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12-1421 (RPL)P.O. BOX 1504 a VOICE (760) 777-7012 78-495 CALLE TAMPICO ' FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Q— INSPECTIONS (760) 777-7153 , BUILDING PERMIT Date: 12/11/12 Application Number: 12-_00001421 Owner: Property Address: 79145 SHADOW TR VLADIMIR GINEVSKY APN: 649-030-069-9 -31310 - 79145 SHADOW TRAIL Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: HIGH DENSITY RESIDENTIAL (760) 771-3345 Application valuation: 28000 Q Contractor: Applicant: Architect or Engineer: MELO POOLS INC 1 101 74991 JONI DRIVE PALM DESERT, CA 92260 CITyOFI-,gQUINTA I /L (760) 834-5885FINANCEf)EPT. t �^ Lic. No.: 954374 ------------=------'-------_---------------------=--------=------------------'--- LILSED ,CON ACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury the I am licensed der provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) o Division 3 of the Busines Profession Is Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License CI s: 53 icense No.: 954374 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: L, 21/ 71 ctor: - _ 1 have and will maintain orkers' ci mpensation insurance, as required by Section 3700 of the Labor _ Code, for the perfor nce of th work for which this permit is issued. My workers' compensation V ER -B ILDER DECLARATION insurance carrier and olicy num er are: I hereby affirm under penalty of perjurmpt from the Contractor's State License Law for the - Carrier E EMPT olicy Number EXEMPT following reason (Sec. 7031 .5, Busineions Code: Any city or county that requires a permit to - I certify that, in the per ormance of he work for which this permit is issued, 1 shall not employ any construct, alter, improve, demolish, orcture, prior to its issuance, also requires the applicant -for the p rson in any mann r so as to b ome subject to the workers' compensation laws of California, permit to file a signed statement that hnsed pursuant to the provisions of the Contractor's State - d agree that, if I ould eco subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing000) of Division 3 of the Business and Professions Code) or 700 of the Labor shall rthwith comply with those provisions. thatheor she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by J any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: f icant: , (• 1 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 WARNING: FAI U TO SECURE 0 ERS' C MPENSATION COVERAGE IS UNLAWFUL, AND SHALL ` Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRI IN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDIT TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN, improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR C E, INTEREST, AND ATTORNEY'S FEES. ' 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.). APPLICANT ACKNOWLEDGEMENT ( 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and -Safety for a permit subject to the _ 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. r property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this applicati is made, ea h person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pu suant to any ermit issued as a result of this application, (' ) I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, nd shall defe d, indemnify and hold harmless the City • of La Quints, its officers, agents and employe s for any act r omission related to the work being performed under or following issuance of this ermit. ' Date: Owner: 2. Any permit issued as a result of this applicati. becomes nul and void if work is not commenced within 180 days from date of issuance of su permit, or c sation of work for 180 days will subject CONSTRUCTION LENDING AGENCY permit to cancellation. 1 I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the - I certify that I V his application and state that the bo nformat n is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and co ts and state laws relating to buildi g tru itiXn and hereby authorize representatives this c un y on the above-mentioned property or ectio p rposes.Lender's Name:Date: ature (Applicant or Agent): Lender's Address: LQPERMIT Application Number . . . 12-00001421. Permit . . BLDG POOL PERMIT Additional desc- Permit Fee 271.50 Plan Check Fee 176.48 Issue Date Valuation 28000 Expiration Date 6/09113 Qty Unit Charge Per". Extension BASE FEE 252.00 3.00 6.5000 THOU BLDG 25,001-50;000 ,19.50 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan. Check Fee 6.50 .Issue Date . . . . Valuation 0 Expiration Date 6/09/13 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 6/09/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.0.0 30.0600 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- 6-/09/13 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, INCLUDES 15 L.F. 21' GAS LINE. LQPERMIT CITY, OF LA QUINTA'SUB-CONTRACTOR LIST '44 . �7 q 145 SWC n-64 PERMIT NUMBER OWNER. BUILDER. JOB ADDRESS _11(o _?c�01&- This form shall be Oosted*on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing od this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement ncement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "Un Hie- is not an acceptable response. a on Trade 1 Ciass'fic' ti Contractor, .. ...... ... ... ... .'S tato: 'ati:' 1risuriinde Worker ns on "U's I C. iti B* nos L Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xxlxx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp, Date �x EARTHWORK (C-2 V4 3 �-7(t3 , 4, q,;' E'--- 143411, L I -e-7-5 Jf, (S ��y 00 . CONCRETE (C-8 07 f V C) f (4 FRAMING'.