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05-0659 (RPL)BUILDING & SAFETY DEPARTMET"T P.O. BOX 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION,REQ.UESTS'.(760) 777.-71`_3 BUILDING PERMIT lication Number . . . ,f05-.0-0000659-' Date 2/24/05 Property Address 79381 SIERRA VISTA - APN: 604-44.0-046-46 -27519 - Application description.. '. POOL - RESIDENTIAL Property Zoning . . . . . . . .LOW DENSITY RESIDENTIAL Application valuation 22000 R Owner Contractor ANDRADE JOHN BLUE HAVEN POOLS *NOT ON FILE 2318-S. VINEYARD AVENUE (A) UNKNOWN CA;99999 ONTARIO CA 91761 WCC: SPIEGLER k WC: 07KR0000891 03/10/05 CSLB: •618892 05/3=/05 CCC: C53 ----------.------------------------------------------------------------------ Permit . . . . . . BLDG POOL PERMIT Additional desc Permit Fee . . . . 225.00 Plan Check Fee 146.25 Issue Date . . . . Valuation . . . . 22000 Qty Unit Charge Per Extension BASE FEE 45.00 20.00. 9.0000 ----------------------------------------------------------------'------------ THOU BLDG 2,001-25,000 180.00 r. Permit .. . . . . . MECH POOL ; Additional desc Permit.Fee . . . . 24.00 Plan Check Fee -. ,_ 6.00 Issue Date . . . . Valuation 0 Qty. Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 ---------------------------------------------------------------------------=- EA MECH FURNACE <=100K 9.00 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'.0000 ------------------------------------------------------------------------- EA. ELEC PRIVATE SWIMMING POOL 30.00 Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 33.00 Plan Check Fee 8.25 P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-701 1 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0T L96-5-9, I Date: 3- 3— c,,!3 - Applicant: Applicant's Mailing Address: 4�(7-iC�,c� G p Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING 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. ✓Lice3 nse Class C 'S Li nse N5/ 61* Y4 Z ��ate 3-3�5 Contractor [ 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.). L) I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' 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 Yof 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 .5 i sued. My workers' compensation insurance carrier,andpolicy number are: arner �I �L&K— Policy Number r/ 0 )c2 00 oc fns _ 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 forthwith comply with those provisions. ate —3—n5 A,,plicant ` 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. 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 7V M Lender's Address 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 county to enter the abo e -mentioned property for inspection purposes. Signature (Applicant or Agent)-/ ` + _ I Page 2 Application Number . . . . . 05-00000659 Date 2/24/05 , 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. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE-PLASTER'INSPECTION_. �. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited, Due r----------------- -----------=---------------'--- ---------- Permit Fee Total 327.00 .00 .00 327.00 Plan Check Total 171.75 .00 :00 171.75 Grand Total 498.75 .00 .00 498.75 n e The Most Dependable Custom Pool Builder in Southern California Since 1954. CUSTOM DESIGN FOR: NAME: .SLV i\`� �WQW7�F�'{ `JL ADDRESS:- 1(�� " �T,►.�S E��jF��G, y }%� CITY: _. LA ax I 1 A O sJQ'C HOME TELEPHONE •' �Q 315 A ' ^s AS OFFICE# - LOT: TRACT: APNY MAP BOOK PAGE CROSS STREET. SPECIFICATIONS I I TYPE: SIZE:ioX SURFACE AREA POOL Q �_ PERIMETER: q� DEPTHS: MIN � AX� SPA SPECIFICATIONS ELECTRICAL: SIZE BY. DAM WALL MOTH. TIME CLOCK: SUS PANEL: NO OF JETS LIGHTS N POOL• SPA. SPILLWAYS) SIZE: POOL PUMP SPA SLOWER. BLOWER: HP WATERFEATUREPUMP BOOSTER PUMP HP SPA BOOSTER. FREE STANDING SPA • 6'. 12' STUBS. MSC. It ' -24- MISC GUWTE POPE RINGS GRAB RAILS 6'R88 12, Aa B. IrAes.- 241R .2t'R 8 B JO' R.B.B. EXCAVATION LOVESEAT EXTENDED 2nd STEPS TYPE NOTCH RAISED BOND BEAM DEEP END RAMP SPA DAM WALL WIDTH: FENCE REMOVED BY. NOTCH SPA DAM WALL. 6'REB 12,R8.8 18'R.B.B MIC. 2PR8B. VRBB TRASH REMOVAL (LOADS): CONCERETE REMCI'AL ILJADS). TILE a COPNG. TREE REMOVAL By. STD WHITE BULLNOSE BRICK STUMP REMOVAL BY FLAGSTONE. OTHER, TILE GROW: TILE TPIM STEEL: MISC: t'R.86, 12 R8.8. tB RBB 24*R.BE. 30' R B 8 DECKING SURCHARGE LOVESEAT WIDE SWIMOUT BY: UPTO, SO, FT SPA WALL WIDTH: FINISH. COLOR: STEPS CANTILEVER. MASTIC. CURB CORE: PLUIIMING DECCO DRAINS. FILTER SIZE, AREA DRAINS POOL PUMP: Hp: SIJ PATIO FOOTING SIZE. HEATER. STUS: SPA BOOSTER PUMP HP. PLASTER WATER"EATUR£ PUMP HP SAW CUT _P -TRAP. STANDARD - SMART SPITE, - GAS UNE. STUBS SHEER DESCENTS/ RAIN OTHER LIGHTS N POOL. N SPA SPECIAL EQUIPMENT. MISC DELUXE MANT KR POOL COVER DIVING BOARD - SLIDE. SMARTVAC: OTHER OWNER RESPONSIBILITIES OWNE R TO (1) Determine the approximate elevation of pool or spa at layout on day of excavation. (2) Take notice that pool and equipment location is sIb}ect to acceptance of local building department at time 01 issuance of permit (3) Wet down concrete Snell at least twice daily for seven (7) days atter shell is instated. (x) Take notice that BLUE HAVEN POOLS IS NOT RESPONSIBLE for: underground conditions or objects, and any damage to curbs, sidewalks. driveways, lawns or otner items in access area. (5) See Mat wl tenting, gates, and garage doors meet local codes for a pod enclosure prior to pre -plaster krspeclson, - (6) Fill pod immediately after plaster. (Follow Instructions: do not use rubber hose) (7) NO VERBAL AGREEMENTS APPLY. (8) Fencing to meet all local code requirements by buyer prior to pre -plaster Inspection. Owner approves plan, pool, equipment locatans and understands decking is for Mistration ONLY. Owner understands they are to recerve sq ft. of decking per contract. Signed - bale: