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08-1899 (RPL)4 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: t'08-00001899? 81498 JACARANDA^CT 764-280-999-145 -300236- POOL - RESIDENTIAL MEDIUM HIGH DENSITY RES 30000 - Architect or Engineer: -------------------------------------------------- LICEN NTRACT 'S DECLARATION I hereby affirm under penalty of perjury th am licensed under visions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busi ss and4Profei ,and my License is in full force and effect. License Class: C8 C53 e No 31055 al $4i ntractor: /ER 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 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 (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.). (_ 1 I am exempt under Sec. , BAP.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 Owner: JOHN O'DONNELL 81498 JACARANDA COURT LA QUINTA, CA 92253 Contractor: PARZINSKY POOL INC, RICH P.O. BOX 897 PALM SPRINGS, CA 92263 (760)324-5827 LiC. No.: 431055 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/01/08 ------------------ 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 OAK RIVER INS Policy Number 2200051680-081 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 becom c to or rs' compensation laws of California, and agree that, if I should becom ubject to the w e ' c mpensation provisions of Section / R700 of the bor Code, I shall hwith co ith t e ions. i Dati: pplicant: WARNING: FAI URE TO SECURE WO��I ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMJiGAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDIT(166N 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 theWstruction, Pre I agree to comply with all city and county ordinances and state laws relating to builduthorize representatives of this county tgnter upon the above-mentioned property %.�� Sig nat (Applicant or Agent): Application Number 08-00001899 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . 284.50 Plan Check Fee -184.93 Issue Date . . . '. Valuation . . . . 30000 Expiration Date 5/30/09 Qty Unit Charge Per Extension BASE FEE 252.00 5.00 6.5000 --------------------------------------------------------------- THOU BLDG 25,001-50,000 32.50. ------------- Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan,Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/30/09 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 5/30/09 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 . . . . Valuation . . . . 0 Expiration Date 5/30/09 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, -150 L.F. 1 1/2" GAS LINE FOR LQPER 11T Application Number . . . . . 08-00001899 =--------------------------------------------------------------------------- Special Notes and Comments FUTURE BBQ & FIREPIT. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION..EQUIPMENT ENCLOSURE NOT " INCLUDED. Fee summary Charged Paid Credited Due ----------------- ---------- --- Permit Fee Total 388.50 .00 .00 388.50 Plan Check Total 210.93 .00 .00 210.93 Grand Total 599.43 .00 .00 599.43 LQPERMIT u 7 Spa Raised 18" Sit n Spin Style concrete cap and Stucco face, 6jets stacked stone npiUwuv Jocurundo( ipment locution Demo Work: Remove nop|uca access wall I Revisions Date | Selections Stone Boulders Deck color I stucco color Prepared Especially For: Name John & Carol O'Donnell Street 81-498 Jacranda Crt Ci tY La Quinta Phone Cell Phone Office Fax RICH PARZINSKY POOILS C-53-431055 Pn={ ��a -r Length: 33' T Width: 13' 7' 5urFuna Area (\opnox) 334' 38' Perimeter: 82 23 ' Depth: 3.6" to �.6" 3'6" � Height: �. O Spa Specifications: Pool and Spa finish: 7 round, concrete cap, stucco Face 6jwts staggered, stacked stone spillway Waterline tile: undl- 100w light &x��. ^. Raised Tile: Jocurundo( ipment locution Demo Work: Remove nop|uca access wall I Revisions Date | Selections Stone Boulders Deck color I stucco color Prepared Especially For: Name John & Carol O'Donnell Street 81-498 Jacranda Crt Ci tY La Quinta Phone Cell Phone Office Fax RICH PARZINSKY POOILS C-53-431055 Dam Wall: Equipment Wall: 41- 11 Pool and Spa finish: Waterline tile: Raised Tile: 5' Block Wall JetDeck fire pit gas stub Step Trim: Jet Decking:eck Appmxl0OColored Salt 11 �n 171 Cantilever Edge: vvcuhF6urdur F)n)sh_____�n|or______ 3'' Deck Drains (per Lf): ' Deck Drains S' Block Wall Umbrella Sleeves: ' 0oid located drains to street - nJuorpunei location Extra Spa t0Equipmmnt: Raised Spa check valve: BBQ - Dedicated Vac Line: Gas Stub (5 ' u� line Extra over 30: Stub outs: ' Circ Pump I Jet Pump 420 " ICartridge FiihsrVVutarfeuturopump-_______ Existing House Heater `"°""° "`�" Extra pump a/6ewu|k on Pool L)0ht �a side ofhoua 100 Spa light ElectronicsInte|U- u button Jocurundo( ipment locution Demo Work: Remove nop|uca access wall I Revisions Date | Selections Stone Boulders Deck color I stucco color Prepared Especially For: Name John & Carol O'Donnell Street 81-498 Jacranda Crt Ci tY La Quinta Phone Cell Phone Office Fax RICH PARZINSKY POOILS C-53-431055 Bltt # City of La nuino Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet pp g Permit # (; Project Address: 'd J A C, A C4L,1— Owner's Name:JCj 8 /i ', NA.! (---L'L A. P. Number: ' YQ Address: � A-1 b104 Ct>Zr Legal Description: City, ST, Zip: t�itQ pp 1` Contractor: ) t4.+ A R- Z) N S �� ?c3O(- (UNSr Telephone, Address: Project Description: City, ST, Zip: -�/4Lh S /`-t Telephone: ' -2jZ7" . J� Cd Z 7 c.eJ 2—STU!s - F—lit; 66rn wYr State Lic. # City Lic. #: 1"�lrUyt-esr Arch., Engr., Designer: Address: / 7 Z ( (� �-/41 LL City, ST, Zip: P Telephone: State Lic. #: 5461 Name of Contact Person: 5%Z3Z/Q� (�/ 1`J K OLZt ' Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 3 L S Z 7 - % Estimated Value of Project: 30 OGS APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"° Review, ready for corrections/'issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A,I,P,P, Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees