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06-1484 (RPL)P.O. BOX 1504 '78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-000014_8_4_'_1 Property Address: '52400: AVENIDA VILLA APN: 773 -274 -00,7 -16 -000000 - Application description: POOL - RESIDENTIAL Property Zoning: COVE - RESIDENTIAL Application valuation: 15500 Applicant: Architect or Engineer: 4 BUILDING & SAFETY DEPARTMENT BUILDING.PERMIT Owner: WALKER JIM S 52-400"AVENIDA VILLA LA QUINTA, CA 92253 Contractor: PARZINSKY POOL, INC., RICH P.O. BOX 897 PALM SPRINGS, CA 92263 (760)324-5827 Lic. No.: 431055 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 Division 3 of the Business and Professionals Code, and 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 Class: C8 .C53 License No.: 431055 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is /% /% issued. ' ate: y�VOontractor J vG.<. / 1. c-Ca..C.�C.� - x I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the woik for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier, and policy number are: - �g VOICE (760) 777-7012 FAX (760) 777-7011 . INSPECTIONS (760) 777-7153 Date: 4/11/06 " I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 1739513-05- " 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 file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State , and agree that, if I should become subject to the workers' compensation provisions of Section ' License Law (Chapter 9 (commencing with Section ,7000) of Division 3 of the Business and Professions Code) or 700 of the Labor Code, I sh I forthwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by � / �w� any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ab te: �/ �� (1 (p Applicant✓ y�' ' ��`•"`� " 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 WARNING: FAILURE 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 ($100,000). 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 su4legt t9 the 7044, Business and Professigg5 GQde, The Cnntrentnrs' State f ic.neo l not apply 1e an wndlduns an' iesuiuiuns Set rdrtn On tniS 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—) 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. 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 " 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 1 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.). city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this c my toupon "the above-mentioned property for ins ection purposes. - - _ lender's Name: - - ' . " Inter U (J /�/� //•� /� ` - " Lender's Address: Datt�, Signature (Applicant or Agent): LQPERMIT - . Application Number 06-00001484 : Permit BLDG POOL PERMIT , Additional desc Permit Fee . . . . 171.00'. Plan Check Fee 111.15 Issue Date Valuation 15500 Expiration Date 10/08/06. Qty Unit Charge Per Extension ,. BASE FEE 45.00 14.06 9.0000 THOU BLDG 2;001-25,000 126.00 ' Permit MECH POOL Additional desc ... Permit Fee . . . 26.00 Plan Check Fee 6.50 - Issue Date Valuation 0 Expiration Date ..1 10/08/06 : 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 10/08/06 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 i 'Issue.Date Valuation . . . . 0 Expiration Date 10/08/06 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 1.0A 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 -----------._------ s and Comments Special NotePOOL - & SPA ONLY. ALARMS/BARRIERS SHALL LQPERMIT Bin,# . City of La Quinta Building U Safety Division P:O. Boz 1504,78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit .# 06, Project Addressic5 Z_ y 0o Aon 4a. l Owner's Named e� E A. P. Number: Address: 'S L�-1 t7 O (� V ._ �� A I `,ot Legal Description: Contractor :��` �i. �-Z 'i cls o o Address: P d $q ^� City, ST, Zip:' b. Telephone: 5(oy — $ b Project Description: City, ST, Zip: �` S C� J Telephone: 3 Z4 —S $ State Lic. #: b I O S S City Lic. #: Arch., Engr., Designer: S'14- R Address: 4 Z 1 tc �. C o ry Svc City, ST, Zip' rw a JEbE aC� Telephone: ')'� 95.1 • State Lic. Name of Contact Person: a (' t Construction Type: Occupancy: Project type (circle -one): New Add'r Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 15 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd - Rec'd TRACKING. PERMIT FEES', Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready, for corrections Plan Check Deposit Truss Calcs. Called Contact Person ' Plan Check Balance Energy .Calcs. Plans Picked up Construction Flood plain plan Plans resubmitted Mechanical: Grading. plane 2"" 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 Impact Fee Panning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date ot• permit issue School Fees . Total Permi' Fees 1 I i 7 5' Block ) z Ave Villa imePool Spa ngth: f 28' i0" idth: 14' 7'0" rface Area (Approx): 280 sq ft 49 sq ft Perimeter: 82' In ft 27 In ft 316" to 516" 42"max repth: eioht +0" +18" pa Specifications: rK- -` raised +18", sit n spin style concrete cap and face, file spillway, 6 Jets staggered, and 1 -100w light RBB: Tile Spillway 18" Wide am Wall: Equipment Wall: Boulders: Pool and Spa fi nish: aterline tile: Raised Tile: Step Trim: Paint/Stucco/Plaster Decking: Decking: Cantilever Edge: Finish Color 3" Deck Drains (per Lf): Umbrella Sleeves: Plumbina: Extra Spa to Equipment: Raised Spa check valve. Dedicated Vac Line: Gas line Extra over 30': Stub outs: Equipment: Circ Pump �,l t4 p, Jet Pump Filter? o Waterfeature pump Heater -�kn0 Extra pump Pool Light. Wf 00 WD Spa tight. Electronics JPA �_-)' •l -e_{-. Demo Work: Revisions Date 1 Selections Stone Boulders Deck color Pebble/plaster Stucco color ■� Scale 1/8" = 1' Thomas Guide Pg. Lot # Tract # Prepared Especially For: Name Jim/Carol Walker Street 52400 Ave Villa City La Quinta Phone Cell Phone Office fax CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONS TRUCTiON DATEI (J4 BY RICH PARZINSKY POOLS _ 5 P.O. BOX 897, PALM SPRINGS CA. 760-324-5827