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04-7417 (RPL)BUILDING & SAFETY DEPARTMENT �jts�w _BGX 1504 (760) 777-7012 1 78-4,95 CALLE TAMPICO FAX (760) 777-7011 LA QUIINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 NOV 2 2 2L041 BUILDING PERMIT L i;U v. Application Number . . . . . C04=0-0"0-07417 Date 11/23/04 Property Address . . . . . . 49175 RIO ARENOSO APN: 646=330-003- - .Application description . . . POOL - RESIDENTIAL Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 25000 Owner Contractor BUSH STARLEY n CLASSIC POOL AND SPA E �q' l%J� K���� Sa 79300 CALLE SONRISA -I�Pd�EP36=idi�- CA - "gig- Cf 9a5 3 LA QUI NTA CA 92253 /,A (tt/A) to (760) 250-2266 WCC: NONE WC: EXEMPT 01/01/05 CSLB: 822327 08/31/05 CCC: C53 ---------------------------------------------------------------------------- Permit . . . BLDG POOL PERMIT Additional desc Permit Fee . . . . 252.00 Plan Check Fee'. 163.80 Issue Date . . . . Valuation . . . . 24675 Qty Unit Charge Per Extension BASE FEE 45.00 23.00 9.0000 THOU BLDG 2,001'7,25,000 207.00 ---------------------------------------------------------------------------- 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 POOL 30.00 -----------------------------------------7---------------------------------- Permit . . . . . . PLUMBING Additional'desc Permit Fee 33.00 Plan Check Fee 8.25 P.O. BOC 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Q y " &74 1 % Applicant: Applicant's Mailing Address: ^a VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: Mad. Architect or Engineer: Architect or Engineer's Address: 0 i4 Lic. No.:. 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. ,-41—cense Class G— Ste_ _--Lfcense No. 2 2 3 2 9 e—Date // — Z:3 ,6 Contractor G L14 S 3 c Ir PO s A -,A pJ V S 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 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 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 issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number 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. n WARNING: FAILURE TO SECURE WORKERS' COMPEN ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL S ($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 IMPORTANT Application is hereby made to the Director of BuildingAPPLICANT and Safety foraCKNOWLEDGEMENT t subject to conditions and set forth on this restricbo 1. Each person upon whose behalf this application is made, each person atwhos�e request and efor hose benefit work snperformed under or pul'rsua t 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 Quinta, 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 u n the above -menti d property for inspection purposes. Date�,OS-ignature (Applicant or Agent): Page 2 Application Number . . . . . 04-00007417 Date 11/23/04 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 . . . . 325 Qty Unit Charge Per Extension BASE FEE ---------------------------------------------------------------------------- 15.00 Special Notes and Comments DEMO OLD SPA AND WALL; BUILD POOL/SPA, 15 L.F. 5' BLOCK WALL, CITY STANDARD ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due --------------=-------------------------------- Permit Fee Total 369.00 .00 .00 ---------- 369.00 Plan Check Total 189.30 00 .00 189.30 Grand Total 558.30 .00 .00 558.30 November 18, 2004 Starley and Marge Bush —49-175 49-175 Rio Arenoso La Quinta, CA 92253 Re: Proposed plans to install pool and wall at 49-175 Rio Arenoso Dear Mr. and Mrs. Bush: The Master Association for Rancho La Quinta Architectural Committee has met and reviewed the proposed plans for an addition of pool and wall at your residence at 49-175 Rio Arenoso in Rancho La Quinta. It was the decisionn of the Committee that these plans are approved subject to the following conditions: I. The palm gree in the HOA maintained area must remain undisturbed. 2. It is the Homeowner's responsibility to remodel the HOA maintained landscape area to HOA satisfaction. When the above construction is finished please file a Notice of Completion with this office in order tay6�gin the process of refunding your security deposit. Wallace un Community Association Manager Cc: Kerry, Classic fools and Spas FAX: 360-2737 P.®. lox 4772 a Palm Desert, CA 92261.4772 73-550 Alessandro, Suite 5 • Palm Desert, Californla • 760.346.1161 • FAX 760.346.9918 Email: drm@drmintemet.com 9 www.drminternet.eom e CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION ,v _ Classic Pools &c Spas �� 'S .Yloe r.c c•xperic•cx �• a.urc/ ytiu/ih• Specializing in: -Custom Pools and Spas -Pool and Spa Remodels -Deck Remodels Contact -Office phone: 700-360-8242 -Fax: 760-360-2737 -Falco Solar Pool Hutting Systems -Saltwater Purification Systems -Alumawood Patio Co Vers -('ell phone: 760-250-2266 ( mail: kkoehnleinp(�msn.cum (1 P�aosv I Designed by KERRY R. KOEHNLEIN PHONE 360-0012 i P.) P 0 (DV4,011 '► ,y, i� 'F L. 0 CO3 top tP L� 1ti r 1 H l5 ,-4 ri .0 9 A(oTc' ©v1R se ir k'etre/ice$ 6"u - I� C� •y .I� � Surface Arra C. EXCAVATION Access Few Grading 3 Dig From ,D a e -A Obstacles 0 &LL Walls Removed Replaced_ Misc. PLUMBING Filter:'0Fwz2 \ CA ize Spa Pump Size_ -P Booster Pump Skim Run 46 Main Drain 1'0 Ret 3 t t3' I "p4 4- fjCCs -F l5 ,-4 ri .0 9 A(oTc' ©v1R se ir k'etre/ice$ 6"u - I� C� POOL SIZE 1-5 X 3Depth X� X (.0. Surface Arra Perimeter gg EXCAVATION Access Few Grading 3 Dig From ,D a e -A Obstacles 0 &LL Walls Removed Replaced_ Misc. PLUMBING Filter:'0Fwz2 \ CA ize Spa Pump Size_ -P Booster Pump Skim Run 46 Main Drain 1'0 Ret 3 Fill Line kw­ro Purifier "p4 4- fjCCs -F Auto Cleaner d ALw1 Htr Type A nt 41,r size k.0 t7 00-';' Gas L/F ? l.me FOUNTAINS—SPRAY HDS—WATER EFFECTS Type Size Plumbing Length Valves Booster Yes/gType Size A Misc._ STEEL GUNITE Eng Sur -charge A) 6- RBB 12-k_ 18' 24 - Step Risers Spa Wall Width F, Benches Love Seats Spa Dam Wall . V'Lt Notch Misc. ELECTRIC Total Run L/F Fiber Optic Remote f0,00`e.�La1,0-0 Mr XS Spa K.tJuTTvL Misc. _ TILE w/I.ine#_e S Coping Step & Bench Tile# L1 -e .r� Misc.—Glass--Etc. vV DECKING Sq Ft mo Type _ Color a N-? Concrete Sq Ft Cantilever__s D.O.D. L/F Step Risers n Misc. SPA Size A 7 Area Per_.11,9 Pump S R w. a Blower__Z Spillway-221- Jets pillway 2Jets Step_ Lighter b o Misc.— INTERIOR FINISH 3' Color 4'ar-ev Other .3 ' �-zl &7tJ qm. � P -r/twd�- C--i_is co I -y et 9,J ee s OWNER to fence pool area and install self closing and self latching gates per code. NOTE: No dirt will be removed, returned or graded after day of excavation. NOTE: Relocation of equipment pad will result in additional cost to owner. NOTE: Fill pool immediately after plaster, (follow instructions). Do not use rubber hose. NOTE: Do not turn on pool light when•p6ol is empty. NOTE: Wet down concrete shell at I ice daily for seven days after shell is installed. I have reviewed this plan and here ve total plan, cifications. O D.4,-CUSTOWR SIGNATURE OWNER Sritl tilts , e- /%'I. u 's f) ADDRESS LVq 1�,5Io, AQ�oS'a CITY d • Q. SOLD BY DATE PHONE (H) (W) DRAWN BY DATE • CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB ADDRESS ! 7 5 /` Io A,eN os v PERMIT NUMBER OWNERR ri,S A BUILDER�,1� This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the. Building Division prior to commencement of work. Failure to comply will result in'a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. _. Trade:.l.C..lass�f. �cat�o.n.::.::..:::.......:::::. 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