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06-3452 (RPL)ry ht 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: 9/26/06 Application Number: 06-00003452 Owner: Property Address: 79860 HORSESHOE RD MEEK JERRY L APN: 649-0'61-018-19 -2180 - 79860 HORSESHOE ROAD Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 18000 D SEP 2 g 2006 Contractor: I Applicant: Architect or Engineer: NEUBURGER EQUIPMENT.RAL }py OF LA QUINTA P.O. BOX 623 FINANCE DEPT. LA QUINTA, CA 92253 (760)771 Lic. No.:: 746 746662 -------------------------------------------------------------------------------------------------- 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 License is in full force and effect.. License Class: C12-053 License No.: 746662 ate: 2? O V ontra 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).: 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.). (_) 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: LQPERMIT 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 FUND Policy Number 1576693-2006 I 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 fpct ith comply with those pro 'ons. Date q/ofr icant: WARNING: F LURERE 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 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 co my to enter upon the above-mentioned property for inspecti purposes. e: '� 2 i Signa a (Applicant or Agent): E' Application Number . . . . . 06-00003452 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 189.00 Plan Check Fee 122.85 Issue Date . . . . Valuation . . . . 18000 Expiration Date 3/25/07 Qty Unit Charge Per Extension BASE FEE 45.00 16.00. 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 144.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/25/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 --------------------------------------- EA MECH FURNACE >100K ------------------------------------ 11.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date Valuation . . . . 0 Expiration Date 3/25/07 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 3/25/07 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 N LQPERMIT. .._ Application Number . . . . . 06-00003452 -------------------------------------------------------------------`--------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged ------------------------------------- Paid Credited -------------------- Due Permit Fee Total 293.00 .00 .00 293.00 Plan Check Total 148.85 .00 .00 148.85 Grand Total 441.85 .00 .00 441.85 } LQPERMIT 49 L - 24" Shear Tanning Shelf 12" Deepj A/C 1 10 -F Existing Concrete 71 1 Dwelling Jerry Meek 79-860 Horseshoe Rd. La Quinta, Ca 92253 Spa Raised 18 r ;28' 8'3 '0 CITY OF LA UINTA BUILDING & SAFEW DEPT. APPROVED FOR CO DATE - 1 r: DEPARTMENT OF BUILDING & SAFETY o5T JOB ADDRESS le (90 COUNTY OF RIVERSIDE COMMUNITY f CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES $ UNITS VALUATION 1ST FL. SO. FT. F.C.C.V GROUP [TYPE YARD SPKLR SYSTEM 2ND FL. SO. FT. ® $ MOBILEHOME SVC. BAR SINK POR. SO. FT. DATE POWER OUTLET ROOF DRAINS GAR. SO. FT. Dbl $ C, 06 DRAINAGE PIPING CAR P. SO. FT. ® DATE APPROVED CLEARANCE REO'D 1:1GRADING ROAD DEPT ' HEALTH DEPT PLANNING DEPT LAND USE PL. CK. FEE$ DRINKING FOUNTAIN WALL SQ. FT. ® COMMUCi NFEE Dld SQ FT ® Sb URINAL ESTIMATED CONSTRUCTION VALUATION $ $ S WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES PLUMBING FEE WATER SOFTENER VENTSYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNAGE UNIT WALL FLOOR SUSPENDED $ LAUNDRY TRAY AIR HANDILMr. U NIIT CFO RECEIVED BY KITCHEN SINK ABSORPY70M SYSTEN B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. �'© C)0 �} SQ. FT ® e. BATH TUB SQ. FT. ® ¢ WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO.FT.RESID ®11/4a SEWAGE DISPOSAL SQ.FT.GAR ® *4t. HOUSE SEWER GASPIPING PERMIT FEE PERMIT FEE ® PERMIT FEE DBL I TOTAL FEES I MICRO FEE I MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE JOB ADDRESS le (90 COMMUNITY USE dF PERMIT SP1 13000 VALUATION F.C.C.V GROUP [TYPE MICRO FILM FEE COP $ PLAN NO.' PLAN CHECKER DATE SUPP. TO PERMIT MECH. FEE Dbl $ C, 06 PLM CHECK PLUMBING ELECTRICAL STRUCTURAL FIRE MARSHAL AUDIT C.R.T. REMARKS: DATE NOT APPROVED Q� DATE APPROVED CLEARANCE REO'D 1:1GRADING ROAD DEPT ' HEALTH DEPT PLANNING DEPT LAND USE PL. CK. FEE$ S 0- COMMUCi NFEE Dld $ Sb ELECTRICAL FEE Dbl $ S SMI FEE $ 4p 6 PLUMBING FEE Dbl $ TOTAL FEES $ M.O. C] N.C.[] CASH [3 CHECK C RECEIVED BY TREES REQUIRED SEWAGE SYSTEM T LL P SEWER DISTRICT FORM 284-58 (REV. 8179) 4 CvlIG1��/ 78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 December 28, 1984 Richard Blaricom 79-860 Horseshoe Rd. la Quinta, CA 92253 DearMr. Blariooan: Ag'you kfiow'your attorney has been in contact with me about the fence..that is required to be around spa's and pool's. The State of California Adopted Ordinance 421, Sec. 1-1.2A, effective date of February 1955, which states that you must have a fence not less than (4) four foot ( forty-eight inches). All.gates or doors opening through such enclosure shall not be less than four feet high and shall be.equipped with a.'self-closing,:and self -latching device designed -to keep, and capable.of keeping such.door or gate -'..securely closed. at .all times when not in actual use. The self -latching device is ""located at least four feet :08 .inches) above grade. ' If you have any further questions, feel free to give me a call. COMMUNITY DEVEMPNENT DEPARTN]Er`]T Town Graham — Chief Building Inspector Budding Division `'TG/bsn, ,,�...._ MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 Permit # Project Address: 7,7 _ A. P. Number: Legal Description: Contractor:/Ve" Address: p .3a� 60 d2� City, ST, Zip: Telephone: r7k0) 2„— �81 / State Lic. # :7(�/(o(p(•Z Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone # of Contact Person: 7i. N Submittal Req'i Z Plan Sets Structural Calcs. Truss Calcs. Energy Calcs. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees City of La Quinta Building u Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Owner's Name: L C Address: _ City, ST, Zip: 44- �ui ` �ZZ3 3 I141 (b Telephone: Project Description: Lic. #: I xtt at 5, VC ►. t Construction Type: Occupancy: Project type (circleone)• Ne% Add'n Alter Repair Demo V of fnv Sq. Ft.: # Stories: # Units: Estimated Value of Project. / a 6 Q APPLICANT: DO NOT WRITE BELOW THIS LINE ec'd TRACKING Plan Check submitted L� �6 [% Reviewed, ready for corrections Called Contact Person Plans picked up Plans resubmitted 2n° Review, ready for corrections/issue Called Contact Person Plans picked up Plans resubmitted. '`” Review, ready for corrections/issue Called Contact Person Date of permit issue PERMIT FEES Item Amount Plan Check Deposit Plan Check Balance Construction Mechanical Electrical Plumbing S.M.I. Grading . Developer Impact Fee A.I.P.P. Total Permit Fees.