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12-1375 (RPL)P.O-BOX 1504 ^�� VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT - Date: 11/21/12 Application. Number: 12-00001375 Owner: Property Address: 80350 VIA CAPRI DORWARD, DAVID & JANICE APN: 772-440-076- - - 80350 VIA CAPRI Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 38000 Contractor: Applicant: Architect or Engineer:PNO VACATION POOLS INC PO BOX 10940 INDIO, CA 92202 20(760)775-0468 012 LiC. No.: 856835 CENSER �N RACTOR'S DECLARATION I hereby affirm under penalty of perjury, a I am en under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the 8u ' es an rof . nals Code, and my License is in full force and effect. Licensg Class: C53 License No.: 856835 i♦1 i -JP /4 ,. - M. V OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).: (_) 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 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.). (_) 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.). (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: 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: LQPERAIIT --------------- - - - WORKER'S 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 issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUNDAbeme Po I' yNumber 1948584-2012 I certify that, in tof a ork or which this permit is issued, I shall not employ any person in any eco e s ject to the workers' compensation laws of California, and agree thatme ubj t to the workers' compensation provisions of Section 3700 of the Lll rth h comply with those provisions. Date:V ApplicanWARNING: FAILURE TO SEC' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND,,- DOLLARS HOUSAND/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. 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 eildco ove i rm tion is correct. I agree to comply with all city and county ordinances and state laws relating to btruc 'on, and hereby authorize representatives of this o my to enter upon the above-mentioned propr ' spa on purposes. %i Date: / p "Signature (Applicant or Agent Application Number . . . . . 12-00001375 Permit. . . BLDG POOL PERMIT Additional desc . Permit Fee . . . 336.50 Plan Check Fee 218.73 Issue Date Valuation . . . . 38000 Expiration Date 5/20/13 Qty Unit Charge Per Extension BASE FEE 252.00 13.00 6.5000. THOU BLDG 25,001-50,000 84.50 ---------------------------------------------------------------------------- Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/20/13 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 . . . . 24.00 Plan Check Fee 6:00 Issue Date Valuation . . . . 0 Expiration Date 5/20/13 Qty "Unit Charge Per Extension BASE FEE 15 '.00 1.00 6.0000 EA PLB FIXTURE 6.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Permit MECH POOL Additional desc . Permit Fee . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . 5/20/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 ---------------------------------------------------------------------------- Special Notes 'and Comments POOL AND SPA AT REAR YARD ONLY [1-1/4 INCH GAS PIPE FOR HEATER ONLY] THIS LQPERMIT Application Number. . . 12-00001375 ----------------------------------------------- Special Notes and Comments -------------- --------------- PERMIT DOES NOT INCLUDE EQUIPMENT WALL., FIRE PITS, OR WATER FEATURES. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2010 CALIFORNIA BUILDING CODE. November 21, 2012 1:15:33 PM AORTEGA Fee summary Charged Paid -------------=------ Credited -------------------- Due ----------------- Permit Fee Total 431.50 .00 .00 431.50 Plan Check Total 242.48 .00 .00 242.48 Grand Total 673.98 00 .00 673.98 LQPERMIT X 1 4.11' –7 1 /' 11 -,/ el I e --C= A 2-7 1-111 TO PROPERTY 551-211 TO PROPERT7 LE II � 641_511 'ROPERTY LINE sk _ NEW FOUNTAIN 71 p i� ,� Yl7 LOT 1 o f o a i. �. t LA °GQU UNTA GA c -1,2255,11r r 1 ��� / •fe' 2 4n, y r z�'^ f `, � _ .r _ v C a '� �� � e - � � 1 y{ OIR Y� ,. _• � � � �.u, �.' l ,��+i• ! ,.