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10-0615 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00000615 Property Address: 53785 VIA PISA APN: 772-530-052- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL AppliCation valiiatinn• 21 544 Tay/ 4 4& Q*& Applicant: Architect or Engineer: P I lC LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 my License is in full force and effect. License Class: CS License No.: 802919 Au ate: 'tractor: OWNER- ILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 155001.: (_ I 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.). (_ I 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.). (_ 1 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 Owner: RICHARD SHERER 77 FRONT STREET DANVILLE, CA 94526 Contractor: AZURE POOLS AND P.O. BOX 10641 PALM DESERT, CA (760)322-7665 Lic. No.: 802919 SPAS VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 92255 /08/10 ----------------------------------------------- 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. 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 insurance carrier and policy number are: Carrier DELOS INS CO Policy Number 03DKRMI2002794 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 should become subject to the workers' compensation provisions of Section 37p0'bf the Labor C e II orthwith comply with those provisions. � lJ ate: J I licant: WARNING: FAILU EE TURE 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 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 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. 1 agree to comply with all city and county ordinan and state laws relating to build*f construction, nd hereby authorize representatives of this my tgie�er/uc9n the above-mentioned propert f insp tion urp es. ate:L Si ature (Applicant or Agent): T LQPERMIT Application Number . . . . . 10-00000615 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 225.00 Plan Check Fee 146.25 Issue Date Valuation . . . . 21500 Expiration Date 1/04/11 Qty Unit Charge Per Extension BASE FEE 45.00 20.00 9.0000 THOU BLDG 2,001_25,000 180.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/04/11 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 . . 1/04/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 ---------------------------------------------------------------------------- PermitPLUMBING Additional desc . . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date Valuation . . . . 0 Expiration Date 1/04/11 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, COURTYARD WATER FEATURE. Application Number . . . . . 10-00000615 ----------------------------------------------------- ---------------------- Special Notes and Comments ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. 2007 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total LQPERMIT Charged '129. no 172.25 1.00 502.25 Paid Credited Due no nn '429.00 .00 .00 172.25 .00 .00 1.00 .00 .00 502.25 Bin # Qty of La Quinta Building U 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: Owner's Name: A. P. Number: Address: 5 -5 i l— J Legal Description: City, ST, Zip: n� Contractor:1.4 915124 Telephone: ;>;};;: ;•>:;.};..;..,; .;<::.};::;< :::><.:,: Address: Q Project Description: O� City, ST, Zip: �C Telephone: �� �P � `>z`::;::z<::<,�:z:::;:•.:!.::.>���:�:;:<>.;;<;>.:>�<:<:. `u , � State Lic. # : / City Lic. C Am Engr., Vesritr: A dress: �% N ' City, ST, Zip: r Telephone -'-7/4 '::`:.:><:.:":<`:?<.:::>.; •:>:>::>::>< '•i�v' +: {ti:,'.:{:}iii; }!�• :S: �':<v$;:i}2 �:� State Lic. #: <'>'#< `' <}<:<; '° "::<:!.;;c!.:: : Name of Contact Person: Construction Ty e: Occupancy: project type (circle one) New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Z Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Caics. Called Contact Person Plan Check Balance Title 24 Calcs. Pians picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctionslissue 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.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 00- ty —(90 Azure Pools & Spas, Inc.-jZADfNG PLAN S �rG SHEET K PO Box 10641 Palm Desert, CA 92255 r5 760.322.7665 4 �' 4 3 FEDDERLY & ASSOC. Scherer Res. 53-785 Via Pisa of — ---// — La Quinta, CA 4 0 o��i `a \ II 1.4 011 '01)------- — 5 20 1.4 TANNING SHELIJ. i000- --J '6 00- ....... ..... CITY -014A QUINTA BUILDING & DEPT Z cid A -011 Lt AP ED 014 - -------- FOR CONST TION .......... I L 1 i DATE G ....... --- - ------ -- L-4 -- -- 20 10 1P f 3 1.4 20 20 '07 LO: Zo ...... ...... ................... ......... .... .... . I I .... (1007.3: APPROVED PAD) P 07.30' AD ELEV: +10 T(IW\OF SLAB = + 1.007.97' -+1008.03' % FIT�. FLR. ELEV. N r Ll ro -Z' ......... ..... ..... A,, C, • f. I / / "ioa • "i 'Of • s POOL 1.4 2 TANNiNG 4'-9"i' SHELF. �I CDIJ : PA -'`-- b,------ -------- 60 ---- ! 1 - - -- - 20 F 1 r i UR T 28on APPROVED PAD) AC CONDENSER AND POOL EQUIPMENT AREA IRC MNN�c' �noi, �W 0Q) \/ O kc) ^i