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05-4446 (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: /05-000 044.46--- `80620 VIA PORTOFINO 772-490-012- - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAI 25000 Architect or W`" T4ht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ------------------ 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.: 4!;;C t? . ate:�r%' –� Contract®: OWNER -BUILDER 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 ($5001.: 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.). 1 _) 1, 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—) 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: NRI CCP I 81100 AVE 53 LA QUINTA, CA 92253 Contractor: CALIFORNIA POOLS & SPAS WCC: SEABRIGHT INS WC: BB1050510 CSLB: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 01/01/06 10/31/06 Date: 10/03/05 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: Carrier C8 C27 C29 C53 Policy Number - - - - - - - - - - - - - - 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 3700 of the Labor Code, I shall forthwith comply with those provisions. r 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. 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 Ouinta, 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. I 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. 95te:t–U�Signature (Applicant or Agegy! ' i Application Number . . . . . 05-00004446 Permit BLDG POOL PERMIT +' Additional desc . Permit Fee . . . . 252.00 Plan Check Fee 163.80 Issue Date . . . . Valuation . . . . 25000 Expiration Date 4/01/06 Qty Unit Charge Per Extension BASE FEE 45.00 23.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 207.00 Permit MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/01/06 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 4/01/06 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 . . 4/01/06 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 m 3.00 ------------------------------------- Notes and Comments POOL & SPA ONLY. ALARMS/BARRIERS SHALL LQYERMIT Application Number . . . . . .05-00004446 ---------------------------------------------------------------------------- Special Notes and Comments BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary ----------------- Charged Paid -------------------- Credited -------------------- Due Permit Fee Total 356.00 .00 .00 356.00 Plan Check Total 189.80 .00 .00 189.80 Grand Total 545.80 .00 .00 545.80 LQPERMTP B*" # City 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 Perm* # Project Address: ° Q 1 Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor j> Telephone: Address: d. 1 $©. Project Description: City, ST,Zip: // I Telephone.? State Lic. # : &tF2 City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Gccupancy: State Lic. #: Project type (circle one): New Add' a Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: O /�/.� 5 S oz��y Estimated Value of Project: ' 96000 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 CheckDeposit Truss Calcs. Called Contact Person Plan CheckBalance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"d Review, ready for correctionsfissue 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 Ln pact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue . School Fees Total Permit Fees SPECIFICATIONS Ott X TYPE SlZE SURFACEAREA OFPOOL (0 0) C,4 1 PERIMETER DEPTHS MIN. MAX 00 SPA SPECIF CATIONS TILE SZE -1 X a SQ. FT. 