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05-1167 (RPL)
P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . . 0.5-00001167 . Date 3/29/05 Property Address . . . . ... 44420 FOXTAIL CIR APN: 604-081-051-88 -22982 - Application description . . . POOL - RESIDENTIAL Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 32000 Owner Contractor -----=------------------ SAVAGE ------------------------ CAL-NEV POOL, INC. 44-420 FOXTAIL CIRCLE P.O. BOX 2222 LA QUINTA CA 92253 RANCHO MIRAGE CA 92270 (760) 883-5561 ' WCC: STATE FUND WC: 179559605 01/01/06 CSLB: 777601 04/30/06 CCC: C53 -----------7---------------------------------------------------------------- Permit . . . . . . BLDG POOL PERMIT Additional desc Permit Fee . . . . 297.50 Plan Check Fee 193.38 Issue Date . . . . Valuation . . . . 32000 Qty ' Unit Charge Per Extension BASE FEE 252.00 7.00 6.5000 THOU BLDG 25,001-50,000 45.50 ---------------------------------------------------------------------------- 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 --------------7------------------------------------------------------------- Permit ... . . . . ELEC POOL PERMIT -RES Additional desc Permit Fee . . . . 45.00n e n 11.25 Issue Date . . . . u,a� M. 1„” 0 Qty Unit Charge Per BASE FEE 1.00 30.0000 EA ELEC PRIVATE --------------------------------------------- Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 33.00 U MAR 3.0 2005. S A ------ F"CEDEPt--- Pla ----F"CEDEPt---Plan Check Fee Extension 15.00 30.00 ------------ 8.25 P.O. Box 1504•QKWOJ VOICE (760) 777-7012 7$-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: is— 1 Date: 3 d ^ a Applicant: Applicant's Mailing Address: l(7ICA c 7-0< Architect or Engineer: Architect or Engineer's Address: Lic. No.: lv/�- . BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION Whe by affirm under penalty of perjury that I am licensed under provisions f Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals and my License is in full for ? a effect.se Class License © 6te ontract r 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 permit 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): (-.) 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 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 am exempl under Sec. , BA P.C. for this reason Date 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 JIof 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 issu d. M wprke�s' compensation insurance came nd poli c nu er are, arrier� l /_`� Policy Number � �� e __ certify rtify that, in the performance of the work for which this permit is ifsued, 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 t the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. at'PI a �� Applicant WAR ING: F LURE TO SECURE W RK S' COMPENSATI ERAGE 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.). Lenders Name Lender's Address A 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 co r. I aggu�e to comply wi all city and county ordinances and state laws relating to building const rbn, and hereby authorize representatives of this county to nter upo a abo e�mentioned pr rty for inspection purposes. Date ignature (Applicant or Agent): Page 2 Application Number . . . . . 05-00001167 Date 3/29/05 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 & SPA. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. ` EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited .;1 Due ----------------- - - - - - - - - - - --------- - ----------- Permit Fee Total 399.50 .00 .00 ---------- 399.50 Plan Check Total 218.88 .00 .00 218.88 Grand Total 618.38 .00 .00. 618.38 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE /2-q has _By CAL -NEVADA 000- L S - MARK TOW 70180 THUNDER ROAD RANCHO MIRAGE, CA- 92270 PH 9310860 1.1r. 0 777601 Designed by Jbw" T 7 VICINITY MAP I e;ov6 %v5 OWNER to fan pool area and install self dosM and self WWUM 003 M code. 31 L NOM No dirt will be rwoved, reftffrW or Faded aft ft of smatlon. iG NOTE: Relocation of equipment pad will result in additional cost to WNW NOTE. F10 pool immediately after plasW (follow instructions). 00 not use rubber hose. NOTE: Do riot turn on pool light when Pool is empty. NOTE: Wet down concrete shell at feast twice daily for seven days after shell is installed. I two reviewed this plan and hereby approve total plan & speciftafim POOL SIZE jb'— X.G' SUTIMAM— Pv;ndv_M- EXCAWITION Access Gradft— Dig From ffje&'LT:: A g&r-obsucies— Walls Removed JC- Replaced — Misc. PLUMBING Fater -TAMO X Sia Pump- rAnwo X= sin 2 - - 804ster Pump Sldrn Fhmn-e7 _ Main Drai— M --, rl - Fill Line Purifier ON-) ----------- AM CWT -0 An W Typ-s�-!� Sin" Gn Lf - 4 kT FOU. AMS—SPRAY HDS--WATER EFFECTS Type Sia_ Plumbin two— valves_ Booster Yftft Type _---_--:-- Sin_ Misc.— ST EEL GUME Eno- -Sur-dom—Lbn 6' RBB . 8 aer*- 12'_ 18'_ 24 Step Risers Vhg wwtb— Bodies— Love Seals SpaOwn wa_- Notal REP= Total Rua OF Fftw Optic RewroteSPA— T , soip.i Bench, Tko— MkL--q*s-Etc- Oft IdiiSo Color— NO Cava Sq FL— CanMw-->eaf, —:5 D.O.D. LIF step Risers Miss SPA Size Ae1t91—rC---*u— Per Pumpetmw-- spftw- Jets step— LWA— MIM INTERIOR FINISH Othff CA#,1 A-Qlk&& AAA, OWNER ADDRESS CITY &�-, !7'ID By DATE— PHONE(H) no Aum ov n it"m