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05-0185 (RPL)9 t��ft�ctl BUILDING & SAFETY DEPARTMENT ,. (760).777-701.2 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7,153 Ow; Pj0• "B�O�� 1504 €78495►1;A�LLE TAMPICO SLA(("QppUINTTA, CALIFORNIA 92253 i Rpr. BUILDING PERMIT Application Number" . . . 05-00000185 Date, 1/21/05 Property.Address . . . 80376 OLD RANCH TR..S APN: 762-240-999-66 -30834 - Application description . . POOL _ RESIDENTIAL Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . .27000'° Owner Contractor SOUTH POINT CONSTRUCT. TOPMAN BUILDERS -80376 OLD RANCH TRAIL SO. P.O. BOX 10202` LA QUINTA CA 92253 PALM DESERT CA 92255 (760)...772-7296 WCC: COMBINED SPECLT WC: 005-D0025671. 01/01/06 CSLB": 455121 11/30'/05 CCC: B-C2D 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 . . . . '265.00 Plan Check Fee 172.25 Issue Date Valuation 27000 Qty_ Unit Charge Per Extension BASE FEE 252.00 2.00 6.5000 THOU BLDG 25,001-50,000 13.00 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 ------------------ Permit . . . . . . PLUMBING ------------------------------------------ Additional desc " Permit Fee 33.00 Plan'Check Fee,. 8.25 P.O. BOX 1504 Tw!t 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: Architect or Engineer: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: /'r-�O->' Architect or Engineer's Address: A / /a� Lic. No.: FT BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION affirm under penalty of perjury that I am licensed and provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals and my License i§ in full force and effe `Z l p Class �j icense No. 4�S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury at I am empt 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 con ct, a er, 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 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: 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 wo�( kggrs' compensation insurance carrier and policy number are: Carrier (700%;k 11 ) zv_ I nL j Policy Number_- Q�P 1 _ I certify that, in the berformance of for which this permit is issued, I shall not emp y any person in any manner so as to become subject to the workers' compensation laws of California, nd agr a that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi ions. ate Zlic WARNING: FAILURE TO SECURE ORKERS' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED DUSAN DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, TERES , 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 Mnfon is rect. I agree to comply with all city and county ordinances and state laws relating to building traction, and hereby authorize presentatives of this po a above -me boned property for inspection purposes. t7 Date � �<Signature (Applicant or Agen SPECIFICATIONS TYPE GUN6TE SIZE 341 X 121-011 SURFACE AREA OF POOL 370. S o PERIMETER 89 DEPTHS MIN.