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05-1318 (RPL)APR 2 7 2005 IN I OF to QUINTA11 BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . .-05-00001318 Date 4/07/05 Property Address . . . . . . 60585 LACE LEAF CT APN: 76.4 -270 -999 -114 -300231 - Application description . . . POOL - RESIDENTIAL Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES Application valuation . . . . 2500,0 Owner Contractor WELCH DEVINE SWIMMING POOL DESIGN 60-585 LACE LEAF COURT 80844 BOULDER DRIVE LA QUINTA CA 92253 INDIO CA 92201 (760) 989-0354 WCC: STATE FUND WC: 1641733 07/01/05 CSLB: 786814 11/30/06 ---------------------------------------------------------------------------- CCC: C53 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 Extension BASE FEE 15.00 1.00 9.0000 ---------------------------------------------------------------------------- EA MECH FURNACE <=100K 9.00 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 Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 33.00 Plan Check Fee 8.25 P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: -3 Date: Applicant: I Architect or Engineer: Applicant's Mailing Address: Cyo/VT, A c ro,< 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 Professionals /Godes and ss Lice a is in full force and effect. /' ni &-, LI License Class License o. -nate `7 . —��'U� Contractor--��/+nC- 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 Secfion 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 1, 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 Owner 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 i ued My cers' co pensation insurance carrier olicy ,m'ber a arrier�,c,_ Policy Number certify that, in the performance of the work for which thi permit is issued, 1 s all 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 J forthwith comply with those provisions. a� to / j ! "'�%�� Applicants 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. 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 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. 1 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 construc on, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date �'� U�� Signature (Applicant or Agent):/ Page 2 Application Number 05-00001318 Date 4/07/05 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. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due Permit Fee Total 354.00 .00 .00 354.00 Plan Check Total 189.30 .00 .00 189.30 Grand Total 543.30 .00 .00 543.30 Pin # City of La Quinta Building &I Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 05'—/-3/S Project Address: Z i C°OU,e Owner's Name: r^Lr,H A. P. Number: Address: 410 CG e4 F Legal Description: Contractor: ����, i, P�7S y. SPA -q, City, ST, Zip: LA Qat C4 '0j2-2 9-3 Telephone: Address: �b yN �ov ( a(�v/L �2 , Project Description: City, ST, Zip: t o �qlj 2 2,6 1 ew ,t/,e IPdoL AAA r" !go Telephone: one. 7�o y891 3 S`1 State Lic. # : —7&(o & t t( City Lie. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: P hone• • � Construction on Type: Occupancy: P P Y• State Lie. Project ct cl e one : New type (circle r Add'n Alter Repair air p Demo Name of Contact Person: 1 Sq. Ft.:j �(� # Stories: # Units: Telephone # of Contact Person: -7(00 -9&91 G 3S y Estimated Value of Project: 00Z) '— APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted 6 Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"d Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. APPr Date of permit issue School Fees Total Permit Fees TRILOGY AT LA .Q UIIVTA MAIIVTENAIVCE ASSOCIATION March 25, 2005 William & Robyn Welch 60585 Lace Leaf Court La Quinta, CA 92253 Property Address: 60585 Lace Leaf Court Dear Mr. & Mrs. Welch: We are pleased to inform you that your application for removal of block wall, irrigation, and pool, received on March 22, 2005, has been conditionally approved by the Design Review Committee per the attached Conditions of Approval form. This approval does not constitute consent by the Association for the. applicant to encroach, trespass, or build on any property other than that of the applicant. This approval is related solely to the items reserved for approval by the CC&R's in accordance with the Architectural Guidelines. The approval does not extend to the quality of work. done by your architect, or contractor, or to any structural engineering, soils engineering, or site grading and drainage design. You are urged to obtain the services of a state "licensed professional for consultation as needed. Please be advised that this approval does not relieve you from obtaining any necessary building permits from the governmental agencies involved. It is strongly recommended -that you hold your final payment to any contractor doing work on the exterior of your home until such time that a Design Review Committee member has inspected your property and your deposit has been refunded to you. If any damage has been caused by your contractor to common area property, the Association will have thernecessary repairs made and deduct the cost from your deposit. Therefore, it is important for you to wait for the.deposit refund before you -pay your contractor in full. Sincerely, For the Design Review Committee X066t& 04�0)� Melinda Gutierrez, CCAM Association Business Manager Enclosures cc: Board of Directors Design. Review Committee Professionally Managedby Action Property Management, Inc. 60-750 Trilogy Parkway, La Quinta, CN' 92253 (760) 777-6052 (760) 777-6119 fax ...........r.f;nnlifo rnm