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05-4978 (RPL)C►. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 05-00004978', 78835 ZENITH WY 609-560-014-14 -23773 - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 144 Architect or Engineer BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: ' CHAD SMITH 78 -835 -ZENITH WAY LA QUINTA; CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/09/05 .. Contractor: PELHAM POOL CONSTRUCTION D � 2005 12155 PALM 'DRIVE SUITE B173 ►r0° O `'' DESERT HOT SPRINGS, CA 92240 (760)251-7175 Ot191i �. Lic- No.: 823469 CtANC�®SPT• LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of f the Business a rofessionals Co nd my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Cla C e No.: 823'469 for by Section 3700 of the Labor Code, for the performance of'the work for which this permit is �cto issued. - Date: �; _ 1 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: , I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EXEMPT Policy Number EXEMPT . following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to files signed statement that he or she is licensed pursuant to the provisions of.the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or and agree that, if I should becom.2 subject to the workers' compensation provisions of Section 37 0 of t Labor Code, I forthwith compl se provisions. 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 IS5001 - •Date:. 7' Applicant: ' 1 1 1, 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 WARNI G: AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - Contractors' State License Law does not apply to an owner of property who builds or improves thereon; - . SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS 15100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT . .(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. ' - property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law:). whose benefit work is performed under or pursuant to any,permit issued as a result of this application, I am exempt under Sec. , B.&P.C. for this reason 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. Date: Owner: 2. Anypermit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance ofsuchpermit, or cessation of work for 180 days will subject CONSTRUCTION LENDING AGENCY - permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.1. - city and county ordinances and state laws relating to building constru nd hereby a e ' presentatives • - .- of this cou to nter upon the above-mentioned property ecti u oses Lender's Name: . Date;l Signatures (Applicant or Agent): e ' Lender's Address: `- ,LQPERMIT . - Application. Number 05-00004978 Permit . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date 5/08/06 Qty Unit Charge 'Per Extension BASE FEE 15.00 `^ 1.00 11.0000 EA MECH FURNACE >100K 11.00 -------------------------- --------------------.--------- --------- ------------ Permit . . . BLDG POOL PERMIT INV_ FEE'' Additional desc Permit Fee 486.00 Plan Check Fee -157.95 Issue Date . . . . Valuation 23856 Expiration.Date 5/.08/06..,: Qty -Unit Charge Per Extension BASE FEE 90.00 _ 22.00 18.0000. THOU BLDG 2,001._25,000 396.00 Permit ELEC POOL PERMIT -RES' Additional desc . Permit Fee . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/08/06 Qty Unit Charge Per Extension' BASE FEE 15.00 ` 1.0.0 30.000.0 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 5/08/06 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 GAIS,PIPE.1-4 OUTLETS 3.00 Permit WALL/FENCE PERMIT LQPERMIT . Application Number 05-00004978 Permit . ... WALL/FENCE PERMIT Additional desc. Permit -Fee .". . 15.00 Plan Check Fee.. .00 Issue Date.. . . . Valuation . . . . . 144 Expiration Date 5/08/06 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes.and Comments - POOL_ &, SPA_. 9 , L. F. ,4!- EQUIPMENT BLOCK WALL, ORCO SYSTEM. ALARMS/BARRIERS '- SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. INVESTIGATION FEE ASESSED PER 1997 UNIFORM ADMINISTRATIVE CODE $3.04.5 FOR WORK BEGUN WITHOUT BUILDING PERMIT. Fee summary. Ch"arged Paid Credited Due Permit Fee Total 605.00 .00 00 605.00 Plan Check Total 183.95 .00 .00 _ 183.95 Grand Total X788.95 .00 .00 788.95 • LQPERMIT. ' z j }, [,} CITY OF LA.O.UINTA SUB-CONT",CT LIST I °c JOB ADDRESS + 1 1 ((w� PERMIT NUMBER?OS" y 9 %g OWNS ) ^ BUILDER_ ] � ► Al �DC7l o This form shall e place. Only persons appearing on this list or their employees are authorized to work. 15 (D on this job. Any changes to this list must tie approved by the Building Division prior to commencement of work. Failure to comply will result In' stoppage of work and/or the voidance I of buildin ermic. For each applicable trade, all information re ue6tad below' -must be corn -laced b II " Trade r Classification a cant. On Flle is not an acce table res once. : s,; ^ 9fa e,Contr et" 'a. 11 sti of Meng on, nsura Company Name' Classification Ucense Number Exp. Date Carrier Name Paley Number Exp. Date (e.g. A, 8, C -B) (xxxxxx) Ixx/xx/xx) [o.g. State Fund, CalCompl (Format Vain) Ixx/Kx/xx) City. 84stn License Number ' (xxxxf LkenYa(i >'.• Exp. Date lxx/xdxx) EARTHWORK (C 12}... ?nprgpcTc {r c) , U1r ^ uo.1 '1lkivarr� EL it • / g5 c'j "C c� r oto JD" C C n1alp& V, je%(ji{ C lar arr * V-5 ?i Q lD r {. 0 r 3/ O(o - J6 i O TO CT:' fi` ((T•6.11 iL(1( . S Si- /� a C85 o n(v a co r*�eA� IN < ooi 53b c t.4 hip MASONRY.IC•29) .LUMBING 1C-36) LAT►1: PLATER {C-351 ; Irlt�r5 �'�� V.01r )^mss /� 19 6 -If Ts C C.-5.3 1915l 16 "t 0'4 IR % Zk r 0 3 1 n 817 �0 DRYWALL ('C-91..:. .. ELE.CT.R)CAL IC=101-, -t-. SHEET METAL (C:42) fCbOR1NG GLAZING (C:1:7)`' ' .:.. INSULATION:`IC-21, ..: SEWAGE DISP. �{C-421 PAINTING IC -§3) CERAMIC TILE (C-94) CABINETS (C-61- FIENCING 1C-131 LANOSCAPING 1C-27):'.' POOL (C•53 ` iC7 %} Ih ��- C3- Duni �-Q, QP (2anl -e Io(i113 .1, . ��oo , Oct 27 05 10:38a Pelham Pools (760) 251-0228 10/27/2005 THU 10:19 FAX v Bin #City of. La. Quinta Building ex SA Division �Y P.O. Box 1504, 78-495 Calle Tampico Pegnit ►>< La Quinta, CA 92253 - (760) 777-7012 Building Permit .Application and Tracking Sheet Project Address: — 3 •, VL Owner's Name. '77C A P. Number. �` (� ` �' k J , `i Address: '�71.� Legal Description: City ST, Zip: LAC,) /o Contractor`. ? �1 C4.Vyl C; S Telephone Address: i2 1 .s L m'.(�f Project Description: City. ST, Zip j Telephone _' Ca L I • nCi� State Lie. # : -c3 Z J �-{ City Lic.Li #: / Arch., Engr.. Designer t— ( 1'1 C Address: -• 3 • t Q7 "� 1 �" l' — `u -s --"l1 City, ST,' Zip: Telephone: YO ConstiuctionType: ecicI Occup-cy: -J State Lic. #:. 7; > Project type (circle one): ew �Add'n Alter Repair Deno Name of Contact Person f Sq. Ft.: U # Stories- .'tl / # Units: N Telephone # of Contact Person: i " �'( Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE " p.2 # Submittal Rcq'd Rec'd TRACIQNG . PERMIT FEES Plan Sets Plan Cbeck submitted "T4 /0 % Item Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Cheek Balance Energy Calm Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"Revie:w, ready for eorreetionsfitsoe Electrical SabcontaetorList Called Contact Person Plumbing Graal Deed Plans picked up S.M.L ILO.A. Approval Plans resubmitted Grading IN HOUSE:- ' ' Review, ready for eorreelions✓issae Developer Impact IVice Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 73J Ct4j- A 1 �mitn i'i'xsu tree- corm tool w/ /1'6pa N ` � PmEL Apoo` CWW41 Foo Wate82 e469res- Reno e CA STAT E LIC rJ _ 00 N i 5112' N 4 N ARE-1SpECTION FEE ,OF $3� -: -�� J . . APPROVED o WILL. BE CHARGED IF THE PLANS AND JOB CARD ARE NOT ON . , THE SITE FOR A SCHEDULED. Ew INSPECTION: POOL SPECS NO EXCEPTIONS! Size:1Tx30' ` Area: 465 Perimeter: 95' Depths: T x5 1/7x 4' (��;�TA Waterline:Group 3 Tile BUILDN & SAFES DEPT• BUILDING Elevations: 0" . ., ����® \9 ED Filter: 300sq.ft. 0 d FOR CONSTRUCTION sq. ft. Cactridge Heater: , E' M ' - DATE%BY 400,000.B.T.U. 4�5 Circulation Pump: % /. r . CL 1.5 H P /. Jet Pump: Y 2.OHP Smith Residence 1 Time Clock: .N 1 • Way. ��� Intermatic T104RE '7.8_835 Zenith V� y (, Light:American 500Watt LO La Quiilta, CA - Spa Light: A.P. 10OWatt 9225 3 Jets: 6 N Spillway: Stacked Stone v 0