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04-3704 (RPL)�F�Q�rw 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 Number . . Property Addre.ss . . . APN: Application description Property Zoning Application valuation.. Owner WAYNE BELL 57453 SEMINOLE-DR LA QUINTA - CA -92253 -------------------------- Permit . Additional desc Permit Fee Issue Date 04-0;00037,04 Date 4/26 04`;•..., 57453--SEMINOLE DR 762--350-025-36 -29147 - POOL -.RESIDENTIAL LOW DENSITY RESIDENTIAL '24000 Contractor, CALIFORNIA POOLS & SPAS P.O. BOX 1280 COACHELLA CA 92236 398 - WCC : STATE FUND Qty Unit Charge Per Extension BASE FEE 15.00 '2.00 9.0000 EA MECH FURNACE <=100K 18.00 Permit BLDG POOL'PERMIT Additional desc Permit Fee . . . 243.00 Plan Check Fee 157.95 Issue Date Valuation 24000 Qty. Unit. Charge Per Extension BASE FEE 45.00 22.00 9.0000 THOU. BLDG 2,001-25,000 198.00 - ----•-------------- ---.------------------------------------------------------ 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 30.0.000 EA ELEC PRIVATE SWIMMING POOL 30.00 WC: 04600061168 01/01/05 APR 2 7 2004, IU"-CC: CSLB: 656128 10/31/04 C8 -C27 -C29-053 H PbOL-'V� -- ANTA ------------7-------------7-------- ;j. 33.00 Plan Check Fee 8.25 Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 '2.00 9.0000 EA MECH FURNACE <=100K 18.00 Permit BLDG POOL'PERMIT Additional desc Permit Fee . . . 243.00 Plan Check Fee 157.95 Issue Date Valuation 24000 Qty. Unit. Charge Per Extension BASE FEE 45.00 22.00 9.0000 THOU. BLDG 2,001-25,000 198.00 - ----•-------------- ---.------------------------------------------------------ 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 30.0.000 EA ELEC PRIVATE SWIMMING POOL 30.00 P.O. BOX 1504 VO t�a�►N�v ICE (760) 777-7012 CAI.LE TAM►iCo LA QU FAX (760) 777-7011 LA QUtNTA, CALIFORNIA 92253 44 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: — 3 -7 Applicant: Applicant's Mailing Address: Date: 6 q 01 Architect or Engineer. ry6�q� ,--w1rs 02 Architect or Engineer's Ad ress: Lic. No.. BUILDING PERMIT DECLARATIONS 6 30-, LICENSED CONTRACTOR'S DECLARATION 1 hereby alum underf ll perjury riot I am licensed under povisiors a ChapMr 9 (aoim�anefn0 wph Section 7000) a Division 3 a to Business and Professionals Cone. aril my License is k In h iv twos and effect License Class--�� _ License No.—C . � 3 u a O % 7 Date .'-2 -0cortracbr C124 _ arm.. OWNER -BUILDER DE 1 hereby aTION penalty a perjury that 1 am ahmrtpt from tM Contractors' SWM License Law for the following; reason (Sec. 7031.5. Business and Professions Code: Any Wmernt that he k i d r wirty that peb • albr. Ynpova. den+oist>, or repair any Wu tore, prior b ks issuance. also requires fha applicant for ria psma b iM a sipped pursuant a ria meho rs a ria Cortracbrs' State License Law (Chapter 9 (Comrarcing with Section 7000) a Division J a the Business and Pronasions Code) a that he er she k exempt therehom and the basis for ria alleged exemption. Any violation Of Section 7031.5 by any applicant for a permit subjects the applicant b a dvr penally of not more than live hundred doers (ssoo) r U I, as owner a the property. or nvy ornpioyess with wages as their sok compersaion, will dothe wwf4 and the atrtrwrre Is not Itended or ollsre0 for sale (Sec 7041, Business and Professions Cane: The Contracfws' state License L ow does not appy b an owner of property who bt" or improves *hereon, and wto does the work himisalfwithin oar herself or through his or her own employees, provided that the improvements are not Intended or ortered for sale. U. howeyer. the buUM or inpeovernenl is said U Las owner a the year a � , the owner builder will have the burden a proving that he or she did not build or kmprove for the purpose a sale.