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05-2338 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T­,dy 4 4 a" Application Number: 0 00OJO23-38 - 1 Applicant: Architect or Engineer: C61,1-OCAGT0'K All, Property Address: � 78565' BOTTLE BRUSH DR APN: 6 -4 -G --3-r2-%-0-0-6-5-6 `�000000- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM DENSITY RES Application valuation: 22000 ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: TUAN RAUL 3OTTLE BRUSH CA, CA 92253 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divi io „3 f the Business and Professionals Code, and Lic se i m ull f and effect. ,/License Class: License No.c��h ate: ontractor•/ �t,� t? W!� 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).: (_) 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 burden of proving that he or she did not build or improve for the purpose of sale.). 1 _ 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: Lender's Name: _ Lender's Address: L,QPF.RIITIT Owner: 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.) POOLS & SPAS STATE FUND 1715177 801807 DRIVE VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 03/01/06 12/31/05 Date: 6/14/05 ----------------------------------------------- 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. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Lobar Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: arrier C53 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�sh�allyf/orthwit�h comply �'^with , those provisions. Dat " � 1 z� `z•Rpplican��.J'= � >LRJ�i�G.. 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. i . 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 cert ify that 1 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 const coon, and her by authorize representatives of this couAty toe ter u on the above-mentioned grope or insp tion purpose Date: Sl tature (Applicant or Agen Application Number . . . . . 05-00002338 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 225.00 Plan Check Fee 146.25 Issue Date . . . . Valuation . . . . 21194 Expiration Date . . 12/11/05 Qty Unit Charge Per Extension BASE FEE 45.00 20.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 180.00 Permit MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/11/05. 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 12/11/05 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 12/11/05 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 LOPEnsrr Application Number Permit . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . 05-000023.38 WALL/FENCE PERMIT 23.00 Plan Check Fee . . .00 Valuation. . . . . 806 12/11/05 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 2.0000 HND BLDG 501-2,000 8.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA ONLY. 23 L.F. 5.' BLOCK WALL CITY STANDARD; 15 L.F. 5' WROUGHT.IRON FENCE WITH 3 L.F. 5' IRON GATE; 19 L.F. 6' WOOD.FENCE. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged ----------------- ---------- Pe rmit Fee Total 352.00 Plan Check Total 172.25 Grand Total 524.25 LQPERD7Yf Paid Credited Due ---------- ---------- ---------- .00 .00 352.00 .00 .00 172.25 .00 .00 524.25 GN & SIGN & 06/14/05 12:28pm P. 002 000 L6 Y a POOL Y (Pebble Finish) Bn 306;t� LE A - 7r SPA )LS 4 S AS (COPYING OR -0. eC\ m colored concrete Niish Broom G > VVLA.• To Gva.b concrete a tie @ w, line, +24" RBB col 1-1 N - E ROPERTY OF DIAMOND POOLS & SPAS (COPYING OR REPRODi CTION ARE PROHIBITED BY LAW UNLESS D. P, 4 O S. WF t3� 1N� + � � 3I F� iNP •o - Blnck wall or woought hon �y fence w/ isell 10.tching gato ' 23'-4' Dr away It or weought iron 17Broom coloredb\ck ' concrete finish f nee N d Itsolf latching gate POOL Y (Pebble Finish) Bn 306;t� LE A - 7r SPA )LS 4 S AS (COPYING OR -0. eC\ m colored concrete Niish DESIGN & DF4�WNGARE PROPERTY Of DIAM(IND PS concroto C O N rod Ove � h+ IC7 a I//O�-N��ARRE�E PRO_H`IB'I ED BY LAW UNLESS D. , & S. WRITTEN EXISTING R Si .ENC �t Juan Pineda W 78-565 Bottiebrush, Dr. C La Quinta, CA NEW Pool Eqtt'q)nvnt Ofs } F W1 Sah System. EW plumbing Pool perimeter = 66' LL D New Pool area = 230 sq. ft.(approx) 0 z � CC `n Spa a -0- &col 6 back jets j--- J Spa perimeter = 28' -1 W Spa area = 49 sq. ft. (approx) ) Q Aqua Logic Switch wireless Controller 1-300w & 1-100w Standard lights OR REPRODUCTION ARE PROHIBITED BY LAW UNLESS 0. P. & S. WRITTEN AUTHORIZATION) Demo existing 258 sq. ft. concrete Deck broom colored concrete = 436 sq. ft. (approx) 40' Biock wall or wrought iron fence +w)' it self latching Gate @ +48" Grass to be removed, 1 Tree. & septic Tank Pebble @ Pool & Spa Tile @ w. line of Pool & Spa & RBB Q +24" Pool depth 3' to 5' Broo colored jj-�concrete finish 8 DRAWINGOFF OF DIAMOND OLS & SI Landscape is not Included or fix irrigation system YING OR REPRODUCTION ARE PROHIBITED BY LAW UNLESS D. P. & S. WRITTEN AUTHORIZATION) Broom G concrete TX 7' Spe -0 w! 5 jots, tie @ w, line, +24" RBB col 1-1 shoat descent, w/conctoto cap & back face stucoo finish •o - DESIGN & DF4�WNGARE PROPERTY Of DIAM(IND PS concroto C O N rod Ove � h+ IC7 a I//O�-N��ARRE�E PRO_H`IB'I ED BY LAW UNLESS D. , & S. WRITTEN EXISTING R Si .ENC �t Juan Pineda W 78-565 Bottiebrush, Dr. C La Quinta, CA NEW Pool Eqtt'q)nvnt Ofs } F W1 Sah System. EW plumbing Pool perimeter = 66' LL D New Pool area = 230 sq. ft.(approx) 0 z � CC `n Spa a -0- &col 6 back jets j--- J Spa perimeter = 28' -1 W Spa area = 49 sq. ft. (approx) ) Q Aqua Logic Switch wireless Controller 1-300w & 1-100w Standard lights OR REPRODUCTION ARE PROHIBITED BY LAW UNLESS 0. P. & S. WRITTEN AUTHORIZATION) Demo existing 258 sq. ft. concrete Deck broom colored concrete = 436 sq. ft. (approx) 40' Biock wall or wrought iron fence +w)' it self latching Gate @ +48" Grass to be removed, 1 Tree. & septic Tank Pebble @ Pool & Spa Tile @ w. line of Pool & Spa & RBB Q +24" Pool depth 3' to 5' Broo colored jj-�concrete finish 8 DRAWINGOFF OF DIAMOND OLS & SI Landscape is not Included or fix irrigation system YING OR REPRODUCTION ARE PROHIBITED BY LAW UNLESS D. P. & S. WRITTEN AUTHORIZATION)