05-0485 (RPL)1 3
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BUILDING & SAFETY DEPARTMENT'
P.O� 1504 (760).777-7012
'OF9_ 78-495 ALLE TAMPICO FAX (760) 777-7011
I� FEB 0 8 Q 'IA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
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CITY �F LAQu1NTA BUILDING PERMIT
FINANCE 0EpT.
Application Number 105-0_0_00048-5 Date 2/08/05
Property Address .51 3,Y0 -8-3.z.0 LEGENDS WY
APN: 762-420-005- - -
Application description . . . POOL - RESIDENTIAL
Property.Zoning LOW DENSITY RESIDENTIAL
Application valuation . . . . 18000
Owner Contractor
------------------------ ------------------------
F TOLL CA V CALIFORNIA POOLS & SPAS
C/O KEVIN D DUERMIT P.O. BOX 1280
8901 E MOUNTAIN VIEW 200 COACHELLA CA 92236
SCOTTSDALE AZ 85258 (760) 398-9222
WCC: SEABRIGHT INS
WC: BB1050510 01/01/06
CSLB: 656128 10/31/06
CCC: C8 -C27 -C29-053
-----------------------------------------7----------------------------------
Permit BLDG POOL PERMIT
Additional desc
Permit Fee 189.00 Plan Check Fee 122.85
Issue Date . . . . Valuation . . . . 17920
Qty Unit Charge Per, Extension
BASE FEE 45.00
16.00 9.0000 THOU BLDG 2,001-25,000 144.00
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
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 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
1.00 30..0000 EA ELEC PRIVATE SWIMMING POOL 30.00
--------------------- --------------------------------------------------------
Permit . . . . . . PLUMBING
Additional desc
P.O. BOX 1504• ��/: •
w VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:.- O �•$ w4
Applicant: I Architect or Engineer: Date:
Applicant's Mailing Address:
Co J -,l R24- C 1-0
Architect or Engineer's Address:
Lich No::
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under Drovisionsof Chapter9, (c mmencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my Lice is j Lk force and effect.
✓License ClassJ 5 y
No.
Z)late L0I Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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 1, 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. , BA P.C. for this reason
Date
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 whicythis ermit is issued.
I have a will maintars' compensation insurance, as required by Section 3700 of the L bor Code, for the performance of the work for which this permit is
C issu orkerensation insurance e rr��nrj,pclll9Y r3grybFj,� 29
Carrier a Policy Number !�[O(�[/CJ�j l!
_ I certify t, 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 , I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those pro isions.
date 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 41 ,A
IV
r
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 a re 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 rk beim performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and voi if w rk 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.
I certify that I have read this application and state that the above information is c rect. ree to comply with all city and county ordinances and state laws relating to building
construction anddhh reby authorize representatives of this county ter upon a abov -mentioned property for inspection purposes.
mate �1ty ` A
Signature (Applicant or A
� (pp dent):
Page 2
Application Number . . . . 05-00000485
Date 2/08/05
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
-----------------------7----------------------------------------------------
3.00
Permit . . . . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 15.00 Plan Check
Fee
.00
Issue Date . . . . Valuation
80
r�
_ Qty - Unit Charge Per
Extension
BASE FEE
-----------------------------------------------------
15.00
-----------------------
Special Notes and Comments
POOL & SPA. 5 L.F. 4' BLOCK WALL, CITY
STANDARD. BBQ ANSI #Z21-58-1995. GAS
STUB OUT FOR FUTURE APPROVED APPLIANCE
FIREPIT 496 AGAL. ALARMS/BARRIERS SHALL
BE IN PLACE PRIOR TO PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED.
Fee summary Charged Paid Credited
-----------------
Due
------------------------------
Permit Fee Total 306.00 .00
.00
----------
306.00
Plan Check Total 148.35 ..00
.00
148.35
Grand Total 454.35 .00
.00
454.35
April 5, 2005
Ms. Esther Sanchez
Riverside County Assessor's Office
3255 E Tahquitz Canyon Way, Ste 114
Palm Springs, CA 92262-6962
Dear Ms. Sanchez,
Please be advised of an address change for the following pool. The pool was
incorrectly issued to 81-370 Legends Way, permit # 05-485. The correct address
is: 81-380 Legends Way, APN # 462-420-004
Please note this change and contact me directly at (760) 777-7084 if I may be of
further assistance.
Sincerely,
Kay Hensel
Office Assistant
P.O. BOX 1504
BUILDING & SAFETY DEPARTMENT
`SOF T1
78-495 CALLE TAMPICO
(760) 777-7012
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011
April 5, 2005
Ms. Esther Sanchez
Riverside County Assessor's Office
3255 E Tahquitz Canyon Way, Ste 114
Palm Springs, CA 92262-6962
Dear Ms. Sanchez,
Please be advised of an address change for the following pool. The pool was
incorrectly issued to 81-370 Legends Way, permit # 05-485. The correct address
is: 81-380 Legends Way, APN # 462-420-004
Please note this change and contact me directly at (760) 777-7084 if I may be of
further assistance.
Sincerely,
Kay Hensel
Office Assistant
06/23/2005 11:29 951-686-8786 WESTERN INSULATION PAGE 06/11
Wester
RESIDENTIAL
1&.
Yr1-!-11iA1�7-!N!�
4211 Latham Street - Riverside. California 92501 - Phone: (909) 686-8760 - Fax: (909).686-8786
License tr 794484
CFVR INSULATION CERTIFICATE
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
THE CURRENT ENERGY REGULATION, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
TRACT/PHASE MUIRFIELD @ PGA WEST / PHASE 5
LOT#: 4 _ _ _ __
SITE ADDRESS: C81LEGE-380.NDS WAY - LA QUINTA, CA
-------7------------------------------------------------
CEILINGS: BLOWN INSULATION
MANUFACTURER: GREENFIBER THICKNESS: 8.1" R- VALUE: R-30
CEILINGS: BATTS
MANUFACTURER: KANUF THICKNESS: 10" R- VALUE: R-30
EXTERIOR WALLS: BATTS
MANUFACTURER: KANUF THICKNESS: 61/4"
GABLE ENDS & PLUMBING BAYS' BATTS
MANUFACTURER: KNAUF THICKNESS: 31/2"
GENERAL CONTRACTOR: TOLL BROTHERS
BY:
TITLE:
DATE:
INSULATION CONTRACTOR: WESTERN INSULATION, L.P.
LICENSE NUMBER: 794484
BY.
TITLE: PRODUCTION AN GER
DATE: JUNE 23, 2005
R- VALUE: R-19
R- VALUE: R-11