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07-0022 (RPL)V. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 07=00000_022 '791.00-KAYE CT 604-371-006-98 -27899 - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 35000 T4&t °F4Q*m Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION 01 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 License is in full force and effect. License Class: C8 C53 License No.: 431055 +;. ..Date:°2J U i Contractor:- `�-�- 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 (5500) -: (_ 1 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.). (_ 1 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 contractorls) licensed pursuant to the Contractors' State License Law.). ( ) I am exempt under Sec. , BAP.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY hereby affirm unifier 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: - LQPERMIT Owner: JEFF MOE 79-100 KAYE COURT LA QUINTA, CA 92253 ( Contractor: PARZINSKY POOL, INC., P.O. BOX 897 PALM SPRINGS, CA 92263 (760)324-5827 Lic- No.: 431055 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/05/07 JAN 0 5 2001 CITY -OF LA QUINTA 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. T I have and will maintain workers' compcn3otion 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 FUND Policy Number 0000328-2006 certify that, in the performance 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 wi_ those orovisions. Date:���� rP 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. 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 resulo 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 court y to nter upon the above-mentioned property for i spection purposes. �' wDate: % S 0%•Signature (Applicant or Agentl: L�.t J— Application Number . . . . . 07-00000022 Permit . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date 7/04/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K --------------------------------------- L 11.00 . . . BLDG POOL PERMIT Additional desc . . ' Permit Fee . . . . 317.00 Plan Check Fee 206.05 Issue Date . . . . Valuation . . . . 35000 Expiration Date 7/04/07 Qty Unit Charge Per Extension BASE FEE 252.00 10.00 6.5000 THOU BLDG 25,001-50,000 ---------------------------------------------------------------------------- 65.00 Permit . . . ELEC POOL PERMIT-RES f Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/04/07 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 Issue Date . . . . Valuation 0 - Expiration Date 7/04/07 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, ALARMS/BARRIERS SHALL.BE IN LQPERMIT Application Number . . . . 07-00000022 Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 421.00 .00 .00 421.00 Plan Check Total 232.05 .00 .00 232.05 Grand Total 653.05 .00 .00 653.05 P/ exi ref p/I 5' block wall pool deck CITY OF LA QUINTA - BUILDING & SAFETY DEPT. FOR CONSTRU DATE I t,t time of Encapsulation it Inspection, Gate to be self 1 closing and self latching. Note-. Prior to filling the swirriming pool with water, and approved barrier(I.E. Ud approved alarm system or Fence) MUSt be installed Length: Wid fh: Surface Area (;pprox) (7e ri r71 e t2 r: Depth: 4-4 e i c7 h f' RBB: Dam Wall: Equipment Wall: Boulders: Pool and Spa finish: Waterline tile: Raised Tile: Step Trim: Paint/Stucco/Plaster Qeckinq:. t)ecking: Cantilever Edge: Finish _Color 3" r')eck Drains (per, LF")-. (irnbrelle Sleeves: u bin Extra :Spa to Equipment: Raised Spa check valve: L-)ediceted Vac Line: Gas line Extra over 30': Stub outs: Foal Spa 400 7' 7o -y„I' 887 sq ft 49 13 5' in ff 28 3,0„ to 66„ 3 U +0 t +18" 7' rourd raised +18", sit n spin style concrete cap and file face, Stacked Stone spillway, o jets staggered, 4 root jets and 1 - 100—vi light Stac-ked Stone Spillway 8' Wide I Equi Lnent: Circ Purnp 2 Hp Jandy- -- Jet P_irf)p _2Hp Jami`! Filter 400 sci ft Carl -ridge WelerFeature purnp 400000 wars Heater �—�--- Exfra purnp - - Pool Light 400 w 5 Wall mounted De ckJets Spa h9r+t - i Elec tronics Demo Work INSPECTION FEE OF $30 DE CHARGED IF TIHE APPROVED S AND JOB CARD ARE NOT ON SITE FOR A SCHEDULED FCTION, NO EXCEPTIONS! -Revisions DU to 1 12 -p6 -G6 2 3 _ 4 Scale 1/8" ^ .i FSelections 1 Stone Boulders Deck color Pebblf—uc(e/plaster S tuc<:o color Thomas Guide Pg.—_--__Lo'r #----__Tract#— Prepared Especially For: Name r& Elizabeth Moe TT rep' 9-100 Kaye Cour itY L LA!nto Phone _345-4308 Office Cell Phone Fox I'X). BOX ST,Ill,I Bin # Ci �f City a Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: -79 9 , /OtJ A T- Owner's Name: 0 �. A. P. Number: Address: 7 3 — / o O (�A-y � Gov -_Ir Legal Description: City,'ST, Zip: Contractor: , c,14 PA4z,, , S 1(.y. ?C�.k co Address: -J">0 9q,7 Telephone: -_ Project Description: City, ST, Zip: f} L.- Telephone: 2� -t -7 State Lic. # : l(i / 6x -S . City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New ..Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: �Uvu APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd : • Recd TRACKING PERMIT FEES a Plan Sets Plan Check submitted Item Amount Structural Calcs.y, Reviewed, ready forbkrections Plan Check Deposit Truss Cates. Called Contact Person , Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain pian Plans resubmitted Mechanical Grading.plau 2" Review, ready for correctionsPissue Electrical Subcoatactor List Called Contact Person ' Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for.corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr. Date of permit issue School Fees Total Permit Fees