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05-1618 (RPL)0 Ot u1cv BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760)1777-7012 -495 CALLS TAMPICO FAX (760) 777-7011 ALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 APR 9 9 2nQ5 BUILDING PERMIT ciryo� App F' o r . . . . . Property ,.ess . . . . . APN: Application description Property Zoning Application valuation . . . . 05-00001618 1 Date 4/28/05 80415 CAMARILLO WY 772-250-997-118 -31349 - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 18000 Owner Contractor --------------------------------- --------------------------------- TOLL CA V CALIFORNIA POOLS & SPAS C/O KEVIN D DUERMIT WCC: SEABRIGHT INS 8901 E MOUNTAIN VIEW 200 WC: BB1050510 01/01/06 SCOTTSDALE, AZ 85258 CSLB: 656128 10/31/06 CCC: C8 C27 C29 C53 ---------------------------------------------------------------------------- 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' Date: Z� OX Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licens un provisions f Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and ss License is i ull force and effect. �j License Clas%s�=/."j��' Lice e No. Date Contractor 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 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 i/ of the work for which this permit is issued. )t Ave a d will maintai orkers' compensation insurance, as required by Section 3700 of the L bor Code, for the performance of the work for which this permit is orke 'compensation insurance carier and o{i Vy7nber ar amer. Policy Number _ I certify that, in the performance of the work this permi is issue , I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and a ee hat, if should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall �Jorthw�ith comply with those pro ' ionss.. Datev�G Applicant WARNING: FAILURE TO SECURE WOR ERS' 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 Ouihta, 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 andFvrks 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 igree to comply with all city and county ordinances and state laws relating to building construct" ,d hereby authorize representatives of this count �t nter upomentioned property for inspection purposes. Date �G ( �� Signature (Applicant or Agent): ---------------------------------------------------------------------------- Application Number . . . . . 05-00001618 ---------------------------------------------------------------------------- Permit . . . .. . Additional desc Permit Fee . . . . Issue Date . . . . Expiration Date . . BLDG POOL PERMIT 189.00 10/25/05 Plan Check Fee 122.85 Valuation . . . . 17920 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 10/25/05 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 10/25/05 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 10/25/05 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 . . . . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . WALL/FENCE PERMIT 15.00 10/25/05 Plan Check Fee . . .00 Valuation . . . . 80 Qty Unit Charge Per Extension 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 ---------------------------------------------------------------------------- Application Number . . . . . 05-00001618 ---------------------------------------------------------------------------- ---------------------------------------------------------------------------- Special Notes and Comments 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 g;n # ' City of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 05 -/W Project Address: t�—Cwko Lo Owner's Name: '-()1,t D A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: COLLI,ro M Iq POOLSTelephone: Address: t7 e0x zw Project Description: City, ST, Zip: 6�,� Iot A - Tele hone: State Lie,. # City Lie. Arch., Engr., Designer: Address: City, ST, Zip: Telephone: :>::z?;:>s onstruction Type: Occupancy: State Lie. #: type t Project a circle one : Ne Add'n Alter Repair Demo J ) P Nalne of Contact Person:NAN S4Ej� Sq. Ft.: # Stories: #Units:• Telephone # of Contact Person:.2-,,�5'-f l�& f ` Estimated Value of Project: Jg067--k�::) APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. 