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04-4827 (RPL)BUILCING & 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 . . . . . Property Address . . . . . . APN: Application description . . . .Property Zoning . . . . . . . Application valuation . . . . Owner ------------------------ SHEA LA QUINTA .0/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE AZ 85258 04-00004827_, Date 6/08/04 60463 WHITE SAGE DR 764-270-999-77 -300231- POOL - RESIDENTIAL MEDIUM HIGH DENSITY RES 17000 Contractor CALIFORNIA POOLS & SPAS P.O. BOX 1280 COACHELLA CA 92236 (760) 398-9222 WCC: STATE FUND WC: 04600061168 01/01/05 CSLB: 656128 - 10/31/04 CCC: C8 -C27 -C29-053 -----------------=-----------=---------------------------------------------- Permit . . . . . . BLDG POOL PERMIT Additional desc Permit Fee 180.00 Plan Check Fee 117.00 Issue Date . . . . Valuation 16870 Qty Unit Charge Per. Extension BASE FEE 45.00, 15.00 9.0000 THOU BLDG 2,001-25,000 135.00 ---------------------=------------------------------------------------------ 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---:P00•L P-9RMI i -RES Additional desc Permit Fee . . . . `4'5.00 Plan Check Fee 11.25 Issue Date . . . . ;,IAA 16 2N4 Va'A ation . . . . 0 Qty Unit Charge -Pe cirl07¢ � Extension q "� 4. '3 7. BASE -^FES ' . 15.0 0 _ P.O. BOX 1504 78-495 CALLS TAMPICO To LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: i�- VOICE (760) 777.701: FAX (760) 777-701 ; INSPECTIONS (760) 777-715: Date: Architect or. Engineer: Architect or Engineer's Address: I Lic. No. BUILDING PERMIT DECLARATIONS I hereby affirm under penaltyof LICENSED CONTRACTOR'S DECLARATION perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professronals C . and my License is in full force and effect. icense Class --License No. Date --­Cdntractor I hereby affirm under penaltyof OWNER -BUILDER DECLARATION 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 tothe 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property himself or herself or through his or her own employees. provided that the improvements are not intended or ffered for dsale. s or 1 If. howe thereon, thebuildi g or improvement ve �� 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 u mprovernenl rs U 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professors 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 f contractor(s) ode licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. • BA P.C. for this reason Date - Owner I hereby affirm under penaltyof WORKERS' COMPENSATION DECLARATION 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 L'Iturance. as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation i rice carrier and policy number are: Carrier olicy Number _ I certify that, in the performance of the work for which this permit is issued, I shall not em to an y person in compensation laws of California, and agree that, if I should become subject to the workers' compensation Provisions onsro Sso aections to 3700 of theme Labor Codto the �1 shall forthwith comply with those provisions. Date plicent , 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, DA SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. MAGES AS PROVIDED FOR IN I hereby affirm under penalty'of perjury that there is a construction lend nSTRU9 agency NDING AGENCY cY tLperformance of the work for which this Lender's Name permit is issued (Sec. 3097, Civ. C.). Lender's Address IMPORTANT APPLICANT ACKNOWLEDGEMENT 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, indemnity and hold harmless the City of La Quints, 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 100 days from date of issuance of such permit, Or cessation of work for 1)30 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 repr "lives of this county to enter upon the above-mentionedro P Pery for inspection purposes. to Signature (Applicant or Agent): Application Number . . . . . 