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08-0999 (RPL)c&t�t440 P.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: 6/12/08 Application Number: _08-00000999 Owner: Property Address: 53731 VIA DONA FRANK KOZEL APN: - 772-420-999-34 -298944- 53731 VIA DONA Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 40000 D Contractor: Applicant: Architect or Engineer: CAHUILLA POOL CONSTRUCT NC P O BOX 2569 JUN 13 2006 PALM DESERT, CA 92261 (760)396-5686 CITY OF LA QUINTA .i LiC. No.: 692059 FINANCE DEPT. ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am icense and r provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business andAofessiInali ode, and my License is in full force and effe License fuss: C53 6 nse No.: 692059 A &IaNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).: (_ 1 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 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.). (_ 1 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.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: 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: LQPERMIT WORKER'S 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. Y -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 carrier and policy number are: Carrier STATE FLTND Policy Number 0026982-2007 _ I 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 b com subject to the workers' compensation laws of California, and agree that, if I should eco su 'act to the workers' compensation provisions of Section 700 of the Labor Code, shall f rth rith comply with those provisions. atCf e: scant: WARNING: FAIL E TO SECURE WORK S' 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. 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 180 days will subject permit to cancellation. I certify that I have read this application and state that the above i or ation is correct. I agree to comply with all city and county ordinances and state laws relating to buildin cons u' ion, and hereby authorize representat ves of this cou ty t enter upon th ove-mentioned property f ins i n purposes. D ture (Applicant or gent . Application Number . . . . . 08-00000999 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 349.50 Plan Check Fee 227.18 Issue Date . . . . Valuation . . . . 40000 Expiration Date . . 12/09/08 Qty Unit Charge Per Extension BASE FEE 252.00 15.00 6.5000 THOU BLDG 25,001-50,000 97.50 ---------------------------------------------------------------------------- Permit . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/09/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 ---------------------------------------------------------------------------- Permit . . . ELEC POOL PERMIT -RES Additional desc . . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 • Expiration Date . . 12/09/08 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 . . . . Valuation . . . . 0 Expiration Date . . 12/09/08 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 SHALLL BE IN LQPERMIT Application Number . . . . . 08-00000999 ---------------------------------------------------------------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE, FIREPIT AND BBQ NOT INCLUDED. Fee summary Charged ----------------- ---------- Permit Fee Total 453.50 Plan Check Total 253.18 Grand Total 706.68 LQPERMIT Paid Credited Due 00 .00 453.50 00 .00 253.18 00 .00 706.68 Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Permit # Project Address: T53z3MI wner's Name: M V(. ,figqo r' A. P. Number: s" :�> 73 1 Address: . —3-- I Q (A Legal Description: Contractor.`,,�� �� c�jr City, ST, Zip: L t tJ TA C4 Telephone: Address: �. Q , QX 9S W9 Project Description: City, ST, Zip: ` �►~ �... DA Telephone: �-3�- �� 5. State Lic. #: City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: I� � ra State Lic. #: Name of Contact Person: s' Construction Type: 69fio Y Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: c Q�Q APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING . PERMIT FEES Plan Sets Plan Check submitted % Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Constructon Flood plain plan Plans resubmitted Mechanical Grading plan god Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`� Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees October 14, 2008 Mr. and Mrs. Kozel 80120 Via Pessaro La Quinta, CA 92253 RE: Kozel/Pool and Driveway Changes Lot 34D, 53731 Via Dona Dear Mr. and Mrs. Kozel, The Hideaway Design Review Committee met to review the plans showing the proposed changes in the pool location and driveway for your home on Lot 34D. It was noted that the pool location is 4'6" from the rear property line. A variance form will need to be submitted for this work. The Design Review Committee and the Board of Directors approves this variance due to the fact that the pool is not parallel to the property line which creates a better transition to the grass slope and only 1 square foot of water surface will be beyond the 5' line. Thank you for your submittal and patience in our review of it. We look forward to working with you further on the construction of your home. Sincerely, Hideaway Design ReYleyv Cpp;mittee cc: DRC File, John Link, Wayne Connor Bin # City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address:�� _ �'� Owner's Name: A. P. Number: Address: 6 �5 ---T' 1— Legal Description: City, ST, Zip: Contractor: Telephone:" Address: ,V , ` Project Description: City, ST, Zip: o ?VOL, Telepho lw -�) 6(0 -5 !y f: 2. " State Lie. #(.6.51 &9 City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: P W-1900,00-1 IS FEAR M., Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: J Sq. Ft.: # Stories: # Units: Telephone # of Contact Pers Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctionsfiissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees