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05-0787 (RPL)Tdf BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 -495 CALLS TAMPICO FAX (760) 777-7011 A QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 MSR 1 1 200 0 BUILDING PERMIT App i-T`c a t�'oA Number Property Address . . . APN: Application description Property Zoning . . . . Application valuation . Owner . . . �05-00000787_ Date . 48375 BIG HORN DR 658-140-999-165 -29436 - . . . POOL - RESIDENTIAL . . . LOW DENSITY.RESIDENTIAL . . . 18000 IVANHOE LA QUINTA COVE C/O R BARRY MCCOMIC 7979 IVANHOE AVE STE 550 LA JOLLA CA 92037 Contractor 3/08/05 CALIFORNIA POOLS & SPAS P.O. BOX 1280 COACHELLA CA 92236 (76 0) 398-9222 WCC: SEABRIGHT INS WC: BB1050510 01/01/06 CSLB: 656128 10/31/06 CCC: C8 -C27 -C29-053 ----------------------------------------------------=----------------------- 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 ---------------------------------------------------------------------------- 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 . . P.Q. Box 1504�� VOICE (760) 777-7012 T-Vf 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING &t: SAFETY DEPARTMENT Application Number: 0! ' O M 57 Date: Applicant: I Architect or Engineer: Applicant's Mailing Address: CQ IV 7 -ICA C, Tv�Z 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 f�ode, and my Lices3 i II force and effect. / / / ]^/ /License Class `_J en No. dW(` ,5& ( G\ ✓Date OS~ Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that t 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 apermit 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 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 mains orkers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is iss wo r compensation insurance carrier (=nn [/�r(�G� / (`/ 'carrier Policy Number L7CJ 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 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ate WO V A.aplicanY 6 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. 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 ec I agree to comply with all city and county ordinances and state laws relating to building const ruction,a d hereby authorize representatives of this county to er upo th a ove-mentioned property for inspection purposes. Ddfe -5 9 �� Signature (Applicant or Agent). Page 2 Application Number . . . . . 05-00000787 Date 3/08/05 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. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary ----------------- Permit Fee Total Plan Check Total Grand Total Charged Paid ---------- ---------- 306.00 .00 148.35 .00 454.35 .00 Credited Due ---------- ---------- .00 306.00 .00 148.35 .00 454.35 SPECIFICATIONS �� `�F*►^ �,fvx�i ��.L,', �:� �� lug '? .��►�� 9 .CONSTRUCTION AUTHORIZATION, I)IiL: I'�L;l '\ 1.11. -- 'Nf)I-'RGRo l!'NI) rMf (-nt)ri I 9ZE "x ,kREA pm — Yf f PER7�E1�i �162 T wl" LCN_ ukx C_ SPA SPECIFICATIONS T]LE. Sim 0�-' x Sa FT- TEE r,rt -- SPA DM VA£.L 1PM PATER LRE 40 or .T:TS 'rcL TM _ :BHT QUARTER ROUND 1" AA 6- q+�SEA SPA AT SPx.n, TTP€ SPEOAE liit]TE-5 DECKING so_ ry - — EXCAVATIDI% f STEEL TYK rN!i?4 ACCESS FROU E V A!liS aR M TS UVALTYOF" CM TXc%l T DEEP END RAW DECK CRA-15 LOVE 5EA7 I)r-CGR DRA.'N CDr{CRrm Rrw'oA1 LOADS VAS MORE SOO QEWCrdAL LOWS STEPS TREE FIEWM DY STEP iAf:E :RgCAr.p{ REMOVAL 9T TK.E BASE AW.Auvq TIEp ]q SMO A10 '"TWVEEN &- nu- Fr'$9UN5 17' Us. AFdIT STTtP 1V RELB. 4' RB.$. A' FLBAL 7AN s?w uvl1 i MASONRY R= CCPLRC Trm- C€NTERS RB.B. FAUN, `.P:J.WAY TYPLE 97E PLUMBING STQS TTLrpT —_ WW. CLT WAS FETA.FMG WAILS EiOU;:ER oV,p %ZE EOUP. PPMS S« FFfj)I7 SrZE T%K CLocX STUB PX14CL---- A�IQ`4 SliAtiflER rrFC ALL PEB9LE FEASTER �As rn s I uu"115 poa� uOMIS SP A cOmtkp(SISPRAYmEADS POLLEO DofliD aw+ SsrLER. ptscEhTs KKK :PA E TLbALLS �JGHTS A. PDM A+ SPA — — sr T: st- {J]LJNat1EiET FENCING use Mom -ME ►wr GATE GUNITE wrf Rt%xSAL Zar, fpc RUA. RtW04rr, esr 3Tast7 -' - c4sl.4 iJ} '1i D ERL hE T'+'E APPROC%dAT; nEVArKh CIF POM OQ SPA A uArWi C" DAY OF C)'"rNAi0d r2) TAq +rr,GE THAT P= k%3 £44'PWNT LXA-40N5 ILK UAUCT TO ACCFFTA Or _oct, Buumv. rpoA UEv XT rWE C< rSSwAk#CT Cr GER11'. Sj RE' WSN COK£TT 5'EI-. AT LtAr rVa DM { TOR SEA`: pA "5 4-rul 5+{L4 IS h$ a .- 4' LWTE TuiF C LF011f.A POOLS IS kDT P[ Ir58Lf FSq LMM# ACplwt� F !!."JCS Ur C[+fc 0-D xyY DAUA�,E TC CUAR& SWWALM iRrApAY, LAW,6. O4 41kfp rEwrS 1H pE A-CCESS ARE+ (1) 91 THAT AL M40K- ( ATEIL. +k7 C.IPAGE DDOR5 UUT : L C4)M FOR * PM rfe,:L �.v RI 7 Tp -A3Ts wSRECrt" �$j Fl-L PM 1"MATE'LT AFMA ALA51M tFQLG4 SSM-Cr4:%5 -- (G NOT UM R66MA r D%o 17) TOE 0407�M -AT TL D4AMNG iS TW 50LI PFFrMrr Dr CAL-F>ykN:A POOLS AW NLT 0W tirSE vAfwUt A M.% PERMISES M OF CALV01:1ML POOLS. 04C 15 PROMSTTD BY LAW. ":B APP%.E5 PL M. POOL AhV EQ9,VWENT LVGAr�45 AM **AS Rl-D THE RESPONSSGUTTES Apo PlOr t5 a&Cx; t ;�y ATLtI£t 5} S;%WMING POOL Pi AN FOR: _ NAME c I lLEY RESIDENCE STREET gl:� V� �T JOB ADDRESS 1 s - L t`r C7E PHONEOFFICEOFFICE RES O TRACT PACE MAP BOOK PAGE NO. CITY — MAtL ADDRESS CONSTRUCTION OFFICE PHONE NO. SCALE D4TE � DL.�� BY S�LD BY CHECKED By f8 =1. 1n- • JOB 1E1Y114 r.r D E SELEC-HON STONE - TitiE CITY OF LA QUINT BOULDERS WIN G-& AFET1r,DEFf: `--- -P� IIE DECK COLOR FORCONMUCTION DANDY o'S By PEBB_�'LAS S9GN ATURE 7