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05-2864 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05=00002864-1 Property Address: 57654 SANTA ROSA TR APN: 762-240-013-23 -30487 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 20000 Applicant: eolV 7X4 C,7_0 Architect 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ca a or JUL 2 0 2005 CITY OF LA QUINTA FINANCE DEPT. 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. License Class: License No.: ate: Contractor:� ��P*'� OWNER -BUILDER DECL_ARR'AATI`ON, 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).: (_) 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.). - (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. 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 contractorls) licensed pursuant to the Contractors' State License Law.). ( ) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: 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: LQPERAIIT Owner: SANTA ROSA DEV 40847 SANDPIPER CT PALM DESERT, CA 92260 Contractor: CASA VERDE LANDSCAPE WCC: GRANITE WC: 9549987 CSLB: 624647 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 MAINT COR 09/05/05 08/31/06 Date: 7/11/05 ----------------------------------------------- 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 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, and agree that, if I should become subject to the workers' compensation provisions of Section 3/7000 of the Labor Code, I shall forthwith comply with those provisions. ate: j Applican&- 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 1$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. I certify that I have read this application and state [ t the above information is correct. I agree to comply with all city and c uhty ordinances and state laws relatin o building construction, an by authorize representatives of thi ounty to enter upon the above -mention property for inspection poses. te: Signature (Applicant or Agent): J Application Number . . . . . 05-00002864 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 l BLOCK WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. LQPERMIT LQPE"IrT Application Number . . 05-00002864 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 SPECIMATIONS ra a co70co so= M"slU Pafl1 d ima w 1 m1i V OQ' z SPA SPECIFICATIONS um . - I !� aLl�nPs sr emme.sf nsas milt H[i O v "a VMVAM swwm fmRlm Cm •C CKMG EXCAVATION STEEL • • • esm q latest amt ale . .:lam � oa c - •♦ y Lqt Pa mna nI PCO mn swan t[ PLf ' �. ..� SON= loaf DPW Btf i mos P� � �gw Irma- ,h e. a y l I Pm NIPDm MASONRY aall Psi tam wmm •'001 a'p wumfn rs. � mw ^na as Puw a j Mow— a mals _ a lL Pi lam° mug Iwe L 0 T 23 - ��,�.���{}}}}{'' c+e ll E-•.�/j I 'o f �f` ta% ]� a S � a �S � • B ILDING &�}'{gSAF\E'TY DEFT. _� n � � ,L,� •lt nt PasasswntAl �� UMWA 4 .. _ APPROVED LSD - t FOR CONSTRUCTION # , r .m wma,ea _mw asar®Iss IVAS lots a ao FENCING . 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FOR: g `. •. DATE 1 • .1< ti NAME . .r.i , 2 ' ^aT SANTA ROSA TRAILS LLC (_O �''`/b` 3 STREET i SWIMMING POOL PLAN FOR: 4 1 JOB ADDRESSI $ - S� SANTA R❑SA TRAILS CITYI LA QUINTA r� S it CONSTRUCTION AUTHORIZATI SALES FIELDDIG �1 STONESELECTIONS _ L _ �� �ULDERS PRE—GUNITE DECK COLOR c.• , ."* ' -x r'' 4 t• `r .y UNDERGROUND MASONARY uwDY PEBBJPLAS •r6 . y 4i DECK CONSULTANT TG; TORE DRAINAM NMOralnape and Uri adan I- antero and pate, by 1 A X A X bin # Permit #05 - 2 86 City of La Quinta Building at Safety division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (160) 777-7012 Buildinh Permit Annliratinn !knA Project Address: s?4Sl f S &'Q'rA 12gsq -VANS Owner's Name: -9,v-(-A A9A T9 94 I L� -�/ t� n A. P. Number: TRACKING Address: /Cos /M M� �,� Legal Description: Plan Sets City. ST. Zip: EA)CIN 1M -C CA 9aoay Contractor::. CAS FTelephone X _ O 92 �• �. Address: -'?—L3(4h Project Description: e00 Lv? d. �/.�, 7 1/9 - City. ST. Zip: -1 3 W /7 C �" &� C, 77--Z- �,,,),gv,2i �nfaco ephon 990`x-03 t'3 LF (f I eLic.p: 6 c-��� L Cin• Lic.:h.. Engr.. Designer: Called Contact Person Address: ` City. ST. Zip: Enemy Calcs. Flood plain plan Telephone: Plans picked up Plans resubmitted Construction Type: Occupancy: State Lic. it: Name of Contact Person: A L CAM Project type (circle one): New Add -n Alter Repair Demo iPV—� Sq. Ft.: g-vo 4 k Stories: R Units: Telephone # of Contact Person: XEslimaled Value of Project: APPI MANT- nn ntnT wnivr- I X08 Iq Submittal Req'd Reed TRACKING PERMIT FEES Z Plan Sets Pian Check submitted ltttn Amount Structural Caics. Reviewed. ready for corrections Plan Check Deposit Truss Coles. Called Contact Person Plan Cheek Balance Enemy Calcs. Flood plain plan Plans picked up Plans resubmitted Construction Mechanical Grading plan V Review. ready for corrections/issue Electrical Suhcontactor List Called Contact Person Plumbing Grant Deed Plans picked up SAM. ! II.O.A. Approval Plans resubmitted Grading IN HOUSE:- Planning Approval Pub. Wks. Appr School Fees "' Review. ready for corrections/issue Called Contact Person Date of permit issue Developer Impact Fee A_I•P.P. Total Permit Fees X08 Iq