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04-4124 (RPL)T44f 4 4 QUA& - BUILDING•& SAFETY DEPARTMENT 3ox 1504 (760).777-7012 5 CALLE TAMPICO FAX (760) 777-7011 1INTA, CALIFORNIA 92253 INSPECTION REQUESTS (760.) 777-7153 BUILDING PERMIT Ap�Z�iE"a`t Number . . . TF-roperty Address APN: Application description Property Zoning.. Application valuation 04-00004124 Date 5/17/04 L.----57895 -SEMINOLE" DR 762-380-020-61 -29147 - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 40000 Owner Contractor' LEWIS ARLEY AZURE POOLS AND SPAS 57895 SEMINOLE DR P. -O. BOX 10641 LA QUINTA CA 92253 PALM DESERT CA -92255 (760) 322-7665 WCC: STATE FUND WC: 0001705.853 03/01/05 CSLB: 802919 01/31/06 ---------------------.------------------------------------------------------- CCC: C53 Permit MECH POOL .Additional desc Permit Fee. . . 24.00 Plan Check Fee 6.:00 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/17./05 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 349.50` Plan Check,Fee 227.18 Issue Date . . . . Valuation 40000 Expiration. Date 5/17/05 Qty Unit Charge Per Extension BASE FEE 252:00 15.00 ---------------------------------------------------------------------------- 6.5000 THOU BLDG 25,001-50,000 97.50 Permit . . . . . . ELEC POOL PERMIT -RES Additional desc Permit Fee . . . . 45:00( Plan Check Fee 11.25 Issue Date . . . . Valuation 0 Expiration Date. 5/17/05 Qty Unit Charge Pet Extension P.O. BOC 1504 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: a7 — w>(4 I Date: _ Applicant: Applicant's Mailing Address: n1 ,,,, C.hzI ,,t Architect or Engineer: Architect or En r' ress: Lic. No.: tsUILUING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. �D 9/ License Class _ Ir -13 License No. Date S_ 47-0¢. Contractor /t Z(Jire- Fjd 4- %3 PA,,_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. , B.h P.C. for this reason Date Owner WORKERS' 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. _ 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 ssued. M w ers' co pensation insurance carrier and polic nu ber are: t� Carrier Sril-- I �L//Ij� ___,..Policy Numb f, /�n �� S _ I certify that, in the perfornance'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. Date S -r%^ Dd- Applicant �.PC WARNING: FAILURE TO SECURE W KERS' COMP ATION 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 penally 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.). Lenders Name Lenders Address IMPORTANT APPLICANT ACKNOWLEDGEMENT 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. I. 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, indemnity 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 cethat 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 con truction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date r� �T d Q Signature (Applicant or Agent): ar�.ca •,vr- ,a,, f Page 2 Application Number, 04-00004124 Date 5/17/04 Qty Unit Charge Per i f Page 2 Application Number, 04-00004124 Date 5/17/04 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 5/17/05 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 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA..BBQ ANSI Z21--58A-1998CAN/CGA-1.6M98 ALARMS BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. Fee summary Charged Paid Credited Due Permit Fee Total 451.50 .00 .00 451.50 Plan Check Total 252.68 00 .00. 252.68 Grand'Total .704.18 .00 .00 704.18 f PGA WEST,. 00A FAIRWAYS A.SSOCIA'IION ` May 3, 2004 L _ 'Mr. Arley Lewis 23906 -A Deville Way Malibu, CA 90265 RE: 57-895 Seminole Drive Pool. Spa, BBQ Dear Mr. Lewis:' - At the April 19"', 2004, ArchitecturaVLandscape Committee meeting the committee reviewed.and approved your plans subject to conditions which -have been met by your contractor, Azure Pools. However, final approval will not be given as we have not received your construction deposit in the amount of $8,000.00 or your application fee in the amount of $100.00. Upon receipt approval will be given for Azure Pools to begirt installation. If you have any questions, please feel free to contact this office. ` Sincerely, t -� 1 1 Nancy% , CACM, CCAM Association Manager ND/ncp CC: Azure Pools & Spas Jam.. Post Office Box 1658 • La Quinta, Califomia 92253 • Phone (760) 776-5100 - Fax (760) 776-5111 i 1 i AZURE POOLS & SPAS PO BOX 10641 - PALM DESERT, CA 92255 (760) 322-7665 LIC# C-53 802919 - POOL & SPA SPECS POOL SIZE: 16'X 35' POOL AREA: 551 SF POOL PER: 113 FT POOL DEPTH: BEACH TO 5' SPA SIZE: TX 9' SPA AREA: 55 SF SPA PER: 29 FT DECK AREA: 792 SF COLOR/FINISH: PUMP: 3- 2HP FILTER: 420 SF HEATER: 400 K BRU CONTROL: JANDY RS 8 CHLOR: AQUARITE SALT CHLOR PEBBLE: TAHOE BLUE WATERLINE QUARTZITE POOL LIGHT: 2-400 W SPA LIGHT: 1-100 W RBB: MISC: LEWIS RESIDENCE ADDRESS:.5.7-895:SEMMEO D] iir- CITY: LAQ UINTA LOT #: L BOULDER WATERFALL - MAX 36" HI TANNING LEDGE - SPA +18" WITH BOULDER SPILLWAY STUCCO AND PAINT SIDES SPA AIRLINE SIX JETS TERRA COTA COLOR CONCRETE BROOM FINISH DRAINLINE TO STREET NP/ v T NOTE: EQUIPMENT LAYOUT ON PAGE 2 - UNDERWATER BARSTOOOLS - QUARTZITE COUNTER WITH 8" OVERHANG ON BOTH SIDES 4'-0" R SKIMMER - AUTOFILL - SUMP PUMP BEACH ENTRANCE SUNKEN..BBQ AREA WITH BBQ SIDEBURNER AND REFRIGERATOR 6kmd°i ETAIL _ FLEX LIGHT SIDE BURNERS DUNTER TOP _ . L ..J f BBQ UNIT POWER OULET r y ETAIL _ FLEX LIGHT SIDE BURNERS DUNTER TOP _ . L ..J f BBQ UNIT POWER OULET