05-0373 (RPL)ot
A,
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760) 777-7012
OFTt�9 78-495 CALLS TAMPICO FAX (760) 777-7011
LA QDR;
NTA, C� LIFO1vIA 92 .5�3 INSPECTION REQUESTS (760) 777-7153
U U
BUILDING. PERMIT
FEB 0 8 2005
�D-3140 VrA GA 5-rELLAAIR
Application N 'mberrl���LA �t0lA1TA. 005 000-0-373 Date 2/03/05
Property Addrs`s FIRiAiVC;= DEf�T.� _� 19 i^vF'�9-W
APN: 772-250.-997-108 -31349.-
'Application
31349-
'Application description POOL - RESIDENTIAL
Property Zoning LOW DENSITY RESIDENTIAL
Application valuation . . . . 17000
Owner Contractor
------------------------
--------------------------
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: �BB10:05io 01/01/06
CSLB: 656128 10/31/06
CCC: C8 -C27 -C29-053'
-----------------------------------------------------------------------------
Permit BLDG POOL PERMIT
Additional desc
Permit Fee . . . 180.0.0 Plan Check.=ee 117.00
Issue Date . . Valuation . . 16920
Qty Unit Charge Per Extension
BASE FEE; - 45,00
15.00 9.0000 THOU BLDG 2;001-25,000 135.00
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 Pee.. 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: 3 7 —3_ 'off
Applicant: I Architect or Engineer: Date: o� -R
Applicant's Mailing Address:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
AI hereby affirm under penalty of perjury that I am licensed un r provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
de, and ss Lipegse " ull force and effect.co . ZY
License Class�j/��� en No.
-Zate S' —5 Contracto41— '-J CJ
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 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 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
iss wort s' compensation in carrier p c number a
IZarrier S, Policy Number � //4/ r/
XV _ I certify that, in the performance of the work for w i s permit is issued, I shall not dAploy any person in any manner so as to become subject to the workers'
compensation laws of California, and agree th , if I sh uld become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
ate b /& Applica
WARNING: FAILURE TO SECURE WORKERS' COMPENSAITBN 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 Ouinta, its
officers, agents and employees for any act or omission related to the ork being performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and voi J if 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 rect. I a ree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county enter u on t e abo entioned property for inspection purposes.
C/os,
Date Signature (Applicant or Agent):
Page 2
Application Number . . . . 05-00000373
Date, 2/03/05.
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
3.00
- - - - - - - - - - - --- - - - - - - - - - - - 7 - - - - - - - - - - - - 7 - - - - - -- -
Permit . . . . . . WALL/FENCE PERMIT
- - - -
- - - 7 - - - --- - - - - -
Additional desc
Permit Fee . . . . 15.00 Plan Check
Fee
.00
Issue Date . . . . Valuation
. .
. . 80
Qty Unit Charge Per
Extension
BASE FEE
- - - - - - - - - - -
15.'00
7 - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - - - - - - - -
Special Notes and Comments.
- - - -
- - - - - - - - - - - - - - - -
POOL &,SPA, 51'L.F. 41 BLOCK WALL, CITY
STANDARD., ALARMS/BARRIERS SHALL BE IN
PLACE AT PRE -PLASTER INSPECTION. -
Fee summary Charged Paid Credited
Due
Permit Fee Total 297.00 .00
.00
297.00
Plan Check Total 142.50 .00
._00
142.50
Grand Total 439.50, .00
.00
439.50
`C. 4=
4 of
R.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760)-777-7153
BUILDING PERMIT
Date: 11/17/05
Application Number: 05°-0000037_3 Owner: 1
Property Address: 80340 VIA CASTELLANA TOLL CA V
APN: 772-250-997-130 -31349 - C/O KEVIN D DUERMIT
Application description: POOL - RESIDENTIAL 8901 E MOUNTAIN VIEW 200
Property Zoning: LOW DENSITY RESIDENTIAL SCOTTSDALE, AZ 85.258
Application valuation: 17000
Contractor:
Applicant: Architect or Engineer: CALIFORNIA POOLS. & SPAS
P.O. BOX 1280
COACHELLA, CA 92236
6/ (760)398-9222
Lic. No.: 656128
- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION - -
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with - .1 hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business d•Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C8 C27 C29 License No.: 656128for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.'
�� -
ate:,/�`4= Contrac 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
OWNER -BUILDER DECLARATION insurance carrier and policy number are: -
I hereby affirm under penalty of perjury.tha Iam exempt from the Contractor's State License Law.for the Carrier. SEABRIGHT INS Policy Number BB1050510 "
following reason (Sec. 7031 .5, Business a d Professions Code: Any city or county that requires a permit to _. I certify that, in the performance of the work'for which this permit is- .issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agreethat, if I should ecoma subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or .. 3700 of the Labor Code, I�shall orthwith comply with those. provisions.- 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).: Applicant' -
1 _ 1
1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
' the structure isnotintended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORK RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
- . and who does the work himself or herself through his or her own -employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,
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.). APPLICANT ACKNOWLEDGEMENT
(_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
.7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed - 1. 'Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,'
(_ 1 I am exempt under -Sec. , B.&P.C. for this reason 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.
