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04-6926 (RPL)BUILDING & SAFETY DEPARTMENT (760).777-7012 C;41 9 78^495 CALLS T OFTi� AM.PICO `�. FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . C_0_4_-_0_0_6_ 6969-266 _____ _. - t' `-Date 10/25/04 Property Address `,,5871.3_ _QUARRY__RANCH_.RD" APN: 766_060-999-14 -30651 - .Application description . . . POOL -' RESIDENTIAL Property Zoning . . . . . . . LOW-DENSITY RESIDENTIAL. Application valuation 20000 Owner Contractor QUARRY RANCH C & G CONSTRUCTION COMPANY 41865 BOARDWALK NO 214 965 N. 2ND STREET PALM DESERT CA 92211 UPLAND CA 91786 WCC: STATE FUND WC: 1799267 10/01/05 CSLB: 6922=4 07/31/06 CCC: B ----------------------------------------------------------------------------- Permit . . . . . BLDG POOL PERMIT Additional desc Permit Fee . . . . 207.00 Plan Check Fee 134.55 Issue Date Valuation 20000 Qty Unit Charge Per k Extension BASE FEE :...,:45.00 18.00 9.0000 THOU BLDG 2,001-25,0.00 162:00 ---------------------------------------------------------- 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 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 PGOL 30.00 ---------------------------------------------------------------------------- Permit . . . . . PLUMBING Additional desc Permit Fee . . . . 33.00 Plan Check Fee 8.25 P.O. BOX 1504 • ��I�G� Y VOICE (760) 777-7012 78-495 CALLS O FAX (7+60) 777-7011 LA QUINTA, CALIFORNIAFOR 92253 4 4 INSPECTIONS (760) 77717153 BUILDING &t: SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: Date: Architect or Engineer: Architect or Engineer's Address: Lic. No.: t3UILDING 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 full force and effect. 6 9 2- q / J.ic2nse Class (� O <ensvo, C `t 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 burden of proving that he or she did not build or improve for the purpose of sale.). U 1, 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 contractors) 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 this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the.perfonnance of the work for which this permit is issued. UYY workers' compensation jasw6 nce carrier and pplc uib� arm �rier STS bof �E 3 olicy Number I ' / y� l G— (s 7 _ 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 prov' ion . / Date �D 1/� �Cpplicant 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 Lenders 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 info ati n is corr ag comply with all city and county ordinances and state laws relating to building construction, 1d here authorize representatives of this county to to pon e- ioned property for inspection purposes. Date L' 1 ot-8-ignature (Applicant or Agent): 1 Page 2 Application Number . . . . . 04-00006.926 Date 10/25/04" 'Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE 'FEE 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 1.0.0 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 POOL/SPA, BBQ(Z215819.95), ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT - ENCLOSURE -NOT INCLUDED Fee summary Charged Paid Credited- Due ----------------- ---------- ----------- ---------- ---------- Permit Fee Total 309.00 .00 .GO 309.00 Plan Check Total 160.05 .00 GO 160.05 Grand Total 469.05 .00 GO 469.05 i OUTDOOR SOLUTIONS Owner. -SACK ui rQLot: #... I Address: 58-7/3 Q V IVXY i9W(k rZ041) City: (A 0\),^)—, A State: CA caficahons Type: Size; SPA Size: x Surface Area of Pool: _ Perimeter. 3 t Depth: 3 to --& to �'' a» Notes: Z•Z11 PC1rM�1NCi Notes: 0 M x u u U awl, Fe c►nQ Tan Shelf: '' Q ° Bench: Height: 5 ' G .t �q rn N Notes: V °+ ~ Cantilever N ° FPebble_&"MftM Raised Arra: SPS + I f3 �1 .d U q Color. V. Ext. Spa Wall: S"rUeeo ' Lights in Pool; Additional Notes: Lights to Spa: o Recessed Eyeballs: YC -S otes: Notes.- Ova 1'V%"6H Va%1V11a 1( , Size: x 7 f sq it) 0 of Jets: Spa Vem wau width TypeofSpillway: go - Size: Spa Raced To. 't I �SPit,I f;t0M+36 1 Ext. Spa: STUCC.ei 70 M►4IM J Notes: 02 Bow -D -1 -ILS. C Excavation Tile Treeters►ze: VIA .4b VICE TypeofTile: WA TcL ,,,j6 Access From: '512t Rt> Color. Elevation At: Waterline: �1Cg Ramp: -gam Trim Tile: 00 QRS Tan Shelf Bench:' r RBB:. v� Demo: -� Quarter Round: -"� Concrete/Sod: . Notes: j 1 Notes: ' 1%-.L- Pavers Pa vers Steel Square footage: G.PXB• '� 22. RBB: - J2" - 7S?- : Color A ,Zy7. rOac�ANa �L 9 0 i -18 -RBB: SPA +.7,4- SP I t.LWA Y Type of Finish: 114664 86-Mc- LoveSeat/Bench: A"' Cantilever. PA V6 -0S C TanShelf Depth: -�� Sand/Vttq~ AS M65 D0) Special Engineering: -�� Sub -base: i% 11 r.) Rock Pockets: Yid Steps: f�KZ^li' I_X4Di-JCI Centers: "0- Step Face: ___9"' F-4 Notes. Bo.At�6rzr opt sl0C AUA/beck Drains: AS 016060 Expansion Joints, r.�De- Plum me Notes: Heater7R�oY g ae. 40o K Falter. A JOY Size: Mason Pool Pump: Sazr 2 ' S Type of Coping: Booster Pump: SA -1011 Size: LS RBBFace: STVC.C©� 194v'O.&L5 M Pump: ' 0 � Size: Spillway: (JvLOI- - S►ze: Pump: _42)- Size: Waterline: T1 TimeClock: ''G- Steps: Y6�5 Stepface: PAVES Jandy: t)NE To v Cv{ EquipmentWall: ✓Add110utlets: AT BgQ Planter Wall: ✓Brass from light to J -box Retaining Walls: 'fir `ni `Auto fill -line from a'"A Sn.a Bim, 30 �i NTGE SS . �Gasline from meter to N�� g�l�r i^f Cou�►SCSivccoiAe o Vac line S BQ1 Firepit: U ` kwaterFeatures: �j0�l�A Slrt awg Y o " 1-1-ro SPA -Boulders: o f Lights in Peal: ^� A LiehtsinSpa: YD'S Stonework: PO�tD.VLSPi�iw>�y NO Salt System N 0 OUTDOOR Notes: Z•Z11 PC1rM�1NCi Notes: awl, Fe c►nQ Tan Shelf: '' Type of Fencing: Bench: Height: 5 ' G .t Gate(s): P PLA•1 t Type of Spillway: g0t1�� Notes: Type of Coping. 17A\16a-5 Cantilever N ° FPebble_&"MftM Raised Arra: SPS + I f3 �1 Color. Notes: W'-T,<,4-F4LL '-361 Ext. Spa Wall: S"rUeeo ' Lights in Pool; Additional Notes: Lights to Spa: Recessed Eyeballs: YC -S otes: Notes.- OUTDOOR SOLUTIONS -a Owner. TAC 1` (_ I � Lot: I Address: 58- % 13 QyAgq tL4deyt 4;A, City: ice' 00 ^fes State: QAr NORTH Ave. 54 . PGA WEST v Quarry _*14 Y RANCH ROAD Ave. 58