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05-2154 (RPL)P.O. BOX 1504' f 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 05-00002154 60335 CAMARILLO WY 772-250-997-126 -31349 - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 18000 LICENSED I hereby affirm under penalty of perjury that I am lice ection 7000) of Div' n 3 Bu and Pro License Clas�f Vn T419� 4 4 Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: I'S DECLARATION visions o hapter 9 (commencing with and y�e56 fy1149ct�d effect. No.. (I�� ( Z— I hereby affirm under penalty of perjury that I am exempt fropf thIl Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Co 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 burden of proving that he or she did not build or improve for the purpose of sale.). (_ 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.). 1 1 I am exempt under Sec. , B.&P.C. for this reason Date: 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.). Lender's Name: _ Lender's Address: LQPERMIT CA V KEVIN D DUERMIT E MOUNTAIN VIEW TSDALE, AZ 85258 actor: FORNIA POOLS & SEABRIGHT WC: BB1050510 CSLB: 656128 200 SPAS INS VOICE (760) 777-7Q12 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 01/01/06 10/31/06 Date: 6/03/05 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 Labor Code, for the performance of the work for hich this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier C8 C27 C29 C53 Policy ber-'------- - - - - - - I certify that, in the performance of the workr which is permit is issued, I shall not employ any person in any manner s to bec esu je to th workers' compensation laws of California, and agree that, if I oul become ubject tot a rkers' compensation provisions of Section / 3A00 of the Labo Cod I shall f rthwith o with those provisions. ate: /�i//Applicant. WARNING: FAILURE TO SECURE WORKERS' COMPENVrlqOVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AN IL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 whosebenefit 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 omis 'on 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 voi if work i of commenced within 180 days from date of issuance of such permit, or cessation f rk for 1 days will subject permit to cancellation. I certify that I have read this application and state that the above informal n is c rect. I gre o comply with all city and county ordinances and state laws relating to build' g onstructio , and h reby au a representatives of this to t� on the above-mentioned grope fo inspectio purpose . te: 6 nature (Applicant or Anent): Application Number . . . . . 05-00002154 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 189.00 Plan Check Fee 122.85 Issue Date . . . . Valuation . . . . 17920 Expiration Date . . 11/30/05 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 . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/30/05 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 11/30/05 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 11/30/05 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 LQPERMIT Application Number . . . . . 05-00002154 Permit . . . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 80 Expiration Date 11/30/05 Qty Unit Charge Per Extension t BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA ONLY.' 5 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 Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 308.00 .00 .00 308.00 Plan Check Total 148.85 .00 .00 148.85 Grand Total 456.85 .00 .00 456.85 LQPERMIT Bin # Permit # QS'' 15� City ®f La QUinta 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 Project Address: ��j S� Owner's Name: L L er 66 A: P. Number: Address: Legal Description: City, ST, Zip... Contractor: CCI f✓ • POOL's Telephone: Address: (j g® Project Description: City, ST, Zip: 6 e, E 2.9 3 (0 Doot d- Telephone: J� - School Fees rv{.'.°{{•. •:ti`.J'r'•.ih?'. _;<:�;;:::<:s::>>:sti•> State Lic. # Arch.,Engr., Designet: City Lic. #.- ;Arch., Address: 5-2 /r til k L L City., ST, Zip: Telephone: State Lic: #: F`k5 irf'{-`j`• Construction Type: Occupancy: '"°a# _`; vryf `# ? Project type (circle one): Ne Add'n Alter Repair Demo Name of Contact Person: q Ft..._ S : Stories:..... # _.._...................---- #Units:• Telephone # of Contact Person:,27 A%I 71'"OAtIA Estimated Value of Project:. APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Plan Check submitted G 3 Item Amount Structural Cates. Reviewed, ready for corrections Plan-Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates.. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctionsrssue Electrical Subcontactor List Called Contact Person Plumbing I Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue - School Fees Total Permit Fees I'' si k 4 ��g I r ill, J 7. mm f • 4 y I }��{{ lj I 1 III [/5-/yam] 1I J� IT`' i I ,•, .....-,,.�_�_����Y....��..._ l+ .� -- .,•tea _ , --------------- -_� f - r Pis ' I s002II I.i L----------- I- �� _ %--------RSTHol.--- -- -�l' ----- _ - - s il II -----s--------------- y. SPECIFICATIONS '. TYPE f d T 5fZE 3 ,;' i , • SURFACE AREA OF PODL, PE.AlIJEI'Eif i,�t IOTHS MR � I! MAY. r SPArS I' ;CTINS 92C 90 FT- TILE -KE TYPE ' EPA DAW WALL LMDq tiJ' — WATER LRW I' 4' NO. aF LElS LEGF#i I-'%S•'> RASED SPA AT.e.a. 51FRLwAY TYPE 9+4T�i SPECIAL NOTE5'�'�' nLE TRIM � QUARTER REXiNo - DECKING r19-7 I f 1' EXCAVATION f STEEL ACCESS FROFrR + 7` wFT- !i S/)- L'-t EI'PAN!MN FEINTS • l� 1' ET" ENIND P N RAMP DAMTI EYER DEDECKnRAINS tool TL-3 Is LOVE SEAL OLMD UIRAIN ( CONCRETE REMOVAL l.aJins CURIJ 07 14E 50D REMOVAL � L4AD5 ems TREE REMOVAL BY STEP FJ4CE "' IRRIGATION REMOVAL — T1L£ BASE Y'e IRRIGATION KPAIR SAND AND AKUE:EN 5 B' R.ao. - F?i0W 15 mow STRIP is` Ra,B_ 18• R.B.B. ► fL S 24" R.B.B 30, R.RB- ft 4 TAN SHELF FIEPTH ROCK POCK CENTERS MASONRY G"DPING TYPE C�r� R.B.B. FACT D SPILLWAY TYPE _' f� -7 PLUMBING��- t FFTER _ { S SIZE"TER d PCIOL PUMP �C SIZE _a PJ�CP. EdiT. i4A1.L5 - r�rAIETAININ WALL RETAINING WALLS M1u' BOOSTER PUMP � SIT: � AOQ'1. PUMP SIZE MUIR WALLS FIRMT JCV'L PUMP _ SIZE J IP HEAT�i T SIZE V + TIME CLDOK +f, SUR PANEL ADVL QQTLE15! .J SKNMER TYPE -JAL, P&2 nu LJNI= 6 �)1 L + r. GAS UNE 3rru 35 PEBBLE PLA TEAR " -- 13H7S SPA FCE1NTAINSf5PRAYHEADS ROLLED $OND BEAM SHEER DES } UGHTS IN POOL 4 W SPA E " BEHIND SPA =YE9AL 4 . — I r `s STUB SET EWIPMENT 'T x - LiiSC. 11 er 512E v2- FENCING FENCE MEPLUM"r HENHIT CAM GU N I TE GAS AEVEItSN _e' DEEP END RAMP REMOVE d REHAHG u EX EROM 2nd STFP LOVE5EAT 10 5PILLNmT EST_ START F li t EST. CaMP1•EnGN $S• I a - cs ooarLlTc 'r'' OTHER 40JJA?'*>R—r A R_�e• - mE s n_ OWNER RESPONSIBILITIES O"S TO; 1�1) DEWRWNE 7HE APPROXIMATE ELEVATION OF PDdL OR SPA AT LAYOUT ON )AY OF E}1C,AYATION (2) TAKE NOTICE THAT PODL AND LUL PHENT =ATINiS ARE SLaZVT TO ACCEPTANCE CE ?. LOCAL. I3l UINQ DEPARTMENT AT Tlrlt>f= QF MSJ WX OF KOO (3) WT UmS 00NCf2M SHELL AT L EASr T#Icf* DAILY " SEVER DAYS ArtM SHELL IS INS14M (4) AGLiEE TI4A7 CALIFORNIA PC*LS 115 NM RE'SPONMLE FOR UNIIERGROL M rM01TONS DR MEEM AND ANY DAMAGE TO CJRES, SIDESWAJLKS. ORNEwAYS, LAWNS, ON OTHER MNS IN THE A02m AREA (5j SEE THAT ALL FIIiGNG, GATES, AND GARAGE 11000ki MEET LOCAL ORES FOR A PUCL aHC1MRE FMOR TO VRZPLARTfR INSPECT D9 (4) FILL POOL. MIMEMATFLY AFTER PLASTF,Tt. (FalOW INSMLBCTEONS -- DO NOT 113E RUBBER HOSE) TAELE.Na-11GE THAT THIS WAVANG IS TiIE SOLE PROPERTY OF OALIFOMA FQaS AHD THAT AKY 'USE WOMB MITTEN YERINSSION OF CALJrDFMA, POOLS, INC. iS PROHGIEU W Low. 1300 APpftb111n5 II P03. AND MIPME T LOCAiICN5 AND HA5 RM THE RE51RON0IUTES AND NOTICES A80':E. 5LGNATLJJRE(5} DATE: SINIh, MIN" POOL PLAN FDR: - _ N r"L M E _ I' UH STREET-r_.�:.3'S. - -T - - - ' - -- - F.Y I"f~�JQ ADDRESS : Xr- - .N PHONE OFFICE RES - -L0i�7. -. TRACT _RAGE _9.O0K- MAP BOOK PAGE NO. CITY - - MAIL ADDI?E55 CONSTRUCTION OFFICE PHONE NO. SCALE DATE . DRAWN BY SOLD BY CHECKED BY • f JOB # REVISIONS { 4• t, I C i A n0 IIINITA EWIL&N & SAFETY DEPT. 1 ' frl"r,% FOR CONSTRUCTION DATE } sr TT1 ON CONSTRUCTION AUTHORIZATION STONE TI LE { SALES FIELD BOULDERS DIG I RE-GUNI I i • UNDERGROUND - --- - - DECK COLOR - JANDY PESS./Pl AS . y ..� M.r l OI+1R' SIGNATURE DECK DRAINAGE NOTE. Drainage and irrigation for plalnters and pots, by others, unless otherwise noted. _ If G PRE -PEBBLE ;J 2Q oD . Ln I a