Date: Owner: 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
CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the - .l certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). - -city and county ordinances and state laws relating to building c truction, and hereby authorize representatives
of this county to, enter upon the above-mentioned prope action purposes.
Lender's Name: -
Datignature (Applicant or Agent):
Lender's Address: �
LQPERMIT -
Application Number
. . 05-00000373
Permit . .
BLDG'POOL PERMIT
Additional desc ".
Permit Fee' . .
180.00 Plan Check
Fee.
117.00
Issue'Date
2/09/05• Valuation.
16920
Expiration Date
1/17/06
Qty Unit Charge
Per
Extension
BASE FEE
45.00
15.00 9.0000
THOU BLDG 2,001-25,000
135.00
Permit . .
MECH POOL
.
Additional desc .
Permit Fee . .
24.00 Plan Check
Fee
6.00
Issue Date . .
2/09/05 Valuation
0
Expiration Date
1/17/06
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 . . . .
2/09/05 Valuation
0
•
Expiration Date
1/17/06'
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000
---------------------------------------------------------------------------
EA ELEC PRIVATE SWIMMING
POOL
30.00
Permit
PLUMBING
Additional desc".
Permit Fee
33.00 Plan Check
Fee
8..25
Issue Date
2/09/05 Valuation
0
Expiration- Date
1/17/06
Qty Unit Charge
Per
Extension.
BASE FEE"
1.5.00
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 '
Permit . . .
WALL/FENCE PERMIT
LQPERMIT -
-
' Cal
%. Application'Number 05-00000373
Permit . . . . . . WALL/FENCE PERMIT
Additional desc
Fee 15.00 Plan Check Fee
.00
_Permit
Issue Date 2/•09/05 Valuation '.
80'
Expiration Date 1./17/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
-----------------------------------------------------------------•---
Special Notes and Comments
POOL & SPA, 5' L:F. 4' BLOCK WALL, CITY
STANDARD. ALARMS/BARRIERS'SHALL BE IN
PLACE AT PRE -PLASTER INSPECTION.
TRANSFERRED APPLICATION FROM 80410
J TORREON WAY TO REFLECT CORRECT ADDRESS ,
WHERE 'POOL ACTUALLY CONSTRUCTED.
November 17, 2005 10:34:47 AM gbutler.
Other Fees" CHANGE OF CONTRACTOR
4.50
REPLACEMENT INSP CARD
15.-00
Fee -summary Charged Paid Credited
Due''
-- - - - - - - - - - - - - - -- - - - -- - --
' Permit Fee Total 297.00. 297.00 .00
.00
Plan Check Total 142.50. 142.50 :00
00
Other Fee Total 19.50 00 00
19.50
Grand Total 459.00 439.50 .00
19.50
LQPERMIT
..
LaQ c •.
0 0
� � P
O. Box 1504
LA. QUINTA, CALIFORNIA 92247-1504, BUILDING & SAFETY DEPARTMENT'
OF T1 9� 78-495 CALLE TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
November 17, 2005
Ms. Esther Sanchez
Riverside County Assessor's Office
3255 E. Tahquitz Canyon Way, Suite 114
Palm Springs, CA 92262-6962
RE: APN #772-250-997-130
Dear Ms. Sanchez:
Please be advised of an address change for the following permit 405-373. The pool was
incorrectly issued to 80-410 Torreon Way, La Quinta (APN #772-250-997-.109). The
correct address and APN are 80-340 Via Castellana, La Quinta, (APN 772-250-997-130).
I have enclosed a copy of the permit for your files.
Please make the appropriatechanges. If I may be of further assistance,. you- may contact
me directly at (760) 777-7074. .
Sincerely,
Therese Vella-Finorio
Senior Secretary
Attachment
' CITY OF LA QU.INTA
F BUILDING & SAFETY DEPARTMENT
eM °F� 777-7012
INSPECTION REQUEST LINE
777-7153
Owner TSI, rA V
Contractor CAI IFORMA P001 & SPAS
` Permit Number, 115-1!73
POST ON JOB IN CONSPICUOUS PLACE
I INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 80-340 VLACASTEi LANA
POOL & SPA. 5 L.F. 4' BLOCKNV ALL, CITY STANDARD. ALARMS/BARRIERS
SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. TRANSFERRED
APPLICATION FROM 8040 TORREON.WAY TO REFLECT. CORRECT ADDRESS
WHERE POOL ACTUALLY CONSTRUCTED.
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS
U/G PLUMBING [WASTE
U/G ELECTRICAL % GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB'
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL/ PRI
OKAY TO WRAP
ROUGH MECHANICAL
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL
EXTERIOR LATH
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATU E INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER (ALARMS/ BARRIERS
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER
ELECTRICAL
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT
I COMMUNITY DEVELOPMENT DEPT. q
FINAL / JOB COMPLETED Ila n4iA
-
'. -1
t
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TI IPAI r1KI I ITII ITIFC (1P (1r:(I IPV RI III Illnlr