05-1921 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 05-00001921
Property Address: 57845 SEMINOLE DR
APN: 762 -380 -019 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 26000
Applicant:
Architect,or Engineer
------------------
LICENSED CONTRACTOR'S DECLARATION
d -4t 4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
JUN 0 9 2005
CITY OF LA QUINTA
FINANCE DEPT.
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (com th
Section V s and Professionals Code, and my,L' . .
r
of the Busine� No.: ��c and effect.
License
,,�D.t.p,:J��onvactor:
V.NER-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
constr6ct, 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 C�ontractor'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, 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, Bus'Iness 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, 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.1C. for this reason
K_ 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:
LQPERA11T
Owner:
MEAD DAVID
10319 TIGRINA AVNUE
WHITTIER, CA 90603
VOICE (760).777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/03/05.
Contractor:
CANYON VIEW POOLS, INC.
WCC: AU INS
WC: 00500024508 01/01/06
CSLB: 779165 05/31/06
1_'
-----------------------------------------------
WORKER'S 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 of the work for which this permit is
issued.
I h val and will maintain I Url r� y7nsation insurance, as required by Section 3700 of the Labor
'Re Or(l_ k -
for t rrfc for which this permit is issued. My work compensation
'f
for t e ri� r are:
Num
carrier A -B 0 cy ber M0 �gw
I certify ttV, in the p6rf�ormance%LVW 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 th t I h Id bnm_e sAe�t to Ihe rkers' compensation provisions of Section
a snou wo h th - - .
3700 of the Labor lode t provisions
,- 41e�-4
�Icant:
V
WARNING: FAILURE TO SEC ERS' CO ERAGE IS UNLAWFUL, AND SHALL
WORK
OMPENSATIO Cc
0'
SUBJECT AN EMPLOYER TO 71'11INAL PENALES AND CIV116NES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). 1 1 N 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 folio ' wing 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 abo ormayd-n sAcor;;ct.aul agree to comply with all
o
.I,gFaut
city and county ordinances and state laws relating to buildin co ruc' P, ;".Iu . thorize representatives.
of th ount o enter up th bo - ntioned propert or i e" _ . S.
a"
on
�Siu2me(Ipplviciin,"or AgeAnt): _U
Application Number .
. . . .. 05-00001921
Permit .. . . . . .
BLDG POOL PERMIT
Additional desc
Permit Fee . . . .
258.50 Plan Check Fee
168.03
Issue.Date
Valuation . . .
. 26000
Expiration Date
11/14/05
Qty Unit Charge
Per
Extension
BASE FEE
252.00
1.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
6.50
Permit . . . . .
MECH POOL
Additional desc
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . . .
0
Expiration Date
11/14/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00.
1.0,0 11.0000
------------------------------------------------------------------
EA MECH FURNACE.>100K
11.00
Permit . . . . . .
ELEC POOL PERMIT -RES
Additional desc
Permit Fee . . . .
45.00 Plan Check Fee..
.11.2S
Issue Date
Valuation . . . .
0
Expiration Date
11/14/05'
Qt�r Unit Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000,EA
---------------------- 7 ------------------------------------------------------
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
.11/14/-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
EA PLB GAS PIPE 1-4 OUTLETS
3.00
--------------------------------- --------------------------------------------
Special Notes and Comments
POOL & SPA ONLY. GAS
STUB FOR FUTURE
I
LQPERMIT
Application Number . . . . . 05-00001921
----------------------------------------------------------------------------
Special Notes and Comments
APPLIANCE. ALARMS/BARRIERS SHALL
BE IN PLACE PRIOR TO PRE -PLASTER
INSPECTION. EQUIPMENT. -ENCLOSURE NOT
INCLUDED IN PERMIT.
Fee summary Charged' Paid credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee total 362.50 .00 .00 362.SO
Plan Check Total 194.03 .00 .00 194.03
Grand Total S56.53 -.00 .00 556.53
LQPERIMIT
05/31/2005 11:19 760-320-3667 CANYON-VIEW/SAUNDERS PAGE 04
FAIRWAYS ASSOCIATION
1.(), 2005
T.'AT' r) -avid Mead
1031.9 Ti&a Avenve
Whitoer CA 90603
R�: 57.8.45 SlexninOlc r)nv-
D,ck, rim Pit Applicaftoll,
Poo� Spe., WA-Umay,
the Arr e
.hjtecttgq 1/1,� n &CAP
n requested by
Th=k you for tewxOing tl'c ""F'tfnatio abtiOh-
Cc)njj!6jtreC, Approval is given for yovi to beon inRt
dation. Officc and 914111k Wi.tb
if y E;hould. jjq.VC any gucs".0f.1"S pleasc conUtct the A850
Nancy pjfj�inson at �60) 776-5100 ext 334,
T .
7 1hJ alx* you,
4 Myr�o I
M, tz'
Co-uun'ttre Member
C ('01-Timittec
For the ArchitecturfLI/LandwAr
Cc: Canyon Vir-w POOL
320.1667
post otlic . e . Box..1 69'0,, La QuiPM, C1,1ifornia 92247s Pbolftc'(760) 776�51 00 - Jax (760) 7'7(i-.51 11
05/18/2005 16:,11� 760-32,0"3667
PL
plisz
CITY PERMIT FLAN n y
SCALE 1/8" 1 FT -
CITY OF LA QUINTA
BLY'LDING & SAFETY DEPT.
APPROVED
'Rock waii/waterfalll FOR CONSTRUCTION
1610 AVO-�
/11MONNEW :L_— -By-`&---' I P L
Pool
12'8 '0
31'0
4> 417 SF
95 LF 4-
-27-
j-18" Beno 6
20'5
spa @ +601
0 U 7'0
Ste—
lExistft planter area/plan TO 610
Do not remove plant Gas Firepits lava roo
ANSI Z.21,58-1995/CGA
SleaVa all planters Existing Patio
Alarm all exterior doors Do Not Domo
Legend:
OU Umbrella Socket
Skimmer
Auto -fill
Mead Residence
V vacuum Port
57845 Sem"no]6 Drive
Ught
Scale in Feet Bill Noble P/L Property Llne La Quinta, CA 92253
— Office: 760 T78 2700 FA Planter area
0 1 2 . 3 4 5 6 Cell; 760 250 4290 Lot 60 'Pasadena @ PGA West
CANYON VUW POOLS
3465 La Compana. Way, #4 760-778-2700
Palm SpTings, CA 92262 '760-32()-,3667 Fax
Licerise 9 779165 -
Drawn/ReAsed by
Date
K Tnompson
Y=5
MATCH LfNE
05/18/ 2005.. 1&.'.11 7607320'-3667. �ANYON'-�IEWSAUKDERS7. PAGE' 03
DrawnTRe7lsed by Vate
K. Thompon
WTCH UNE
Ap�roxlmate
Pipe rury
lExtra pump for waterfaill
!Aqu'a-Rtt� Salt system!
Cab
138 L'F Spa to Equip
17' 35 LF Equip to gas
tit
415 -7 7-o
eM1rj()L-je