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 2" Review, ready for correctionsliissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading .INHOUSE:- ''" 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 7 H .. .. F.. I A�1. h_ A 1 ----- - - - - -- l I I I I IdSlZ: I --- IirOi I 1.01 1 I t ca i i 1:4 fI ym f �r I t „, 4 L ' 4�7x� ..4 �1- -II-Ill.. , I f -- L •:>.rncn A A- � 7 cp coo r0 rn rm 41. `1 ' 4 ----------- M 1 jy1� rTHlr ti+l V F L .tom•- k ! ' !i C7 Cu m I Yr jj - -1 I r I ' 1, qb SPECIFI; AT ONS tA INS ISIZ1 TYPE SURFACE. AREA Or PODL ' :> ; _� i. I �`.r r''Jp_ E'erAi( f PfRlhitTER DEPTHS MYk, SPA SPECIFICATIONS TILE 91TE x M FT. tSK— _ �1L>: TYPE F r SPA CAN WALL AD WATER LINE � - Np, OF JETS { TILE TRIM — _--' LIGHT i - a s+� ULIARfER ROUND -- RAISED SPA p.T--- SPIL,LWAY rfK a 1 ' S -- SP€C:AL NOTES DECKINC EXCAVATI h! STEEL Sa El; FINISH TAT€ _ A�rcESSy/,ROM ��- �E.XPA{�NnON+EOWTS ' WOKMEWFR Y r, �rA-l QN DECK DRAINS ' � DEEP ENO RAMP LOVE SEAT DEOX DRAIN GQNCREI: "OVAL Lms OURS DONE SW RE1+I0VAL LOADS STEPS ,REE REMOVAL 3T STEP FACE - - 41.IRIGATION RE144YAL TILE 8A5E � IRNUAAllDN REMR WI) AND YIS+-" 6' FLEJ3. RIBBANS $$ 4 tL Ia J�*L' � 12' R_a2. WOW s7fu 18' R,a.B. Z4' R.B.B. — - — TAN 5HE!F UFT4i sf "'� _ — I Oy MASONRY ROCK POCK CCPING TYPE CENTERS R.BJB. FAojgr. SPILLWAY TYPE SEE 1 PLUMBING sTE� EtLTER s?Z l PROP. M. WALLS-" POOL PUMP CfS 51ZE PLAN70 WALL �iETAINING WALLS 90051TR PUMP51TE EQUIP. WALLS ADO'L PlUQP SITE i Pl"T ACC T PUMP 97C '- L �A � P tF-_ HEATER SIDE r TTNE CLOCK n J SUB PANEL - A19ft OU SXIMMER TYPE FILL LIT PEBBLE PLASTE - �- j f 1+ti LIGHTS CAS UNE 5PJ95 110FIT'S SPA FOUNTARI5J5PRAYHEAM- -� ROLLED 110NO DCA9 - VffR OESC WHIND EPA r` A f r " EYEBAISS _. LIQi18 IN POOL SPA STUB SET EOiAPMENT FENCING misc. FE7VGE TYPE Fl_uveING SLM HEIGHT GATE GUNITE GATE REVERSAL DEP END RAMP � JiF_MGW & RpHANO E TENIIEG end STEP r, LOSkSEAT SFlLiWAY nP EST. START EST- COr�rr'LET10N CAlfTELE44R U.% - SEE STm � '�a +•.9--- OWIER TV: (1) DETERMINE the JIPPRUAWATE ELEVATION OF PDOL OR SPA AT LAYOUT N CAY OF EXCAYATICN (2)- TAKE NCMCE THAT POOL AND LUUIPNENT LJ}C A-11DNS ARE %3,EDr'0 ACCEPTANCE CF LOCAL SUILDItcG dEJ'ARTLII'j•IT !1� Ti+IE OF Tlli•Ire OF PJiRUIT (3) WET T} M COWORETE SHELL AT LEAST T✓dCE OAELY FOR SEVEN DAYS AFTER 5X L IS INSTALLM (4) AGREE THAT CAUFORNIA PODS IS NOT RESPONSI9LE FOR UNDER�WNO CON1311"S 4R OBJECTS, ANb ANY i)IWIVCF 1V CUk9Sl SIt7EnAU45, ORIYE4VhYS, LAth}iS. OR OhiElt fID15 IN TH1= AC{.'ESS ARFA (5) SEE; THAT ALL FFNNONC, CAIE5, AND OAHAGE DIDDRS MEET LOCAL DUDES FOR A POOL ENCLOSURE PRiCR'0 PRFFLKSTER INSPEGTIDN (6) FlLL, POOL IMQFDIATrLy AFTVt PLASTER. (l'DLLUK INSTRUCTIONS DO NOT USE RU88ER HOSE) {T) TAXE NOTICE tKAT THIS OAWNG IS THE SOLE PRLWEM OF GAUFOWIIA POOLS AND THAT ANY USE MTHOUT WRITTEN PERL{4SSON #F CAI.JFONNIA P,7C+LSF WC. 15 P344SLT BY LAVE, OWNER APPROVES PL W, POOL AND EOUIPWEHT LOCA71flNS AND HAS RUD THE RMPO S1R1uT1ES AND t1UT'1GE5 ABOVE. I SIGNATURE(S) LJAIE SWIMMING POOL PLAN FOR: 0267 PA SN `1 E ! 11 SCE S71REET 'b0- Li IS VJ y J09 ADDRESS ICITY PHONE OFFICE RE LOT TRACT WAGE BOOK f MAP BOOK PACE NO. CITY MAIL ADDRESS CONSTRUCTION OrRCE PHONE NC, SCALE; 1/8"=zl` DATE - D o ' DRAWN BY ;:v�) qg;l SOLD BY 1�11H CHECKED SY ,SOB# REVISIONSDATE w. ■Tw e S 1 I 1 1l r 9 ■ • BUILDING & _SAFM DEPT. MIS '-ONS1€ U rrON 1 SELECTIONSI CONSTRUCTION UTH I, TI STONE- � TILE sit 111 S liI G,LIi) � BOULDERS Ne PR G UNITl ~ DECK COLOR 14A l�l� L UNDE-1ZGRUI_ ND JANDY 4-6 trOr'R PEBB.%PLAS i SIGNATURE I'#kl�-I'r1313L�: DRAINAGE NOTE: DrainJ�ge e7d irriga}ion for plgnters -and pots, by others, unless otherwise noted. 0 F) to CN ry 0 N 00 L) LIJ SC 4 t1 o -d- N cn w Lj a � o � a I o EL