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04-5774 (RPL)0 ot " X� BUILDING & SAFETY DEPARTMENT . P.O. Box 1504 (760).777.-7012 ' OF I1 9 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT , Application Number f--.---'�04-00005w 4 Date 7/29/04 Property Address . . `. 77-8700 AVENIDA TORRES APN: 770-171-012-153 -000000- Application description . . . POOL - RESIDENTIAL Property -Zoning . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . 12000 Owner Contractor ------------------------ ----------- - ------------- DAVID L. ADDINGTON ADDINGTON,'DAVID P.O. BOX 1573 41760 HERMITAGE DRIVE 'LA QUINTA CA 92253 INDIO CA 92201 WCC: STATE FUND WC: 2290019787 01/01/C5 CSLB: 682901 12/31/C5 CCC: B ---------------------------------------------------------------------------- Permit .. . . . . MECH POOL Additional desc Permit Fee . . . 24.00 Plan Check Fee 6.00- Issue Date Valuation G 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 . . . . 135.00 Plan Check. Fee 87.75 Issue Date . . . . "Valuation . . 1 12000 .Qty Unit Charge Per Extension BASE FEE a 45.00 10.00 9.0000 THOU BLDG -2,001-25,0e 90.00 Permit . . . . . ELEC POOL PERMIT -RES JUL 3 O 200 Additional desc Permit Fee 45.00 P1 n C Fle-q 31q. 11.25 Issue Date . . Valua NANCEDE 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL. 30.00 P.O. BOX 1504 • 4 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: %-7 I Date: 7-70- 01' Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Addre 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 Licenss in full force and effect. License Class �License No. Date Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 contractors) licensed pursuant to the Contractors' State License Law.). U 1 am exempt under Sec. , BA P.C. for this reason Date WORKERS' COMPENSATION DECLARATION 1 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 issued. Aly wormers' compensation insurance carrier �d policy number are Carrier -5/— /y�,p Policy Number b;•x15 4 �+x-� '?3. I c6rtify that, in the performance of the work for which this permitis 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 0-0 Applicant_ 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 hich this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address APPLICANT IMPORTANT Application is hereby made to the Director of Buildingand Safety for ACKNOWLEDGEMENT the conclandset forth on this 1. Each person upon whose behalf this application is made, each person atwlhose request a d for whose benefit work snperformed under or pulrsuant 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 Ouinta, 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 informati correct I agree to comply with all city and county ordinances and construction, and hereby authorize representatives of this county to ent . _ state laws relating to building the above-mentioned property for inspection purposes. u Date ( Signature (Applicant or Agent): Page 2 Application Number . . . . . 04-00005774 Date 7/29/04 Permit . . ... . . PLUMBING Additional desc Permit Fee 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation Cl 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 ONLY. ALARMS BARRIERS SHALL.B EIN PLACE PRIOR TO PREPLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due Permit'Fee Total 237.00 .00 .00 237.00 Plan Check Total 113.25 .00 ..00 113.25 Grand Total 350.25 .00 .00 350_.25 StOMF-(Or-?P.) . shy WA-rV-Mt. GAm-rILEVEe- GAP --7 •1 -POOL WATE�L��1� SPS 6PILLWAN' EQUfP.79� A1J DIti1 C�Tot� ��SlL�E�I �� 78.700 ANI L,d.-rOFCICF—S C..A Qt1ll�lTA . S GAL: E.: Y14 l'- O Swimming pool&spa specifications WFA Pool specifications izSS x �..L�—X�2Q Pool ANA ESE SF.k.FGL051 Nv sum pool � SELF L4TGN Iwx:C PaimetciBIC aepths m �nux" mom spa specificafi I s s M 6�. Spadarn wall raised spar •1 -POOL WATE�L��1� SPS 6PILLWAN' EQUfP.79� A1J DIti1 C�Tot� ��SlL�E�I �� 78.700 ANI L,d.-rOFCICF—S C..A Qt1ll�lTA . S GAL: E.: Y14 l'- O Swimming pool&spa specifications G - A -re, To OPE.J�1 A-WA.�e FROo�I Pool specifications izSS x �..L�—X�2Q Pool ANA ESE SF.k.FGL051 Nv sum pool � SELF L4TGN Iwx:C PaimetciBIC aepths m �nux" spa specificafi FAGS, of cd it b Spadarn wall raised spar Spillway 1)'PegOt A. # ofjds�_ Special notcs Excavation It Steel Access fiom&?99j._tYW OF I A Q U I N TA vat Concrete renal sod removal -RUILDU'4G & ;SAFETY DEPT. TreeremuvalbY P s �' D Irrigation removal by .��.� Irrigation repair by_ FOR. CON :TPUCTION Elevation deep end ramp Love seat tan shelf depth centerspodwds- � = DATE BYW-- 6 r c i Ir r.b.b. 24 r.b.b. i Z>e,cy4 6 &i oT1Aex5 I , t Wile r.b.b. A - W deep end ramp 12'- o Loveseat spillway type=ld Eimdei� — pooL swwe r?,E,I�1ti-�N ming i Sq. ft frnisb joints Deck drains decco drain Steps step face - l 1 Curb core sand & visqueen Tile base ribbons ' �e aCD c � Il- Ci Masomry 8t tile Coping type -spillway t)WM rb.b. facingftLE steps a1 Retaining walls---L.-Planter walls Prop.ext. walls. eq. Walls i Firepit b.b.q. rb.b. the water file Trim tile queer round Tile type z $�. E.'fR•i! P�-)'BGpr- Plumbing dt electrical Plumbing size ?'t A,l2l.lNE� skb=ertype 1inr-,AAIQ- Gas linel-51, rt 87 dec. Lme�1� SPA `K.ISt� +I a -wits" 1NIDE� > size rift" M GAMTILEVCAZ— GAP AND STONE Pad pump. sora t.S�Y SPILL•WAi pub.,u_cry, siae�za►P Xtra pump� size 1 Sub. PanelfnoL.DVIA1 E. time clock • Gfrc �.T s4S'iFi1A jj spa IW t eo U pool li8htsAA2" Stub set eq, esus stubs - plaster or pebble