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04-6271 (RPL)r C* �. P.O. BOX 1504 4 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: 5/25/05 Application Number: 10A=0-0006271-.! Owner: Property Address: 57940 SANTA ROSA TR SANTA ROSA DEV APN: 762-240-013-33 -30487 - 40847 SANDPIPER CT Application description: POOL - RESIDENTIAL PALM DESERT, CA 92260 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 22000 Lry Contractor: Applicant: Architect or Engineer:D CASA VERDE LANDSCAPE MAINT COR 78341 DARBY ROAD JUN 0 1 1Qp� BERMUDA DUNES, CA 92201--0 (760)320-8755 CITYQFIr4QUINTA LiC. No.: 624647 FINt: DL -'PT. ------------------------------------------------------------------------------------------------- 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 /� 1 / License No.: 624647 /Date:(o / Contractor: CSV 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 Division3 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.). l _ 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.). (_) 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: 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 Xissued. _ 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 700 of the Labor/Code, I shall forthwith comply with those provisions. Applicant 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 informati ' correct. I agree to comply with all city and county ordinances and state laws relating to building construe ' , an hereby authorize representatives of this/co/u�t tot ter upon the above-mentioned propert 7.in a on purposes. - Dafe' v Signature (Applicant or Agentl: f Application Number . . . . . 04-00006271 Permit . . . BLDG -POOL PERMIT Additional desc Permit Fee . . 225.00 Plan Check Fee 146.25 Issue Date . . . . 9/13/04 Valuation 22000 Expiration Date,. 3/13/05 Qty Unit Charge Per Extension BASE FEE 45.00 20.00 9.0000 THOU BLDG 2,001-25,000 180..00 --------- -------- =-------------------------------------------- =------------- Permit . . . MECH POOL _Additional desc . Permit Fee 24.00 Plan Check Fee 6.00 Issue Date . . 9/13/04 Valuation 0 Expiration Date 3/13/05 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 Issue Date . . . . 9/13/04 Valuation 0 Expiration Date 3/13/05 Qty Unit Charge Per r 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 . . . . 9/13/04 Valuation 0 Expiration Date 3/13/05 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 ONLY. ALARMS BARRIERS SHALL LQPERMIT Application Number . . . . . 04-00006271 ---------------------------------------------------------------------------- Special Notes and Comments BE IN PLACE PRIOR TO PREPLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. **PERMIT REPRINTED TO REFLECT CHANGE OF CONTRACTOR. $4.50 SUPPLEMENTAL FEE CHARGED. (CASA VERDE LANDSCAPE) ---------------------------------------------------------------------------- Other Fees CHANGE OF CONTRACTOR 4.50 Fee summary Charged Paid Credited Due ------------------------------------- Permit Fee Total 327.00 327.00 -------------------- .00 .00 Plan Check Total 171.75 171.75 .00 .00 Other Fee Total 4.50 .00 .00 4.50 Grand Total 503.25 498.75 .00 4.50 LQPERMIT BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 Qty Unit Charge Per BASE 1.00 .30.0000 EA ELEC 1 2004 EE o E PRI VA'�KE QSWsI�MM�IY1 1 FINANCE Extension 15.00 30.00 BUILDING PERMIT Application Number . . . . . 