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04-5771 (RPL)v BUILDING & SAFETY DEPARTMENT P.O. BOx 1504 (760);.777-7012 OF 9 78-495 CALLE.TAMPICO FAX (760)'777-.7011' LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . : kiO4a00005�7s711 Date 7/29/04 Property Address . . . . . . 57900 TROON WY APN: 762-360-011- - - Application description POOL - RESIDENTIAL Property Zoning- . . . LOW DENSITY RESIDENTIAL Application valuation 25000 Owner Contractor -------------------------- SOUTHERN HILLS DEVELOPMENT BRYAN INVESTMENTS GROUP, INC. 55161 SOUTHERN HILLS 39301 BADGER STREET, #200 LA QUINTA . CA 92253 PALM .DESERT CA 9221;1 WCC: STATE FUND WC: 00090.762003 03/29/05 CSLB: 552140 06/30/06 CCC: B-053 Permit . . . . . BLDG POOL PERMIT Additional desc Permit Fee 252.00 Plan Check Fee 163.80. Issue Date . . . . Valuation . . . . 25000 Qty Unit Charge Per Extension BASE FEE .45.00 23.00 9.0000 THOU BLDG 2,001-25,000; 207.00 Permit . . . . . MECH POOL' Additional desc.. Permit Fee .24.00 Plan Check Fee 6.00 Issue Date Valuation 0 Qty. Unit'Charge Per O Extension BASE FEE 15..00 1.00 9.0000 EA MECH FURNACE.<=100K ✓� 9:00 ------------------.------------------------------- - - - - ----------- Permit . . ELEC POOL PERMIT-RES��, O Additional desc Permit Fee . . 45.00 "Plan Check Fee$�',a�'� Issue Date . . . Valuation . . . Qty Unit Charge Per Ex nsion BASE FEE 15.00 1.00 30.0000 EA 'ELEC PRIVATE SWIMMING POOL. 30.00 P.O. BOX 1504• 'G�� VOICE (760) 777-7012 78-495 CALLE TAMPICO Th FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 444INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 04-5771 Date: ?"'d% 'v Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Plki- 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 Licengo is i II.Jpr and effect.,� n cense Class S /Cicense No.� l 4V Date _—,;2r 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.). U I am exempt under Sec. , BA P.C. for this reason Date 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. 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 is ued. worke ' compensation insurance carrier o1 yn b5 arq /Carrier icy Number O U / (n 206 3 I certify that, in the peeformance 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. �7 oIg-o WARNING: FAILURE TO SECURE WORKE COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU D 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 Lenders 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 upon the above-mentioned property for inspection purposes. to -7_a ���� S�re (Applicant or Agent): 6c�� Page 2 Application Number . . . . . 04-0000.5771 = Date 7/29/04' = ---------------------------------------------------------- Permit . . .."PLUMBING ---------------- Additional-desc Permit Fee 33.00 Plan Check.Fee•. 8.25.: 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,FIREPIT (496 AGAL) ALARMS/BARRIERS.SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due PermitFee Total* 354.00 .00 .00 354.00 A Plan Check Total 189.30 .00 .00 189.30 Grand Total 543.30 .00 .00 543.30 SP G 1 F I GAT I O I` S REVISIONS DATE POOL SPECIFICATIONS SIZE 401-011.x 22 1_0 11 w. FT. 6-14 5F PER. 125' DIG FROM BACKHOE 5PA 5PECIFIGATION5 SIZE 1'-O" X "1 i -O ii W. FT.' 4cl 5F PER. 28' SPA DAM WALL WIDTH 12" 0 OF JerS 6 LIGHT 1-100 N AH I SPERFLO 2 HP BOOSTER PUMP z Q PLUMBING FILTER PENTAIR SIZE 520 SF RUN Pool_ PUMP AHISPERFLO sl¢ I HP RUN J HEATER MINI MAX SIZE 400,000 BTU RUN . 0 BooSTm PUMP INHISPERFLO s1zE 2 HP RUN . O SKIMMER TYPE I ATERA6Y RUN DECKING BYGAL PACIFIC'up TO IC120 S.F. FINISH ROCK SALT COLOR 1.52 EXP. JOINTS YES NO MASTIC —NQ FOOTING < STEPS YE5 TYPE REGULAR Z CANTILEVER YES DECK GRAINS YE5 m NO � c CORE EXCAVATION v BACKHOE e GAL PAG I F I G TYPE TBD mLU ELEVATION DEEP END RAMP NO PENCE NO �- REMOVAL CONSTRUCTION TRASH LOADS CONCRETE REMOVAL NO O 6' RBB 12' RBB • 15" RBB • 18' RBB V' 24" RBB • S6" RBB • O Lu v '� ELECTRICAL BY GAL PAG I F 10 LENGTH 50' r - I OOWI � J SPA LIGHTS POOL uGHM 2-400 W A TIME CLOCK JANDY SUB PANEL YES WW ~O MISC. AQUA RITE .SALTWATER CHLORINATOR 0 PLA5TER 'I TILE N r' TEG TILE NAME T•� PLASTER COLOR PEBBLE •D• co N TILE TRIM NO I co to Q N BB 6' R 12" � ' 16" 1w ' 16" R RBB 24" ' 56' ' N U) MISC. Ln n W W 0 0 -�, U �W%.00� - VAE HAVE REVIEWED THIS PLAN AND HEREBY APPROVE m uj TOTAL PLAN AND SPECIFICATIONS o< ma DATE SIGNATURE (y) DATE SISNATURE DATE JULY 2-112004 SCALE I /v" � 1 '-O" TYPICJSECTIONNOT TO.IOBNO. 5HEET 00 TYPICAL NOT TO SCALE