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05-4560 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4'y, 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number! 0.5-0'0004.560 Owner: Property Address: 78825 W HARLAND DR. KELSCHJAMES D APN: 604-232-009-138 -2326'8 - 78-825 W. HARLAND Application. description: POOL - RESIDENTIAL. LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 30000 Applicant: Architect or Engineer: --------------------------------------- --------- a LICENSED CONTRACTOR'S DECLARATION Lhereby affirm under penalty of perjurythat.) 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: Ljoonse pate' -Q/�Contractor•. •/ OWNER -BUILDER DECLARATION I affirm hereby arm under penalty of perjury:that I em exempt.from the. Contractor's' State License Law for the following reason (Sec: 7031:6, Business and Professions Code::Any'ctty or county that requires a permit to construct, after, improverdemolish, or repair -any structure, prior toits issuance, also requires thwapplicam for the permit file a -.signed -statement that_he or she is licensed pursuam.to the provisions of the Contractor's. State License Law (Chapter9 (commencing with Section 7000) of'Division 3 of the Businessand Professions Code) or that he or shw is exempt therefrom and the basis for the alleged exemption: Any viol yation of Section 7031,6 by anapplicant for a permit subjeots'the applicant to a civil penalty of not more than five hundred dollars ($600).: f_) I, as owner of the property, or my employees with -wages as their sole compensation, will'do the work, and the structure is notintended or -offered forsale (Sec. 7044;.Business and Professions Code: The Contractors' State,Ucense Law does not apply to an:owner of props" who;builds or improves thereon; and who does;the work himselfor herself through his or herown employees, provided that the improvements are not,imended 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•pfoperty, am exclusively contracting with licensed contractors to construct the project (Sec. 7644, Business and Professions Code: The Contractors' stateLicense Lew does not,apply to an owner of property who builds oriirnproves thereon, and who contracts for the projects wtth-a contractor(s) licensed pursuant to4he Contractors' StatwLicense Law.). (_) I em exempt under Sec. B.&P.C..for this reason . Dam: Owneri. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is econstruction lending agency for the performanceofthe work for which ;thWpermit is;issued (Sec. 3097, Civ. C.): Lender's Name: _ Lender's;Address: L.QPIERN[IT Contractor: ALDERETE POOLS II, -INC. STATE FUND W 1744999-2004. 828284 OCT 17 2005 VOICE (760).777-7012 FAX (760) 777=7011 INSPECTIONS (700) 777-7153 12/01/05 12'/31/'05 Date: 10/11/05' Z �'M'-------------------------------------- OE� WORKER'S COMPENSATION DECLARATION, rm 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 thelLabor Code, for the performance of the work forwhich this permit is I h will ers'-comperwatiominsurence, as required by. Section 3700,6f the Labor oand , for the perfo ma ce bf the work for which this permit is issued: My,w rkers' compensation Insurance carrier and policy number -are. Carrier 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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, Il all f hit ompl ith thosevrovisions. ate:_ /J /Appiicem: � 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 ($1 00,000). IN ADDITION.TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OFTHE'LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application ishereby 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 anypermitissued,as,e result of this application; the 'owner; -arid the applicant; each agrees to; and shall defend, indemnify and hold harmless -the City of Ls Ouima, its officers; agents and employees for any act or omission related to the work being performed under, orfollowing issuance of this permit. 2. AnylpermitIssued as a.result.of this application becomes null and void if work is not commenced within 780 days from, date of issuence.of such permit, or cessation of work for 180 days will subject permit to cancellation. I certifyfhat:l have read this application and stem that the above information is correct. I roe to comply with all city and county, ordinances and'smm'laws relating,to buildirig'construction, and rebya orize,representatives Of this cos ItttoIenter upon the above-mentioned property . i i pecti tic7gecire (plicaor Agent): Application Number . . . 