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04-7074 (RPL)BUILDING & SAFETY DEPARTMENT P.O. 'Box 15 (76.0),777-7012 78-495 CAL E'ihxMPl �o . FAX (760) 777-7011. LA QUINTA, CALIF NIA 92253 INSPECTION REQUESTS (760) 777-71.53 uNOV 08204 B. DING PERM T CITY OP LA QJIN'rA, FINANCE DLF'T Application Number -04-0 007074 Date 11/04/04 Property Address'. 8075 -5 -VIA PORTOFINO APN: 772-490-019- - - Application description POOL _ RESIDENTIAL• Property Zoning 'LOW DENSITY RESIDENTIAL Application valuation..-. 18000 Owner Contractor ALEXANDER CALIFORNIA POOLS &`SPAS". 807755 PORTOFINO P.O. BOX 1280 LA QUINTA" CA 92253 COACHELL�P;' CA" 92236 (760) 3.98-9222 WCC: STATE FUND WC:. 04600061168 01/01/05 CSLB: 656128 10/31/06 CCC: C8. -C27 -C29-053 Permit . . . ... BLDG -POOL PERMIT. Additional desc Permit Fee 189.00 Plan Check Fee 122.85 Issue Date Valuation . . . 18000 Qty Unit Charge Per Extension BASE FEE 45.00 16.00 9.000.0 THOU BLDG 2,001-25,000 144.00 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 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 1.5.00 1.00 30:0000.EA ELEC PRIVATE SWIMMING POOL 30.0'0 --------------------- Permit . . . . . . PLUMBING''. Additional desc Permit.Fee 33.00 Plan Check. Fee 8.25 r P.O. sox 1504 •40 a" VOICE (760) 777-7012 LA QU INTA, CALLIFORIFOR NIA 92253 CALLS O FAX (760) 777-7011 LINSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT A Application Number: Applicant: Applicant's Mailing Address: Date: Architect or Enqineer: 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 my License is in full force and effect. License Class License No. Date Contractor OWNER -BUILDER DECLARATION I hereby affirm 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 pen -nit 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 fora 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 Owner. WORKERS' 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. I 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 Policy Number _ 1 certify that, in the performance of the -work for which this permit is issued, l 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 3700 of the Labor Code, I shall forthwith comply with those provisions. Date Applicant 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, 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.). Lender's Name Lender's 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. I certify that I have read this application and state that the above information is correct. 1 agree 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 above-mentioned property for inspection purposes. Date Signature (Applicant or Agent): Page 2 Application Number . . . 04-00007074' Date 11/04/04 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 ------------------------------------------------------------------------ Special Notes and Comments POOL AND SPA ONLY. ALARMS/ BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION.EQUIPMENT WALL NOT INCLUDED IN PERMIT. Fee summary ChargedPaid Credited Due Permit Fee Total 291.00. - 00 .00' 291.00 Plan Check Total 148.35 .00 .00 148.35 Grund Total 439."35 00 .00 439.35 m 0 . .......... 