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04-3396 (RPL)BUILDING & SAFETY DEPARTMENT P.O. BE-1504aPR 3 (760) 777-7012 78-495 �C�ALLE TAMPI,CO�� FAX (760).777-7011 LA QUINkTA, CAI �Fo:RNrn'92253 INSPECTION REQUESTS (760) 777-1153 BUILDING PERMIT Application Number .04-.000.03396Date 4/09/04 Property Address 7 81727_P_RI.SM_D APN: 764-270-999-142 -300232- Application description POOL - RESIDENTIAL Application valuation 15000 Owner Contractor ------------------------ STEPHENSON ------------------------ DEVINE SWIMMING POOL DESIGN 81727 PRISM DR 8084'4 BOULDER`DRIVE LA Q.UINTA CA 92253' INDIO CA 92201 (760_) 899-1685 (760) 989-0354. WCC: STATE FUND WC: 164173.32003 07/01/04 _ CSLB: 786814 11/30/04 CCC': C53 --------------------"------ Permit. . . . -------------------------------------------------- BLDG PO..OL...: PERMIT Additional•desc Permit Fee 162.00 Plan Check Fee 105.30 Issue Date . . . . Valuation 15000 Qty Unit Charge Per. Extension BASE FEE 45.00 13.00 9.-.0000 THOU BLDG 2,001-25,000, 117..00 ------------------------=--------------------------------------------------- Permit . . . .. MECH POOL Additional desc Permit Fee . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0 Qty Unit.Charge Per Extension BASE FEE 15.00 1..00 ,...9..0000 .EA.,.. MECH FURNANCE:: <=100K 9.00 - - - - - - - - - - - - - - - 7 - - - - - - - - - - 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 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: Applicant'. n Applicant's Mailing Address: Date: Architect or Engineer: Architect or Engineer's Address: Lic. No.: 4) f A 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 Code, and my License is in full force and effect. ,7 �& & ;'J License Class 4'. - r, 3 _U ense No. " Date 7 3 ` -! -2ontractor 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).): (--) 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, howeyer, 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. , B.& P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self4nsure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance' ref 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 is� u My�corkers�compensation insurance carrier pglicy nu are: Carrier � T i1JIn�J -Policy Number I'7 1? i�Z5� _ I certify that, in the performance 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, I shall forthwith comply with those provisions. �t)ate "1 �3-6Y--A4plicantt4�• 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 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 1 mf 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 to enter on the above-rnention property for inspection purposes. mate '7 nature (Applicant or Agent):a �, Page 2 Application Number 04-00003396 Date 4/09/04 Additional desc Permit Fee 27.00 Plan Check Fee 6.75 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00. 6.0000 EA PLB. FIXTURE 6.00 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 SPA ONLY. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION'. Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total ---------- 258.00 ---------- .00 .00 ---------- 258.00 Plan Check Total 129.30 .00 00 129.30 Grand. Total 38'7.30 .00 .00 3-8.7_._3 FROM :PALOMA,S LANDSCAPE dIJC. FAX NO. : Apr. -1_2 2004 04:34PM P1 Trilogy at La Quinta 1Mlaintehance Association Febnmry 26, 2004 P1-ULIP CRAWFORD C'AROLYN STEPHENSON S 1727 PRISM DRIV1 LA QUINTA, CA 92253 Property Address., 81727 pWS.M DRIVE Dcar MR..C'.RAWFORD & MS. STEPHENSON: W� are pleased to inform you that your plans for installation of a spa, rear yard planting, and irrigation have been conditionally approved by the Design Review Committee with the I*ollowing eonditibn: Planting quantities for sluubs do not meet minimum 40 required, which reeds to be met. Chis approval does not contilittate consent by the Association for the applicant to encroach, trespass, or build on any property other than that of the applicant. This approval is related solely to the items reserved for approval by the CC&R's ua accordance with the Architectural Guidelines. The approval does not extend to the quality of work done by your architect, or contractor, or to any structural engineering, soils engineering, or site grading and drainage desip, You are urged to obtain the services of a state licensed professional for consultation as needed. Please be advised that this approval does not relieve you from obtaining any, necessary building permits from the governmental agencies involved. if any portion of the common area is damaged during construction, repair of same will be done by the Maintenance Association's contracted landscaper and fees for the work will be deducted from your sectu'ity deposit. -Thank you for your patience in this matter and for complying with the Association's policies and standards. Sincerely, For the Architectural Committee. LL Dayton Dicey, CCM Association Manager l3nclosures professionally Managed by Aojwl property A?anagentent, Ine. 29D Technology DriW,, Suite 100, Irvine, CA 92618 949-4S0-0202 840_40(J_2284 919-45u-03031iix www.ac Tian-onl ina. com 3' . V-6' 5' 6' 14' 32, CITY OF LA QU'IINTA BUILDING & SAFETY DEPT. APPROVE FOR CONSTRUCTION 15' 6 DATE - 3 n gY Yy` EXISTING 0 RESIDENCE DEVINE POOLS & SPAS LIC, C-53 786814 JOB: STEPHENSON RESIDENCE JOB LOCATION: 81-727' PRISM DR LA QUINTA, CA