11LE TYPE 0 c LL WIDTH WATER LINE C-4 No. OF JETS 71LE TRIM LJ X ROUND X < (0 QUARTER U LIGHT R.B.B. III F < (0 A 0 RAISED SPA AT 0 A 04 A t] SPILLWAY TYPE u) EN Uj SPECIAL NOTES 0) (n Li I z DECKING > 00 W 67 < m 0 SQ. FT, n _j EXCAVAT%) L 0, STEE 0 C) 41.) lop, TYPE FINISH < EXPANSION JOINTS T (0 ACCESS FROM co ELEVATION CANTILEVER 11�0 %—I I -A DECK DRAINS CL DEEP END RAMP owl DECCO DRAIN LOVE SEAT C, cz cw-, V-�� CURB CORE CONCRETE REMOVAL LOADS t t,7't STEPS SOD REMOVAL LOADS STEP FACE TREE REMOVAL BY ILA 11LE BASE IRRIGATION REMOVAL By JA IRRIGA71ON REPAIR SAND AND VISQ U�w 6" R.B.B. ft R113BONS ft. Mow STRIP 7' R.B.B. 12 ft, 24' R. ft, 30" R.B.B. TAN SHELF DEPTH L ROCK POCK ENTERS R.B.B. FACING COPING TYPE E C SPILLWAY TYPE SIZE STEPS PLUMBING PROP. EXT. WALLS Ll SIZE POO PLANTER WALL L PUMP SIZE RETAINING WALLS EQUIP. WALLS STER PUMP SIZE BOO ADD'L PUMP SIZE L 0 CAi P SIZE FIREPIT ADD'L PUMP 7 t HEATER vrzVAO 40 TIME CLOCK SUB PANEL ADD*L OUTLE SKIMMER TYPE �c, (L 7' /PLASTE 117 PEBB wLy r4 tT L Sri.. FILL LINE LIGHTS ___1 ------ POOL 7- '((LJW VV'4r'6STUBS GAS LINE wk; LIGHTS SPA FOUNTA INS/SPRAYHEADS ROLLED BOND BEAM I BEHIND SPA SHEER DESC EYEBALLS IN S LIGHTS IN POOL STUB S$,EQ,, FENCE TYP E Ae 7- :.QUIPMENT FENCING PA MISC. 0,:7 L R1,; PLUMBING SIZE HEIGHT GATE &d W GATE REVERSAL GUNITE C) & REHANd' DEEP END RAM REMOVE P ....... ..... r LOVE9EAT '-A C TYPE - EST. START SPILLWAY EST. COMPLETIC CA t f COPING L OTHER r ES .1 t R.B.B- SEE STEEL OWNER RESPONSIBILITI :t r 7. OWNER TO. (1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF (2) ik 1'. , , 71 TIME OF ISSUANCEJ OF PERMIT LOCAL B UILDING DEPARTMENT AT (3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAIL� FOR SEVEN DAYS AFTER SHELL IS INSTALLED ESPONS18LE FOR UNDERGROUND CONDITIONS OR OBJECTS, AND ANY DAMAGE LAWNS, OR OTHER ITEMS IN THE ACCESS AREA TO CURBS, DEWALKS, DRIVEWA S, (5) SEE THAT ALL FENCING, GA ci r t RS MEET LOCAL CODES FOR A POOL ENCLOSURE PRIOR TO PREPLASTER INSPECTION USE RUBBER HOSE) (6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW 14STRUCTIONS DO NOT T i r �7 CALIFORNIA POOLS AND THAT ANY TAKE NOTICE THAT THIS DRANG IS THE SOLE PROPERTY OF (7) USE WITHOUT WRITTEN PERMISSION OF CALIFORNIA 00 LS, INC. IS PROHIBITED BY LAW. u OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPON51BIUTIES NO NOTICES ABOVE z V DATE r jj r SIGNATURE(S) SWIMMING PO AN FOR: OL PL C? f OF"� NAME tj HIDEAWAY LOT 13, MOSHIER i A- 0 STREET 7 ICITY LA QUINTA JOB ADDRESS HIDEAWAY RES PHON 4 E OFFICE BOOK LOT 138 T 0 A G E IMAP BOOK PAGE NO, ICITY r L '�t A CONSTRUCTION OFFICE PHONE NO, !2� BY SCALE DATE DRAWN BY 06-07-05 GRAHAM Ile KP I-ju J[]B# ATE > R E V T I 11 N S BUILDINC3 & SAFETY DEPT. 2 IF L! 18A UJIN i A - D 3 FOR DINSTR[InTinki Ci 4 WATERFEATURCE tu 511 IRIP A TE IA4 L S ,0 r 13EAM tic p- 4. v SELECTIONS 6, 6 STONE '7 Fu C 0 N c 0 TION AUTHORIZATI 7 7 _7 L -.T 77—t, j­ � x :> 7 —Z., 5HEU 1-t n A 0!, ;17�% % c, WET DECK POOL COPING J' 3 IF TILE I 1,z 'z 00"". 71� BOULDERS DECk COLOR JANDY -1 Artj-,--) 5 PA. t— f P -J 14,_ 2 /1 PEBB,/PLAS SIGNATURE Drainage and irrigat' n for planters and pots, by jRAINAGE NOTE: D others, un'!ess oth r ise noted. S ALES F1 ELD N I T E RGROUND ,,SONRY .:-.DECK IPRE—PEBBLE TILE I 1,z 'z 00"". 71� BOULDERS DECk COLOR JANDY -1 Artj-,--) 5 PA. t— f P -J 14,_ 2 /1 PEBB,/PLAS SIGNATURE Drainage and irrigat' n for planters and pots, by jRAINAGE NOTE: D others, un'!ess oth r ise noted.