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04-7065 (RPL)i.% O� 4 0 BUILDING & SAFETY DEPARTMENT "nv P.O. Box 1504 (760),777-7012 V OF D _-----_ L 95 CALLE TAMPICo FAX (760) 777-7011 LA TA, CALIFORNIA 92253 INSPECT_ON REQUESTS (760) 777-7153 NOV 0 4 2004 BUILDING PERMIT C" y, of FNA E'QUny aTilon umber . . . . 04-00007065 Date, .11/04/04 Property. ess . . . . . 60518 WHITE SAGE DR APN: 764 -270 -999 -111 -300231 - Application description . . . POOL - RESIDENTIAL Property Zoning.. MEDIUM HIGH DENSITY RES Application valuation.. 20000 Owner Contractor ------------------------ ------------------------ M/M VARNEY AMERICAN POOL'CONSTRUCTION INC 60518 WHITE SAGE DRIVE P.O. BOX 11996 LA QUINTA CA 92253 PALM DESERT CA 92255 WCC: STATE FUND WC: 2380001188 09/22/05 CSLB: 518742 06/30/06 CCC: C5.3 ---------------------------------------------------------------------------- Permit . . . . . . BLDG POOL PERMIT Additional desc Permit Fee . . . . 207.00 Plan Check Fee 134.55 Issue Date . . Valuation . . . . 20000 Qty Unit Charge Per Extension BASE FEE 45.00 18.00 9.0000 THOU BLDG 2,001-25,000 162:00 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 27.00 Plan Check Fee 6.75 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 1.00 3.0000 EA PLB WATER INST/ALT/S_EP 3.00 . 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 Special Notes and Comments POOL ONLY. ALARMS AND BARRIERS SHALL BE V 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: � �{ � 70 (05 Date: 11 ' Al 03 Applicant: I Architect or Engineer: Applicant's Mailing 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 License15j0 ce a effept� /� ? 7- 2 censle Cl(as�ss s'j� 5 ice a 51 OWNER -BUILDER DECLARATION I hereby affix *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 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 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 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.). U I am exempt under Sec. , BA P.C. for this reason Date WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of pedury one of the following declarations: _ 1 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. KJ 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 I1ssued. My workers' co7�pensation in nce came and p�licc num¢er `e: n Carrier 5 tQ f4 CJ n� olicy Number �3 o _ 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 become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1, WARNING: FAILURE TO SECURE WORKERS' COMPENSAT N 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.). Lenders Name Lenders 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 apree to comply with all city and county ordinances and state laws relating to building construction, and -hereby authorize representatives of this county to enter upon the ab a io ope for inspection purposes. /signature (Applicant or Agent): Page 2 Application Number' . . . . . 0.4-00007065 Date 11/04/04 ----------------------------------------------------------------------'------ Special Notes and Comments IN PLACE PRIOR TO PREPLASTER INSPECTION/PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. A/C NOT ALLOWED IN 5' SIDEYARD SETBACK. Fee.summary Charged Paid -reditedDue --------------------------------------------------------- Permit Fee Total 279.00 .00 .00 279.00 Plan Check Total 152.55 .00 .00 152.55 .Grand Total 431.55 .00 .00 431.55 .Ic. .-j � - QUTLITY POLE -- -- -- UTI.HTY EASEIrtENT Q ELEG P1 WL �- FENCE (FE OWN TYPE) © GAS METER -E-E- UNDERGr4Otgo ELEC BErai MARK -G-G- UCER(' O� GAS ®1ND4TH�t OEPTH --�-�— OVERHEAD EL EC. — — TELE. H� �0VEFZrEAD . ® ELEC. PEDESTAL QCCESSct> 12MC r"1 t Fp/ e E CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION / DATE - 013Y Y `� 10 NOTES Ll n + C I cc. ' ► . NP Lis.�►�� -- i I "Sheep O O 0 0 3 AREA MAP KEY MW NO. r; ► UU\`� 1 r Y 4n �soni Cow'(-A�lasc� ` I SCALE: 'A _ - 0. JJ JI CTION Boot ® H OSE,8iS SKER s CXK*�N ® KDWER FLL ' UE �� LIGHT AREA HR p WER LEVELER p FLTER oR RETURN PVC DRAIN RETE YU YE p HEATER •-� THERAPY GRA His ® GATE SALVE OD MAIN GRAN AERATOR: =1 lADOER _......--_ y = SWTTCHi © P TRAP a RAAP ❑ GAS Get LL 0 RE)CEPTACL.E —3 STU8 ty CUP ANCHOR j& SEE NOTES LOT E DCK ooq5- TELE 1K .. AMER 1 CAN POOL CCN.%T[A)CTICN INC. ---- P 0. BOX 11996 PALM DESERT. CA. (760) 340-2588 •L�l VV/ •VV1 IILV LV .11 111 1 VV 11 / VVVI i1,11V0V VV L4 �1/111V4 .�VV1/ VV1 •t 5 TPILOGYAT LA QUTNTA MAINTENANCE. ASSOCIATION October 25, 2004 Shea Homes ' 603 Sow& Valencia Brea, CA 92673 Property Address: 60518 Whitt � Sage Drive Dear Shea Homes: We are pleased to inform you that:eour plans Ser pool, irrigation, panting, concrete, received on September 29, 2004, has been conditionally approved by the Design Review Committee per the condition(s) listed on the attached Conditions of Approval form. Addit.aaaily, there may be notes written directly on the plans that are being returned to you that contain additional eonditi ane that must be met. Please review your plans carefully for those changes (if any This approval does not constitute consent by the Association for the applicant to encroach, ftspass, or build on any Property other than that of the a pplicant. Please be advised that this approval does not relieve you from obtaining any necessary building pan nits from the governmcntel 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 timc that a Design Review Committee member has inspected your property and your deposit has been refunded to you. It any damage has been caused by your contractor to common area property, the Association will have the accoway repairs made and deduct the cost from your deposit. Tbemfore, it is important for you to wait for the deposit refund before you pay your contractor in full. Once you submit your Notice of Ca mpletion form, the time frame to get an inspection and a refund check to you can vary between two to three wee:cs, depending on when it is received at the Santa Rosa Club. Thank you for your patience in this matter and for c amplying with the Association's policies and standards. Sincerely, Forthe Design Review Committoe Bod fie Stone Bobbie Stone Association Business Manager Enclosures Professionally AfanaWd by Action Properly Mwwgemen I= u0-7'50 Ti*gy Parkwq, La Quints CA 92153 (760) 777-6059 (760) 777-609' fav www.actionlffe.com