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04-6929 (RPL)0 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 BUILDING PERMIT Application Number . . . . •,04-0000.6929._.;_ Date 10/25/04 Property.Address . . .- 53900 DEL GATO--DR APN:. -770-370-014- Application 70-370-014-Application description . . . POOL - RESIDENTIAL Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . 25000 Owner Contractor ------------------------ ------------------------ JIM & NANCI DOBBINS BRYAN INVESTMENTS GROUP, INC. 53-900 DEL GATO DRIVE (� 39301 BADGER STREET, #200 LA QUINTA � � GA?9=2�2.5.3N r PALM DESERT CA 92211 OCT 26 WCC: STATE FUND WC: 00090762003 03/29/05 CITY C7i-A Pl9M CSLB: 552140 06/30/06 55T CCC: B - C 5 3 -------------------------------------------------------------- ------------- Permit . . . . BLDG POOL PERMIT Additional desc Permit Fee . . . . 252.00 Plan Check Fee.. 163.80 Issue Date . . . . Valuation, 25000 Qty Unit Charge Per Extension BASE FEE 45.00 23.00 9.0000 THOU BLDG 2,001-25,000 207.00 ---------------------------------------------------------------------------- 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 . . . . . . ELEC POOL PERMIT -RES Additional desc Permit Fee . . . . 45.00 P1an.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 1504ICE VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Q4- d-rl Date:_ 4, 'Zb•d y Applicant: I Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: 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 (common mg with Section 7000) of Division 3 of the Business and Professionals C e, and my Lice is in full fora and effect. icense Class n C6 . `) ( License No. /Date O" Ziontractor 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 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 ftl iss ed. M rkers' c ensation ms a carrier _ I certify at, in the performance of the work for which this pe miitti 5sueed, I shall not of 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 3700 of the Labor Code, 1 shall forthwith comply with those provisions. 1___' Date Applicant WARNING: FAILURE TO SECURE WO S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T AND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, EREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance o1 the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address 1 -T 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, indemnity 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 correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date�t/ ��� O ignature(ApplicantorAgent): Application Number Issue Date . . . Page 2 04-00006929 Date 10/25/04 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. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED 1_ Fee summary Charged ----------------- Paid Credited Due -------------------- Permit Fee Total 354.00 -------------------- .00 .00 354.00 Plan Check•Total 189.30 .00 .00 189.30 Grand Total 543.30 .00 .00 543.30 12/22/2603 66:14 7663469918 December 22, 2003 Mr. and Mrs. James .Dobbins 1041 Marcheta Lane Pebble Beach, CA 93953 Re: 53900 Del Gato Drive Dear Mr. and Mrs. Dobbins, DRM PAGE 02/02 tradition The Tradition Architectural Committee has reviewed your third sub-: ittal of cunstiructi on documents for your Tradition home. The plans were approved subje rt to the fallowing comments: 1, The gate design must be approved prior to construction. 2. A note has been added to sheet A6.1 (exterior elevations; for'/4" radius corners but the details on sheet A9.1 and 9,2 do not refle-: t this. '1" c outsid e corner details and eave details must be softened. You w::.( need to resubmit details showing this. 3. A refundable construction deposit of $5,000.00 is require A prior to the ons n of grading. Please make your check payable to: Traditiu a Community Association: Item #2 will Deed to be addressed prior to the setback inspection. 7: yank you for yow patience in our review of the plans. We look forward to working v; i :It you furdw on the construction of your home and hope you have a great Christmas. Sincerely, The Tradition Architectural Committee Tradition Community Association . cc: Kristi Hanson PCIM/DESERT RESORT PROPERTY MANAGEMENT CC 4PANY POST OFFICE BOX 4772, PALy DESERT, CALIFORNIA 92261.4772. 73550 AUSSANDRO, �F: TIF 5, PAL :4 RESER', CALIFOIN IA 92260 PHOVE: (760) 346-1161 — FAX: (760) 346-991.!