04-00004827 Page 2 Date 6/08/04 Qty Unit Charge Per Extension 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 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 ---------------------------------------------------7------------------------ Permit . . . . . . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 130 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL,SPA, WATER FEATURE, BBQ (ANSI Z21-58-1995),FIREPIT (496AGAL), 6 L.F. 5' BLOCK WALL, CITY STANDARD Fee summary Charged ----------------- ---------- Permit Fee Total 297.00 Plan Check Total 142.50 Grand Total 439.50 Paid Credited Due ---------- ---------- ---------- .00 D0 297.00 .00 D0 142.50 .00 D0 439.50 I SPECIFICATIONS TYPE' t ►..1 t S,ZE Z �- cs, X SURFACE AREA OF POOL 7= 2-7- 56 PERIMETER DEPTHS ,MIN. L.0- MAX. '4' •` (p•• SPA - SPECIFICATIONS TIL s2> �'-y`x" i -`SQ; iT. LE TYPE SPA DAM WALL N4OTH - WATER LINE No,OF JETS iilE TRIM - L ' 3- OUARTER ROUND RAISED SPA AT Y� R.B:B. SPILLWAY TYPE Ot{.y SPECIAL NOTES L DECKING s0 h nNISH Y R",�` P +,A rl*% EXCAVATION STEEL - h TYPE ACCESS FROM '' �" EXPANSION JOINTS \l/,K.<, ELEVATION CANTILEVER DEEP END RAMP ��"—`� DECK DRAINSM[' ��i '' 0 r ( r- y� T LOVE SEAT DECCO DRAIN CO►�ETE REMOVAL LOADS CURB CORS - SOD k-WOVAL LoAbs $1 .......� TRE Rf.IIOVAL 'BY -'� ' STEP FACE IR-!SATION REMOVAL BY "'rte I TILE EASE 1177 ;ATION REPAIR �— I SA4n F ^ uS.a;£Ev \ 12" R."' Ry MCW SM -11 18' R.B.S. R 24' R.8.9. TAN SHELF DEPTH _ MASONRY ROCK POCKETS CENTERS �y COPING TYPE R.8.8. FACING SPA.LWAY .TYPE < "'tAr A�' <� SZE SIT'S PLUMBING FILTER sin PROP. M. WAJ.S .._..' POOL PUMP LA F " SIZE =moi kir PLANTER WALL BOOSTER PUMP SI ZE /� y,ram.. t.� �` i ADD'L PUMP �...%�+ RETAINING WALLS EOUtP: WAILS .. SIZE F?REPfT IC AOD'L PUMP. HEALER ..r�a� I iti'' .�. pSr`�O TIME NRj, '_ice CLOM —V 40 ochew-5 ..�. SUB PANEL AMI SKO AMR TYPE LJ a�r✓ Q�� FILL LINE '5 P BBLE PLAST fhr���, �s OAS LINE � 1=. ``' STUBs rJ LIGHTS POOL �� �` POUNTAINS%SPRAYyEADS A FTi�; LIGHTS SPA ROLLED BOND BEAM SHEER DE5CEN"""""' BEHIND SPA to LtGMR IN POOL IN SPA - MADS% s�fi P-7.5 F Sria SET Ea»MnqT FENCING PLUM3ING BLE ;l FENCE TYPE v HEIGHT 'GATE _. , GUNITE CATE RVER�,S��AL' DEEP END RAMP REMOVE # � HANG EX" ENDED 2" STEP .�. LOVESEAT +� EST. STAR1 AT T ►.Ic– so (y��q SPILLWAY T,1 •ice` ' `'� CANTILEVER [ST. comftr cm r�] ce�ING`-� . T OTHER ,,,_V4- (.kL ,f R.9 ET. •- S, m. STEEL 0^,r -q T0: (1) CETER4!RE 714E APPR74V,AT'E El V41!CN OF POI OR SPA AT LArm 04 DAY OF ©ICAVATION (2), TAE NOTa 110.7 POCi: AND Ems%+PmCNI LOCATIONS ARE &T-JECT 70 ACCEPTANCE OF LOCAL 9JI' D;Ns DEPAR-HENT AT TME- OF ISSUANCE Or PERMIT (3) WET DOWN CCN: PETE SHELL. AT LEAST TVCE'DAILY FOR SEVEN DAYS AFTER SHELL IS INJTALLED {4) AGREE THAT-CAISFOPMA POOLS IS NOT RESPONStPLE FOR UNDERGROUND CONDIIONS OR OBJECTS, AND ANY DAMAGE TO CURBS, SIOE'NALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THr ACCESS AREA (S) -SEE 'CHAT ALL FENCING; CATES,'AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLD%MT PRIOR TO PREPL'ASTER (6) rLL POOL WAVATELY AFTER PLASTER (FOLLOW INS7RUC7IONS -- OO NOT USE Rump HOSE) (7} TAKE NOTICE THAT THIS DRAINNG IS THE =1 'PROPERTY OF 'CALIFORNIA POOLS AND THAT ANY USE WITHOUT WRITTEN PERM "ON OF CALIFORNIA POOLS, INC. IS PROH8TED BY LAW. OWNER APPROVES Pt ft POOL., AND EQUIPMENT LOCATIONS AND HAS READ THE RESPON5f9 UTtES AND NOTICES ABO%c SIGNATUR(S) DA. SWIMMING POOL PLAN FOR: NAME LARANJO RESIDENCE STREET JOB ADDRESS CITY -'z i1iI.I PHONE OFFICE -7/d--74-, ; - TES 77/— � r - LOT ja 1-7 . TRACT -1 PAGEBOOK MAP BOOK PAGE No, 7CITY MAIL ADDRESS SCALE DATE DRAWN BY SOLD BY CHECKED BY l JOBS REVISIONS DATE I Cl-rY-0F l:A-Ql3INT-A BUILDING & SAFETY DEPT. APPROVED Ofd Q . STF3UC _ TE—Bl�----- — r STONE f - T LE � �� 1 VRE=INSPECTION-FEE-OF4$30 �L EI;S ILL--BE-CHARGED IFTHE APPROVED DECK COLOR s Int' PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED JRUY V tO � rn cYco U cD Q v co W X = Q t0 O to U p N Z us m a � M J 3 co C3 r- 40 ... -L. w _ Q w CC - r I