The URL can be used to link to this page

04-6274 (RPL)a T -df 4 4 4" BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (76 0) 777-7153 BUILDING PERMIT " Application Number 04-00006274 Date 9/10/04 Property Address . . . . . . 81699 DESERT WILLOW DR APN: 764-270-999-39 -300231- Application description . . . POOL RESIDENTIAL Property Zoning . . . . . MEDIUM HIGH DENSITY RES Application valuation . . . . 15000 Owner ------------------------ M/M KUIPER ` 81699 DES WIL� O LA QUINTA O o CIP?2 Contractor DEVINE SWIMMING POOL DESIGN 80844 BOULDER DRIVE INDIO CA 92201 (760) 989-0354 �V1fa�A WCC: STATE FUND OFA' P� G��NA�lGE�� WC: 1641733 07/01/05 CSLB: 786814 11/30/04 CCC: C53 ---------------------------------------------------------------------------- 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 -------------------------------- Permit ... . . ------------------------------------------- . . BLDG POOL PERMIT Additional desc Permit Fee . . . . 162.00 Plan Check Fee 105.30 Issue Date . . . . Valuation . . . . 15000 Qty Unit Charge Per Extension ..BASE FEE 45.00 13.00 9.0000 THOU BLDG 2,001-25,000 117.00 ---------------------------------------------------------------------------- Permit ELEC POOL PERMIT -RES Additional desc Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 t P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777 -7011 - LA QUINTA, CALIFORNIA 92253 INSPECTI.ONS (760) 777-7153 BUILDING& SAFETY DEPARTMENT Application Number: O Date: - tQ'�s • d ` ' Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engin dress' Lic. No.. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code,'and my Licegqse is in full force and effect. -7 1,0/ License Class--A--r?— _License No.-` 0-0'(,o6 1 ._�-- ContracW Date �/-Sf-'�1�%tor ! 1L�y�� `'t eil JL -S 4-�SPA, OWNER -BUILDER DECLARATION t' ' 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 1 - ' 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 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 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.). U I am exempt under Sec. , B.& P.C. for this reason Date 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 carrierand policy number are: Cartier �^"C I ii1C tr-1 f1 Policy Number � 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 become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date—c �) SG`%—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 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 actor 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. 1 certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relafing to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. -Signature (Applicant or Agent):'— Page 2 Application Number . . . . . 04-00006274 Date 9/10/04 Qty Unit Charge Per Extension 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 27.00 Plan Check Fee 6.75 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension i BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 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 SPA ONLY. ALARMS BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged --------------------------- Paid Credited Due Permit Fee Total ---------- 258.00 ---------- .00 .00 ---------- 258.00 Plan Check Total 129.30 .00 :00 129.30 Grand Total 387.30 .00 .00 387.30 TRILOGYATLA Q UINTA MA INTENA NCE : ASSOCIA TION August 12, 2004 Peter W. & Marilyn S. Kuipers 81699 Desert Willow Drive La Quinta, CA 92253 Property Address: 81699 Desert Willow Drive Dear Mr. & Mrs. Kuipers: We are pleased to inform you that your application for landscaping, hardscaping, a waterfall, and a spa, received on August 4, 2004, have been conditionally approved by the Design Review Committee per the attached Conditions of Approval form. This approval does not constitute consent by the Association for the applicant to encroach, trespass, or build on any property other than that of the applicant. This approval is related solely to the items reserved for approval by the CC&R's in accordance with the Architectural Guidelines. The approval does not extend to the quality of work done by your architect, or contractor, or to any structural engineering, soils engineering, or site grading and drainage design. You are urged to obtain the services of a state licensed professional for consultation as needed. Please be advised that this approval does not relieve you from obtaining any necessary building permits from the governmental agencies involved. It is strongly recommended that you hold your final payment to any contractor doing work on the exterior of your home until such time that a Design Review Committee member has inspected your property and your deposit has been refunded to you. If any damage has been caused by your as to common area property, the Association will have the necessary repairs made and deduct the cost from your deposit. Therefore, it is important for you to wait for the deposit refund before you pay your contractor in full. Sincerely, For the Architectural Committee Oo66ie Stone Bobbie Stone Association Business Manager Enclosures cc: Board of Directors Architectural Committee Professionally Managed by Action Property Management, Inc. 60-750 Trilogy Parkway, La Quinta, CA 92253 760-777-6052 760-777-6119 fax www.actionlife.com