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05-1612 (RPL)a a �OQ� pQ� D BUILDING & SAFETY DEPARTMENT Box 1504 (760).777-7012 95 CALLE TAMPICO FAX (760) 777-7011 iUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 >\. BUILDING PERMIT Ap `"cation Number . ... . . 05-00001612" Date 4/28/05 . operty Address . . . . . . 81320 GOLF VIEW DR APN: 762-410-029- - - Application description . . . POOL - RESIDENTIAL Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . 29000 Owner Contractor, GIOMI, JOHN LEE CONSTRUCTION, MICHAEL 81320 GOLF VIEW DRIVE WCC: EXEMPT LA QUINTA, CA 92253 WC: EXEMPT 06/30/05 CSLB: 602947. 02/28/07 ---------------------------------------------------------------------------- CCC: C53 P.O. Box 1504 UWP VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number. ,�" �o l•� Date: -Z Applicant: I Architect or Engineer: Applicant's Mailing Address: A/Re-C, 70< Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION �reby affirm under penalty of perjury that I am licensed under provisiogs of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals ode, and my Licen a is i i rce and effect. Q License Class f License No. e Contracto OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the"ollowing 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 70.00) 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).): 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 ownerof 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.). L) I am exempt under Sec. , BA P.C. for this reason 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 policy number are: artier 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 becom subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ` D�y— 200-49;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 449 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 umder 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 160 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree comply with all city and county ordinances and state laws relating to building construction4-2f-05'Signature and hereby authorize representatives of this county to enter upon the above-me, bove-me __ed property for inspection purposes. Date (Applicant or Agent) -----------------------------------------------7---------------------------- Application Number . . . . . 05-00001612 ---------------------------------------------------------------------------- Permit . . . . . . BLDG POOL PERMIT Additional desc Permit Fee . . . . 278.00 Issue Date . . . . Expiration Date . . 10/25/05 Plan Check Fee 180.70 Valuation . . . . 29000 Qty Unit Charge Per Extension BASE FEE 252.00 4.00 6:5000 THOU BLDG 25,001-50,000 26.00 ----------------------------------------------------------------------------- Permit . . . . . . MECH POOL Additional desc Permit Fee 24.00 Plan Check Fee 6.00 Issue Date . . . Valuation 0 Expiration Date 10/25/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=10.OK 9.00 ---------------------------------------------------------------------------- Permit . . . . . . ELEC POOL PERMIT -RES Additional desc Permit Fee 45.00 Plan Check Fee 11.25 Issue Date Valuation . . . . 0 Expiration Date 10/25/05 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 . 10/25/05 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. FIREPIT #OC -34(P). ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 380.00 .00 .00 380.00 Plan Check Total 206.20 .00 .00 206.20, Grand Total 586.20 .00 .00 586.20 Rouni P/L Golf Course "BACKYA,RD.R�SORTS" By Michael Lee Coas�ructlon Office (760)777-9838 / fax (760)771-9676 Licensed since 1990 C53-602947 { a� Name: John Giomi Street: 81-320 Golf view City: La Quinta JobAddress: Same Phone Office: es. Lot Tract Page Book Scale 1/8"=1' Date Spa spec. Size 7' x 8' Area 54" Per. 28' Spa dam wall width No. Jets 8 No. Li hts 1 i Spa raised -12" S illw Type Special notes Pool gpgc.. Size 12' x 41" Area i 780' Per. 108'" Depth Min. 3'6" Max. 8' Water feature: Stacked quarzite spill as per pain Love seat per plan Extra steps no Tanning Ledge yes Rock pockets no Excavation: Type Bobcat Elev. bee:p end ram Removal: wall Sod none Plumbing: Hayward E 'ui ment Size: Filter 4020 c . Heater 400,000 PUMP 2 hp 2nd pump 1/2hp Ird pump Type of controls Aqua lod is Fountains/s ra heads ,2 s per plan No. of Skimmers 2 Li hts (2)400 w (2) 100w Decking: 940' Finish Broom/Salt Color TBD eck drains As needed Steps 100' Notes Tile: Type Step trim None T e Masonar : Coping type C4ntalever Access wall yes Equip ivall yes Fire pit as per plan BBQ len 4h None Pebble N/A PI ster ' Quartiz Color Blue Si d u Bin # - City of La Quinta Building 8i' Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: j " 3 20 G. 1 Owner's Name: A. P. Number: Address:21 - .32 C7 Cao ' L Legal Description: City, ST, Zip: a. rA C!,Z Z•s 1 Contractor: �— Telephone: .... . ................. ......... ....................................... Address: — ' 0 01.4 Project Description: p0 ec, City, ST, Zip: .+� {.►�� 7�2 S� 3 (7G- �/-0/!s'l' Telephone: le P 77 s� State Lic. # : j 4Vy City Lic. #: Arch., Engr., Designer: S�eejl 74- Address: S U/3 G✓ ne City, ST, Zip: 1112t L' �i•(,�-s�i be' Telephone: Construction Tv.e Occupancy: M y Lic. #: (circle one New Alter Repair Demo Project Alter ri e Name of Contact Person: 0d.ke— Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PER�11T FEES Plan Sets I Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted mechanical Grading plan 2nd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up SAI.I. . II.O.A. Approval Plans resubmitted Grading IN IIOUSE:- '" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees