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05-1264 (RPL)Tiht 4 4 a" �MPICO FORNIA 92253 BUILDING PERMIT APN: Application description . . . Property Zoning . . . . . . . Application valuation Owner TOLL CA V C/O KEVIN D DUERMIT 8901 E MOUNTAIN VIEW 200 SCOTTSDALE AZ 85258 BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 05-00001264 Date 4/05/05 80405 CAMARILLO WY 772-250-997-119 -31349 - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 19000 Contractor CALIFORNIA POOLS & SPAS P.O. BOX 1280 COACHELLA CA 92236 (760) 398-9222 WCC: SEABRIGHT INS WC: BB1050510 01/01/06 CSLB: 656128 10/31/06 CCC: C8' C2 7 C29 C53 ---------------------------------------------------------------------------- Permit . . . . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 198.00 Plan Check Fee 128.70 Issue Date . . . . Valuation . . . . 18783 Qty Unit Charge Per Extension BASE FEE 45.00 17.00 ---------------------------------------------------------------------------- 9.0000 THOU BLDG 2,001-25,000 153.00 Permit . . . . . . MECH POOL Additional desc Permit Fee . . . . 24.00 Plan Check Fee.. 6.00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Ext.ension 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 . . Air P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Qom. �_2 & �4 Date: Applicant: Applicant's Mailing Address: 0n6y'/eA GTOk Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I eby affirm under penalty of perjury that I am licensed under provision s_pf Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals ode, and my Lic is�a�Eu�Jorce and effect. n License Class _ tJ_7 ^ rkense No. � >J 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 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 burderrof 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. I have a d 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 � � isoy;worker ompensation insurance carne r^g i u yea( / / / 12arrier ( 41 %fin Policy Number ' [�� /n (��61 (0 _ I certify that, in the performance of the work for which this permit is issued, I shall not employ aperson in any manner so as to become subject to the workers' compensation laws of California, and agree t I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Applicant WARNING: FAILURE TO SECURE WOR RS' 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 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 andAbve- mmenced 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 comply with all city and county ordinances and state laws relating to building construction, and here y authorize representatives of this county toe uped property for inspection purposes. Date / ��; Sin cure(Applicant r Agit) Page 2 Application Number . . . . . 05-00001264 Date 4/05/05 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 . . . . 217 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA. BBQ & FIREPIT ANSI Z21-58-1995CGA. 10 L.F. 5' 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 315.00 .00 154.20 .001 469.20 .00 Credited Due .00 315.00 .00 154.20 .00 469.20 ` fL '• i 0 i 111 i i7r 1; r I . If of . r k r I'i sp ir ~ CL �] � (.1 1 {� Ki Ll .1 '4 C f F r. k� I I - ti.. f� I - + I I I I i { 1 s �i , k 1 I f 1 I I 4. I i III - I D CONSTRUCTIDN AUTHORIZATION__. BALES RE-1.13 UfG 1?RF--6t INI'1'I' C 1)URGIZ(.)