04-4056 (RPL)6. e
Tldf 4 4 Q"
Box 1504
495 CALLE TAMPICO
QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT -
Application Number . . .
Property Address
APN:
Application description
Property Zoning . . . .
Application valuation .
04-00004056 Date 5/11/04
.54655-EISENHOWER DR
774 -284 -020. -8 -000000 -
POOL - RESIDENTIAL
COVE RESIDENTIAL
14000
Owner Contractor
DICK SCOTT PACIFIC HOMES
BOX 1023 P.O. BOX 10.23
LA QUINTA. LA QUINTA CA 92253
LA QUINTA CA 92253 (760) 408-3495
WCC: S jTE FUND
WC: 176557 08/01/04
B: 782324 08/31/04
CCC: B
------------------------------------- --------------------------------------
.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 . . . . 153.00 Plan Check Fee 99.45
Issue Date . . . . Valuation . . . . 14000
Qty Unit Charge Per Extension
BASE FEE 45.00
12.00 9.0000 THOU BLDG 2,001-25,000 108.00
----------------------------------------------------------------------------
-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
P.O. BOX 1504• �� VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
Date:
Applicant's Mailing Address:
LJ
Architect or Engineer:
Architect or
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 License is in full force and effect.
License Class License No.
Date Contractor -4
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).):
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 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.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
1 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 workef.�' comp nsation insurance caner and policy n�ber are:
Cartier STILI -r-. V � Policy Number ' 7 ii J � :1
_ I certify that, in the performance of the work for which this permit is issued, I shat 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 pr ns.
Date J� 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
Lenders 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 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 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 to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
Date '-7 Signature (Applicant or Agent):
El
f
Page 2
Application Number . . . 04-00004056
Date 5/11/04
Qty Unit Charge Per
Extension
1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL
30.00
=---------------------------------------------------------------------------
Permit . . . . ... PL.UMBING
Additional desc
Permit Fee . . . .• 33.00 Plan Check Fee
8.25
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
----------------------------------7-----------------------------------------
Special Notes and Comments
POOL&SPA ONLY. ALARMS/BARRIERS SHALL BE
IN PLACE PRIOR TO PREPLASTER INSPECTION.
Fee summary Charged Paid Credited
Due
-----------------------------------------------
Permit Fee Total 255.00 .00 .00
----------
255.00
Plan Check Total 124.95 .00 .00
124.95
Grand Total . 379.95 .00 .00
3.79.95
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CONCRETE
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CITY OF LA C`
BUILDING & SAT--
APPRC' --
FOR Cot,41-1, ' !�
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BUILDING & SAT--
APPRC' --
FOR Cot,41-1, ' !�
DATE
LONGITUDINAL SECTION
SCALE: NONE
32 BENCH .
18" RAISED 18"
BOND BEA
3 SPA -POOL DETAIL
SCALE: NONE
r
UNAUTHORIZED USE WARNING
THESE DESIGNS ARE THE PROPERTY OF
LENCH DESIGN GROUP. REPRODUCTION
IN ANY FORM WITHOUT WRITTEN CONSENT
IS EXPRESSLY PROHIBITED. UNAUTHORIZED
USE EXTENDS TO ORIGINAL AND MODIFIED
DERIVATIVE PLANS AND IS APPLICABLE TO
INTENTIONAL AND UNINTENTIONAL
INFRINGEMENTS.
VARIES
SECTION •
SCALE: NONE
WATER LINE
I I
I I
I I
I I
4 DETAIL
_ SCALE: NONE
A.P.N.: 774-284-020
ADDRESS: 54-655 EISENHOWER DRIVE
LEGAL: LOT #8, BLOCK # 303,
SANTA CARMELITA @ VALE LA OUINTA
PLANS PREPARED BY:
BEL VFiVMRE>
dba
.P. LENCH H
PRESIDENT
DRAWN
A. RADON]
CHECKED
S.L.
DATE
02-27-04
SCALE
1/8"=1'-0"
SHEET
#2
18"
SPA
P001
Ul
R1
7'-0,-
3 SPA -POOL DETAIL
SCALE: NONE
r
UNAUTHORIZED USE WARNING
THESE DESIGNS ARE THE PROPERTY OF
LENCH DESIGN GROUP. REPRODUCTION
IN ANY FORM WITHOUT WRITTEN CONSENT
IS EXPRESSLY PROHIBITED. UNAUTHORIZED
USE EXTENDS TO ORIGINAL AND MODIFIED
DERIVATIVE PLANS AND IS APPLICABLE TO
INTENTIONAL AND UNINTENTIONAL
INFRINGEMENTS.
VARIES
SECTION •
SCALE: NONE
WATER LINE
I I
I I
I I
I I
4 DETAIL
_ SCALE: NONE
A.P.N.: 774-284-020
ADDRESS: 54-655 EISENHOWER DRIVE
LEGAL: LOT #8, BLOCK # 303,
SANTA CARMELITA @ VALE LA OUINTA
PLANS PREPARED BY:
BEL VFiVMRE>
dba
.P. LENCH H
PRESIDENT
DRAWN
A. RADON]
CHECKED
S.L.
DATE
02-27-04
SCALE
1/8"=1'-0"
SHEET
#2