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05-2945 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 05-00002945 5-3563 VIA PALACIO 772-560-045- - - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 18000 C,/,/ TRIA C, T-oK Tiht 4 4 Q" Architect or Engines LICENSEDr9GNTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am li s nder provisions of Chapter 9 (commencing with Section 7000) o vis of the Busin sand Pr a io Is Code, and my Lice i ful,Pnd effect. License CI s:— (/ can No.: ZL0 Contractor: OWN - ILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).: (_ 1 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 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.). (_ 11, 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.). (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/15/05 Owner: HIDEAWAY Contractor: CALIFORNIA POOLS & SPAS WCC: SEABRIGHT INS WC: BB1050510 01/01/06 CSLB: 656128 10/31/06 ----------------------------------------------- WORKER'S 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 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: C / // �p o 6p / / (1/ Carrier CS C27 C29 C53 Policy Number �ii��j6f�sF1 VG (7d" 1 certify that, in the performance of for which this permit is issued, I shall not employ any person in any manner so as to bec a sub ct to the workers' compensation laws of California, and agree that, if I sh become 'act the workers' compensation provisions of Section �0=f the Labor d shall o w omply with those provisions. ate: O Applicant: WARNING: FAILURE TO SECURE W (RKERS' C PENS ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS J$1 00,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 cessa f work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above informati n is chicrept. I agree to comply with all city and co my ordinances and state laws relating to buildin c nstruction and hemy authorize representatives of this c nt toe ter upon the above-mentioned property r i spectio rpose Dat d� nature (Applicant or Agent): Application Number . . . . . 05-00002945 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 189.00 Plan Check Fee 122.85 Issue Date . . . . Valuation . . . . 18000 Expiration Date . . 1/11/06 Qty Unit Charge Per Extension BASE FEE 45.00 16.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 144.00 Permit MECH POOL Additional desc . . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/11/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 ---------------------------------------------------------------------------- EA MECH FURNACE >100K 11.00 Permit ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation 0 Expiration Date 1/11/06 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 1/11/06 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 GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA ONLY. ELEC STUB OUT FOR LQPERDfIT Application Number . . . . . 05-00002945 ---------------------------------------------------------------------------- Special Notes and Comments FUTURE APPLIANCES. 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 293.00 .00 -------------------- .00 293.00 Plan Check Total 148.85 .00 .00 148.85 Grand Total 441.85 .00 .00 441.85 LQPERMIT Qin #{ City of La Quint Building 8L Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address:-53r Yl w PA-),4c i 8 Owner's Name: Dg A W A. P. Number: Address: Legal Description: City, ST, Zip: Contractor:00LS Telephone: C L h one: Address: t7 8ox a-0 Rroject Description: City, ST, Zip: 6OC4 CA cl La)J( 'z✓ C,. A- rue Ou F h Telephone: one: 39 f G State Lic. # : �� j �' City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: hone: Construct on Type: P Oc cu P anc Y r oJeStoto Lic. #• Pct type (circle one): Add'n Alter Repair r Dem p o Name of Contact Person: Sq. Ft.: # Stories. Units:�a l � Telephone # of Contact Person: .S "4);L 7 Estimated Value of Project: ©� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted 7 Item Amount Structural Calcs. 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"d 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:- '`d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 4__44 --k IL ---------- •j ..j q IL — — — — — — --- — — — — — — 1�6 aS 361 " j�lr rM Z ON! -, 1!i ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ Rl• _ _ ., b±.a,!