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04-7154 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: j 04 _00.007154 57903 SANTA ROSA TR 762-240-013-3 -30487 - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 20000 T-iht �� VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Architect or Enginee 0A ----------------- I 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: C-27 License No.: 624647 ate: Contractor V 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 _ 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 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 contractor(s) 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: LQPER111IT Date: 5/25/05 Owner: SANTA ROSA DEV 40847 SANDPIPER CT PALM DESERT, CA 92260 Contractor: . CASA VERDE LANDSCAPE MAINT COR 78341 DARBY ROAD INDIO, CA 92203- (909)590-2425 Lic. No.: 624647 ----------------------------------------------- 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 y issued. /t 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 GRANITE Policy Number 9549987 _ 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 // 00 of the Labor Code, I shall /forthwith comply with those provisions. , Date: �i Applicarvz: l V 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. 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 by authorize representatives of this cou/n tonter upon the above-mentioned ,p/ro/party f spection oses Signature (Applicant or Ageml: 4�0_ Application Number . . . . . 04-00007154 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 207.00 Plan Check Fee 134.55 Issue Date' 11/19/04 Valuation . . . . 20000 Expiration Date 5/19/05 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 . . . 24.00 Plan Check Fee. 6.00 Issue Date . . . . 11/19/04 Valuation 0 Expiration Date 5/19/05 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 i Issue Date 11/19/04 Valuation 0 Expiration Date 5/19/05 Qty Unit Charge Per Extension BASE FEE 15.00. 1.00 30.0000 EA ELEC PRIVATE SWIMMING"POOL 30.00 Permit . . . PLUMBING .Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue.Date 11/19/04 Valuation 0 Expiration Date 5/19/05 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 --------------------------------------------------- �.. Special Notes and Comments POOL & SPA. ALARMS/BARRIERS SHALL BE LQPERMIT LQPEMIT Application Number . . . . . .04-00007154 ---------------------------------------------------------------------------- Special Notes and Comments IN PLACE PRIOR TO PREPLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. **PERMIT REPRINTED TO REFLECT CHANGE OF CONTRACTOR. $4.50 SUPPLEMENTAL FEE CHARGED. ----------------------- Other.Fees. . . . -------------------------------------- . . . . . . CHANGE OF•CONTRACTOR --------------- 4.50 Fee summary Charged Paid Credited Due Permit Fee Total --------- 309.00 309.00 ---------- ---------- .00 00 Plan Check Total, 160.05 160.05 .00 .00 Other Fee Total 4.50 .00 .00 4.50 Grand Total 473.55 469.05 .00 4.50 1 LQPEMIT T4ht44Q" BUILDING & SAFETY DEPARTMENT P.O. Box 1504. (760),777-7012 78495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT. Application Number 04-00007154_ Date 1°1/09/04 Property Address . . . . . . 57903 SANTA RASA--TR-� APN: 762-240-013-3 -30487 - Application description . . . POOL - RESIDENTIAL Property Zoning LOW DENSITY RESIDENTIAL Application valuation.. 20000 Owner Contractor e r '--------- SANTA. ROSA DEV {- �` y \� J 'DIAMOND' CREEK POOLS 40847 SANDPIPER CT 78341 DARBY ROAD PALM DESERT CA 92260 INDIO CA 92203 (909) 590-2425 rm-irt WCC: STATE FUND WC:177620802/10/05 q��04 ,,CSLB: 585287 01/31/06 CCC: B1. -C53 -C27 -------- ---=----------------------------------------Per��s?��1 F:�� MECH POOL Additional desc p Permit Fee . . . . 