}. State e License t Law does not oonbac ft with I' m Sed conbaciors b construct the project (Sec. 7044. Business and Protessio s Code: The Conhactors• appy ban owner a property who builds or improves thereon, and who contracts for the projects wM a Contractors) licensed pursuant b the Contractors' State Lke nse Law.). U I am exempt under Sec . BA P.C. for this reason Date Owner 1 thereby affirm under penally of perjury one a the WORKERS' COMPENSATION DECLARATION _ I have and will maintain a certificate of consent to self—insure for workers• a the work for which this per.. Is Issued 00f� ^^ OAS provided as °vided for by Section 3700 the Labor Code. for the peAormanoe _ I ham and w/ maintain workers' wmpersatiort ksurarnce, as required by Section 3700 of the Labor Code. for the performance of the work for which this pet.. Is C My workers• owmpansaion Isuranoe caner and policy number aro: —Policy Number thK It the perfumm 0a of the wtv for which this permt is *sued. I shai not enpby any person in any manner s0 as b beowne b She workers• forthwith coi y Mhsl, lf 1 s houW become subject b the workers' compensation provisiorhs a section 3700 a fhe Labor Code. l shall WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SKALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000). M ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE. MEREST. AND ATTORNEYS FEES. . 1 hereby affirm ender penalty of perjury that therek a construction CONSTRUCTION LENDING AGENCY hit 89encY for the performance of the work for which this permit Is issued (Ser. 3097. Civ. C.). Lendefs Name Lender's Address IMPORTANT Application is hereby r Ode b the Mecbr of APPLICANT ACKNOWLEDGEMENT 1. Each person Spon whose behalf this Building and Safety for a permit abject b the conditions and restrictions set Soft on a" appicaGon. Issued es •result a hhis behalf ft the orrrtion is Vie' �' pew at whose request and for whose benefit work is perormed under or pursuant to any permit of K*rs. agents and employees for any act or omission telaPPSCOK at to the worach k fo. and clap. defend. Indemnity and hold harmless the City a La ouinta. its 2 Any permit Issued as a result a this application becomes null and void lf work raft co�ieno�mlftNnfollowing ddays �m date Sof issuance of such par.. or Cessation of work for 160 days will abject pemrht b caroellafion. 1 eerW that I have read tlhis application and state that the above intorttation Is correct, I gree b comply with ON city and County ordinances and state laws retring to buk%V construction. and hereby authorize representatives of this county to enter upon the above4nentioned property for inspection purposes. Date 7- V L signature (Applicant or Aged - tA1 1L .i. 4•:y.G��1 y 1 1 E yl Page 2 Application Number . . . . . 04-00003704 = Date 4/26/04 --------------------------------------------------------------------------- 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 ---------- POOL & SPA.ONLY. ALARMS BARRIERS SHALL B E IN PLACE PRIOR TO PREPLASTER INSPECTION. Fee summary Charged Paid Credited Due., Permit Fee Total 354.00 .00 .00 354.00 Plan Check Total 185.70 .00 .00 185.70 Grand Total 539.70 .00 .00 539.70 r. 