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04-4047 (RPL)BUILDING & SAFETY DEPARTMENT P.O: Box 1504 (760),777=7012. t 0F 9 78-495 CALLS TAMPICo FAX (760) 777=7011 LA QUINTA, CALIFORNIA. 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application. Number . . . . . 04-00004047 Date 5/11/04 Property Address 79990 FRESA APN.:... 772-240-021-70 -24890 - 'Application description.. POOL.- RESIDENTIAL Property Zoning LOW DENSITY RESIDENTIAL :Application valuation 17000 Owner. . Contractor M/M GREENS ..CALIFORNIA POOLS & SPAS 7.9'-9.90.FRESA ST P.O. BOX 1280 LA. QUINTA; CA COACHELLA CA .9223.6 60).-.922..2253.LA:.Q'UINCA WCC: STATE FUND. ,.. ` WC: 04.600061`168. `.01/01/05 10/31/04 CCC:'C8-C27-C29=C53 Permit.. .. -MECH POOL Additional desc . Permit Fee 24.0.0 ..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 <=T00K .9.00. . -- Permit ".. .. BLDG POOL PERMI.'I' Additional desc . Permit Fee. 180.00 Plan Check Fee 1117.00 Issue Date . Valuation . .17.000. Qty Unit 'Charge Per. Extension BASE FEE 45-.00 15:00 -9..0000 THOU - BLDG 2,001.-25;000 135 -.',0 0 Permit ELEC'.POOL PERMIT -RES Additional desc . Permit .Fee .45.0.0 - Plari Check Fee 11.,25 Issue Date Valuation 0 ...Qty Unit Charge Ret Extension BASE FEE 15.00 9wP.O. BOX 1504 78-495 CALLS TAMPICO LA QUiNTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number. Applicant: Applicant's Mailing Address: VOICE (7 66) 7.77-7012 : FAX (760) 777-7011 INSPECTIONS (760).777-7153- Application 760).777-7153 Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wkh Section 7000) of Division 3 of the business and Professionals Li ense am Is 53 force and effect. License No. lloS� /2 $ Dale__(- t/b Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the idlowing reason (Sac. 7031.5. Business and Professions Code: Any city or county that requires a permit to consbuct, alter. improve. demolish, or repair any sbuct&M prior to its Issuancealso requires the applicant for the, permit to Sea signed statement Out he or she is icensed pursuant to the provisions of the Contractors' State Lioense Law (Chapter 9 (commencing with Sedan 7000) of Division 3 of the Business and Professions co0e) or that he or she Is exempt therelrom and the basis for the aneged exanvem Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a cid penalty of not mom than five hundred dollars ($SW).): U I. as owner of the property. or my employees with wages as their sole oornpensation, 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 b an owner of property who builds or improves thereon, and who does the work himself or hers" or tihrough his or her own employees, provided that the improvements are not intended or offered for safe. If. however. the bu4ldirg or improvement is sold within one year of completion. the owner4x&W "have. the burden of proving that the or she cid not build or improve for the purpose of safe). () I. as owner of the property. am w1usively contracting with licensed contractors to construct the project (Sec. 7044. Business and Professions Code: The Contractors' State License Law does not apply 10 an owner of property who builds or improves thereon, and who contracts for the projects with s contractor(s)licensed pursuant to the ContraCtors' State License Law.). (� 1 am exempt under Sea �� BA PA. for this reason Dane Owners,.._ WORKERS' COMPENSATION DECLARATION hereby affirm undor penalty of perjury am of the following declarations:. _ 1 have andmill maintain a certificate of consent to seBans ire for workers' compensation, as provided for by Section 3700 of the Labor Code, for the perfonviance of the work for which this permit is Issued. II hayw 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 Cartier, _c�: f,QP � ensation.insurance carrier and poI'�r�ymber are: Policy Number O S�(o/9/� _ I.certify that in the performance of thb work far 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, 8 I should become subject to the warkas' compensation provisions of Section 3700 of the Labor Code, l shad forthwith comply with those proviogns. Date �� Applicant WARNING: FAILURE TO SECURE WORKERS' CO PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CiVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY 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 (Sea 3097. Civ. C.). Lenders Nam& Lenders Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application Is hereby made to the Director of Building and Safety for a permit subject to the conditions and restriction 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 Ou lyda. its officers, agents and employees for any actor omission related to the 440* 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 peank or Cessation of work for 160 days wpl subject permit to cancellation. 1 certify that I have read this application and state that the above inf is correct I agree to y with all city and county ordinances and state laws relating to building construction. and hereby authorize representatives of this county to upon abo,",a e . property for inspection purposes. Date Z Signature (Applicant o<Agent): Page 2 Application Number 04-00004047 Date 5/11/04 Qty Unit Charge Per Extension 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL -------------------7-------------------------------------------------------- 30.00 Permit . . . . . . PLUMBING 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 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. Fee summary Charged Paid Credited ----------------------------------------------- Due ---------- Permit Fee Total 282.00 .00 .00 282.00 Plan Check Total 142.50 .00 .00 142.50 Grand Total 424.50 .00 .00 424.50 C\f II ' COURSE -HOMEOWNERS ASSOCIATION May 19, 2004 Mr. and Mrs. Johnathan Greene 79-990 Fresa La Quinta CA 92253 RE: Architectural Review Approval — 79-990 Fresa Citrus Course Homeowners Association Dear Mr. and Mrs. Greene, Members of the Architectural Committee have reviewed the pool plans and approve them as presented with the following additions: The color of the Pebble Tec pool finish is to be pearl black and the "Boulders" to be placed around the pool are to be a grey -tan color as is common throughout the Citrus. • Drains to be added to the decking and connect. to side drains that empty out to the street through 'a curb cut. Please keep this letter for your records, in the event you are ever questions about these modifications. Should you have any questions, please contact management at the. number listed below. Thank you, EbA Barbara Vanscoder Association Manager On behalf of The Citrus Course HOA Architectural Committee P.O. Box 12920 Palm Desert, CA 92255 • 75061 Mediterranean, Suite B, Palm Desert, California 760.346.9000 • FAX 760.346.9997 • www.citruscoursehoa.com