(C-5)'-.::'-:: - STRPCT.-: STEEL- (C-51) L) a? Te 0 77�L3 -_431 117 S TA -7 d �,e4il' /0 MASONRY (C•29) 'Po 0 414. �-_Y_3 s6s )/1) PLUMBING L NG'(C-.30' (�o ?00) -3 6S -b 7J)l3 LATH; PLASTER (t.�.35) - DRYWALL (C-9).::,.. *AC (C -20V,:.:;>::: ELECTRICAL. (C=10) ;' do — 's 9 yq (e(ee ��T - ROOFING AQ 739): ..SHEET METAL (C;'43):.-`:' FLOORING (0-:15).:. GLAZING (C -!.T7):.:--. INSULATION SIC -2) SEWAGE* DISP(0-42). PAINTING (C-33) CERAMIC TILE (C-54) CABINETS (C-6) 7 FENCING (C713) LANDSCAPING POOL (C-53) Bin.# City of- La Quinta Building &r Safety Division P.O. Box 1504,78-495 Caffe TamptCID La..Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Perinit # Project Address. �. (�� O � . Owner's Name:. A. P. Number. Address: .7q �� Legal Description: Contractor. � Op S �_ C.ST, Zip: ��F • as-) i e? . Telephone: Address: �� ( dit Project Description: City; ST, Zip: vliL 1-2 v' L f ' 02 Telephone:960 City Lia #; State Lie. #: Arch., Engr., Designer: Address: City'., ST, Zip: Telephone:1" State Lic. #: ........... Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Name of Contact Person: Telephone # of Contact Person: Estimated Value of Project: Q, . APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted - �� (p Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Plan Check Balance Titre 24 Cales. Pians picked up Construction " Flood plain plan Pians resubmitted.. Mecharitcal Grading plan 2ad Review, ready for correctionstissue Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN ROUSE:- ''d Review; ready for correctionsfissue Developer Impact Fee Planning Approval. Called Contact Person A.T.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees desert C®ye. Wo ners ss®c �t®n C/o Go"Coast Enterprises, Inc,. Property Wanagement + November 28, 2012 Vladimir Ginevsky 79-145 Shadow Trail La Quinta, CA 92253 ' i Dear Homeowners: Your request to install a swimming pool acid spa .was reviewed by the Board of Directors and subsequently approved as per the submitted plans. " It is understood that any disturbed ` landscaping must be renewed after the. construction. , On behalf of the ,Board, I thank you, for your cooperation and wish you well with this improvement. Sincerely, For the Board of Directors Desert Cove HOA _ JerUffelman, Manager' cc. Board �of Directors r 75-178 Gerald Ford•Suite 0-1* (Pafm (Desert, CA 92211 * (760)2024880 (760)202-9260 Eae r DESERT COVE HOMEOWNERS ASSOCIATION Architectural Improvement Application and Review Form ; Unit/Lot,Owner Li S� ©tIotO' - l Vz-41 1( Date Property ,Address �%� %4 K/ 14� in W -C' l Phone .b O V -a Nature of -Improvement N�`� ���) �n° A- ' Color (if applicable) oo s and Spas • " New Pool & Spa Conshction Location (if applicable) Replasterl Pebble Finish Pool Service&Repairs Water Features x ` Dimensions (if applicable) ., Fiepil,IBBQ s r Deck & Floors Construction Material- (if applicable) Remoaeliings Supp lierApproximate Cost (One (1) set of plans, if necessary, of all improvements must be attached to this application to show location and dimensions) - % Ile 1,9 1,si Poo l Send to : Desert Cove HOA 7�0 ' Architectural Review Commitee Gold Coast Community Management l 0 75-178 Gerald Ford Dr. Ste B-1 ! Palm Desert, CA 2211 � so J pQu u� Q, �.G Date Submitted .f Signed i For Internal Use Only. -Date Received ` - t Inspection on (if Necessary) Inspected by Approved on Disapproved.on Reason for Disapproval Y PROJECT DATA EXISTING c 5' HT. WALL w OWNER: �' U3 I ALL Bladimir ginevsky +18 POOL 75' LIN. FT. SPA V DIA. PA r POOL DECK 175 SQ. FT. EXISTING WHITE PLASTER FINISH CONC. PATIO EW Al 5� pirP p —.o r 40ar6RAIN WATER LINE TILE � �� M-� z��-�� • EXISTINGs ^.: ti �^ �•.Y CONC. WALK •� ..,.,.�..,.,.,� ° • �• -------------------------- ------------------------- '........................,...,........,........,........,......�......................... %. EXISTING Y NSW CONC. WAL -CONC. WALK. COVERED i 1: m A/C UNIT A/C UNIT PATIOLu EXISTING 5' HT. WAL / / �� ❑ 5' u oz EXISTING GATE Pool Plan ELECT�'� METER EXISTING - 5' HT. WALL - - - 79145 SHADOW FRAIL - - - - - - - - - PROJ.# MP -16 DATE 11/14/12 SHEET NO. P-1 v ui i Lo N 04 O M 3 _ O -0a U a � s� U uo V! CY Z Q � J C7 PROJ.# MP -16 DATE 11/14/12 SHEET NO. P-1 ui aJ Lu w O a PROJ.# MP -16 DATE 11/14/12 SHEET NO. P-1