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04-7470 (RPL)i Titf " BUILDING & SAFETY DEPARTMENT Box 1504 (760).777-7012 15 CALLE TAMPICO FAX (760) 777-7011 UINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 j -""" (L-' BUILDING PERMIT cErr of v� QuiNx►� FINANCE DePT, Application umber 04-00007470 Date 11/24/04 Property Address . . . . . . 78905 ZENITH WY APN: 609-560-028-28 -23773 - Application description POOL - RESIDENTIAL Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation 23000 Owner Contractor MCALLISTER/LEVINE - PURRFECTPOOLS & CONSTRUCTION 78905 ZENITH P.O. BOX 1524 LA QUINTA CA 92253 PALM DESERT CA 92261 (760) 568-4963 WCC: STATE FUND WC: 1680230 10/01/05 CSLB: 483498 12/31/05 ---------------------------------------------------------------------------- CCC: C53 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 . . . . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 234.00 Plan Check Fee 152.10 Issue Date . . . . Valuation 23000 Qty Unit Charge Per Extension BASE FEE 45.00 21.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 189.00 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 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 79 70 1 Date: Applicant: Applicant's Mailing Address: 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 Professionals Code, and my License is in full force and effect. .�� / License Class License No Date q/221d Contractor WNER-BUILDER DE LARATION 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 fife 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 perrnit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).): U I, as owner of the property, or my employees with wages as their sale 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 saia- 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 I, as owner of the property, am exclusively ccntrecting with licensed contractors to construct Lhe 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 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 issued. My workers' compensation insurance carrier and policy number are: Carrier- 514J.0- AUN ,{, Policy Number 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 forthwith comply with those provisions. Date 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. 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 Safely 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 pemnit, 2. Any permit Issuer! 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 re pro santatl ves of this county to anter upon the above-mentioned property for inspection purposes- Date -',L_ Signature (Applicant or Agent): _ - Page 2 Application Number 04-00007470 Date 11/24/04 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 PREPLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due Permit Fee Total 336.00 .00 .00 336.00 Plan Check Total 177.60 .00 .00 177.60 Grand Total 513.60 .00 .00 513.60 cl F LAWN' BU & WiFFY DE T. 'RED *IJ Ury - DAT I g) - wgw vz) 'llosocl wlecl 0 *Z!R I X01a E I i I uoi ponjisluoo 1:Doijind CO/Ce 39vd 5ICIc-JiO3.22kfld GZRG-Aqp-Aq/ T.A:7.T tlnA7./P.7/TT Rpr 20 05 01:19p PPM 760-325-9300 p.1 STARLIGHT DUNES HOMEOWNERS ASSOCIATION c/o Personalized Property Management Co. April 16, 2005 MR. DENNIS MCCALLISTER 78-905 ZENITH WAY LA QUINTA, CA. 92253 Re: Architectural application approval for addition of pool, 78-905 Zenith Way, Sl�cli�h Dunes homeowners Associabori Dear Mr. McCallister: The Architectural Committee/Board of Directors met and reviewed your request for the addition of a swimming pool in your back yard. The Committee and Board of Directors have approved this request pending the security deposit in the amount of $1,000.00 to be held until the project is complete, to ensure that no damage is done to any Common areas. If completed in accordance with the plans and without damage to the common areas, the deposit will be returned upon sign -off of the project. Please contact the undersigned upon receipt of this letter to arrange for the deposit check. You will be required to contact as well, at the completion of the project for final sign -off. Thanking you in advance for your cooperation. For the Starlight- Dunes Homeowners Association Board of Directors F � r Michael W. Uvingston CCAM, AMS Community Manager cc: Board of Directors Enc. File. 68-950 Adelina Road Cathedral GN, Ca. 92234 (760) 325^9500 fax (760) 3259300