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05-1489 (RPL)BUILDING & SAFETY DEPARTMENT ,Ox 1504 (760).777-7012 i CALLE TAMPICO FAX (760) 777-7011 INTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT ;r Property Address . . . . . . APN: Application description . . . Property Zoning . . . . . . . Application valuation . 05-00001489 Date 4/20/05 78930 ZENITH WY 609-470-064-2 -23773 - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 14000 Owner Contractor ARMSTRONG JAMES K MCRAE POOL & SPAS *NOT ON FILE WCC: EXEMPT UNKNOWN, CA 99999 WC: EXEMPT 09/30/05 CSLB: 823017 08/31/05 CCC: C53 P.O. Box 1504 • �1/ 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: ]`r ~ 1 1/ro Date: Applicant: Applicant's Mailing Address: �r hRTra C TW Architect or Engineer: Architect or Engineer's Address: /\/,A 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 ' lde, and my License is in full f ce, d effect. icense. Class G — T_ License No—," S� 3 SSI 7 ,ateqL)JContractor C 1 �/ 1 � (f J 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 Fria a signed statement that he or she is licensed pursuant to the provisions of She 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 penally of not more than five hundred dollars (8500).). L) 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 iapply 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.). (__) 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.). L) I am exempt under Sec , B.& 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. have and wi11 maintain workers' compensation insurance, as required by Section 3700 c the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation insurance carni d policy number are Fier Policy NumbeP I certify that, in the performanceof the work for which this permit is issued. I shall not employ any person in any manner so as to become subject 10 the workers' compensation laws of California, and agree that, it I should become subject to the workers' Compensation provisions of Section 3700 of the Labor Code, I shall f0rthwit mply with those provisions. Det -e 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 3705 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. 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 county to enter Pon the above-mentioned property for inspection purposes. Date Fl Signature (Applicant or Agent) ---------------------------------------------------------------------------- Application Number . . . . . 05-00001489 ---------------------------------------------------------------------------- Permit . . . . . . BLDG POOL PERMIT Additional desc . . Permit Fee 153.00 Plan Check Fee 99.45 Issue Date Valuation 14000 Expiration Date 10/17/05 Qty Unit Charge Per Extension BASE FEE 45.00 12.00 9.0000 ----------------------------------------------------------------------------- THOU BLDG 2,001-25,000 108.00 Permit . . . . . . MECH POOL Additional desc . . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation 0 Expiration Date . . 10/17/05 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 Expiration Date . . 10/17/05 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 10/17/05 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 -------------------- 255.00 .00 ---------- .00 255.00 Plan Check Total 124.95 .00 .00 124.95 Grand Total 379.95 .00 .00 379.95 Common Wall c., P. A. Future 18" Retaining Wall ITY OF LA, C-) s~1 A in nING & SAFEiY bi✓PT. lM { Fjr•i� P It 4 C' ARMSTRONG RESIDENCE 78-930 Zeith La Quinta, Calif. SPA DIMS 7' X 7' POOL DIMS 35'-0" X 15-0" SPA PER. 22' LF PERIMF ER 91' LF SPA S.A. 38' SF SURFA,-: 390' SF CONC. 760' S.F. 14' Scale 8"= V-0" F-1 N O SPA 5 fff 7' POOL Stacked Stone Spillway 5'-0" S-0" ,,, P. A. W. D. N W. D. W. D. i ENTRY STEPS P.A. rr n. A. E u P.A. �] Pool Equipment EXISTING RESIDENCE ' c} Future 18" Retaining Wall ITY OF LA, C-) s~1 A in nING & SAFEiY bi✓PT. lM { Fjr•i� P It 4 C' ARMSTRONG RESIDENCE 78-930 Zeith La Quinta, Calif. SPA DIMS 7' X 7' POOL DIMS 35'-0" X 15-0" SPA PER. 22' LF PERIMF ER 91' LF SPA S.A. 38' SF SURFA,-: 390' SF CONC. 760' S.F. 14' Scale 8"= V-0" F-1 N O Bin #� City of La Quinta Building 8r Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico q La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: 79-,-,p Owner's Name: �j FV A. P. Number: Address: 7y- 930 2ez,v 7-/-/ Legal Description:` City, ST, Zip: CA - Contractor: I)ISCAE POOL Telephone: 3 Address: Project Description: City, ST, Zip: Lr r 22 S3 . Telephone: L State Lic. # : . ..... ........... City Lie. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Ty e P Occupancy: State Lic. # Project t} pe (circle one) NewAdd'n Alter Repair Demo Name of Contact Person: Sq- Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rcq'd Recd TRACKING PERMIT FEES Plan Sets I Pin" ch—k- �„h.. .. Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"a 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:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.I'. Pub, Wks. Appr Date of permit issue School Fees "Total Permit Fees CITY OF LA QUINTA SUB-CONTRACTnR I IST JOB ADDRESS_? S' 930 Zt�(�� bviL tKA PERMIT NUMBER—irOWNER_7i'✓�'1 5172 a BUILDER_ MG12�4���S This farm shall be posted on the job with the Building Inspection Card at all times in _a cons uous lace. Only persons appearing on this list or their employees are authorite"t"ork on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Faillpr.p to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "Qn File"'i s not an acceptable response: Trade / Classification _ Contractor State Contractor's License 1111orkers Com ensation Insurance Jf '�'" City Business License Company Name Classification - License Number Exp. Date Carrier Name Policy Number Exp. Date License Number Exp. Date le.g. A, B, C-8) (xxxxxx) (xxhcx/xx) (e.g. State Fund, CalComp) (Format Varies) (xx/xx/xx) (xxxx) (xx/xx/xx) EARTHWORK IC -12) � C CAV jN _ 90:210-7 12-00S p y G O sI 0 -D O s 33 3-3 1-C� CONCRETE (C-8) -cmV/ C // ©21D FRAMING (C-5) STRUCT. STEEL (C-51) Elv E/16Uv)'n6 1N 93J�S- -7 S* �4( -� 06 Ub MASONRY (C-29) PLUMBING (C-36) W _ !W C // LATH, PLASTER (C-35) S() �'P _7 970 /0-1-0 7 S -M 7fECVY/ l - - 5-4 ,,15 2,1 �/ vt(7 DRYWALL (C-9) IwVC HVAC (C-20) ELECTRICAL (C-10) N� — 2 ' aU W S 2-3 j� 717 1 ROOFING IC -39) SHEET METAL (C-43) FLOORING (C-15) GLAZING (C-17) INSULATION (C-2) SEWAGE DISP. (C-42) PAINTING (C-33) CERAMIC TILE (C-54) CABINETS (C-6) FENCING (C-13) LANDSCAPING (C-27) POOL (C-53) L �. �- SJ721 50 7 s-