[,"{ P14ASONRY 1 1;C K SPECIFICATIONS SIB TYK _- aEFAO` AREA OF PQOL PfFIII nlT y dEP7r15 NIli. r � i5% �— h SPA ''PECiF= CATONS TILE .... 92F 4 x SO -'FT, W Vpt { , , SPA oAIld WAII Nmiy *.,nR LNE IfR Or JETS TILL WN .. -- UGHT %ARTIJ3 POUND WSW SPA 47 4 optILLArAy rNIE :<* WFECIAL MOTU DECKING EXCAVA110STEEL 90. 5 rrpIr KNISH ACCESS FROM 5fi .ry 'r Fw*NQ,7Fr F�IdM aE�P ERD RAMP DECK DRAINS - ao! lea 1 1, LOVE SEAT r" M -i w Dr= DRAIN � C4!+C+EM FiE11WAL _._-- _ LOADS - --- 4 QAM !TW PE4WAL WOE STEPS — TRE5 rRW0VAl. HY STEP FACE Mrs ATJDN sr�Wau Rj5ASE �nGATCV ]?EPA* } smH ANO Vls T r <• -- s• R.P.P. �� - 12' •- Ww STRPP $ 19- RE, PLO'--- .2v Ims YAm MN51 VE TII • 4�i! M ASONVY Rcrx IICICrE-r E Ih'' Tii�E eA:;c-4 92E a5i 1 I PROP- EXT. WALLS � ..— Irm PUMP STE r BUFJ i€Li PkNiiF Y' +-f AST "G WAL= SW. WALL,4 I �i.ain�5f FYd]EF'E !illliP � � T &DYLPhW SIZE � � y+�r« _'1 _aarV NEATER SE T L'1L. T 4. 6wI TIME u 4v SLT PANEL AAO'i OU SMIr+ ER rff FILl- LW— PEBBLE PLAS CAW; ijff STu es # r"r UGWIS SPA :OlWrruFls/SPftA s Roum g" SEAM-- � "ND SPA _ _ EROO L19115 IN PL I- va. N SPA ` UMAUS STU9 $Er F rY IT FENCING - WISC. '} 1 Y �z iGw4. TYPE ry� I I��y� �y�� pLuNRINI; SZE �. LMT .'UN I TE PATE REYLPSIL DEEP CSD RmAl REMOVE & Rs HAAG ExTE34E V Z+d 5TSP �> ` tOT+ESFAF i � ~ 0`1 — SaILIM'A y ' f. sr71R► - !j w0.9- -r-�'- — R.B.& -- 9£ ;TEFL -. 4V OR TQ; (T) 6ETERMIC THE AP-MV LATE ElydAWH U POIX %-P 93A Ai LAWYlT ON DAY OF QOCAVATIM (2) TA,}E N0110E iNAT PDX No EQ{JIPUMT LOCATILM ARE 9LRLUT TO AC -TARCE IT WCAL gapm OEPA4R7west m TwL t)p ISVUAA c CF PERkor [ ] X7 kyP'W r]511MT SHeL� AT.I WT `i]4 E DALY FOR SEAN CLAYS OlUt WELL is IKSTA.LJP (A) AI;}tEE THAT CkJFCRffiA PODLSr in NOT At"SIW FM UNKPOKAJIM )DtaTMPL C1R OMC-IS AdAU ANY Q.13" TU {JJRHB, I$AFWALKE. MVEWAM LkWND. OR Utfl R"1TNS fN THE ACdFss AFF-4 (s) Sa THAT ALL FENG�ATa�4 AND GATE 1XIOG MUM LOCH 006E$ FOA A RoaL Fla FT P To PRg3js ri 1 SPECTI N (6) FILL P60L &VENA Y AMk PI-A5".. (F;xUOW WSMC7141,3 -- DO NOT USE RlfSM--R HOSE) (71 THE NOVI 7HArT M DRA4iWC IS 1Tlt 3IXi T+' CF GALLIFUWA PDOLS AND THAT Wy USE WITHOUT RRITEEN PU411ISSIDH OF CALIFORW POOLS, WC, IS PFrT Ht"TEr} BY LAYI. {jM4F APPROVES. 4'LhN. POOL ANQ EQaPW -KT LCIUATIONS AND HAS HEAD THE K291VNSaLJlE5 AMD NGTCE5 A6GVF 910NA7URf{$) MITE SW MMIN POOL PLAN FOR: [ NAME mmKER RESIDENCE ,;GB ADDRESS t E f' ':f v,F3^j . .CITY -�,A lQdEms , I HbNE OFFICE RES L_QT S TRACT #SAGE Bf} K - MAP BOOK PAGE NO. CITY NAIL ADDRESS _ CONSTRUCTfOLN OFFICE PHONE NO. SALE i)ATE 2,3 DRAWN BY fi LO BY _ CHECKED By 1TY OF LA QUINT I 2 BUILDING & SA4�W D APPROVED FOR CONSTRUCTION -- 4 4 0 5- Sy P, SELECTIONS � } � TILE BOULDERS ff o- , rl i -lTV DIECIK COLOR T` ` / t1Y I V f y� I.rt r - o '...'4. PEBB./PLA'S 4. RIGNATURE DRAINAGE NOTE: Dralnra.g�- and €rrigCtion for p;onters Grid pats, by others, unless otherwise noted. Ln 1Cr 4 1'i 07 � rk " to Ld x la LO O C3 0 e Stu e� w z Lij w cc ly- L!w co Y } k r � I