5a IMAT ALL ►Dry.. GA7, _& A~D FAPAa 00atl UM UXAL =M FOR A PDX thVJ7354_ FR:OR TO PPJp �S. ?"Mr*N 46j ML PM WiMArELY MTM RASMZ [FT1LCW WSTRI TCM -- Db NOT use h;"s t4tr } (7} TAT¢ rta= MT M MAWAG IS 1-M Sal PkWGM Or Z WUL%tk PDXS NO DRAT MY uw M!7«T w hwTTE.Y PUWSRON 07 C.IU gmal VooL-S, N iS PP 93- 7 Q+' LAW LAMER APPKYES PIJ.y. PUOL- Am) COUSIcEhi L4C.j--X)?,5 " na; A£A: -1 4C�TCS W) XOTM ►W% "A"M(4j) CATE - SVOM ,RING POOL PLC+`, FOR: -- NAME AMOROSO RESIDENCE -- — -iC;Tlr Z9 AO13RE55 r '' , -, _ Lf - -- I _ — _ 'HONE D�lCE� RES -- - LOT TR:.C7 PAGE fJK MAP BOOK FALL '7 ,CITY -- -- ■. AIL�ADDRES - CONSTRUCTION OFFICE PHONE NO. SCALE PATE DRAWN BY SOLD BY CHECVED 5_f _ x EVi I DATE rr � � r L.�1LlTA-- [JUILDING &SAFETi"Y DEPT. CONSTRUCTION b SELECTIONS STONE ,ILE 13CULOERS DECK COLOR ,►A�tpY PEOD fPLAS