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09-0912 (RPL)T414t 4 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 8/27/09 Application Number: 09-00000912 Owner: Property Address: 81389 GOLDEN POPPY WY PENCE APN: 764-280-999-108 -300236- 81389 GOLDEN POPPY WAY Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 40000 /3J Contractor: Applicant: Architect or Engineer: CLASSIC POOLS & SPAS 4 - 79461 AVENUE 40TH�f� BERMUDA DUNES, CA 92203 q (760)413-4867 Lic. No.: 935936 --- - LI ENSED CONTRACT 'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury thI am licensed unde ovisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Busi and Professional e, 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 I ss: F413-1 ice a No.: 935936 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. e Oate: ff*Xracto • 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 WNER-BUILDER DECLARATION insurance carrier and policy number are: 1 hereby affirm under penalty of perjury th m exempt from the Contractor's State License Law for the Carrier NATIONAL INS Policy Number 200090117388 following reason (Sec. 7031.5, Business Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for h 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 erson in any manner so become subje t 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 nd agree that, if I shou b ome subject th workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Cod s all forthwit com y with those provisions. 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).: ate pplicant: - (_) 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 WAR IN FAILURE TO SECURE WORKER PENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJEC AN EMPLOYER TO CRIMINAL P LTIES 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 1, 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 subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this 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, (_ 1 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 Ouinta, 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 commenced within 180 days from date of issuance of such ermit, or cessation of work for 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 tha I hav read this application and state that the , ov information is correct. I gr a to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and c my o dinances and state laws relating to buildi g co struction, and hereby th rize representatives rl.te.' the above-mentioned grope for in action purposesLender's Name: ignature (Applicant or Agent): Lender's Address: LQPERMIT i l Application Number . . 09-00000912 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 349.50 Plan Check -Fee 227.18 Issue Date . . . . Valuation . . . . 40000 Expiration Date 2/23/10 Qty Unit Charge Per Extension BASE FEE 252.00 -------15_00--------6_5000-THOU BLDG 25,001-50,000 ----------------97_50 ------------------------- -- Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/23/10 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 2/23/10 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 2/23/10 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 Permit . . . . WALL/FENCE PERMIT LQPERMIT U Application Number . . . . . 09-00000912 Permit WALL/FENCE PERMIT , Additional desc . . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . Valuation' 240 Expiration Date 2/23/10 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA., 15 L.F. 3 1/2' EQUIPMENT ENCLOSURE, CITY STANDARD, WATER FEATURE. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. 2007 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 -Fee summary. Charged Paid Credited ------------------------------ Due --------------------------- Permit Fee Total 468.50 .00 .00 468.50 Plan Check Total 253.18 .00 .00 253.18 Other Fee Total 2.00 .00 .00 2.00 Grand Total 723.68 .00 .00 723.68 0 LQPER I[T City of La Qdin ta j Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # b Project Address: -38� Q Owner's N e: A. P. Number: Address 8 p Legal Description: City, ST, Zip: Contractor: Tele hone:' Address: Q ProjectD/escription: City, ST, Zip: -Fn Telephone: LfI �2) (Y�)//, ."..' l ✓ V�{/ vii�ti\.•''] � y Y •4�hi'' V fj Vim_` l � � � • State Lie. # City Lie. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: \ ;w Construction Type: Occupancy: A�=i State Lie. #:.- =.�y <;�yy x pro ect }}���., //circle one . New Add'n Alter Repair Demo .:Ya•,.Y.'= ''•,'' •\ - V I)e Name of Contact Person: Sq. FL: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Prqjbq..Q Ov 0 APPLICANT: DO NOT WRITE. BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Cala. Plans picked up Construction Flood plain pian Plans resubmitted Mechanical Grading plan 2"° Review, ready for correctionstissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up. S.M.I. H.O.A. Approval Plans resubmitted IN HOUSE:- ''� Review,.ready for corrections/issue mpact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date or permit issue Lradin School Fees it Fees Classic Pools / Spas Landscaping Office: (760) 345-8302 Lic# C 53-935936 4'L X 4'W X 5'H Natural Boulder Waterfall to spill onto Flagstone Decking. ►n r Natural Flagstone Decking. Slope toward Pool.�14 Seat V4011 - +IS" RBB with (2) 15" Sheer Descents O -5' Pool (16' X 50') -4' f- ry Area Drains, rn j typ. ❑ PENCE j RES I DEN GF - j EDATF ' _ LA r: U STA ,!\IG & SF, DEPT. R CONST�� iON .0q BY j a 7- I NOTE: Existing 5ideyard Sidewalk to remain. Sidewalk shall be covered and protected from foot traffic and heavy equipment during Pool and Landscape Construction. New Colored Salt Finish p Concrete Decking with 6" California Edge (500 sq,. ft.) � Pool/Spa Equip. with sound wall DF] 7'-0" Dia., +15" Raised Spa with Concrete Gap, Stucco Veneer and 6'-0" wide Stacked Stone Spillway. 15'-1" Tanning Shelf with Umbrella Sleeve New Concrete Decking 05" Broom Finish Banding - 75 sq,. ft.) Scale: I/8"= I' -®'I PENCE RESIDENCE GASITA SI�COLDEN POPPY WAY LA QUINTA, GA 12253 TRILOGY DATE: 0S/13/0q