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05-1497 (RPL)U 26 1005 Ot u�ttf, AQUINTA BUILDING & SAFETY DEPARTMENT - 9 .. BOX 504 (760),777-7012 OF78-495 CALLE TAMPICO FAX (760) 777=7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . 05-00001497 Date 4/26/05 . Property Address . . . . . . 47724 CALEO BAY APN: 643-230-006- - - Application description POOL - RESIDENTIAL Property Zoning . . . . . . . MEDIUM DENSITY RES Application valuation 45000 Owner Contractor ---------------------------------- --------------------------------- BLANKENSHIP LEAK DETECTORS 47-724 CALEO BAY WCC: VIRGINIA INC LA QUINTA, CA 92253 WC-: 005-00022797 01/01/06 CSLB: 618116 .04/30/07 CCC: C36-053 ---------------------------------------------------------------------------- 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: ©,5-J / z/- 97 Date: Applicant: L_ fd.!-lt J' Lrril�S Applicant's Mailin Address: ,p 00 /7"_ . - 7V IC Architect or Engineer: Architect or Engineer's Address: /V/t 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 Cod€, and my License is in full force a effect. b cense Class 3/t tie License No. f la I D 7 `.�t��r' ontractory ��g� k, o 1 �( S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for thelollowing 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 70.00) 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. / I 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' ompensation insurance carder6M y nypibgr aaei_,L 7 amer I Policy Numbeff (UJ U & (/ —1 cert7that, in the performs ce 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, 1 shall forthwith comply with those provisions. n DbTe `r �Z� 6 Applicant/ L alL 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 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 construction,. and hereby authorize representatives of this county enter up the above-mpr���ction purposes. 6. Date" 7 LS ' D Signature (Applicant or Agent): ^/J ------------------------------7--------------------------------------------- Application Number . . . . . 05-00001497 ---------------------------------------- ----------------------------------- Permit . . . . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date BLDG POOL PERMIT 382.00 10/23/05 Plan Check Fee 248.30 Valuation . . . . 45000 Qty Unit Charge Per Extension BASE FEE 252.00 20.00 6.5000 THOU BLDG 25,001-50,000 130.00 --------------------------------------------------- ------------------------ Permit . . . . . . MECH POOL Additional desc . . Permit Fee . . . . 24.00 Plan Check •Fee 6.00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/23/05 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 Expiration Date . . 10/23/05 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 7.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/23/05 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 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA. 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 ---------- ---------- 484.00 .00 273.05 .00 757.05 .00 Credited Due ---------- ---------- .00 484.00 .00 273.05 .00 757.05 CITY OF LA QUANTA APPROVED FOR CONSTRUCTION 1.26' S DATE BY TM 1O LIGHT JUNCTION BOX O2 HOSE BIB O3 AIRLINE LOCATION 4O RETURN LINES O5 DEDICATED VAC LINE OLIGHT aELECTRIC BOX aGAS MAIN BLANKENSHIP RESIDENCE LEGEND E1 PENTAIR 400k BTU MINIMAX HEATER E2 PENTAIR 420 sq. ft. CARTRIDGE FILTER E3 PENTAIR 2hp WHISPERFLOW JET PUMP (6 jets) E4 C= PENTAIR 1 hp WHISPERFLOW CIRCULATION PUMP IRRIGATION AND DRAINAGE = DRAINAGE FLOW (TO FOLLOW EXISTING PRECISE GRADING PLAN) All Landscaping and Irrigation Existing SUCTION/ RETURN LINE SIZING RETURN LINES - 2" PVC SUCTION LINES - 2 1/2" PVC DECK - Colored Broom Finish WATERLINE - Tile SPA SPILLWAY - Stackstoned RAISED BOND BEAM - None INTERIOR FINISH - Pebble Coat - Bin #, City of La Quanta Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: i)giqV Owner's Name: �,�` /V A. P. Number: 'Address: _ L Legal Description: City, ST, Zip: , r r Cont acro .T el h ne: e o P Address: Project Description: City, ST, Zip: (,� G Zli(p Oa .d- Telephone: 7-7 3 V r State Lic. # : t0 City Lic. #: CJ L(✓ c -� 5 ✓%I"—~ Arch., Engr., Designer: Address: T City, ST, Zip: a C/►1. Telephone: .................................................................................................. nconstru tion T .Pe Oc uPa Lic. #: Ne�� oStato Project (circle Add'n' Alter Repair Demo Name of Contact Person:--F#Sq. f t.: Stories: #Units: Telephone # of Contact Person: a `7 0 `7% 1. Estimated Value of Project: Qd� • �� Z-)& 099 1 APPLICANT: DO NOT WRITE BELOW THIS LINE 2LO,(— # Submittal =1d Rec'd TRACKING G 7=PE : 11T F E A/«C� Plan Sets Plar. Chep!: Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical .Grading plan 2nd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN HOUSE:- 1rd Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees License Detail California Hom Page 1 of 2 License Detail CALIFORNIA CONTRACTORS STATE LICENSE BOARD Contractor License # 618116 DISCLAIMER A license status check provides information taken from the CSLB license data base. Before relying on this information, you should be aware of the following limitations: . CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. . Per B&P 7071.17, only construction related civil judgments reported to the CSLB are disclosed. . Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. . Due to workload, there may be relevant information that has not yet been entered onto the Board's license data base. Extract Date: 04/18/2005 * * * Business Information * * * LEAK SPECIALISTS INC dba LEAK DETECTORS P O BOX 8674 PALM SPRINGS, CA 92263 Business Phone Number: (760) 773-9070 Entity: Corporation Issue Date: 04/18/1991 Expire Date: 04/30/2007 * * * License Status * * * This license is current and active. All information below should be reviewed. * * * Classifications * * * Class I Descri tion FC-3-6-1.PLUMBING C 3 SWIMMING POOL * * * Bonding Information * * * http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detaii.asp 4/18/05 License Detail Page 2 of 2 CONTRACTOR'S BOND: This license filed Contractor's Bond number M703379 in the amount of $10,000 with the bonding company FINANCIAL PACIFIC INSURANCE COMPANY. Effective Date: 05/17/2004 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(1): The Responsible Managing Officer (RMO) MICHAEL THOMAS TOSTADO certified that he/she owns 10 percent or more of the voting stock/equity of the corporation. A bond of qualifying individual is not required.. Effective Date: 03/30/2001 * * * Workers Compensation Information * * * This license has workers compensation insurance with the VIRGINIA SURETY COMPANY, INC. Policy Number: 00500022797 Effective Date: 01/09/2005 Expire Date: 01/01/2006 Workers Compensation History_ Personnel listed on this license (current or disassociated) are listed on other licenses. Personnel List Other Licenses License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request © 2005 State of California. Conditions of Use Privacy Policy. hfp://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 4/18/05