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05-5046 (RPL)P.O.. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00005046 Property Address: 77345 CALLE�SONORA APN: 773-252-012-1 -000000- Application description: POOL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 25000 Tl&f " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: ------------ LICENSED CONTRACTOR'S DECLARATION Owner: YOUNG LINDA M 77-345 CALLE SONORA LA QUINTA, CA 92253 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of DiC ions the Business and Professionals Code, and my License is in full force and effect. License Class: j Li ansa No.: (p��( 2 /vara: i �� -S Contractor• - ✓ OWNER -BUILDER DECLARATION 1 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 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.). 1 _ 1 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—) I am exempt under Sec. B.&P.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 TEN POOLS CLARENDON NATL 08KR0000891 618892 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 77.7-7153 03/10/06 05/31/07 Date: 11/-.15/05 ----------------------------------------------- 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. 7t 1 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 C53 Policy Number - - - - - - - - - - - - - - - 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 fort ith comp y with those provisions. D %- Applicant 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. 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 construction, and hereby authorize representatives of this co my to enter upon the above-mentioned grope -forpecti purposes. Da : r-�7-s Signature (Applicant or Agent):. i LQPERMIT Application Number. . . . . 05-00005046 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee. 252.00 Plan Check Fee 163.80 Issue Date Valuation . . . . 25000 Expiration Date 5/14/06 Qty Unit Charge Per Extension BASE FEE 45.00 23.00 9.0000 ---------------------------------- THOU BLDG 2,001-25,000 ------------------------------------------ 207.00 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . Valuation . . . . 0 Expiration Date 5/14/06 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 5/14/06 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'. 5/14/06 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 ------------------------------------------------------------7--------------- Special Notes and Comments POOL & SPA ONLY.•ALARMS/BARRIERS SHALL T Application Number 05-00005046 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 356.00 .00 ---------- ---_------- .00 356.00 Plan Check Total 189.80 .00 .00 189.80' Grand Total 545.80 .00 .00 545.80 LQPERMIT , - Bin # • ' City of La -Quints Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Buildingfermit Application and Tracking.Sheet Per it # i Project Address:' , SO Owner's Name: O lvC A. P. Number: Address: Legal Description: City, ST, zip: L, ' i 2 Contractor: OO Address:E—i A4,� Telephone: 10- CMI -0-121M Project Description: Pt70L 'S City, ST, Zip: CIX 1161. Telephone:gQ�, ���•� � State Lic. # 10O 12- City Lic. #: Arch., Engr., Designer: r Address: J City, ST, Zip: Telephone: State Lic. #: a� *� a x: n Construction Type: Occupancy: yp P : Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: '2 5 '00 0 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal . Req'd Recd TRACKING • I PERMIT FEES (Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading, plan' 2nd Review, ready for corrections/issue Electrical I Subcontactor List Called Contact Person _. Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 1,d 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 t INN TES ALL 1 �' - ; TO COMPLY %7TH TI IF 200: CBC,CPC,CMC AND THE 2001 CFC. NO PYC GAS PIPING ALMWED, USE PF. OR IRON OM Y: . < FENCE TO COMPLY WMI BARRIER REQUIREMENTS PER -2000 UBC.. . R/1,?E7E A WAIJ:OF A DWEI -ING SERVES AS PART OF THE BARRIER, ANY DOOR OR WIND 3W Wi I ii DIRECT ACCESS TO THE POOL AREA MUST 132 LQLWPF.D WIT} t AN ALARM. THE ALARM SNAIL SOUND �ONTg�JOUSLY FOR A MCv'tM{J:1 { Oc :30 SECONDSWrTMN 7 SECGNDS AFI'E,, THE DOOr IS r OPEN -0, THE ALARM MUST BE CAPABLE OF PROV?DING A SOUND PRZ-SSURE I.EVEL Of NC:" LESS THAN ESDB WHEN MEASURED INDOORS AT I0 FEET. ;.Ji its IfAUST BE SELF CLOSiNG.SELF LATCHLYG, AND MUST OPEN A A AY FROM 71 -'T -POOL, IIVCLUEING GARAGE SIDE DOORS: POOL 1MATER MUST VENT POUR FEETAWAY`FROM PZOPERTY .. „ . LINE A1JD"ANY OPENWG WINDOW. r. ANY PORTION OFA POOL LOCATED SEVEN FEET FROM THE TOP OF AN ADJACENT DESCENDING SLOPE SIiAi.L BE DESIGNED AS A FREE STA, DING UNIT NOT DERIVING ANY LATERAL SUPPORT FROM THE ADJACENT SOILS. ' PROVIDE A POOL COVER FOR TIIE POOUSPA PER M TI'RL,:'24 a ENEP.GY MANDATORY MEASURES. T[iE GFd PROTECTED OVTLETNtUS ..BE A lltiNt". I OF !0' FROtvI AND NOT MORE THAN 20' FROM THE 1NMr. WAI I aF TE jr PO('!. ` Pf?R Y12 CEC ARTICLE 6R0 6. AL'- MP`TALOC PARTS OF TFIE POOL STRUCTURE. Fp{JIPMFNI' k 'ALL FTVM METAL PARTS %TTI IN S' OF TI fE POOL MUST BE BONDED PER TIM CEC 011CLP Alm -r) NO VEFMAL AaFEEMENTS APPLY Bio NT END r s aAs The Most Dependable Custom Pool Builder in Southern Califomia Since 1954. Owner approves plan, Pod. equgmenl locations and understands decking is for ABustrabon ONLY. Owner understands (hey are to receive sq. ft. of deekhg per contract. NOT TO SCALE Signed: Date: R1O �C�A76-1,1i\ITAC)9 947-h4.74. t ` STO NAME: ESIGN FOR: ADDRESS: CITY: HOME TELEPHONE w —7 11 .,i")) — �1 I {� - -{ OFFtCE+t: LOT: TRACT: APNe �! MAP BOOK PAGE�� G, CROSS STREET: SPECIFICATIONS i TYPE: SIZE-_ X SURFACE AREA POOL7140— _ PERIMETER: D I c ? t DEPTHS: MIN. 3 lj � MAX 7 �K .1 1 i , SPA SPECIFICATIONS: ELECTRICAL SRE BY: DAM WALL WIDTH: TIME CLOCK SUB PANEL NO, OF JETS LIGHTS M POOL: SPA: SPLIWAY(S): SIZE_ POOL PUMP SPA SLOWER BLOWER: HP WATERFEATURE PUMP: BOOSTER PUMP HP SPA BOOSTER. FREE STANDING SPA . e'; 12' STNS: 13' 2P MSC: MISC: G UNITE ROPE RINGS GRAB RAGS: r R.B.B. 12' R.B.B. - Ir R.B.S. 24'R.88. _ 30'11I.BB. EXCAVATION: LOVESEAT 0(TENDED2MSTEPS: TYPE: NOTCH RAISED BOND BEAM DEEP END RAMP: SPA DAM WALL WIDTH: FENCE REMOVED BY. NOTCH SPA DAM WALL: S'R8.8 12'RBB 13'RB.B MISC 2MB.8 30' R.8 B TRASH REMOVAL (LOADS), CONCERETE REMOVAL (LOADS) TILE • COPING TREE REMOVAL BY: STD. WHITE: .. ,. BIULNOSE BRICK: STUMP REMOVAL BY: FLAGSTONE. OTHER: ' STEEL: TAE GROUP: TLE TRIM: MISC: S' R.8.8. 12' R.8 B. Ir R.B.B 24' RB B. 30' R.8 8. SURCHARGE: DECKING LOVESEAT INSIDE SWMAOUT BY: UP TO S0. FT. SPA WALL WIDTH FINSH COLOR• LMSC. STEPS: CANTILEVER: MASTIC: CURB CORE: PLtAMING DECCO DRAINS FILTER: SIZE AREA DRAINS: POOL PUMP: HP: Sfl. HEATER: BTLrs: PATIO FOOTING SIZE: SPA BOOSTER PUMP HP. WATERFEATURE PUMP. HP. PLASTER: SAW CUT: _P -TRAP- STANDARD: GAS LINE: STUBS: SMART BRITE: SHEER DESCENTS/ RAIN: OTHER' L04TS IN POOL.. IN SPA. SPECIAL EOUIPMENT MISC, DELUXE MAINT KIT: POOL COVER DIVING BOARD- OARDSLIDE: SLIDE; SMARIVAC: OTHER OWNER RESPONSIBILITIES OWNER TO: (1) Delernir* me approxirrmAe elevation of pool of spa at layout on day of excavation. (2) Take notice VW pool and equgmeM location is subject to acceptance of local building depatnenl at tine d issuance of permit. . (3) Wet down concrete shell at kart twice daily for Seven (7) days after shell is installed. (4) Take notice that BLUE HAVEN POOLS IS NOT RESPONSIBLE for: undergmund conditions a objects, and any damage to curbs, sidewlift, drrveways, lawns or other items in access area. (5) See that an lancing, gates, and garage docs meet local codes for a pool enclosure prior to pre -peas er inspection - (6) Fill pool inxn Otely alter plaster. (Follow M191ructloos: do not use tubber hose) (7) NO VERBAL AGREEMENTS APPLY. (8) Fencing to meet ae local code requirements by buyer prior 10 pre-pkslar inspection. Owner approves plan, Pod. equgmenl locations and understands decking is for ABustrabon ONLY. Owner understands (hey are to receive sq. ft. of deekhg per contract. NOT TO SCALE Signed: Date: R1O �C�A76-1,1i\ITAC)9 947-h4.74. t