04-6742 (RPL)0 4W
BUILDING.&'SAFETY -DEPARTMENT.-
P.O..
DEPARTMENTP.O.. BOx 1504 (760).777-70.12
OFTk�9 78-495 CALLE TAMP.ICo FAX (760) 777=7011
LA QUINTA, CALIFORNIA.922,53 INSPECTION REQUESTS (760) 777-7153
,f t
..'BUILDING- PERMIT
Application Number 04-00006742 Date 10/12/C4
Property. Addre.ss... 8-04"00 TORREON WY
..APN: 772-250-997-107 -31.349 -
Application.description.:. -POOL _,.RESIDENTIAL
Property Zoning LOW DENSITY RESIDENTIAL
Application valuation. 17000
Owner. Contractor
` TOLL • CA V CALIFORNIA POOLS & SPAS--"' - - ---
C/O KEVIN D DUERMIT P.O. BOX _.12'80.
:.
8901.E MOUNTAIN VIEW 200'..: COACHELLA CA 92236
_. 558. 98SCOTTSDALE AZ; 79222.
..
WCC: .',..STATE.:FUND
WC: 04600061168 01/01/05.
CSLB..: 65.6128, . 10./31/.0.4.
CCC: - - -
---------------
- - - - - - - - - - - - - - - - - - {q'r`. 1R+R�L4 ----------- - - - - - - - - -
�S C8 C27 C29 �.C53
Permit �0D��Y.
FIC`Aoc �.�MECH POOL
Additional--_resc
Permit. Fee 24.00 Plan Check Fee 6.00
Issue Date Valuation 0
Expiration' Date 10/12/05.
Qty. 'Unit Charge Per ExtensiDn
BASE FEE'15.00
0 9 4 b000:'EA: MECH FURNACE <=10.OK 9.30
Permit BLDG POOL.PERMIT
Additional.desc
Permit Fee. 180:00 Plan Check Fee. .117.D0
Is8ue.Date. Valuation 1700
Expiration.Dat'e 10/12/05
Qty Unit..Charge Per -Extension-
BASE FEE 45. -DO
15.00 9.0000 THOU BLDG 2,001-25,000 135.00
Permit ELEC..POOL PERMIT -RES
`:Additional. desc:
Permt.Fe:e 45.00 Plan Check Fee :.. 11.. 25
Issue Date.: Valuation 0
Expiration Date' 10/12/05
P.O. BOX 1504
78-495 CALLE TAMi'ICO :
LA QUINTA, CALIFORNIA 92253
Application Number._
Applicant:
Applicant's Mailing Address:
CV
BUILDING & SAFETY DEPARTMENT
VOICE (766) 7.77-7012
: FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:
Architect or Engineer.
•Architect or Engineer's Addr s:
Lic. No.:
BUILDING PERMIT DECLARATIONS
I hereby affirm under LICENSED CONTRACTOR'S DECLARATION
penalty of perjufy OW I am licensed under provisions of Chapter 9 (comm anckV with SectJon 7000) of Division 3 of to Bmfslhess and PrOte:tilornNs
Code. and my User Is in 6Al force and effect. r �� Q
License Class License No. lD 13
Dale Contractor
I hereby affirm under penalty of perjury {fiat I am OWNER-BUiLM DECLARATION
exempt kvm the Contractors' state License Law for the lolowkng mason (See. 7031.5. Business and Professions Code: Any
city or county that regrAres a permit to alter. Improve, demolish, or repair any stnrokrrs, prior to its Issuanoe, also requires the applicant for to. Pat" to die a stoned
statement that he of she is licensed purse mt to to provisions of the C.ontntcloie Stab Lioense Law (Chapter 9 (commencing with Section 7000) of DNvkion 3 of the Business
and Pmfessions COO) Or -that he of she Is exempt Cnmefrom and the basis for the atieged WMVGom. Any violation of Section 7031.5 by any applicant for a WmIt subjects
the applicant to a civil penally of not more than 11" hundred dollars (1500).]
U I. as owner of the property, or my employees with wages as ihak sob oompemsa6on, w�l do the work, and {tie stnuturme is not Intended or offered for sorb (Sec 7044.