24.00 Plan Check Fee ,�� 0 6 . 0,0 Issue Date Valuation . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.000.0 EA MECH FURNACE <=100K 9.00 -------------------------------------=---------------- �=--•------ Permit . . . . . BLDG POOL PERMIT. Additional desc Permit Fee . . 207.00 Plan Check Fee ,134.55 Issue Date `<�-.-�.Ualuat,ion� l 20000 Qty Unit Charge Per Extension BASE FEE 45.00 18.00 9.0000 THOU BLDG 2,001-25,000 162".00 ---------------------------------------------------------------------------- Permit . . . ELEC POOL PERMIT -RES Additional desc Permit Fee 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . f 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA __ELEC PRIVATE SWIMMING POOL 30.00 ----- -------------------- -- -----Y---- Permit PLUMBING -- Additional desc Permit Fee 33.00 Plan Check Fee ` 8.25 P.O. Box 1504 • 4a" VOICE (760) 777-7012 7ALA QU CALLS TINTA, CALIFORNIA092253 FAX (760) 777-7011 FORINSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: — %/ Date: Applicant: Architect or Engineer: Applicant's Mailing Address: Architect or En ee 's Address* W11X4 Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chap^terr9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my Licensejg in fu rce and effect. S� SD(X / License Class_ k_7 5 S License No._ "f". / l Date �� Contractor 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 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 ssued, My wpprkers' compensation insurance carrier anS�policy numb �y are: Carrier $�L t t �h Q Policy Number I certify that, in the performance of the work for which reit 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 th , if I shout become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall `\ forthwith comply with those provisions. Date it Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION C GE 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 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 that the above information is correct. I a o corn y with all city and county ordinances and state taws relating to building construction,, and hereby authorize representatives of this county to enter upon the ab o -mentioned p perty for inspection purposes. Date I \ t'✓ Signature (Applicant or Agent): Page 2 Application Number 04-0000.7154 Date 11/09/04 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 --------------------------------------7--------7---------------------------- 3.00 Special Notes and Comments POOL & SPA. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IDT PERMIT. Fee summary Charged Paid. Credited Due ----------------------------------------------- .Permit Fee Total 309.00 .00 .00 ---------- 309.00 Plan Check Total 160.05 .00 :00 160.05 Grand Total. 469.05 .00 .00 469.05 70.00 1 M 3 , sl<;Ir cl ata=fill, QCT 3 FF =64.80 PE -64.30 PLAN 2L J L FF -64.B0 PE=64.30 COLOR NAME TILE i5 II J L FF -64.B0 PE=64.30 W 40 whL-11 A DIVISION OF CASA VERDE LANDSCAPE 78-341 DARBY RD BERMUDA DUNES,CA.92203 SHEET Bus, (760) 880-2203 Fax, (760) 360-6725 License# 624647 OF COLOR NAME TILE i5 L,J g Q a CARETAKER AQUA AIR BAR s d V1 � HYDROSTATIC VALVE o a 800) D,C,POOLS Lia. # 585287 N N P O C 760) 880-2203 POOL www,cllamondcreek ools.com pa N U, n, ca a E ao a 0 760) 360-6725 FAX m SOLAR RUN p R SPECIFICATIONS I;Z ( f IJ 0 0 3 o CD I TYPE SIZE X SURFACE AREA OF POOL 1771 MISa SLIDE SIZE PERIMETER DEPTHS MIN, _ MAX n O MODEL COLOR a SPA SP�CIFICATYS ELECTRICAL _ GUNITE INSPECTION REQUIRED: YES NO � W Cn SIZE r X .. SQ. FT. 76 BY LENGTH ft �[ FENCING SPA DAM WALL WIDTH Ar/_ TIME CLOCK SUB PANEL L1J Q Z NO. OF JETS NO. OF LIGHTS IN POOL W J � LIGHT BOOSTER PUMP OUTSIDE G.F.I. LIGHTS G.F.I. OUTLET PRIOR TO PREPLASTER INSPECTION Q 0 CA. AQUA AIR -BAR AND BLOWER EXTRA SWITCH FOR SPA LIGHT U 0� H F - 6" R.B.B. 1 12" R.B.B. ft. 18" R.B.B. ft BLOWER ONLY BLANK OUTLETS Z 4 OTHER RAISED SPA SPILLWAYS LOVESEAT EXTENDED 2nd STEP MOTOR BOOSTER Q V c) SPECIAL NOTES m BLOWER CLEANERLn Z O MISC z COPING CANTILEVER EXCAVATION N = E NOTCHED SPA DAM WALL Q U ESS FROM ACCESS U COPING AND TILE SAP DAM WALL WIDTH ~ ELEVATION COPING WHITE OWNER RESPONSIBILITIES DEEP END RAMP COPING SPECIAL FENCE REMOVED BY TILE TYPE OWNER TO: (1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION FENCE TYPE TILE TRIM MASTIC (2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF LOCAL TRASH REMOVAL LOADS 6" R.B.B. ft, 12" R.B.B. _1 18" R.B.B. CONCRETE REMOVAL LOADS MISC. TREE REMOVAL BY (3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED STUMP REMOVAL BY (4) AGREE THAT CALIFORNIA POOLS IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS, 6 DIRT PAD DECKING AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA , i 6" R.B.B. _1 12" R.B.B. ft, 18" R.B.B. ft. BY UP TO ft WALKOUT/MISC. }� FINISH COLOR PRIOR TO PREPLASTER INSPECTION ROCK PACK EXPANSION JOINTS ^ (6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS -- DO NOT USE RUBBER HOSE) MASTIC FOOTING 0 STEEL CL STEPS TYPE I EXPANSIVE SOIL CANTILEVER W 6" R.B.B. _ft 12" R.B.B. __ft, 18" R.B.B. ft DECK DRAINS CURB CORE a° SURCHARGE DEEP END RAMP DECCO DRAIN DIVING BOARD JIG m LOVESEAT INSIDE ft• OUTSIDE ft PATIO STRAPS AND FOOTING NO. OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE. SPA WALL WIDTH In OTHER Z00 SLIDE INSTALLTION S WALL DOWEL/MISC. SIGNATURE(S) DATE MASONRY T -BARS DECK DOWELS COPING TYPE PLANTER WALL PLUMBING TYPE ft. X ft. FILTER SIZE CAP BACK UP WALL POOL PUMP SIZE FOOTINGS R.B.B. FACING HEATER SIZE FIREPIT TYPE SIZE r m BOOSTER PUMP SIZE EQUIP. WALL TYPE tt• X ft 8 SKIMMER TYPE _ FENCING c) CARETAKER �! OF HEADS MISC. OTHER CLEANER STUB ONLY FILL LINE SLIDE UNE PLASTER m P -TRAP BACK WASH TO LIGHTS POOL SPA GAS LINE STUBS ROPE RINGS EYEBALLS REQUIRED � FOUNTAINS/SPRAYHEADS v W 40 whL-11 A DIVISION OF CASA VERDE LANDSCAPE 78-341 DARBY RD BERMUDA DUNES,CA.92203 SHEET Bus, (760) 880-2203 Fax, (760) 360-6725 License# 624647 OF COLOR NAME TILE i5 LIGHTS IN POOL IN SPA CARETAKER AQUA AIR BAR HYDROSTATIC VALVE SPECIAL EQUIPMENT STUB SET EQUIPMENT m SOLAR RUN DIVING BOARD SIZE SAWCUT AUGER MODEL COLOR MISa SLIDE SIZE a MODEL COLOR a GUNITE _ GUNITE INSPECTION REQUIRED: YES NO POOL COVER SOLAR HTG.: YES . _ NO FENCING ROPE RINGS GRAB RAILS OWNER SHALL MEET ALL LOCAL CODE REQUIREMENTS DEEP END RAMP PRIOR TO PREPLASTER INSPECTION 6" R.B.B. 1 12" R.B.B. ft. 18" R.B.B. ft C" OTHER LOVESEAT EXTENDED 2nd STEP m NOTCHED BOND BEAM COPING CANTILEVER m NOTCHED SPA DAM WALL SAP DAM WALL WIDTH / 1 OWNER RESPONSIBILITIES OWNER TO: (1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION (2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF LOCAL LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT (3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED "''r (4) AGREE THAT CALIFORNIA POOLS IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS, 6 AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA i a (5) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE }� c PRIOR TO PREPLASTER INSPECTION ^ (6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS -- DO NOT USE RUBBER HOSE) 0 CL I (7) TAKE NOTICE THAT THIS DRAWING IS THE SOLE PROPERTY OF CALIFORNIA POOLS AND THAT ANY W USE WITHOUT WRITTEN PERMISSION OF CALIFORNIA POOLS, INC. IS PROHIBITED BY LAW. 8 o m OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE. _j Z00 SIGNATURE(S) DATE W 40 whL-11 A DIVISION OF CASA VERDE LANDSCAPE 78-341 DARBY RD BERMUDA DUNES,CA.92203 SHEET Bus, (760) 880-2203 Fax, (760) 360-6725 License# 624647 OF