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04-3494 (RPL)tlft,�Gv BUILDING & SAFETY DEPARTMENT (760) 777-7012 cl0F94� �i,.,-495 CALLS TAMPICO FAX (760) 777-7011 LA Q.UINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760)777-7153 s •t I BUILDING PERMIT Application Number 04-000.03494 Date 4/16/04 Property Address . . . . 81696 IMPALA DR APN: 764-270-999-78 -300232- Application description . . . POOL - RESIDENTIAL Property Zoning . . . . . . MEDIUM HIGH DENSITY RES Application valuation .. 19000 Owner Contractor SHEALA QUINTA CALIFORNIA POOLS &.SPAS. C/O JEFF MCQUEEN P.O. BOX 1280 88.00 N GAINEY CENTER 350 COACHELLA. CA 92236 SCOTTSDALE AZ 85258 (760) 398=9222 WCC: STATE FUND WC: .04600061168 01/01/05 CSLB: 656128 10/31/04 CCC:. C8, -C27' -C29-051 ----------------------------------------------------------------------------------- Permit . . MECH POOL 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 9.0000 EA MECH FURNANCE <=100K 18.00 Permit. BLDG POOL PERMIT Additional desc Permit Fee. . . . . 198.00: Plan Check Fee 128.70 Issue Date. Valuation . . 19000 Qty Unit Charge Per Extension BASE FEE 45.00 17.00 9.0000 THOU BLDG 2,001-25,000 153.00 ----------------------------------------------------------------------------- Permit ELEC POOL PERMIT -RES .Additional desc Permit Fee 45.00 Plan Check Fee 11.25 Issue Date . .. Valuation 0 Qty 'Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000.EA ELEC PRIVATE SWIMMING POOL 30.00 M P.O. BOX 1504 u 78-495 CALLE TAMP 'CO LA QUINTA, CALIFORNIA 92253 44a Application Number: Applicant: Applicant's MailingOu Add ess: BUILDING & SAFETY DEPARTMENT VOICE (760) 777-7012 'i - FAX fFAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: Architect or Engineer: Architect or Engineer's Address: 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 Pmtessionals G se c ass `'ce � °force and effect. �--- --- S!G/2 License No. - y 6 L.� Date • ~-- •. -�/� Co�tradOf OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sea 7031.5. Brininess and Professions Code: Any city or county that requires a permit to coriir uct, atter. improve, demolish, or repair any structure, prior to its issuance. also requires the applicant for the permit to role 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 (Sea 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 tvough 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 of 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.). U I am exempt under Sec. . BA P.C. for this reason Data Owner 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 W"4nsure 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 'ss ed. My wo co ensation insurance carrier and policy nun_ber are: Cartier Policy Number _ O C/ 6i OA�(,y �/ (,, _ I' t, in ttie performance of the work for which this permit is issued, l sha I not employ any person in any manner so as to become subject to the workers' compensation laws of Cardomia, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall .�- _forthwith comply wmtm those Date- � p Appr n� t 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 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the wok for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's 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 a 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 Oulnta, its Officers. agents and employees for any act or omission related to the wok 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. 