'S CITY OF LA QUINTA SUB—CONTRACTOR LIST JOB ADDRESS IWO/Z�" PERMIT NUMBER : OWNER L 1�4 t BUILDER /1/1 G / F P- l f! SAA , 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 k 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 p....;:.;:;. by applicant. "On File" is not an acceptable response. ::.::.::.::.::.::.::.:<.;:.;:.;:;;;.::.;: 'E'rade ! Giass!#kation Con tractor >::::>::>::>::::>:::«:>::>:::::<:::::>::»>::::<;:>::<:::>::`::::>::::::«:':;>:::>::<;:>'>>>>>><<<[>>>>:>':::>:::>?::»<:>:>:>:::>::>>::;::>::<:>::>:::::<;:::::::>_<:<`>::::»:;:;> State Contr actor s t�cense :::::::::::::>:>::::<:::::<:::>::::<::>:>:::<:::>:::<::::>::<:>::::>::<:::>:::>;::>::::>::::>::::>::>::»:::;;::>:z>:... Workers Cont ansat�tln I p C es s.. ucense.......... an Name 'fi a io LicensNumber E xPDate Carrier NameCom Polic Y Nu tuber Ex P Date License Number . Date - Exp. 'X. 1 e ..ABC -8 1 9 ^zxx xxx 1 x xx xx x / / 1 F n alCo m e. .State u d C P 1 9 1 Format Varies)1 xx x x xx / / 1 x xx x ( 1 xx xx x x / / 1 RTHO:RK;EC<.:,>2f..;:.;:.;;:.;:.:;.: �GGiU I - � 0 2. O -1 ,R. L. i ` D5, � 3 � � Sao � o 0 o � 05 - '�✓ k M15 — 1 ! t / r �C .. _� rr�rart.;t..c� E� � w f 1 fgo3 SS _ 2/ -0 G S -rte c 0 `2 D 2 9 0� —3 r- o n�rr�t>tc>31:;:>:::;><.:< e !�' Chf IZ EAG rw i,��i G i l / ; 35 :>>€ 2M . P: ;ASTER;>.......... G=9 < _ `: . «;;0.::<.;:::: n r .ni 1 / /i ! t `! T QOWINGtX. :C:;3.;;:::.;,:.;;;:.;;;:.;;;:.:::. RING:;t:C.;:..1..51.;:.><> - G.LAING.tC;;:..;.::1:.;:.;;;.;.::::..;;:.;:::. j - PIti.LNTIN:1:C;:33 >' < < RAitih;C<CILE:4::1:.;;:;.;:.;:.: . CABIN..;.;;;;;;,:. t� TEN Cli1[:.::::1 F: n T tANP APIN,G,tC 27 s 2 1 3 -0000132- u8 - J - oy ? "?4bo 7 w r c \ 6'_O " VAI. GAROEN WALL . me _, CE, 36„ NMOE GAlE. — CENTERLINE OF STREET POOL DECK DATE 8 APRIL 2004 A RE—INSPECTION FEE OF $30 R E v I S I 0 N S WILL BE CHARGED IF THE APPED PLANS AND JOB CARD AROT OTON THE SITE FOR A SCHEDULED INSPECTION. e NO EXCEPTIONS! CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FoCqNSTRUCTIO DATE O BY JOB NUMBER Q , • LOT 36 (PGA WEST) 00 • A.P.N.: 762-350-025 POOL SECTION SCALE: 1/8" = 1' _ 0„ �INN b SHEET NUMBER NORTH SITE PLAN SCALE: 1/8" = 1' - 0" POOL LAYOUT I Q U FNNNN0 J D W z O N � M O 1w- - Lf) lD z Z N ZN�C W }: O • W��a Q 0) (O v Z Z 0 L. a La a U a W r 1 (7 H U O v . z az _ a Lo z - aco z E- N i 2 Vj O W Q W Q CL ~ J - d N N Z. O Q S a 771 DATE 8 APRIL 2004 A RE—INSPECTION FEE OF $30 R E v I S I 0 N S WILL BE CHARGED IF THE APPED PLANS AND JOB CARD AROT OTON THE SITE FOR A SCHEDULED INSPECTION. e NO EXCEPTIONS! CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FoCqNSTRUCTIO DATE O BY JOB NUMBER Q , • LOT 36 (PGA WEST) 00 • A.P.N.: 762-350-025 POOL SECTION SCALE: 1/8" = 1' _ 0„ �INN b SHEET NUMBER NORTH SITE PLAN SCALE: 1/8" = 1' - 0" POOL LAYOUT .. ry Q U 0 LL. J J W z O m Llj Lf) J z Z LL Q Q 0 W Lij Lo z � i Ln DATE 8 APRIL 2004 A RE—INSPECTION FEE OF $30 R E v I S I 0 N S WILL BE CHARGED IF THE APPED PLANS AND JOB CARD AROT OTON THE SITE FOR A SCHEDULED INSPECTION. e NO EXCEPTIONS! CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FoCqNSTRUCTIO DATE O BY JOB NUMBER Q , • LOT 36 (PGA WEST) 00 • A.P.N.: 762-350-025 POOL SECTION SCALE: 1/8" = 1' _ 0„ �INN b SHEET NUMBER NORTH SITE PLAN SCALE: 1/8" = 1' - 0" POOL LAYOUT