{. �' `'�y , _ �,'" �`' ,V "` t• j` ..,E �;� VACATION POOLS, INC. P.O. Box 10940 –� Indio, CA 92202 Ph. (760) 775-0468, Fax(760) 775-0469 License # C-53-856835 NOTE: Landscape elements (Trees, Shrubs, Vines and Lawn) and Patio Furniture shown for illustration only. Unless by separate bid. CONTRACTOR cannot assume responsibility for damage to curbs, sidewalks, driveways, cement slabs, sewers, lawns, trees, fences, retaining walls, sprinklers, wires, valves, telephone or shrubs. When access is made through a neighbor's property it is understood that you, the owner, have that neighbor's permission and assume full responsibility. DATE 51ONATURE D Scale: I/8"=1' -O" HIDEAWAY LOT 62 4 63 80-350 VIA CAPRI LA allINTA, CA Q2253 HIDEAWAY COUNTRY CLUB APN 777-100-077 DATE: 11.21.12 1 . REV15ED: �R� • .18°. ' X SPS. / m _ R' �'T-6-9' WITH (2) 16' WIVE TYLE SPILLWAYS POOL - • 34 -3 R 19' X . ' - -s' �1 R `• ,,� / \ / "� � �� `l'�r Y.`: Fj sl��Ay' `F�'y w •+'moi c� _: NEVI F ,,.�` A• .� FOUNTAIN POOL/SPA ,rr tr NEW °' r c� R EQUIPPtBIT FOUNTAIN Y'Y Via' / ' r m kr K"'tls, , ,� �' • v � h v„u*i ` �'� �. T. J r3rytf - r� •.7� { _ � -. �t V. �,µ �'�' �'�. ?'� ��•, �� ~-� � �•.r� �%” � �`' dam., yya}� �i�i+ +�'c - �'7�'i•�!' �r'e ' "��`�,�, �n '�. / J l •t- � T ✓ {^ � , .�, ,.^ ? r.s � S''kyf.` • •k� � .: +4 F C1fi,'�; `� g YM1� � yg�. fa .t+i � ..j • R ' t a - '. .� '� , � t'., i,": • .... - ! f - W`. 5j / 1pLOT' 62 x d- 630 q{� Rr.��'ki. rpt+G +;^.� .� r � � �` •,.c rLAQUINTA GA �92253��° k�`°">^, Yw�.r-R���+mss d 3',: - xv I s �, k' y�. ,�'-�s; T ;€��i: pper+ r' �i / � -,,'. �R S w. �JY' t;S+. h .� �� •,- � �1h er �_ -..¢i �,�'�:�y �!# • � t � ,�. » .. *r`«'t+Y .I"+k a .w, t'' r � i' } 3 in.< r d'ti � e H - .,� e,"}� � dr�1 a"� c� +{� / //�` i�' � tr. Yr-� t h � � ct , .t t a •y'Y(: � � 4 t i � {.'. .� [ N - dr `+:i 4"t tw 4i,� ..K. `-" a r.• c 1'"'�°+" FRONT i-�� M. / t� ,w st ENTRY DRIVEWAY+v . 2 r } 0-FOLNTAIN NEW 7 / :N / - ,��:,t Y x •i„t, r j / FL I - FRONT / _ YARD V/,4,7 CA IN VACATION POOLS, INC. P.O. Box 10940 'a Indio, CA 92202 Ph. (760) 775-0468, Fax(760) 775-0469 License # C-53-856835 NOTE: Landscape elements (Trees, Shrubs, Vines and Lawn) and Patio Furniture shown for illustration only. Unless by separate bid. CONTRACTOR cannot assume responsibility for damage to curbs, sidewalks, driveways, cement slabs, f��DE�W�1� LOT 62 $ 63 _ 80-350 VIA CAPRI sewers, lawns, trees, fences, retaining LA OUINTA, GA 82253 walls, sprinklers, wires, valves, HIDEAWAY COUNTRY CLUB telephone or shrubs. APN 171-100-011 When access is made through a neighbor's property it is understood that you, the owner, have that DATE: 11.21.12 REV15ED: neighbor's permission and assume full responsibility. D DATE 516NATURE 5co l e : 1"=20'-O" B;R.# City. ofla Quinta Bu11&rlg & Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 • (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Im Project Address: O jS�' 1,4 Owner's Name:. 1! A. P. Number. Address: .D I tJ1,114 04,6r Legal Description: City, ST, Zip.1-4 C/ ha;4 Contractor Qc 471' j o n Q (j GJ p Telephone: G Address:L V bolt l q.6 Project Description: Poo L cmdS City, ST, Zip: ti /o ad p Telephone: 76�-7 krisV tt i State Lic. # : City Lic.. Arch., Engr., Designer. Address: City., ST, Zip: Telephone: State Lic. #: Name of Contact Person:Sq. Y ` `� Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Ft.: #Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT., DO NOT WRITE BELOW THIS UNE 9 Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Pian Check submitted Item Amount Strgctuial Cates. Reviewed, ready for corrections Plan Check Deposit_ . Truss Cates. Called Contact Person Plan Check Balance - Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan r' Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up SALL H.O.A. Approval Plans resubmitted Grading IN HOUSE: '^' Review, ready for corrections/mat Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees