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05-0145 (RPL)BUILDING & SAFETY DEPARTMENT P.O. Box .1504 (760) 777-7012 -OF 78-495 CALLE TAMPICO n. FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 77T-7 153 BUILDING PERMIT Application Number . . . . Date 1/18/05 Property Address . . . . . . 80380,TORREON WY- - A 772-250-997-105 -31349 App 1 1 cat' description . . . POOL - RESIDENTIAL Prope rt .ing . . . . . . LOW DENSITY RESIDENTIAL ApplicaP.nvaluation 15000 owner 0? Contractor -------- an-: --------- ------- I ----- i ----------- DAN APPIWf0_N PICASSO POOLS,- INC 78078 COUNTRYCLUB DR, 4206 80-380 T2;EON WAY PALM DESERT CA 92211 LA QUINTXV CA 92253 (760) 345-4600 WCC: STATE FUND WC: 1709395 12/01/05 CSLB: 810111 07/31/06 IVN CCC: B -C27-053 -------------------------------------------------- --------------------- 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 . . . . 162.00 Plan Check Fee 105.30 Issue Date . . . . Valuation . . . . 15000 Qty Unit Charge Per Extension BASE FEE 45.00 13.00 9.0000 THOU BLDG 2,001-25,000 117.00 ---------------------------------------------------- 7 ------------------------- 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 1.17 P.O. BOX 1504 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: • O I Date: I' %Q 105- Applicant: Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION Alreby affirm under penalty of perjury that I am licensed2nspe' ovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals and ss Licenyq+c.inl�Il force and effect.nse Class (�� J No. Date I � ontractonQ -C, C� ?6 a l S 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 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 Yof the work for which this permit is issued. 777�� /, 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 issyc. 1y1y work ' compepsation insurance carrier and otic n rare Cartier S- {�C r A Policy Number 1 y 9 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. "Applicant VCLALk 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 ($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. 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 above information is correct. I agree to comply with all city and county ordinances and state laws relating to building /Date tractio n, and hereby authonz representatives of this county to enter upon the abgve-mentioned property for inspection purposes. \ ignature (Applicant or Agent): t ' _ Page 2 Application Number . . . . . 05-00000145 .Date - 1/1'8/05 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 ------------------- — ------------ Special Notes and Comments POOL & SPA. BBQ #3020914. 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 264.00 .00 .00 Plan Check Total 130.80 .00 .00 -130.80 Grand Total 394.80 .00 .00 394.80 t TANNIG SHELF WITH UMBRELLA- SLEEVES TX 7',,BBQENCLOSURE @ 36", STONE TOP FLEX LIGHT & 2 OUTLETS # 3020914 � I A Mnr- Mf%l 11 mrrinIA I i X X 9' SPA ED GOLD QUARTZETF SPILL WAY 'JO AND PAINT EXTERIOR AREA DRAINS ��f�� POOLS- LIC 4t8i01ll POOL 6PEC SIZE: 11' X 32' AREA. 362 SF PERIMETER;101 LF T) DEPTH: 1-1, To -5, 6PA SPECS 7 SIZE: 9'X 6' u- A,REAt 47 IDAMWALL I SF >' lu 11� RAISED Or - Spit -1- TYPE. STAKED -OF GOLD QUARTZITE JETS- 6 EXTERIOR FINISH. 1 MCCO AND DIG/ EL PAINT 0 7YPE; ACCESS:; u DUP RAMP; CONC/501D REMQVAl-! TREE REMOYAL IRRIGATION REPAIR; REE 1_ENGT146; ROCK POCKETS; MWIN FILJER: 3,)n RE pool- pUMP: 2-9HP BOOSTER Pump. HEATER; 4nn1nnn RTi i < TIME1og... SU PANE NE AQUA LOGIC CLORINATO RETURN INI-ETS: i 4 pH F - ChQ SKI/\Aj\AER. AUTO -FI> l-2 GAS Lu u STUB OUTS! CAScADE5- SPRAY HEADS; POO� LIGHTS: 9 - 400 WAIT z SPA 1-IGHTS! PLUMBING SIZE: < STUB SET EQ GUNII DEEP END RA/\AP- 2nd 5Tr:-P; ui I -OV -SEAT jj 1<w 5P11 -1 -WAY TYPE; CANT11-EVER, COPING: RBR:SEES,TEEL 7 - TILE H TILE TYPE; TBD WATERI-INE' TBD p w TII-E TRIM: RBB 71LE;< 0Ju DECKING Lu < cOJLOR: OMAHA TAN _u 5Q FINISH: WSE --- _u (n cn BROOM WALK WAY,*.. CAN711-EVER,; 3 DECK DRAINS; DECCO DRAIN; CURB CORE; STEPS; STEPS FACE; UB BASE; VISQUEEN: BANDING; STAMPED; REI -EASE r MQv\1 STRIP. t NRY COPING `TYPE; RBB FACE: Aw STEPS- ,Lui-u < LYZ �t P/1- EXT WAI-1-5- a PLANTER WA41-5;LUX wR,ETNIG WAI-1-5: GATE TYPE, 0 R&R GATE; z 3611 BBQ 7 -op FINISH; < SIDE BURNER; FACE FINISH: FI-EXI LIGHT.: POWER OUTIZTS° 1_iGHT5 SWITCH; ELASTER PLASTER COLOR; PEBBLE COLOR- Tgn Pool-, 1-IGHTS; SPA LIGHTS: 'k ROJ_LED BOND REAM: EYE BAW-S; 2,1HER FOR < _Pt_AN CHRIS & DAN APPLETON RESIDE CE. ADDR,Ess; 80 � 380 TORREAN WAY LA QUINTA > _QTS 106 R FYI _I6N 5, DATE; (2) DATE DATE: Dote Printed scale 1;1 7 PM 8/18/2004 1_)rrW1nnj6,r T1 InY