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05-0886 (RPL)4 I. � Quhrw BUILDING & SAFETY DEPARTMENT' K 1504 (760).777-7012 ;ALLE TAMPICO FAX (760) 777-7011 TA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT ,, ion Number.. :O5-00000886? Date 3/16/05 Pr erty Address . . . . . . 60597 SILVER TORCH CIR N: 764 -270 -999 -70 -300233 - Application description . . . POOL - RESIDENTIAL Property Zoning .. MEDIUM HIGH DENSITY RES. Application valuation-. 17000 Owner Contractor, DAVE GAJDZIK DESERT PARADISE POOL & SPAS 60-597 SILVER TORCH CIRCLE •104 CALLE LOS HIBISCOS LA QUINTA CA 92253 PALM DESERT CA 92260 (760) 836-0368 WCC: STATE FUND WC: 614360-2004 11/01/05 CSLB: 419309 12/31/06 CCC: C53 C27 --------------------------------------=-------------------------------------- Permit . . . . . . BLDG POOL PERMIT Additional desc Permit Fee . . . . 180.00 Plan Check Fee 117.00 Issue Date Valuation . . . . 1700) Qty Unit Charge Per Extension BASE FEE 45.00 15.00 9.0000 THOU• BLDG., -2, 001"-25, 000 135. 00 Permit . . . . ... MECH POOL Additional desc Permit Fee 24.0,)-,> -Check Fee 6.0) Issue Date 'Plan 7 Valuation . . . . ) Qty Unit .Charge Per Extension BASE FEE 15.0) 1.00 9.0000 EA,', MECH FURNACE <=100K 9.0D ----------------------- ;---------------------------------------------------- Permit . . . . . . ELEC POOL PERMIT -RES Additional desc Permit Fee ;45.0) Plan Check.Fee 11.25 Issue Date Valuation . . . . ) 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 • .V VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: UJf 0 'PIP�o Date: 3 �/• C�S� Applicant: Applicant's Mailing Address: CCONTeaCTO r� 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 ofChapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals /ode, and my License is in full force and effect. /y I :cense Class License No. gde"3:i —V� Contractor .41 Xt kz- OW ER -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. , 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 of the work for which this permit is issued. X 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 y�sue My worker compensation insurance cart: r nd bi nyrr�r arQ r.Carrier S Xm 1—U � cT Policy Number "/ CJ I 6ertify that, in t e performance of the work for which this permit is issu d, 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. ApplicaW�OIRKERS'COMPENSATION / WARNING: FAILURE TO SECURE C 46AGE 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.). Lenders Name 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 employeesfor 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 upon the above-mentioned property for inspection purposes. ate �d Signature (Applicant or Agent)/ t 4 . Page 2 Application Number : . . 05-00000886 Date 3/16/05 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 Special Notes and,Comments '.POOL & SPA. ALARMS/BARRIERS SHALL BE IN ' PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT. INCLUDED TN ' PERMIT. , Fee summary Charged Paid Credited Due - - - - - - - - - _._ _ ----- - ---- - --- -- - _ _ _ _ - - - - - _ _ _ -- -- Permit Fee Total .282.00 00 .00 - - -- '! - - -.- t 282.00 • "Plan Check'Total 142.50 .00 .00 142.50 Grand Total 4424.50 00 .0'0 424.50 . - J •, , • W p LL ; s'tU C L.o To m6 T ' r X! S-nAl k 7-ArIvag .dN'D C,)LOA CID, c�'d: SPIE► �'- 8'xSJs Y, JJ tl�N j', LO �'1N E-► STOtig � u O4 + e + oar oao � e tX:LEn1'T f�o�L- o��.SP o• , try n� 0 0 op ' \ L/L : iALG/1-Fal F3 Owe FIn11 Sr1 ap (D 1 JJ t-, 'po�� "TG RkM a 1 ••l Doo R-. a; QC -C9446 COLO R-Eo/e-rzooM FNISH . IMP4Jat., SgeL.F - ®9� F>airr- �)-r caJT, Ga P s7Ur� �/`Erlt-1`2 . COLD) A' bt a o _ co 0 Qc a6, U J^_ LID �V G (F-xKr. L , c.) v� 0 °o •:54a6o6. .a oe i2;f EE 1 T�_�F_: rS4 (,'10'3,1,::: D, cl , 20UN0 �Ef1- 0 O L- - l.• r qk -_rA_ /o CSX IsT) �bpvE-�LY �-�an.e}So0 S C�flL - G0 O VNA 1541. to COLOR. O pook z,-IL_\1Ef2— TO PLCH C,! 12•. P a®(L Desert Paradise SPECIFICATIONS Tri. LENGTH a FT. WIDTH • �ON FT, ►•�v . 3 (p ►, POOL S0. FT. 3 (05 SPA SG. FT. 5S PERIMETER Q'7b l s - Z$ FI. VOLUME GALLONS DEPTH '�/61r TO �'D �, TO ■ mss• NEWS epaTI O �I d� �I ora F u� Q�W O e / 0 v �`Fi00w. �1•alSrl . SQL F GtOSwb/LA7LnW6 G'IG'fE . 8�gry�,d,L bit 4:L.OW4- Typro -(Co4G2cTE 94"64- 621to j co"P. w k tra T 6;aov-r -250u ?.Sri Govt G2i%'t>r j G oL-0rt- WA5.4 1 v �NoiU R•al- Q E-1�,IEL710 �i P©c�L . VQvP, w 4L�J_ 414" rY l EEK - %TULL,U Tv moTJW r4ST t nI b 'rj�X'TL 2g� 42 GaLpR. N&TUBAL uacK woT �v- eL_ v. a 9- 1011, Co(_t, C-->t-c.)2S w br7 01 pvSf,-:,P_TTmome- C P FS )5:jLT Cm r- O) SCALE Desert Paradise: 118" = 'I' Pools • Spas «t- ba- va.C-53 54338 Landscaping • Design SALESMAN q u L•1 'aw LOT NO. MAP BOOK REF. TRACT NO. Prepared Especially For ; LK�G- Stf" (sb- c9Z St We_/ T�+t11� LI12 city " �0-jkPr hho" Hm: �i - -ONIc,Z&O ei.....,e.... DCA*