13 SPECIFICATIONS TYPE jo�-fid K( SIZE x ala SURFACE AREA Or POOL -7 D- n. PERIMETER DEPTHS MINI. MAX. In In (D N ol N 'm a3 L) 0 to < r - _j Co -J .. C14 uj X U < LQ (D 0 0 N z UJ Ln z 00 ui Cn 0 0 < I to SPA SPECIFICATIONS SIZE x SO, Fl. SPA DAM WALL MOTH NO. OF JETS LN HT PA!!r,D SPA AT Sr!LLWAY TYPE SPECIAL NOTES TILE TILE TYPE WATER LINE TILE TRIM QUARTER ROUND R.B.B. TlIF DECKING ICS SO. FT FINISH EXPANSION JOINTS Ak EXCAVATION STEEL TYPE ACCESS FROM ELEVATION DEEP END RAMP CANTILEVER DECK DRAINS LOVE SEAT DECCO DRAIN CONCRETE REMOVAL LOADS CURB COPE SOD REMOVAL LOADS STEPS TREE REMOVAL BY STEP FACE IRRIGATION REMOVAL BY TILE BASE MIGAPON REPAIR SAND AND VISQUEEN V R.0 B. RIBBONS 12' R.B.B. MOW STRIP 18, R.B.B. ft. rt 24' R.B.S. ft 150' R.9 B_ ft. TAN SHELF DEPTH -MASONRY ROCK POCK[ COPING TYPE CENTERS R.B.B. FACING SPILLWAY TYPE SIZE STEPS PROP. EXT. WALLS PLANTER WALL RETAINING WALLS EQUIP. WALLS PLUMBING FILTER Slzt POOL PUMP SIZE BOOSTER PUMP SIZE ADOI PUMP S17 FIRMPIT ADDI PUMP SIZE HEATER SZE TIME CLOCK SUSPANE1. ADOI OUTLETS SKIMMER TYPE FILL LINE PEBBLE PLASTER GAS LINE STUBS UC44TS POOL LIGHTS SPA FOUNTAINS/SPRAYHEADS ROLLED BOND BEAM SHEER DESCtITS BEHIND SPA EYEBALLS LIGHTS IN POOL — IN SPA FENCING S" SET EQUIPMENT MISC. PLUMBING SIZE I FENCE TYPE HEIGHT GATE GATE REVERSAL C:�) GUNITE DEEP MO RAMP REHANG ExTE1,170 2nd S717 LCVrLSEAT I EST- START----- -- -- SPILLWAY T)*Vl-- CANTILEVER EST- COMPLETION 0 �(o CCOP!$JG OTHER R.B.B. - SEE STEEL OWNER RESPONSIBILMES WkR TO: (1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION (2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT (3) WET 00" CONCRETE SHELL AT LEAST TWICE DAILY FOR SVvT_N DAYS AFTER SHELL IS INSTALLED (4) AGREE THAT CALIFORNIA POOLS IS NOT RESPONS!SLE FOR UNDERGROUND CONDITIONS OR OBJF-CTS, AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA (5) SEE THAT ALL FENCING, GATES, AND CARAC;E DOORS MEET LOCAL CODES FOR. A POOL ENCLOSURE PRIOR TO PREPLASTER INSPECTON Q (6) FILL POOL WMEENA-ELY AFTER PLASTER. (FOLLOW INSTRUCTIONS -- DO NOT USE RUBBER HOSE) (7) TAKE NOTICE THAT 1)4'S ORAWNG IS THE SOLE PROPERTY OF CALIFORNIA POOLS AND THAT ANY USE' WTM&JT WRITTEN PE99AS5ON OF CAUFOR141A POOLS, INC. IS PROHIBITED BY LAW. OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONTRUIIES AND NOTICES ABOVE. SIGNATURE(S) DAT SWIMIMING POOL PLAN FOR: HC 'NAME ALEXANDER RESIDENCE STREET 80-755 VIA PORTOFINQ JOB ADDRESS THE HIDEAWAY ICITY LA QUINTA PHONE OFFICE RES LOT 146 TRACT 29894-2 PAGE BOOK MAP BOOK PAGE NO, ICITY MAIL ADDRESS • CONSTRUCTION OFFICE PHONE NO. �` SCALE DATE DRAWN BY SOLD BY BY J`� i/8'=1'',10-27-04 LY PAT ICHECKED JEIB# REVISIONS DATE A RLIN'SPECTION EFF OF $30 -1 2 W ILL BE CHARGED IF THE APPROVED t-LANS AND :1013 CARD ARE NOT ON THE SITE FOR A SCHEDULED -- -3 5' INSPECTION. 10 rLX CEPTIONS! SELECTIONS CONSTRUCTION AUTHORIZA7,10N STONE TILE BOULDERS DECK COLOR Vt, CITY 01- LA QUIN;TA] -BUlL4)lNG,&-SAF0y-D r PROVED SALES I FIELD I DIG PRE-GUNITE JANDY PEBB./PLAS FOR PO STRUCTION UNDERGROUND MASONRY SIGNATURE DECK t L7 LRAMI,,j _A f� E PRE-PEBE_E