Business and Professions Code The Cof►bractors' State Lkense lair does not apply Io an owner of property wto builds or improves thereon, and who does the wort'-
hkrtsW or herself or through his or her own employees, provided that the kmprovements aro not Intended or offend for sate. It, however. the buldkq or krprovsrfant is
sold within one year of completion, the owrw4Afder will have the holden of
U 1, as owner of the P�knp that he or ata dId not build or knam ft for the purpose of sorb.).
State Limen not � with licensed contractors b construct the poled (SOC. T04 . Business and Professions Code: The Contraptors'
apply to an owner of property who builds or Improves thereon, and who contracts for the protects with a Contractors) ieensed pursuant to
On Contractors` State License Law.).
U I am exempt under Sea _ . B.& PSC. for this reason
Date Owner
1 "by affirm under WAS' COMPENSATION DECLARATION
_ t have and.wM ymalrA* a cerf>ftca absent io sell4aixri for wrorkes'
Of the work for which Oft Permit Is Issued.. 00 0 as provided for by Section 3700' of the labor Code, for the Performance
I have and will maintain workers' Compensation kmwraroe, as Milked by*Secdon 3700 of the Labor Code, for the perforimmarm o(#* work for which this permit is
iysueq MY Uon.Msuranoe canter and pofi�y�yrt�bef aro:
Gamier �4-f,t7►-P d—ca,. �1 ply Number _ O S�(o/7M
_ I.certify that, in thepertortnaroe of the wok for which this ppm it is Issued; I shah not employ any Peron in any mariner so as to become subject to to workers'
Compensation Lim Of CaGfor ry and agree that if l should becomeobject b Che workers' oompansation provisions of section 3700 of the Labor Code, I shwa
_ comply with Chose Oroviskxhs.
d l!
WARNING: FAILURE TO SECURE WORKERS C014PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (1100.000). W ADDMON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST. AND ATTORNEY'S FEES.
1 thereby affirmunder penalty of p" that Chem is a Construction CONSTRUCTION LENDING AGENCY
Wxft agency for the Pertommense of the work for which this permit Is Issued (Sac. 3097, Civ. C.).
Lenders Name
Lenders Address
IMPORTANT Application Is thereby made to the Director of B APPLICANT ACKNOWLEDGEMENT
1 Each uli ft and Safety for a Permit subject b the conditions and restric ions ant torch on this application.
Person upon whose behaff fids application is made. each person at whose request and for whose benerR work Is performed under or Pursuant to any paint
Issued as a result of this apPkadM the owner, and the apPPkarht, each agrees b, and shall. defend. indemnify ant Pout harmless the City of Le O*ft, its
2
of ioers, agents and employees for any act or omission related to the Avwk peRm
oed under or followhV issuance of this p6mfjL
Any permit Issued as a result of this application becomes null and commenced within 180 days from data of Issuance of such panni, or
cessation of worts for 1130 days will subject Permit b caroell fon.
I certifythat1 have read au ho application rep and state that the above Mf on
is t 10 property ail city s n , and state {Trus relating to buildaho
construction, and hereby authorize representatives of this county er upon toned for h
Signature (Applicant or Agent):
'
Page 2 "
Application Number .
. . 04-00006742
Date 10/12/04
Qty Unit Charge
Per ,
Extension
BASE FEE
15.00
1.00 30.0000
V
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
10/12/05
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
- ----------------------------------------------------------------------------
Permit . . . . WALL/FENCE PERMIT
Additional desc
Permit Fee . . . .
15.00 Plan Check'Fee'
.00
Issue Date . . . .
Valuation
240
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
.Special Notes and Comments
POOL & SPA ONLY. ALARMS BARRIERS SHALL
BE IN PLACE PRIOR TO
PREPLASTER
INSPECTION. EQUIPMENT
ENCLOSURE NOT
INCLUDED IN PERMIT.
R
Fee summary Charged.
Paid Credited
Due
Permit Fee Total
297.00 .00 .00
297.00
Plan Check Total
142.50 00 .00
142.50
Grand Total
439.50 .00 X00
439.50
STONE
ONS F— ; 6 C,,_�
TILE
7fZ cNGrr A A
BOULDERS
i� ri� 7 6 AL
A ISE -INSPECTION FEE
DECK COLOR.i
MA4 > . rJ
WILL CHARGED IF THE APP
PLANS
JANDY�
.- d
AN9 J M A' E N
THE SITE
PEBB./PLAs
k
A
INSPECTION.
SIGNATURE
NO EXCEPTIONS!
r
a
30
LVED
ON
J1 ED
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A