The URL can be used to link to this page

05-0395 (RPL)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 Number05-00_0.0.0.3-9.5 .Date 2/14/05 Property Address 53065 AVENIDA NAVARRO APN: .774-064-026-3 Application description description POOL - RESIDENTIAL Property Zoning COVE RESIDENTIAL. Application.valuation 10000 Owner BERGENE HUGH SAME 53065 AVENIDA,NAVARRO LA QUINTA ' Cir Biu -------------------------- Permit Additional-desc Permit Fee 'Issue Date FEB 14 2005 TY OF LA QUINTI Contractor SUNKIST.POOLS & RENOVATION 255 N EL CIELO RD #600 PALM SPRINGS CA 92262 --7f 0) 327-9422 EXEMPT EXEM?T 02/28/06 6724.53 03/31/05 C53 117.00 Plan Check Fee 76.05. Valuation . . . . 10000 Qty Unit'Charge Per Extension BASE FEE 45.00 81.00 9.0000 THOU BLDG 2;001-25,000. 72.00 Permit ELEC POOL PERMIT -RES Additional desc , Permit Fee 45.00' Plan Check F=_e'.' 11.25 Issue.Date . . Valuation 0 Qty Unit Charge Per Extension BASE FEE . 15 . 0,0 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 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 ----- P.O. BOX 1504.4 " 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: On - lip Applicant: Applicant's Mailing Address: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date:- O s Architect or Engineer: 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 (commencing with Section 7000) of Division 3 of the Business and Professionals g.ode and my Licep9se is ull force and effect. / -7 tri License Class C �a cense No. i� 7 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. _ 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 Policy Number 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 3700 of the Labor Code; I shall forthwith comply with those provisions. WARNING: FAILURE TO SECURE WORKERS' PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANU 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 K /�, Lender's Address I` 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 infor iscorrect. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county ent " p n the above-mentioned property for inspection purposes. ate �l��G S�re (Applicant or Agent): POOL. ALARMS/BARRIERS SHALL BE_'INsPLACE e POOL SPECIFICATION 1 SIZE ......L7... X�. ....... SHAPE #_./.3'. 3 ....:.......:. DEPTH ....... ° ... TO VOL.I�a�f..i+l.1•F'.. .4.36 I CODE 9 . /i��..:. $' �f..9......................................... EXCAVATIONr�^ GRADING 6 .. ......... ....RAMP J�iiylG+fat �i:'G RAISED BCI D BEAM .... ........................... SWIM OUT .........:....... ..... .. GRABRAILS b..................... SPA°. 13� .... T.....� ,9c � 4,fa7MISC i. .�....: STEEL SWIM OUT ...... _..... . ,....: LOVE SEAT V ................. DEEP END STEPS........ :RAISED BOND BEAM ........................................................ SPA & .................................. SURCHARGE ............. _..... PLUMBING. �F INLETS.?................................ FILL LINE ;94. :7.V....... POOL SWEEP ti ......... _..... ..:.... MISC................... . SPA PLUMBING ;MAIN DRAIN RETURN .�.............. INJECTORS' .........................._. MISC. jam...................... BONDING GRAB RAILS . ................... SLIDE M......................... DIVINGBOARD)...................:............:................................ OTHERS 11p ...................... 1 L) EQUIPMENT FILTER vCO......G.Tj�i,............................ FILTERATION RATE...'.......................lG.�.......... G.F PUMP ..................... Z. HP CHANGE ............. 4.57 HRS. MAX. ... HEATER 19 .......... .. ... SPA TEMP. CONTROLl................... .... LIGHT .... � r POOL SWEEP(.. DIVING BOARD ......:.:...................................:................ ... .... . SLIDE......... GRAB RAILS .. :..:..... ... ...... MISC. KZ........................ yy� GUNITE SWIM OUT u. LOVE SEAT k...... DEEP END STEPS . .. .. SPA ...V .................. GRABRAILS`,.... CUP ANCHORS.` .............. RAISED BOND BEAM iS .. ..................... ...... ............... SURCHARGE Wit. ' ... .. WEEP HOLES ZS,.......... MISC. M .. ........... ........ ................................................. TILE A COPING TILE 6719102 . COPING %!�i11. �....... �/E TER F %1, MISC. y.... ..... Q...y.......,A............................................:..... L/ COLOR ( CUP ANCHORS 4...... . MISC.. _: ..................... ELECT. BY...... ............................... MISC. 7, GAS BY ..................... MISC. . ....................... .... ..... ....... .......... :.... ADOITIONAL NOTES ... . ............ ..... ..... ... .......... ................ 0 .. . .. ... . . ... ' ..... .................. .�_ ........... W OWNFSRSa=�/r'lq�ii� ADDRESS Sy3 �Et1�_t��Nr! rI�^>fN/$FRIQE NCITY4(0 Li f M.. .. ...... . .................. H S-( Y ONE-^g� T�SSCZ .0 E .-7.y ..�...... /fF�1 S' -7% i.-'< R JOB DIRECTIgN -F-10 ..Tcj...Gt// SJfi %.t.�( T!?.!� ..5........... Take tQ . d... G9leS.... o.v .9t/Pfq .(��J i ........... APPROVED BY . . . ... . . ........................... S��O. �1/ �GG'1��lld��v •. 1 H Ju—ts WNER 0 BUILDERO'�Cif�� ✓��5 A PERMIT NUMBER' 40B DRESS p This form shall be posted on the job with the Building Inspection Card at all times in a conscicuous pla'c'e. ly persons app --•- aring On this list. or their employees are authorized to work on this .job. Any changes to this list must be approved by -the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of buildingpermit. For each applicable trade; all information requested below must be completed by applicant. "On File" is not an acceptable response.- <::'ss.L ::>::i::»:::«�::{u4>::> �::>::i::::>:z;:;>s>::>::s::;:;:::;:::>:::;:z::>::::::>:>::i::i::i::>::i::>:�:;<:isz:::>::5;5:%;i ' s�f�cat�on Trade / Clas :::�:i:::Y�::�>:<:::»;:<:>::>::>::»::>::::s::;::>:z�i>:::;<`::>:::i::�::�>:�:;:�:�:�::�:�i:�::�::�:�:::»:z: Contractor s a e Cafittactot s License t t ;:;:q/.:�>:::s::>::i:::_:::»»::>::_::�:�::::>::>::>;;:i::;::>::>::»>:z:::;»::»::>::>::::;t>::>::»>:::t:::�i:�:�::�:5:%:::;:�ii:�i`5:�:::�:;:�::�;:�::�r�»:<:>::::>::»::Sit>::>::>i::::i::>:<�:»:;�:::>:::<:>::::::::>::>::»;;::;::::>::>::::;:::>::>::>::r;:>::: kers GbFIS e nsat�c n Wot B p 'sin ,c. . Company 'a"n Name P Y - i n as ificat o CI s 1 e. .A B C-8)) 9- License Number xxxxx x _ 1` Ex .Date P �c xx , x xx l I 1 1 Carrier Name - CaICo m e and e. .Stat F ) 9 P Polic Number Y ormat Var ies 1 F ) Exp. P xx xx ( xx/ / b License Number 1 xxx x ) Exp. Date xx x x 1 xx / C I. � VJ //'� /V�/ V/ L ................::::.;:.::::.....::....;:.:::::::.;;::::::::.: : S 7 y /65 0 -65 7 tig1 R Pl aST>rE.0%, .:.::: L(G, l l( j - >QRYs1NA t.:.t.:...1 . V L�`.GFI;G:Ai,;(:;»::>�»;:::»:::<:>::: + / 0 G G� ? r� 5 7 �/ /. � .. .. C .. , Y CMIIAf.G.; E iEr> :G'.W<`><<`: G " - f .• .. � LAN SCAPING IG 271 _ r � � _ r k• . �t - _ k