�"�}'{, rM'B,31�"', R. TI%mu, -R:r, t-, Y ',111 kr" 14' , 4 -W! " 0 T'lih .4 Ui+ ? �kNi` rsj ;0 A, 04 51�,, R ngul -j iY, tg X • ., _r -r' -�� �+l~7 s 1 r7 c extYr• i ( t .i,.St.t phl` , � far WI.RAII I WA a -z 3ir M ■ R z• vytmu F Y5' -J, W- '1� -g% 11 011111, %. ■ 2 -pill, -51 f gtf r5gj-p.t ti VAT .1 �0112vllt q j -.1wir I lip zu '_,00 q '3�'t ffi$JIl kin ,h r4t4 '_r:1, "Mm, 951 :; i ;i i .z ' i,.X• jj gg ls7 tr' tv . .. li. I•• f.Y t l ..t _ arrL'hs•. .■ If —a W Y '. AL F 40. 2"e", 1,..r,. , -"'� g � % I Nji"OLD 910 WO 0 _rl �w - aw, Lv�lsr.,: ]FAIM 1, 'r :Tra: %w "', .n 'fj4 ��} ,. � t�C 1 �f����_ g -'4Y,f� w3<1=Yr-+�S- `urt'�'- r``y1,(i •'j�-rrryPt � 5„tl,t• �y�. I �-� , 7 - � ����' �;� � ,..{{;�i,Ir�;��t�{L,i�`'!,# t�,.��--ti i ; r 7777"` ,>i x, 7 a t :I, �� "t,I + ( aCy,.r�S ;�`irG1jL C ��-�,«_`' ,^� t-`ttr�ta�'�tl;,'yt'_.�-..tom 11'�'�l �,,L7 i:L'i�G^ri'�.7,•�...' Mnit, EN 1 r t'` �: 1 �� C if. ,r.•I � f�{'t•, :-ti i•�hl 1 'i!<t'1 I Mr, CT EEV w [4r oil, fro, y, -., E i.»: r �'I;i,`•jf rFl�i��%ry F T t ' t)114 r li tljL Y,��..v ::d n - a p LIP 613 I , _::i 7 i' ' , -ti Si, IW a , i j, Ewa BE I WR 3 on, SPECIFICATIONS TYPE 0 l T -e t' SIZE 7 2 Ca X Aq SURFACE AREA OF POOL PERIMETERMAX. DEPTHS MIN. SPA SPECIFICATIONS I-ILE SIZE -.6-- X -16- SO, FT, TILE TYPE SPA DAM WALL WIDTH WATER LINE NO. OF JETS TILE TRIM LIGHT QUARTER ROUND RAISED SPA AT SPILLWAY TYPE SPECIAL NOTES DECKING EXCAVATION STEEL so, ,:T TYPE FINISH ACCESS FROM EXPANSION JOINTS ELEVATION CANTILEVER DEEP END RAMP DECK DRAINS LOVE SEAT DECCO DRAIN CONCRETE REMOVAL LOADS CURB CORE SOD REMOVAL LOADS STEPS - TREE REMOVAL BY STEP FACE. IRRIGATION REMOVAL BY TILE BASE IRRIGATION REPAIR SAND AND VISQUEEN 6" R.B.B. ft• RIBBONS 12' R.B.B. it! MOW STRIP IS* R.S.B. ft. 24' R.B.B.- 30" R.B.B. TAN SHELF DEPTH---- MASONRY ROCK POCKETS-- COPING TYPE CENTERS RB.B. FACING SPILLWAY TYPE SIZE PLUMBING STEPS FILTER SIZE PROP, EXT. WALLS Pool. PUMP - SIZE VPLANTER WALL RETAINING WALLS BOOSTER PUMP SIZE EQUIP. WALLS ADD1 PUMP SIZE FIREPIT ADD'L PUMP SIZE HEATER SIZE TIME CLOCK SUB PANEL ADD'L OUTLET SKIMMER TYPE ALL LINE PEBBLE PLASTER LIGHTS POOL GAS LINE ____ STUBS LIGHTS SPA FOUNTAJNS/SPRAYHEADS POLLED BOND BEAM SHEER DESCFNTR BEHIND SPA EYEBALLS LIGHTS IN POOL ---IN SPA STUB SET EQUIPMENT FENCING MISC. --- FENCE TYPE PLUMBING SIZE GATE GUNITE GATE REVERSAL DEEP END RAMP REMOVE & REHANG EXTENDED 2nd STEP LOVESEAT SPILLWAY TYPE______- EST. START CANTILEVER EST. COMPLETION cOP1`c; OTHER R3.9. - SEE STEEL OWNER RESPONSIBILITIES A -w;*.-) Skkc; 9,tC, "i; -LO OWNER TO: (1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVAPOIq (2) TAKE NOIICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEP- TANCE OF LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE Or PERMIT C) (3) WET DOWN CONCRETE SHFLL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHFLL IS INSTALLED (4) AGREE THAT CALIFORNIA POOLS IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS, AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA (5) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE PRIOR TO PREPLASTER INSPECTION (6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS --- DO NOT USE RUBBER HOSE) (7) TAKE NOTICE THAT THIS DRAWING IS THE SOLE PROPERTY OF CALIFORNIA POOLS AND THAT ANY USE WITHOUT WRITTEN PERMISSION OF CALIFORNIA POOLS, INC. IS PROHIBITED BY LAW. OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESP0NSI[,!jjTIES AND NOTICES ABOVE. DATE SWIMMING POOL PLAN FOR:---_ NAME ii A \/ ri I D EAkVm Y LOT 221 STREET VIA- 'rAL-4440 JOB ADDRESS HIDEAWAY LA QUINTIA :'HONE OFFICE F7S LOT 221 TRACT PAGE_ BOOK MAP BOOK PAGE NO,CITY MAIL ADDRESS CONSTRUCTION OFFICE PHONE NO. SCALE DATE DRAWN BY sni..ri By CHECKED BY 7-15-05 LY jnB# R E V I S 111 NS DATE CITY OF LA QUINTA --BU1L-Mt4G-&,WT- W-Dfpr -- 2- APPROVED ____'F0R_C_0NSTRUCT1W--­ 31 4 A -- S L I_ i T -1 10 TSL S CONSTRUr-"TILIN AUTHOP,"7ATHISTONE SALES FIELD TILE IG BOULDERS DECK COLOR PRE-GUNITE UNDERGROUND JANDY MASONRY PEBB,/PLAS DE%COX SIGNATURE PRE -PEBBLE DRAINAGE NOTE; Drainage and irrigation for planters and pots, by others, unless otherwise noted. LO C,4 cc rn c_)Q (.0 ,f LL rD rJ cel 0 z 04 Lr) CN LLJ 0) V) Lj I z > CO W < m 0 o < coto c\1 CN F_ 0 _j