05-0000.4560 Permit . . . BLDG POOL_ PERMIT Additional desc . Permit Fee . . . . 284.50 Plan Check Fee 184.93 Issue Date . . . Valuation . . . 30000 Expiration. Date 4/09./0.6 Qty Unit Charge Per Extension BASE FEE 252.00 5.00 .6.5000 THOU BLDG 25,001-50,000 32.50 Permit MECH POOL_ Additional des_c . . Permit. Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . Valuation . . 0 Expiration _ Date . 4/09/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0.000 EA MECH FURNACE >100K 11.00 Permit . . . ELEC POOL PERMIT -RES Additional d'esc . . Permit Fee 45.00 Plan Check_ Fee 11.2.5 Issue Date . . Valuation 0 Expiration Pate. 4/09/06 Qty Unit Charge Per Extension BASE FEE_. 15.00 1.00 _ 3'0.0000 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 4/09/06 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 3.00 Special Notes and Comments POOL & SPA ONLY, ALARMS/BARRIERS SHALL Application Number . . . . 05-00004560 --------------------------------- I ----------- I ---------------- 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 3'88.50 .00 .00 388.50 Plan Check Total 210.93 .00 ,00 210.93 Grand Total 599.43 :00 .00 599.43 LQPERMI7' Nal I al ALVERETE POOLS It, 94C. . pooLS.SPAS-LANDSCAI't LCMSC 1828284 F-O;BOX,745 "J. 6, ik=A. CA L,22fi I fruGj 275;57a3 mg 5" (o " P 7,2-Als CONTRACrOR• cannot asAU229—re-512—ons' bility far damage co curbs sidcwal�� -j- S.12bs, sewen, lawns , crees fences retaiiiing walk srxinklers, telcof_lone _rines:crsllrut�-, Nhen access is made thrauph 3 neigh'bor's . property itis understood thary ichg-owner, r-missioh;and assume full have that nei.lzbor's pe r7eSsori-sibiViM- ofqF signature FGEXlURALSllE-C!FliZA1-10SIS S17E 11L AREA M 7,-PERIMf:MFijR DEPTI R03. COPING VW POOL CAPACITY ALS PUMP CAPACITY 1710 GPM MOTOR Rp It - HP AQ1013 HP HP FILTER FAM&L ,&�Q FT FILTER FiLTER RATE 1 60GPM -0 HEATER VE4Vn,-&ixBTU 0 _ TURNOVER URNOVER !� HRS ,j �z cl irn6m l'INIF:k -7 CHECK V GASUNE I AUTO CLEANER. I oECKT'YPE t%Ja0%,4,&j(L 1!g STEP T -J 0 Fr.. D slzE 'F7 'RAl ED S, -4! - LMA JDA 1 0 X I W M D 0 t I p C _,A WA � T" SPILLWAY �E SIGNER � I TO SPILLWAYSIZE �7-X Z Y/1DE. PFLLVi DATE U SPILLWAY OPEN -CLOSEE) 7 C, JETS UPPER LOWER Narhd-,: 'Address : - L Ar 2.2- I .2k ALDCRETE: POOLS It, INC. pooLS-SPAS-LANDSCAFT; 1,1CM5C #828284 P-0-13OX 745 (760) 773-3293 Office x'1261 (Till))9,7:-�tD7C33 CLIt cilizi ocscvL, CA CN " C14 cr) m CD LO �X C,4 C4 0 �X 10/10/2005 03:23 7607733293 ALDERETE CONST City. St. Zip: Telephone: 16 p 7 STAte Lia: X ,rcietihor"We sk Pf Coc"W=26 F 0 Submittal structural Calci. Farrv. coics. Flood pwW;01s Stbeouttidor List Great Died 1N liCfleS£:� Pulb. WU A, pla schreall rg" vulldiftat Safety Division P.O. box I SO4, 78.IPS Calk Tampk* U QWrku, CA 92253 - (760) 777.7012 Building Permit Application and Tracking Sheet ikg- k ArJ 0 -net's Name: ,MOess. -I f1JEL-15 ciryST, Zip: _2 r—PrOW Ditffi*fl: p b L Cit, Lie. PAGE 01 CmAnxtio. Typq^ I Persona f Nc*' Add'- A4i-, R -P -i-- DO - —T—Units: Sq. R.: ♦'S tortes' slimotil VjpIw of P-ieces.O Prujort Address: APPLICANT: DO NOT WRITIE 95LOW TWIS LIME A. F. Number,' UpJ VicsCriptioll: pis" Ch CCL sub."itted Rtvitwgd, ftsdl for corrections Plan clittli Deposit Plea Check Ilialtifirt :2ka pians onvwlntd I*W- Li $tat. I.L. 49-) =tfier... Ei. 210, Iteview, rtsil• ko tweeilonsiftsw Art,ii.jxer.. otsilver: - City. St. Zip: Telephone: 16 p 7 STAte Lia: X ,rcietihor"We sk Pf Coc"W=26 F 0 Submittal structural Calci. Farrv. coics. Flood pwW;01s Stbeouttidor List Great Died 1N liCfleS£:� Pulb. WU A, pla schreall rg" vulldiftat Safety Division P.O. box I SO4, 78.IPS Calk Tampk* U QWrku, CA 92253 - (760) 777.7012 Building Permit Application and Tracking Sheet ikg- k ArJ 0 -net's Name: ,MOess. -I f1JEL-15 ciryST, Zip: _2 r—PrOW Ditffi*fl: p b L Cit, Lie. PAGE 01 CmAnxtio. Typq^ I tAt 0CCVp4M-Y: Nc*' Add'- A4i-, R -P -i-- DO - —T—Units: Sq. R.: ♦'S tortes' slimotil VjpIw of P-ieces.O O-SL4:2- APPLICANT: DO NOT WRITIE 95LOW TWIS LIME ts pis" Ch CCL sub."itted Rtvitwgd, ftsdl for corrections Plan clittli Deposit Plea Check Ilialtifirt pians onvwlntd plecksWcol 210, Iteview, rtsil• ko tweeilonsiftsw EWtrice) Citilgil Contact Persu-s riser Picked up SAIA. Grading 01 Rrview, mady for corPettionifinef Dtvvlopry Im. pact fee C* tkd conw.1 perqua Wiwi veravilissw L t