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05-2502 (RPL)P.O. BOX 1504. 78-495 CALLE TAMPIC0' LA QUINTA, CALIFORNIA 92253 Application Number: C05-00002502 Property Address: 7! CALL_E NOGALES) APN: 773-325-001-26 -000000- Application description: POOL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 16900 Applicant: Architect or Engineer: tl2/L\ cTok- BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of hapter 9 (commencing with ion 7000) of Division 3 of the Business and Professionals Code, and Lic�igsg is ''{� full force and effect. License Class: C - License No.. 'S V '( Do p6te: Contractor: d w�s t�j► s 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 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 he 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.). ( ) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: 1 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: POWER FINANCE P.O. BOX 134 NTA, CA 92253 - e JUN 23 2605 Co . tt PI AZO POOLS & SPAS NY OF L4 C: EXEMPT FICIE DEP. WC: EXEMPT CSLB: 836900 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 05/31/06 04/30/06 Date: 6/21/05 WORKER'S COMPENSATION DECLARATION 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: / C er C53 Policy Numbw--------- - - ---- 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 3700 of the Labor Code, I shall forthwith comply with those provisions. Date- Applican fL�� C fA -L d 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 J$1 00,000). 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to build* g construction, and hereby authorize representatives of this county to enter upon the above-mentioned prope for inspection purposes. Date: Signature (Applicant or Agent): Application Number . . . . . 05-00002502. Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 180.00 Plan Check Fee 117.00 Issue Date . . Valuation 16900 Expiration Date 12/18/05 Qty Unit Charge Per Extension BASE FEE 45.00 15.00 9.0000 ------------------------------------------- THOU BLDG 2,001-25,000 ----.------------------- 135.00 ---------- Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26:00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date 12/18/05 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 12/18/05 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 12/18/05 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 . . . . . 05-00002502 Special Notes and Comments BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary ----------------- Charged Paid -------------------- Credited -------------------- Due Permit Fee Total 284.00 .00 .00 284.00 Plan Check Total 143.00 .00 .00 143'.00 Grand Total 427.00 .00 .00 427.00 LQPERMIT A I SWIMMING POOL SPECIFICATIONS POOL SPECIFICATION Poe: Ij4 Q),JZd:,uAF5side: 112 X;Zze surface area perimeter. &7 -M - depths: min. -b"a . max. 5'- 0 SPA SPECTFICATTONS size: &a!_LXbtob surfaccarm perimeter. dam wall widtii.-_L�& length: 4- ep spa raised:+ 15L06K-VJALL- spillway type: -n t -F— # ofiets:. 4 notes: EXCAVATION / STEEL type of dig: 'b08CA-r — access- PIE elevation: -r 1&. D - wall/fence removed by: wall/fence w a conc.removal: sod removal: tree/stump removal: 6"r.b.b. 12"r.b.b.4' —018"r.b.b. surcharge.:Tr. 6ench/loveseat 5FVA, IeAl5eb tanning shelf water depth Ya _0) J/ GUNITE 6"r.b.b.-- 12"rb.b.,-J �-Q 18-r.b.b. benchAoveseat extended 2' step: spa dam wall width: -enTieV *--rer,* spillway type: -nL-F- DECIUNG SQ.FT. OT110Z 5, isli: colon cantilever _expansion joints: steps: type: deck drains: decco-drain: curb core: sand&visqueen: • TILE & MASONRY coping type: CA&MLJWDECK spillway ripe: Til E 6"r.b.b. --: 127rib.b.4'- 6 18"r.b.b. r.b.b. facing: Irl t�f— -trim-tile: UJ tile type: -T. equipment wall: X type CITY OF LA QUINTA PLUMBING & ELECTRICAL size: ? fill line: AL)"M BUILDING & SAFETY plumbing skimmer typ -111 "g,►I 11c —�- - # DEPT. 'APPROVED gas line: V clect.line: 4 • heater. - . size: cco FOR CONSTRUCTION filter. CL U CLIJ!a ot size: 5-2-040 CA IM 1,114 c�VC- V-' IrL C�o size: I - 5 94 F p pool pump- jet pump: sue: DATE ------- sub -panel: time cloc GFIC. - �13Y GFIC. AT _V-40 I P, extra pool light: $(� Lt .. light:- t W LD gas stubs: —ideastubs: plaster. —color A RE -INSPECTION FEE OF $30 pebble: color. WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON 4- NAME - 014 THE SITE FOR A SCHEDULED Job address:77-4 075 6A"6 �00& L"e-S INSPECTION. LA Qjw—rA City: NO EXCEPTIONS! scale: ZA 10 date: (a n5 -A CITY.0 .LA QUINTA SUR -CONTRACTOR LIST JOB ADDRESS I1•(.-75 Cgjk 6c�, - S PERMIT NUMBER057-25-0:, OWNER b'%4EZ_TF1,XJAA)GE_ BUILDER This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing 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. Fal � to COMDIV will result in a stoppage of work and/or the voidance of building permit... For each applicable trade, all information requested below must be completed by aoolicant. "On File" is not an arrentahl,- rpQnnnn--Qn Trade / Classification Contractor State Contractor's License %1 Yorkers C pensation Insurance City Business License Company Name Classification. (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xxlxx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp.' Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C-12) PtCAA?.o C-11) s4®AAL?C7_,L,S I✓' S- o 3 0c� .� S-31 CONCRETE (C-8) FRAMING (C-5) ' STRUCT. STEEL (C-51) lG /vOea S L° • 3' ®d MASONRY (C-29) PLUMBING (C-36) LATH, PLASTER (C-3 ?1LAzo6g —' ®L. JCA.LL, C •,S 9-3 ,9Oa ,� ,�•� •�®�� — �-- E�P�Y� �'�P' �� . (. 'd �, . DRYWALL (C-9) HVAC (C-20) ELECTRICAL (C-101 A.?_c%0 c.S $ Q� �� ROOFING (C-39) SHEET METAL (C-43) FLOORING (C-15) GLAZING (C-17). INSULATION (C-2) SEWAGE DISP. (C-42) PAINTING (C-33) CERAMIC TILE (C-54) i CABINETS (C-6) FENCING (C-13). LANDSCAPING (C-27) POOL (C-53) .i �L. �'Ir l L.S ® `12.� 3' ,o�� .(=6�Ab� 5=��.•®�s t 11.4•��