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05-5559 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO. LA QUINTA, CALIFORNIA 92253 Application Number: 05-00005559 I Property Address: 80997 BELLERIVE APN: 775 -350 -020 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 35000 Tiht 4 4v Q" ' Applicant: . ) Architect or Engineer: r� 11g LL BUILDING &SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/23/05 Owner: - CRV LA QUINTA 70 LP C/O INNOVATIVE RESORT COMMUNIT WASHINGTON AVE 100 Dn E DIDO; CA 92025 DEC 2 8 2005 V RIA LANDSCAPES/WATERFALL 36 HIGHWAY 111, SUITE #104. CITY OF LA QUINTA INDI CA 92201 FINANCE DEPT. . (168,775-0449 Lic. No.: 801813 -------------------------------------------------- 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 License is in full force and effect. License Class: C27 C53 License No.: 801813 ntractor: ��j!��!� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).: 1—) 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 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 burdenof proving that he or she did not build or improve for the purpose of sale.l. (_ 1 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.). - (_-) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: 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: Lender's Address: LQPERMIT –----------------- WORKER'S 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. KI 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 EVEREST NTNL Policy Number 380002849 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 provisions. lb -ate ft4pplicant: 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. 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 st to laws relating to building construction, and hereby authorize representatives of hhiisCounty to enter upon above-mentioned property for inspection purposes. at'D e: �� ignature (Applicant or Agent): i��!/GGGLA� Application Number 05-00005559 Permit . . . BLDG POOL PERMIT Additional desc.. Permit Fee . . . . 317.00 Plan Check Fee 206.05 Issue Date Valuation . . . . 35000 Expiration Date 6/21/06 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 . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/21/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K* 11.00 ` Permit . ... ELEC POOL PERMIT -RES Additional desc . . Permit Fee . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation 0 Expiration Date 6/21/06 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 Issue Date . . . Valuation . . . . 0 • Expiration Date 6/21/06 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 I.QPERMIT Application Number . . . . .. 05-00005559 Special Notes and Comments BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due ----------------- -7 -------- ---------- ---------- ---------- Permit Fee Total 421.00 .00 .00 421.00 Plan Check Total 232.05 .00 .00 232.05 Grand Total 653.05 .00 .00 653.05 J ` I LQPERMIT CITYIING E BUILDSAFETY �— A- r"- ��` N FON ----� FIREp1�70 CL DATE SPA SET @ +18" co quartzite spii wil" CD ti 31'0 CD _ !' P/L - 51 45'0 31 21'3 20 pool 20'0 j 22'0 STEP ENTRY i TANNING SI ELF t ..._--......... ... -- -- ' 11 - 'i3-4- PLANTER ------ 12'0 66 `\ 10'0 / U c cd J (0 O U m rn N CD --- M N U' O 0 260 2T9 0'0 COVERED COVERED LOGGIA 80-997 BELLERIVE 01/,T /_7 LA QUINTA CA, 92253 29'9 -- - .x rr atrrZans 82-365 Hwy. ill, Suite 10? Indio, Ca 92201 Contractors Lie #801813 N 0 0 Ln 0 N o o, 0 x m0 m FOUNTAIN ♦� G BBQ SCREE 28'0 FIREPIT 70" "�1f \ P2 SPA SET @ +18" quartzite SpillW,1+24° TO SPA 31'0 PAL 5 . 45'0 FOUNTAIN 3' . pool O STEP ENTRY TANNING SHELF PLANTER ♦ 6'0 BBQ COVERED LOGGIA SCREEN WALL 28'0 EQUIP 80-997 BELLERIVE LA QUINTA CA, 92253Izi Dec 23 05 11:29a Victoria L&W Inc 760-775-9063 P.1 Sin City of La Quinta Building a Safecy Division P.O. Box 1504, 78-495 Caife Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet PelYrtitG� 5 J Project Adtieess: ' - %&J Jpj,' V LD.- O%%•ncr's Name: 2 W `UC A. P. Nutnber AAddren- O 9 t -7`c'' I Lf Legal Description: City. ST. Zip: 1.11 TL l CA e122-53' contractor �' 1cL Y" 5 i`�GiiS FTelcphone:.3q3 , ?r_ir �+."-. Address: 52.3Lo5 Project Description: City, ST, zip: Pt °12."7.-01 O d 5 l� Tcicphon '1'�J�' C'1- - State Lic, sY : 1 81 City Lic. Arch., Engr., Designer. Address: City, ST, Zip: Telephone: State Lic. #: "V""' Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Flame of Contact Person: ��yy� I v t��C �� Sq. FL: d Stociu: p Units: Telephone # of Conrad Person: _%Fmimatcd Value of Project: 3 00 e APPLICANT: DO NOT WRITE BELOW THIS UNE W Submittal Req'd Ret'd TRACKING PERMIT FEES Plan Sets Ptaa Check submitted Item Amount Structural Cala: ` - ' Rcvicivcd, i cady [or eorreaioas Plao Check Deposit Truss Calcs. Called Contact Person Plaa Check Balance Energy Calm Plans picked up Construction Flood plain plan Plans resubmitted h1echaniea[ Grading pian V Review, ready for correct ionsfissue Electrical Subcontaetor Use Called Contact Person Plumbing Grant Deed Plans picked up S.I.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for eorreetionsftssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. MIm Appr Date of permit issue School Feu Total Permit Fees