05-1455 (RPL)Tihf 4 4 a"
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 Number . . .
n
4/25/05
Property Address . . . .
. .48224 BIG HORN DR
APN:
658-140-999-13 -29436 -
(8-7
Tihf 4 4 a"
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 Number . . .
05-00001455 Date
4/25/05
Property Address . . . .
. .48224 BIG HORN DR
APN:
658-140-999-13 -29436 -
Application description .
. . POOL-- RESIDENTIAL
Property Zoning . . . . .
. . LOW DENSITY RESIDENTIAL
Application.valuation-.
25000
Owner
Contractor
DENNIS CROSBY
CANYON VIEW POOLS, INC.
48-224 BIGHORN DR
3465 LA CAMPANA WAY, #4
LA QUINTA, CA 92253
PALM SPRINGS, CA 92262
WCC: AU INS
WC: 00500024508
01/01/06
CSLB: 779165
05/31/06
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CCC: A-B
APR 2� 5.2005
CITY OF LA QUINTA
FINANCE DEPT.
P.O. BOX 1504 • VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7 I 1
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7Y53
BUILDING & SAFETY DEPARTMENT
Application Number: % JI / % Date: �S
Applicant:
Applicant's Mailing Address:
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 my Lic se ' J.q �ffu11 force and effect.
License Class �7 License No.
Dat/4— Z,6--C6-
.Contractor t/erf W0 1 ow
I 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 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 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
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.
have and will maint orkers' compensation insurance. as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
*. is ed. orke ation insurance carrier and olicy
Carrier it - Policy Number-t��%.
^ I ce&y that, in thererformancglf the work for which this permit is issue ,:I dhall not employ any person in any manner so as to become subject to the workers'
compensation laws of CalifcVia, 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.
_0_94465/0 App(EDTHOUSA
WARNING: FAILURE TO SECUKERS COMPENSATI COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUND DOLLARS (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABORINTEREST, 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
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 Ouinta, 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
constructi , and hereby authorize representatives of this county to enter n e abov ti ed property for inspection purposes.
/ N
Date Signature (Applicant or Agent):
----------------------------------------------------------------------------
AN -plication Number . . . . . 05-00001455
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Permit . . . . . . MECH POOL
Additional desc
Permit Fee . . . . 24.00 Plan Check Fee 6.00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/15/05
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 9.0000 EA MECH FURNACE <=100K 9.00
----------------------------------------------------------------------------
Permit . . . . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
BLDG POOL PERMIT
252.00
10/15/05
Plan Check Fee . . 163.80
Valuation . . . . 24552
Qty Unit Charge Per Extension
BASE FEE 45.00
23.00 9.0000 THOU BLDG 2,0.01-25,000 207.00
----------------------------------------------------------------------------
Permit . . . . . . ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . . . 45.00 Plan Check Fee 11.25
Issue Date . . . . Valuation 0
Expiration Date . . 10/15/05
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
1.00
-------------------------------------------------------------------7--------
30.0000
EA ELEC
PRIVATE SWIMMING POOL
30.00
Permit .
. . . . .
PLUMBING
Additional
desc
Permit Fee
. . . .
27.00
Plan Check Fee
6.75
Issue Date
. . . .
Valuation . . .
. 0
Expiration
Date
10/15/05
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
1.00
6.0000
EA PLB
FIXTURE
6.00
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 . . . . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
WALL/FENCE PERMIT
15.00
10/15/05
Plan Check Fee . . .00
Valuation . . . . 448
Qty Unit Charge Per Extension
BASE FEE 15.00
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Special Notes and Comments
POOL ONLY. 28 L.F. 4' BLOCK E
QUIPMENT WALL, CITY STANDARD; FIREPIT A
NSI #Z21-58-1993CGA. ALARMS/BARRIERS S
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Application Number . . . . .
----------------------------------------------------------------------------
05-00001455
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Special Notes and Comments
i� HALL BE IN PLACE PRIOR TO PRE -PLASTER
I
NSPECTION.
Fee summary Charged
----------
Paid
----------
Credited
--------------------
Due
-----------------
Permit Fee Total 363.00
.00
.00
363.00
Plan Check Total 187.80
.00
.00
187.80
Grand Total 550.80
.00
.00
550.80
04/15/2005 11:35 760-320-3667 CANYON_VIEW/SAUNDERS PAGE 03
PasomlitA Property Management
68950 a delina Rd
Carhed:•d City, Ce 92234
P (760) 13-9500
F (160: ;25-9300
April 14, 2005
Dennis and Marjorie Crosby
48-224 Bighom Drive
La Quinti, CA 92253
Dear Dermis and Marjorie:
Your project to install a pool in your realr yard and landscaping and decking has beer, approved by the
Architectural Committee. Please ensure your contractor leaves the area in and aroun i your property
in good condition and does not display a sign on your property. Upon completion of the work, let me
know and we will arrange for an inspection and then refwrd Your deposit Thanks fn - your
cooperation.
rt "nlely,
syi t. key
' :_tw.'ai�p1811�'IfAanager
;'I,d;L, .:r i;."1 •�1:�.I'I' ai�'.r 1'r f1�1.1:�Y.'_6il.�e!;� kP ;a
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13 LF
BLOCK MASONRY
WALL @ +48"
0 0
P/L G & E STUB OUTS
FOR FUTURE USE
15 LF BLOCK MASONRY
WALL @ +48"
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EXISTING 5 FT MIN BLOCK WALLS
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650 SF
128 LF
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CROSBY RESIDENCE
48-224 BIGHORN DRIVE
LA QU I NTA CA 92253
HIDDEN CANYON'--'** RIDGEGATE
CANYON VIEW POOLS
Jay Bishop
Orifice: 760 778 2700 Gell: 760 272 0494
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HIDDEN CANYON @ RIDGEGATE
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Office: 760 778 2700 Cell; 760 272 0494
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