04-8041 (RPL)ool
BUILDING & SAFETY DEPARTMENT
P:O: Box 1504
(760).777-7012
OF9
78-495 CA.LLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application
Number
04-00008-041 Date_ 12/30/04
Property Address
. 44755 VIA MIRABEL
APN:
604 -032 -999 -36 =305212 -
Application
description
POOL - RESIDENTIAL
Property Zoning
. . . .
LOW DENSITY RESIDENTIAL
Application
valuation .
17000
Owner
Contractor
LENNAR HOMES OF
CALIFORNIA
CALIFORNIA POOLS &SPAS
78401 HIGHWAY
111, STE C
P.O. BOX 1280
LA QUINTA, CA
COACHELLA, CA 92236
LA QUINTA,-CA
922.531,
(760)398-9222
WCC: STATE FUND
WC: .04600061168 01/01/05
CSLB: 656128 10/31/06
CCC: C8 -C27 -C29-053
cedf 4
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
if
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Application Number: _ 04- 9O(/ I . Date:OS'
Applicant: I Architect or Engineer:
Applicant's Mailing Address:
Architect or Engineer's Address:
x
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 (comma ing with Section 7000) of Division 3 of the Business and Professionals
Code, and my LicenWs in rce and effect.
cense Class itL' ns No.
— 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 Owne
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 a will maintain w ars' compe ation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
f -ss orkers' pens insurance carriernj go)ic�n��er�re`� /�
er J ACL Policy Number CJ e b Q
_ I certify that, in the performance of the work for wh' 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 t, if should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those prroov'sionsf.
/ Date � �� " oolicant / /mss /
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 If
Lender's Address le
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 infrmation is ce ee to comply with all city and county ordinances and state laws relating to building
o
construction, and hereby authorize representatives of this county to enter upon t ntiorfed property for inspection purposes.
ate �Sie (Applicant or Agent):
"Application Number
----------------------------------------------------------------------------
04-00008041
Permit . .
BLDG`POOL PERMIT
E:
Additional desc �.
Permit Fee
180.00 Plan Check.Fee
117.00
Issue Date
Valuation
. . .
. 17000
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
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
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
1.0.0 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 ONLY. ALARMS/BARRIERS SHALL
BE IN PLACE PRIOR TO
PREPLASTER
INSPECTION. EQUIPMENT
ENCLOSURE NOT
INCLUDED IN .PERMIT.
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
Tr. E k-,) /�_j SrE x
C-4
S 7ACE AREA 07 PO^k
07-PTHS � WN. 6_1 MAX, 'b
PER'NIETER
SPA . SPECiFICATIONS TI LE <
SIZE _2L X SQi FT, TLE TYPE
<
EPA DAV WALL W,,0T'H WATr UNF
NO. OF' JET TILE Tpw
<
L'_ AD
uc;HT
PA!SEr' SPA AT 0
U
Z
SP!LLWAY TYPE
uj
Qj
SPECIAL NOTES
0
z
DECKING cc W
Ir
FT
0
EXCAVATION STEEL
Typr
A CE!71� FP
00
1 1(7i
Irl
ELEVAT11C
DICK Dpmw,
DEEP ENO PAMP
A, DEVC0 DPOMN
SEAT
LOADS CURB CME
C VN ^. r E TE REWWAL
sips
& SOD REMIOVAL LOADS
TREE REW)VAL BY STYP FACE
1r
'ArC' SAI_
Fr-MOVAL By
PEPA'l SAND AND MSMi
C k8 13� Rlsso-N�
12' R.F.8, MOW STR!n oe
ft,
20 R.P,5�
L - - - - - - - - -
- - - - - - - - - - - -
_4 ft
30
TAN SHELF L
- ----- MASONRY
'K POCK
ROC
'PING TYPE
Or,
CNTEPS R,83. FAU".
SPiLLWAY TYPE
L
SIZE
STEPS
--44-
!L
S17-
PLA,�,ITER WAI,
SIZE �4
L
- - - - - - - - - - - - - - - - - - - , T�
a
pool pum
Pum"
1:17 EW, WALLS
-4 L
L
4-4
*L f�'VP F1 R� F'
------------- ----------
'lZ ill,
Z�_ 4 ADDI PUMP
LJ
- - - - - - - - - -
'r4AE CLOCK,
77
J_ ADD'L V,,IrE oz�
FILL
VVIPS
SPA
-.ADS RVUlD FV40 P-'- AV
UNTA!NS/SPRAYHf
- - - - - - - - - - - - - - - - - - - - - - SEWW,�, SPA
ESC
SHEER DESC
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POOL
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EN
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R�P,S. - SEE S77L
'E" PC') N'S �3 L 1 Ti',E__S
U " i
OWNM M (1' DETEP�ltl`17. TH� APF`PCXWAl7 ELUA"11ON OF P—- OR E,7A AT LAYOUT ON DAY OF E.XCAVATION
(21 TWE Nr,7CE li-'I�T Pnl',,L AND EWPV'NT LCCA7Cl,"l ARE SUPrCT TO ACCF_77W'��- OF
LOCA! BUILD1140 DEPART -M, -N-7 AT T -M' OF ISSUANCE C,- PERMIT
(3j �,7 DO10"i C,0,NCR[,T S�7,L AT LEAST VCE OMLY F04 DAYS A7 -M SHELL 15 INSTALLED
c=
(4) AOP-c THAT CkJr-)P':�A P�Y)LS IS NOT PESPONS'71 FOR UNDERCROVND &-"Yr,,O`4S CIR 09,)EM',
Ar AND, A"Y DAYAGE TO CURPS, SIDEWALKS, DRIVEWAYS, LAW�S, OR 0-4ER ITEMS THE AccESS AREA
(5) S7E THAT A'LL FSTI��Nf�, r.A7S, AND GAPACE 010—�S WET LOCAL CODES FOP, A POOL ENCILOV-2RE
P7,V1 TO PREP!ASIEP N'17710N
(6) FILL PO'):- IMMEDIATELY AMP PILASTER- ('MOW DO NCT USE RUF,-_�EER HOSE'�
(7) TArE NOTCE THAT TH."S DRAW"Ir, IS THE SCil PFOP-7— OF CALJFOR%`� PIMS AND -.AT k4y
USE W,Tl-'O�JT W�r'�T_
1"N PE-,kjj- !r)N' OF CAljFCR,'TA POOLS. INC. IS PROMP11D BY LAW.
4
OWNEEIR AF`Pi�MS PL0, P004, AND E��tj!"W'NT LOCAll(M AND HAS PA'D THE AND Nl^lT',CFS A�OVE,
DA11-
SW'!lVY!Nl"7 POOL PLAN F'OR:
NAME
C
C)
L 0 R, E I D E LZ
STRE17 \/1A
JOB A,.DDRl4ESS rl c
�_Ty
PHONE 0 Fr . F;CE RES
LOT BOOK
TRACT PT('�E
N,AP B"�OK PAGE NO. 1CITY
ADDRESS
CONSTRUCCTION OFFICE PHONE NO,
sc D A TE CHECKED BY
ALE D R A WNI B Y SOLD BY
JOB
REVISIONS DA TE
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