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04-6263 (RPL)ess BUILDING & SAFETY DEPARTMENT. 1504 (76,0).777-7012 ALLE TAMPICo ; FAX (760) 777-7011 CA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 r BUILDING PERMIT 04-00006263 'Date ` 9/10/04: . 78925 SKYWARD_WY APN: 609-470-021-40 -23773 - Application description . . . POOL - RESIDENTIAL Property.Zoning . . . . LOW DENSITY RESIDENTIAL Application valuation 30000 Owner Contractor CURRENS STEVEN D ALDERETE POOLS.II, INC. -7 $ 42$ S,�Gyc d WSJ 41625 ECLECTIC STREET, STE B-2 l? 94GUIL, CA 949-9" PALM DESERT CA 92260 ala' 822$3 (760) 773-3293 WCC: STATE FUND WC: 1744999 12/01j04 CSLB: 828284 12/3105 =-----=--------------------------------------------------------------------- CCC: C53 Permit BLDG POOL PERMIT Additional desc ' Permit. Fee . . . . 284.50 Plan Check Fee 184.93 Issue Date . . . . Valuation 30000 Qty Unit Charge Per Extension BASE FEE 252.00 5.00 6.5000 THOU BLDG 25,001-50,000. 32.50 Permit I . . . . . . 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 3.75 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING'POOL 30.00 t P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO ^I FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: Date: Architect or Engineer: Architect or Engineer's Address: t:) 1A 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 Ccde, and my Licen�se is in full force and effect. '� e �� /License Class !C —� A ,ce%e o. W OWNER -BUILDER DECLARATION, s 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 exempti6n. 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 Aof 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 . (issue My wo ers' compe6sation insu ce carrier nd p I' use �rrier �" M cy Number ��I� _ I certify that, in the rformance 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, nd agree that, if I should b me subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi i ns. 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 Lender's Address APPLICANT IMPORTANT Application is hereby made to the Director of Buildin and Sa ett for CKNOWLEDGEo the or 1. Each person upon whose behalf this application is made, each person at permit w ' whose questand for whose benefit e work isperformedunder 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 Ouinta, 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 inf ation is correct. I agre t comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county t nter u n t ab e -me G ned property for inspection purposes. Date l —� l �� ture (Applicant or Agent): i T Page 2 Application Number . . . 04-00006263 Date .9/10/04 ---------------------------------------------------------------------=----;-- Permit . . . . . .' PLUMBING Additional desc Permit Fee 27.00 Plan Check Fee 6.75 Issue -Date . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 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 i POOL':,ALARMS/BARRIERS SHALL BE I'N PLACE ¢ AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged.,. Paid Credited Due Permit Fee Total 380.50 .00 `.00� 380.50 Plan Check Total 201.43 .00 :0V 201.43 'Grand Total. 581.93 � i .00 .00 I t I r 581.93 1 GENERAL SPECIPICATTONS / n • �.. m vdeweFl d -M ( 0%`r•� ".. - - V - t e Iwne Bnes Of shneM AREA PERIMEfERi� access throe _ a neiehbor's DEPTH— N ��1�' It a ,d that the owner TILE CHOICE ✓" CD �, j✓�Lt �} r.eu: s3 'S 7 yo �( j/ ^ 's - "eon and auimm fun RfiB. ,Q _ J�` f tes slut, - COPING ca !; d til-� j% DATE m»h+re POOLCAPACITY 13 aoo GALS PUM?CAFIACITY ZO GPM C70R HP NP � FILTER 2.V SO FT FUSER RATE - l O a7 GPM HEATER J BTU . TURNOVER HAS n • �� SUCTION UNES i RETURN UNES 'i � J �ZR.r:.a �—��--' S SIDM►AER MOpEL �' l� U GASUNEBYCo— a _ Z,j� U) o :� W { , - ' I /V ELECTRfCAL Ir AUTO CLEANER W CHEM FEEDER Q 4 i PLASTER CO L q DECK BY O J i I j DECK TYPE Q STEP • O O FT t.J O -�7 512E RATS L 7771 LEVEL EA II{ ' DAAAy X 1 i DESIGNER DMA WALL TOP SIZE - MOE ! DATE SPILLWAY PEN CLOSED j(I tJETS JUPPER LOWER N �a i ! S Name: C,,4A/'1eq-, m t i i Address- , ! Lo C4 z CS) ALDERETE POOLS !f. INC. v= _ _. I POOLS-SPAS-LANDSCAYC m �� _ j� i _ L10ERSE #828284 CS) P-O sox 745 (760) 775-3293a In R3ce Palm Desert, CA+92261 (760) 274-5783 cell