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05-3029 (RPL)4 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 — FETY DEPARTMENT D G,1 BUI t ING PERMIT Application Number: C05 -00.Q0029 U� 1 ��o� Owner: � Property Address: 44795 VIA MIRABEL LANGLOIS, SUSAN KAY APN: 604LO32-999-34 -30 21 44-795 VIA MIRABEL Application description: POOL - RESIDENTIAL- CITY OF LA QUINTA LA QUINTA, CA Property Zoning: LOW DENSITY RESIDENTIAL FINANCE DEPT. LA QUINTA, CA 92253 Application valuation: 15000 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: Applicant: Architect or Engineer: REMBRANDT POOLS & SPAS INC 'WCC: STATE FUND WC: 1744664 10/01/05` C,�T7PACil � ---------------------------------------------- • - LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. - License CI ss: Li cen No.: _L__ D e:— /'/ ^Contractor , OWNER -BUILDER DECLARATION _ 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 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, i' 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 _ 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 1 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: LQPERI%IIT Date: 7/19/05 - CSLB: 800680 .11/30/06 WORKER'S COMPENSATION DECLARATION d 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 a, issued. ' X I have and will maintain workers' compensation insurance, as required.. by Section 3700 of the Labor I7` - Code, for*the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier C53 -Policy Number - - - ---- -- - - - - -- _ 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 become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' co ensation provisions of Section 37 off Ae Labor CCotte I shall fort - h comply th those rovisions. te� ` �pplicani. - - WARNING: FA URE TO SECURE WORKERS' COMPENSATION COVE E IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES P TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. INADDITIONTO 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to buildij�jj construction, and hereby authorize representatives . of this cpant,, to e -ter upon the above-mentioned properyy fo i pectian purp69�s., —D 9�gnature (Applicant or Agent): Application Number . . . . .• 05-00003029 Permit . . . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 162.00 Plan Check Fee,. 105.30 ` Issue Date . . . . Valuation . . . . 15000 Expiration Date 1/15/06 Qty Unit Charge Per Extension BASE FEE 45.00 13.00 9.0000 THOU BLDG 2,001-25,000 ------------------------------------------------------------------------------- 117.00 Permit MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 ` Issue Date Valuation 0 Expiration Date 1/15/06 Qty Unit Charge Per Extension j 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 1/15/06 = z, 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 . . . P 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . .r. 0 Expiration Date 1/15/06 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 ONLY. ALARMS/BARRIERS SHALL , LQPERN TT ' 4/ LQPERMiT +18" RAISED SPA - W/QUARTZITE VENEER & CASCADE -\3 ,• . + r .ice � • � , .Y t �•,. • -- •. -• r , 12'-9" DEEP ° s��e, + 32'-10" ' ' 1 a , 5'6" DEEP { P/V ' a SKIMMER 1� � AUT fLl • r •• CITY OF LA QUI A ; BUILDING & SAFUY DE T: APPROVED 25'.-6;. FOR CONSTRIL CTION `. . DATE OSr BY � ,' p �',��,�� R � � ��,� �� ` err p- �, - • ' ,. ! � i � lea. !�►:: � �, : � ,. rr , � v � , .•� . .. • ♦ �' SAA �� r� �' ��'"'�: t"�3 �F- �� Rq.��I t� �• -: A/C e i r • i riy;�, i • 4. .o y: �.7:4';I•y jp - _ - �.,'�'�. '�.��° �iEXI�STINGlPATIO� � _• �,��•- p��,-.�l� �� r y SUSAN. KAY. LANGLOIS RESIDENCE P/E O 20' T/C f 9:52 AM 7/19/05. EMBRAND POOLS & SPAS INC CA. LIC. 800680 C-53 78-910 VIA VENTANA LA QUINTA CA 92253 TEL (760) X71-2121 FAX (760) 771-2181 POOL & SPA SPECS POOL SIZE: 25'6" X 16 POOL AREA: 284 SF POOL PER: 71 FT POOL DEPTH: 3'6" TO 5' SPA SIZE: 7 ' DIA. SPA A: 38 SF SPA PER: 22FT DECK AREA: 605 SF + 130 SF COLOR/FINISH: TO CHOOSE PUMP: 2 HP FILTER:60 SF • HEATER: 400K BTU CONTROL: RS4 CHLOR: SALT CLEANER: NAVIGATOR PLASTER: PEBBLE TILE: TO GROUP 4 - POOL LIGHT: 1-400W SPA' LIGHT: 1-100 W MISC., r= , SUSAN KAY LANGLOIS ADDRESS: 44795 VIA MIRABELL CITY: LA QUINTA LOT: LA UINTA DEL ORO DEV DATE: 9:52 AM 7/19/05 SCALE: 1 "=8' DRAWN BY: JW JOB: -