1 certify that I have read tris 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 a upon above-mentioned property for inspection purposes. Uzi y - Date —� -- �'—Signature (Applicant -WAgent): y Page 2 Application Number . . . . . ------------ 04-00003494 Date 4/16/04 ------------------------- 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 --------------------------------------7------------------------------------- GAS PIPE 1-4 OUTLETS 3.00 Special Notes and Comments POOL AND SPA ONLY. BBQ ANSI Z21-58-1195. ALARMS BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. Fee summary Charged ------'----------- Paid Credited Due ---------- Permit Fee Total 309.00 -------------------- .00 .00 ---------- 309.00 Plan Check Total 156.45 .00 .00 156.45 Grand Total 465.45 .00 .00 465.45 ,N 4��Ne_f4ZETE , J#�TUVM AtAt;2 E" ;ff --A t-1 d. 4 3 I' Wtft S "`!NISH 1-4 fj 1!5�rvor_A 4_0L9;F_vv ,�ot5rrj:�," rzuiL2-r iN VievT-/zNGf_= FLJE�X L_16�,cr , Pm -,'P leo v feo--� t �zo m s r_- 64-e, I t 6 1;:-: UF:- -TKI-� A N 4 ) L ALL F_4�ZCI" 13'e4 -Z L fN CT r A N LA j lu FIELD D TYPE u N :I -T. SIZE x P R E — OU N 11 TF- PERIMETERDEPTHS MIN, LI ,0 MAX UNDEP\GROUND TILE SIZE —L X FT. TILE TYPE SPA DAM WALL WIDTH WATER LINE DE CK PR CE — P E B I3 L - TILE TRIM SPECIFICATIONS TYPE u N :I -T. SIZE x SURFACE AREA OF POOL PERIMETERDEPTHS MIN, LI ,0 MAX SPA c'PECIFICATIONS �HSQ. TILE SIZE —L X FT. TILE TYPE SPA DAM WALL WIDTH WATER LINE NO. OF JETS e k TILE TRIM L ;HTS QUARTER ROUND RAISED SPA AT SPILLWAY TYPE 4=� SPECIAL NOTES DECKING 50. FT - EXCAVATION S FE FINISH TYPE ACCESS FROM EXPANSION JOINTS ELEVATION CANTILEVER \4 DEEP END RAMP DECK DRAINS LOVE SEAT OJECCO DRAIN CONCRETE REMOVAL LOADS CURB CORE SOD REMOVAL LOADS STEPS TREE REMOVAL BY STEP FACE IRRIGAITON REMOVAL BY TILE BASE IRRIGATION REPAIR SAND AND VISQUEEN 6' R.8.8. ft, RIBBONS R fl:• MOW STRIP 18' R.B.B. 24' m,Et -DEP _rrj,77TT) TNN SHELF MASONRY ROCK PfCKErs—_­­ COPING TYPE CENTERS R.B.B. FACING SPILLOAY 'TYPESIZE STEPS PLUMBING PROP: EXT. 'HALLS FILTER SIZE POOL PU'i_, SIZE 7 PLANTER 'WALL OOST BER PUMP SIZE % RETAINING WAi t S EQU - 1 IP, WALLS "T ADO'L PUMP SIZE FIREPIT ADO'L PUMP SIZE ('-AG' NEATER SIZE ofyt'_-rojf. TIME CLOCK & SUB PANEL ADO'L OUTLE SKIMMER TYPE FILL LINE PE9_E3L_E/ffL_ASTFR GAS LINE LJOHTS POOL FGUNTAINS/SPRAYHEADS LIGHTS SPA ROLLED BOND BEAM SHEER DESCERIS BEHIND SPA LIGHTS IN POOL SPAz• EYEBALLS Ir STUB SET EWIPMENT f7 FENCING MISC. )'Am FEENCE TYPE j PLUMBING SIZE FH 417— HEIGHT GATE REVERSAL G 3UNITE I DEEP END RAMP EXTENDED 20d STEP LOVESEAT SPILLWAY TYPE ESI'_ S rAHT `J �4_ CANTILEVER COWLETION Jr_1111A_ Esl� I COPING 0TI H rER R.B.B. - SEE STEEL OWNER R P�P_05951 E3 rL rr I _FS OWNER TO; (1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION (2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT (3) ;YET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL 15 INSTALLED (4)B AGREE THAT CALIFORNIA POOLS IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS, AND ANY DAMAGE TO CURBS, 3OE`ffALXS, DRIVEEWAYS, LAtNNS, (A OTHER ITEMS IN THE ACCESS AREA (5) SEE THAT ALL FENCING, GATES, AND CARAGE I)GORS MEET LOCAL CODES FOR A POOL ENCLOSURE PRIOR TO PREPU'�STER INSPECTION (6) FILL POOL IMMEDIATELY AFTER PLASTER, (FOLLOW INSTRUCTIONS -- DO NOT USE RUBBER HOSE) e TM AT NOT;CE THAT THIS DRAWING IS THE SOLE PROPERTY OF CALIFORNIA POOLS AND AT ANY USE VATHOUT WRITTEN PEF6051SION OF CALIFORNIA POOLS, INC. IS PROHIBITED BY LAW. OWNER APPROVES PLAN, POOL, AND EQUIPMENT t-OCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE. SiGNATURE(S) DA rE SWIMMING POOL PLAN FOR: NAME MELLFN ESSENCE 'STREET 81:=9-96 'IMPALA NR-1VE _d0B —TRILOGY ADb_RffS CTTY LA QUINTA PHONE 0 F F I C rE p r - 'r LOT 78 TRACT PAGE BOOK MAPBOOKPAGE NO, Try MAIL ADDRESS CONSTRUCTION OFFICE PHONE NO, SCALE DATE DRAWN BY SOLD BY CHECKED BY 2-26-04 AG jf�� JEFF P,, --[F- V IS 11] N S DATE A �I -' INSPECTION EEE OF t3O 1 ICITY-OFU- ,111 Ii L BE CHARGE) IF THE APPROVED -—ILA-05 F1 r- P-L��'" N-S-ANID40B--G�ARD,-AIR-E-NOT-ON----- BUILDING & �PFFZTY DI I A, J5H 111 SITE FOR A SCHEDULED ECTI'O Ni._ z4 T — N 0 - E/X C E- PIT 10 N S 1 f DIV . . . . . . . . T STONE 4�7 4, T ILE BOULDERS DECK COLOR .DANDYDAL e� otX-4 (v__ 7'.'�� PEBB./PL � I- SIGNATURE DRAINAGE NOTE-, Drainage and irrigation for planters and Polls, by others, unless otherwise noted. ----- ----- T) a0 m X** < Ln Q0 CD N 0 z tip to Lj I z > uo Lo < a) 0 Q0 00 CL L_Lj