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05-2865 (RPL)4 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/11/05 Application Number: `05=0-0.002865_7 Owner: Property Address: 5761:7 -SANTA ROSA . TR SANTA ROSA DEV APN: 762-240-013-13 -30487 - 40847 SANDPIPER CT Application description: POOL - RESIDENTIAL PALM DESERT, CA 92260 Property Zoning: LOW-DENSITY RESIDENTIAL D n Application valuation: 20000 Contractor: J Applicant: Architect or Engineer: US 2 0 2005 CASA VERDE LANDSCAPE MAINT COR WCC: GRANITE CITY OFLgQUINTA WC: 9549987 09/05/05 �O� FINANCE DEPT- CSLB: 624647 08/31/06 -------------------------------------------------- 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. LicenseCl�.0s: License No.: q �, I• � Contractor: OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).: (_ 1 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 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.). (_ 1 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.). (_ 1 I am exempt under Sec. , B.&P.C.•for this reason Date: Owner CONSTRUCTION LENDING AGENCY 1 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: LQPERMIT ----------------------------------------------— WORKER'S 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 7 Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier C-27 Policy Number - - - - - - - - - - - - - -- _ 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, ' ///aan�d agree that, if I should become subject to the workers' compensation provisions of Section ��-00 of the Labor Code, ��Il1shall forthwith comply with those pr�ovi�sfio�nsr e: d? Applica�A wegb L A-/� � t,* L` 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. 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 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. certifythat I ve read this application and state that the above information is correct. I agree to comply with all city and c my ordinances and state laws relating proto bwld' g construction, and her uthorize representatives of this unty to enter upon the above-mentioned p y for ' spection pur es. Date: �..fb Signature (Applicant or Agentl: Application Number . . . . . 05-00002.865 Permit . . . BLDG POOL PERMIT Additional desc Permit Fee . . . 207.00 Plan Check Fee-. 134.55 Issue Date . . . . Valuation " . . . 19792 Expiration Date 1/07/06 - Qty Unit Charge Per Extension BASE FEE 45.00 18.00 9.0000 THOU BLDG 2,001-25,000 162.00 Permit MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . .. 0 Expiration Date 1/07./06 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 1/07/06 Qty Unit Charge Per Extension BASE FEE 15 ",00 1.00. 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date Valuation 208 Expiration Date 1/07/06 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments 'POOL & SPA ONLY. 13 L.F. 4'� EQUIPMENT BLOCK WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. LQPERAZIT r LQPERMIT Application Number . . . . . 05-00002865 Fee summary Charged Paid Credited Due ----------------- Permit Fee Total ---------- 293.00 ---------- .00 -------------------- .00 293.00 Plan Check Total 152.30 .00 .00 152.30 Grand Total 445.30 .00 .00 445.30 f r LQPERMIT SPECIFICATIONS ra 1f, N - nm 3, �o. oo a W RAD•r1CA a M... —SPIN _ . NUL 9 • nr, . yy�jj SPA SPECIMCATI =01aw ` ••t' •: .�'.. .w ;•• • • onto -AI• • • • • • • • �. j . �� _ oats Far m011t: mu Or a�esa� m v a 1` • .. .. . , ::'.• P.E. LA QUA OUMMA 3,_0 , • • • • + �. 4 CITY OF DURA '°° '� �,..w 1 •, r 3 BUILDING & SAFETY DEPT. ERCAVAIM i STEEL �Iv -:' •;:' . . . ,•��, 11SFt APPROVED A arwo am 1 , '; • r CONSTRUCTION MISS .. •� °' FOR WINCH 000100S a• 00R CJ ' - 7lr p� l7 los moa IODRMRS ME moo" Am ON= Nom SMI vimSOON � P e� g SAW L0 T 13 UP� .+DATELL.L _ • Not ?' a . aDmoD• oul �. =0 TWA - FF= 65.10 ,~ ft" run . ' - PE=64•.60 - �'. , ' '"' "` a AV. om SAW � PLUMONG ` PLAN 3R A� a a mawLU a wannow al A """-" L.. _ mot F%W - a � a 1 - mum,.... XLLNA� val- r ' -1' y At�ImR1W LAWS tl1O M0 0 Y • , J+ � i•. ,' . . . - ` '; ' , 1 • - • ]R. S D0 UNNa"a N VA.-. � ISO eM !tom FIIICBIC 1.' 1,'n• •• .... • '� •. a l`.T L. onarawm GUtATE aaOmma d •.�r'.i,ti'Y..'�.r,+y• �rt•,ti,•e.••' � �Ma ti. j'• - r � � „ i l �• aotmeA. so EMMONI, . - - .. �.o ,',',•• - - �'•'� a' .. loan ,. � CoLowtvas 029 W-Q•m mil .h - �i•' f ' f '•'• 0101% N' oosN[KwlSAW UM= a wa a aM HANSI a m a COMM 00 USKINK 160PM ADmDIO'IMAXIMANANSI IDmOswR0LISA _ • - • •• f.. , 'A W !' SIR 0DAt WILWIL n LAWS IX SAY ON SO GAO OM at 4 OWm to - - 1.t �' • . • L{, AD AIS MIAMI TO 40% aDOa 011401N, UOO O. 030110118 NAO ANA Qd IN mO Y110 10Om O{ AD CAOA of Wft CRU M•IDOL DOHA ION 10 06M / . M SNOW pg Pow"4s—oa F sun am Ponff No MAY SS; eM ME 0 OU N KNATi We MIAY An mwswmm� 0, ODa MONA MJF MIo< AD D7Aa1 LmOOD AD a NO IS IpOMERM NO DOM COD. SMNt@IG POOL PLAN FOR: • ` �' • NAME SANTA ROSH TRAILS LLC ICI' LA OLIUM ` O •� • • :• _ ROM OFFICE RES LOT TRACT PAGE RM .. • ` NO MM PAGE Na ICITY - E PHONE NM f film SCALE DATE DRAWN BY MLD BY CHECKED BY 94 REVISIONS DATE ` ( SWIMMING POOL PLAN FOR: 1 + • NAME / 2 • • 'r: • SANTA ROSA TRAILS LLC L o 7 3 4 • " STREET SWIMMING POOL PLAN FOR: + • • • *ADD 24 BOX QUEEN PAM • -'. • + + • • • . + + + JOB ADDRESS, )— / SANTA ROSA TRAILS CITYI LA 'QUINTA im S SELECTIONS CONSTRUCTION AUTHORIZATIOR SALES FIMD DIG PRE—GUNITE BOLADERS� DECK �� UNDERGROUND MASONARY f DECK DANDY EBB/PLAS 11IGNAT [PRADMOGE �� Dratnoge and Inigotlon for antero and pate Y CONSULTANT Bin H City of La Quinta T Building er Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 0.5- 286 i Project AddressS? —M S 12QS4411s Owner's Name: �,U ��A L� A. P. Number: Address: /Cos l -� j Legal Description: Cin. ST. Zip: &K�G1J I 9aoay Contractor::. CRISP 0�_Cb (_4A()SVIPe-_ FTelcphone •,., Address: (4 City. ST. zip: ),O 3 XProject Description: cf,/ 4- ( C p& --e C i -i S7)+, .)19 ei Telephon State Lic. # : Arch.. Engr.. Designer: Ciry Lic. ft: (3 ► L F �1- t , Address: City. ST. Zip: Telephone: State Lic. tt: Name of Contact Person: i--1 M POS Construction Type: Occupancy: Project type (circle one): New Add -n Alter Repair Demo Sq. Ft.: d_Q0 a3 1 a Stories: p Units: Telephone # of Contact Person: O stimated Value of Project:Q,() C)() -o-- APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACKING PERMIT FEES Z Plan Sets Pian Check submitted l Item Amount _H Structural Colts. Reviewed. ready for corrections Plan Cheek Deposit Truss Coles. Called Contact Person Plan Check Balance Energy Cafes. Plans picked up Construction Flood plain plan Grading plan Plans resubmitted Y' Review. ready for corrections/issue Mechanical Electrical Suhtontactor List Grant Deed Called Contact Person Plans picked up Plumbing SAM, H.O.A. Approval Plans resubmitted Grading IJV HOUSE:- '"' Review. ready for correetionsAssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees