05-1452 (RPL)W-'
P.O. Box 1504 BUILDING & SAFETY DEPARTMENT
(760).777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . . .__0,5_-00.0.0.1.4.52
,'
Date 4/18/05
Property Address . . . . . .
78130 RED HAWK LN
APN:
658-140-999-75 -29436
-
Application description
POOL - RESIDENTIAL
Property Zoning . . . . . . .
LOW DENSITY RESIDENTIAL
Application valuation . . . .
17,000.,
Owner
---------------------------------
Contractor
IVANHOE LA QUINTA COVE
---------------------------------
CALIFORNIA POOLS &
SPAS
C/O R BARRY MCCOMIC
P.O. BOX 1280
7979 IVANHOE AVE STE 550
COACHELLA, CA 92236
LA JOLLA, CA 92037
(760)398-9222
WCC: SEABRIGHT
INS
WC: BB1050510
01/01/06
CSLB: 656128
10/31/06
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CCC: C8 C27 C29
C53
ID APR 221D0 I�,
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number: V 192
Applicant:
Applicant's Mailing Address:
VOICE (760) 777-701;2
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
. Date:
Architect or Engineer:
Architect or Engineer's Address:
Lic. No.:
tSUILUING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under enalty of perjury that I am licensed r provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
�, and ss Lice is ir�{tslhfvyce and effect. J
�ice�nseL�C�I/a/s/s(((((����/may (�,�/�� en No.6V(r�lZ�
—D e.nnir trnrtnr / L %. .
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exemp rom 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 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 th!'.s7permit is issued.
I have an ill maintain ers' compensation insurance. as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
sue y rkers' mpensation ' ance carrier �Pu�nb�`
amer olicy Number %(JVC/(�!!J�
I certify that, In the performance of the work for ' 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 t, if I ould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those pro 'cions.
ate e`0s plicant �
WARNING: FAILURE TO SECURE WORKERS' COMPbi&41K61\1 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 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 i correct. I agree to comply with all city and county ordinances and state laws relating to building
construction,
and her by authorize representatives of this county to enter up n ab ve-mentioned property for inspection purposes.
ate 0 ignature (Applicant or Agent):
F Application Number . . .'. . 05-00001452
Permit . . . . BLDG POOL PERMIT
Additional desc
Permit Fee 180.00 Plan Check Fee 117.00
'Issue Date Valuation 17000
Expiration Date 10./15/05
Qty Unit Charge Per Extension
BASE FEE 45.00
15.00 9.0000 THOU BLDG 2,001-25,000 135.00
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Permit . . . . . . MECH POOL
Additional desc
Permit Fee . . 24.00 Plan Check Fee 6.00
Issue Date . . . . Valuation . . .. 0
Expiration Date 10/15/05
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
Issue Date . . . .
Expiration Date . . 10/15/05
Plan Check Fee . . 11.25
Valuation . . . . 0
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 30..0000 EA ELEC
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PRIVATE SWIMMING POOL
30.00
Permit . . . PLUMBING
Additional desc".
Permit Fee 33.00
Plan Check. Fee
8:25
Issue.Date
Valuation
0
Expiration Date 10/15/05
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
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GAS PIPE 1-4 OUTLETS
3.00
Special Notes and Comments
POOL/SPA. ALARMS/BARRIERS SHALL
BE IN
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary
-----------------
Permit Fee Total
Plan Check Total
Grand Total
Charged , Paid
282.00 .00
142.50 .00
424.50 .00
Credited Due
.00 282.00
.00 142.50
.00 424.50
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'
OWNER TO- (1) DETERMINE: THE APPROxMATE ELEVATION OF POOL OR SPA Al LAYOUT ON DAY OF EXCAVATION
(2) TAKE NOMCE THAT POOL AND EOUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF
LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT
(3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED
(4) AGREE THAT CALIFORNIA POOLS IS NOT RESPONSIBLE FOR UNDERGROUND CONDITMS OR OBJECTS.
AND ANY DAMAGE TO CURBS, SIDEWALKS. DRIVEWAYS, LAWNS, OR OTHER ITEUS IN THE ACCESS AREA
(5) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOStME
PRtOR TO PREP ASTER W7ECTION `
(6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS -- 00 NOT USE RUBM
(i) TAKE NOTICE THAT THIS DRAWING IS THE SOLE PROPERTY OF CALIFORNIA POOLS AND THAT ANY
USE WITHOUT WPITTEN PERMISSION OF CAL)FORMA POOLS, INC. IS PROHIBITED BY LAW
OWNER APPROVES PLAN. POOL. AND EOUIPMENT LOCATIONS AND HAS READ THE RESPONSIBIUTIES AND NOTICES AM
S'CNATURE(S) DATE
SWIMM;NG POOL PLAN FOR ,
NAME LEON RESIDENCE
STREET 13
JOB ADDRESS ICITY L
PHONE OFFICE RES
LOT 7TRACT PAGE 800K
MAP BOOK PAGE NO CITY
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO
SCALE DATE DRAWN BY SOLD BY CHECK Y
'0B
REVISIONS D ATE
2 CITY OF IA QUINTA
UlLDtNG_&_SAF_UY DEPT. _
3 U
4'
5.
SELECTIONS
CONSTRUCTION AUTHORI °ATION STONE ---��
(-- — BOULDERS
- - I uIG
DECD COLOR
I NI)1-RGR()t'NI) ! JANDY r`*
PEBQ /PLAS 1
;`tn�c)NRl'
SIGNATURE
I)I:CK
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