04-00006271 _- .Date 9/10/04 Property Address . . . . 57940 SANTA ROSA TR APN: 762-240-013-33 -30487 - Application description . . . POOL.- RESIDENTIAL Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation-. 22000 Owner Contractor . •----------------------- -- -. -=--------- SANTA ROSA DEV DIAMOND CREEK 40847 -SANDPIPER CT 12965 CENTRAL AVENUE PALM DESERT CA 92260 CHINO CA 91710 (909) 590-2425 WCC:- STATE FUND WC: 1776208 02/10/05 CSLB: 585287 01/31/06 ----------------------------- CCC: B1 -C53 -C27 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 . . . . . . BLDG POOL PERMIT Additional desc Permit Fee 225.00 ,Plan Check Fee 146.25 Issue Date . . . . ' `Valuation'" 22000 Qty 'Unit Charge Per Extension BASE FEE 45.00 20.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 180.00 Permit . . . . . ELEC POOL PERMIT -RES Additional desc Permit Fee Issue Date 45.00 �P1an�Check ee U'a-1-ua-ton'�I�� 11.25 0 Qty Unit Charge Per BASE 1.00 .30.0000 EA ELEC 1 2004 EE o E PRI VA'�KE QSWsI�MM�IY1 1 FINANCE Extension 15.00 30.00 P.O. BOX 1504 /� , w VOICE (7 60) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: Date: Architect or Engineer: Architect or Engineer'S�Adje7j AJ,/ 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 Lic��se is in full (prce and effect. License Class C 11 License No. Date / 3 O 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. , B.& 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 performance of the work for which this permit is iss�tl��i,d. Myylorkers' compensation insurance carrier and polic number ale Cartier .l0.\ Q 1—J��. Policy Number 1 1 G1e Y _ 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 , ' 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date 9 11,310 Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATIO OVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND LAR CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLS ($1 0,000), 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 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 information is corra to comply with all city and county ordinances and state laws relating to building constructionn, and hereby authorize representatives of this county to enter upon th ve m tinned property for inspection purposes. Date + d Signature (Applicant or Agent): Page 2 Application Number . . . . . 04-00006271 Date 9/10/04 -------------------------------------------------------------------=-------- Permit . . . . . PLUMBING Additional desc Permit Fee . . . . 33.00 'Plan Check Fee 8.25 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 ------------------------------------------------------------------------------- Special Notes and Comments POOL & SPA ONLY. ALARMS BARRIERS.SHALL' BE IN PLACE PRIOR TO PREPLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary. Charged Paid Credited Due Permit Fee Total 327.00 .00 .00 327.00 Plan Check Total 171.75 .00 .00 171.75 Grand Total 498.75 .00 .00'. 498.75 I a i 7 0 0 % i 800) D,C,POOLS 760) 880-2203 O O ua. sa6267 760) 60-672 FAX www,cliaLmondcreek oots.coro r W 0 o a Y '—" ; o N 013 pq � N m a E � o ib o c � � 0D M° -° 1 �j 060 awl j f- w dv 3 n p 1,,11 -LP TYPE Q U, F 1 � c X sJ _ SURFACE AREA OF POOL PERIMETER DEPTHS MIN. c MAX, / h Li ON LL I', W'' Z U Q �--� z Q U V z, Lo Z N = U SPA SPECIFICATIONS _�_ X— SO. FT. SPA DAM WALL WIDTH , _ N0. OF QTS _ LIGHT _ _ BOOSTER PUMP CA. AQUA AIR -BAR AND BLOWER BLOWER ONLY RAISED SPA SPILLWAYS SPECIAL NOTES ELECTRICAL BY LENGTH ft TIME CLOCK -- SUB PANEL NO. OF LIGHTS IN POOL OUTSIDE G.F.I. LIGHTS G.F.T. OUTLET EXTRA SNATCH FOR SPA LIGHT BLANK OUTLETS MOTOR BOOSTER BLOWER CLEANER Mlsc. �_ EXCAVATION .- E ACCESS FROM ELEVATION COPING AND TILE COPING WHITE DEEP END RAMP COPING SPECIAL FENCE REMOVED BY TILE TYPE FENCE TYPE TILE TRIM MASTIC TRASH REMOVAL LOADS 6" R•8.8. ft, 12" R.B.B, ft IB** R.B.B. CONCRETE REMOVAL LOADS MISC, TREE REMOVAL BY STUMP REMOVAL BY DIRT PADDECK 6" R.B.B. _ ft, 12" R.B.B..__fL 18" R.B.B. ft• .J 0 NG BY UP TO WALKOUT/MISC. FINISH COLOR _ - ROCK PACK EXPANSION JOINTS MASTIC F001ING STEEL STEPS TYPE • EXPANSIVE SOIL CANTILEVER LOT 33 V R.B.B. __ 12" U.B._ft, 18" R.B.B• SURCHARGE DEEP END RAMP LOVESEAT INSIDE ft, OUTSIDE ft SPA WALL WIDTH In OTHER In WALL DOWEL/MISC. T -BARS DECK DOWELS DECK DRAINS CURB CORE DECCO DRAIN DIVING BOARD JIG PATIO STRAPS AND FOOTING NO. SLIDE INSTALLTION MASONRY Ccr^��C COPING TYPE , PLANTER WALL TYPE ft. X ft PLUM IN FILTER "� SIZE (" a CAP BACK UP WALL FF= 6 4' 10 C _ %� /�' iii p o E. L 6 6 v ❑ ��J//�� PLAN 3 R SKIMMER » SPA RAISED AT* -�-- 18 POOL PUMP ZE BOOSTER PUMP t�yE SKIMMER TYPE CARETAKER $ OF HEADS' OTHER CLEANER STUB ONLY FILL LINEAL SLIDE LINE P TRAP BACK W TO GAS LINE STUBS FIXINTAMS/SPRAYHEADS LIGHTS IN POOL_ IN SPA HYDROSTATIC VALVE STUB SET EQUIPMENT SOLAR RUN FOOTINGS R.B.B. FACING FlREPIT TYPE SIZE EQUIP. WALL TYPE ft X FENCING MISC. b I PLASTER LIGHTS POOL � SPA ROPE RINGS EYEBALLS REQUIRED COLOR NAME TILE CARETAKER AQUA AIR BAR SPECIAL EQUIPMENT DIVING BOARD SIZE s SAWCUT AUGER MISC. MODEL COLOR SLIDE SIZE a . 4'- I MODEL COLOR POOL COVER SOLAR HTG.: YES — NO a O GUNITE --= GUNITE INSPECTION REQUIRED: YES NO ROPE RINGS GRAB RAILS DEEP END RAMP 6" R.B.B._ft�12" R.B.B. ft• 18" R.B.B. ft'OTHER XTENLOVESEAT EDED 2nd STEP47/8" NOTCHED BOND BEAM COPING CANTILEVER FENCING PNRINORRSHALL MEET ALL TO PREPLASTER INSPECTION AL E REQUIREMENTS NOTCHED SPA DAM WALL SAP DAM WALL WIDTH �--� OWNERRESPONSIBILITIES 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 (4) AGREE THAT CALIFORNIA POOLS IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS, AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA (5) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE PRIOR TO PREPLASTER INSPECTION (6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS -- DO NOT USE RUBBER HOSE) (7) TAKE NOTICE THAT THIS DRAWING IS THE SOLE PROPERTY OF CALIFORNIA POOLS AND THAT ANY USE WITHOUT WRITTEN PERMISSION OF CALIFORNIA POOLS, INC. IS PROHIBITED BY LAW. M ` M " J L+! d 6 , OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE SIGNATURE(S) DATE FINISH SCHEDULE NO. QUANTITY MATERIAL DESCRIPTION s 1HE-INSPECTION FEE OF $30 GARAGE 2 ILL BE CHARGED IFIF E APPROVED GF= 63. 6 � . � � 3 PLAN n' 4 THF SITE FOR A 1, 5"oT IU, 7 - c"b- . 0 LL `''a cn J 10 � 1 GARAGE r Q 0 CN.- REVISIONS Delta Date By Description of Change GF=63.60 n- BUILDING $! S!" F I Lf l-1` • .. • . Q t"h I. 1 i -d1 ti 4 lOJi V i U) o ACLICONSUL""ANT" 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