—,31-611 MAX. 5-01' SPA SPECIFICATIONS " ICAL SIZE 71 X 7/ SQ. FT. 38 PER. 221 BY LENGTH ft. SPA DAM WALL WIDTH_ TIME CLOCK SUB PANEL # OF JETS # OF LIGHTS IN POOL LIGH11 BOOSTER !PUMP OUTSIDE G.F.I. LIGHTS G.F.I. OUTLET CA. AQUA AIR -BAR & BLOWER EXTRA SWITCH FOR SPA LIGHT BLOWER ONLY BLANK PLUGS RAISED SPA SPILLWAYS MOTOR BOOSTER SPECIAL NOTES BLOWER CLEANER Misc. EXCAVATION TYPE PAGE ACCESS FROM COPING & TILE ELEVATION COPING WHIITE DEEP END RAMP COPING SPECIAL FENCE REMOVED BY TILE TYPE FENCE TYPE 11LE TRIM MASTIC TRASH REMOVAL, LOADS 6" R.B.B. ft. 12" R.B.B,_ �� _. ft. 18" R.B.B. ft. CONCRETE REMOVAL LOADS MISC. TREE REMOVAL BY STUMP REMOVAL BY _ DECKING BY UP TO sq. ft. DIRT PAD 6" R.B.B. ft. 12" R.B.B. ft. 18" R.B.B. �ft. WALKOUT/MISC. FINISH COLOR ROCK PACK EXPANSION JOINTS MASIRC FOOTING STEEL STEPS TYPE EXPANSIVE SOIL CANTILEVER 6" R.B.B. ft. 12" R.B.B. ft. 18" R.B.B. ft DECK DRAINS _CURB CORE SURCHARGE DEEP END RAMP DECCO DRAIN DIVING BOARD JIG LOVESEAT INSIDE ft. OUTSIDE ft. SLIDE INSTALLTION SPA WALL WIDTH in. OTHER in. WALL DOWEL/MISC. MASONRY COPING TYPE PLUMBING PLANTER WALL FILTER SIZE TYPE ft.' X POOL PUMP SIZE CAP BACK UP WALL ft_ HEATER T _ SIZE FOOTINGS R.B.B. FACING BOOSTER PUMP - .-, SIZE SKIMMER TYPE CARETAKER # OF HEADS OTHER CLEANER STUB ONLY FIREPIT TYPE SIZE EQUIP. WALL TYPE it. X FENCING _ µ MISC. FILL LINE SLIDE LINE _ PEBBLE. P -TRAP BACK WASH TO GAS 'LINE STUBS LIGHTS POOL - SPA _ FOUNTAIN S/SPRAYH EADS ROPE RINGS EYEBALLS REQUIRED LIGHTS IN POOL IN SPA COLOR NAME TILE STUB SET EQUIPMENT SPECIAL EQUIPMENT SAWCUT AUGER DIVING BOARD SIZE MISC. _ MODEL COLOR SLIDE SIZE GU N I TE GUNITE -INSPECTION REQUIRES YES NO ROPE RINGS GRAB RAILS DEEP END RAMP 6" R.S.Q. ft. 12" R.B.B. ft. 18" R.B.B. MODEL COLOR _. I POOL COVER SOLAR *EATING YES NO FENCING TO MEET ALL LOCAL CODE REQUIREMENTS BY BUYER PRIOR TO PREPLASTER INSPECTION LQVESEAT EXTENDED 2nd STEP OTHER NQTCHED BOND BEAM COPING CANTILEVER SAP ;DAM WALL WIDTH NER RESPONSIBILITIES NER TO: (1) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATION IS SUBJECT TO ACCEPTANCE OF LOCAL BUILDING DEPARTMENT AT TIME rolOF ISSUANCE OF PERMIT (2) TAKE NOTICE THAT PLATINUM POOLS IS NOT RESPONSIBLE FOR: UNDERGROUND CONDITIONS OR OBJECTS, AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA (3) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL, CODES FOR A POOL ENCLOSURE PRIOR TO PREPLASTER INSPECTION (4) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS,DO NOT, USE RUBBER HOSE) (5) TAKE NOTICE THAT THIS DRAWING IS THE SOLE PROPERTY OF PLATINUM POOLS AND THAT ANY USE WITHOUT WRITTEN PERMISSION OF PLATINUM POOLS IS PROHIBIT1 D BY LAW. OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE. SIGNATURE(S) DATE SIGNATURES '" _ DATE I SWIMMING POOL PLAN FOR: NAMES LOT 63 STONE CREED RANCH , STREET 57-855 STONE CREEK TRAIL EAST CITY LA QUINTA JOB ADDRESS STONE GREEK RANCH APN-# TRACT # HOME LOQ 63 PAGE MAP BOOK PAGE # MAIL ADDRESS , CITY CONSTRUCTION OFFICE PHONE # SCALE: 1/811=1 s -019 DATE: 9-8-04 DRAWN BY. JOHN iSOLD BY: JOHN CHECKED BY - Y:1/811-11:01/ I Page 2 Application Number 05-00000185 Date., 1/21/05 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 367.00 .00 .')0 367.00 Plan Check Total 197.75 .00 .00 197.75 .Grand Total 564.75 .00 .00 564.75