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05-0337 (RPL)t �.fWQuutw BUILDING & SAFETY DEPARTMENT Box 1504- (760).777-7012 15 CALLE TAMPICo FAX (760) 77.7-.7011 UINTA, ^CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT ib e r0 5=--6-0.0.0.0-3.3 7 Property Aaaress 78385 VIA TUSCANY APN: 604-032-999-57 -305212- Application description POOL-' RESIDENTIAL Property Zoning : . LOW-DENSITY RESIDENTIAL Application valuation . 256.00 Date 2/01/05 Owner ------------------------ Contractor " ROBERT ROSS MC CALLUM POOLS 78-385 VIA TUSCANY 46576 VIA CELESTE LA QUINTA; CA INDIO' CA'92201 LA'QUINTA CA 92253 (760,) 77.5-5685,. WCC: EXEMPT WC: EXEMPT 05/31/05 CSLB: 81883.5 04/30/05 CCC: C53 Permit . . . . .BLDG POOL PERMIT Additional desc Permit Fee . . . . 258.50 Plan Check Fee 168.03 Issue Date Valuation 25600 Qty Unit Charge Per ; Extension. BASE FEE 252.00 1.00. _ 6.5000 THOU BLDG 25,001-50,000 6:50 Permit ELEC POOL PERMIT -RES Additi.onal 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 .1.00 3.00-00"EA PLB WATER`INST/ALT/REP 3.00 . 1.00 3 . 0000 ,EA . = PLB GAS .PI"PE 1-4 OUTLETS -3.00 P.O. Box 1504 • " VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4 4 a INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: S 3 I Data - Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: 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 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License isS II force and effect. �I Q License Class -),ZT / C -5 License No.� O Date l/ d Contractor f/ VVL C �p� u , (moo a 1S 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 ov✓ner-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 Owner. 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 l 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 carrietend policy number are: �arrier 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' compensation provisions of Section 3700 of the Labor Code, I shall / forthwith comply with those pr ' ions. Dj t 2 ^ Applicant WARNING: FAILURE TO SECURE WOR ER COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO AND 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 Quinta, its officers, agents and employeesfor 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 cored. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this5): er upon the above-mentioned property for inspection purposes. a'� to — 0� Signature (Applicant or Age -Page 2 Application Number _ 05-00000337 Date 2/01/05 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 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 360.50 .00 .00 360.50 Plan Check Total 193..53 .00 .00 193.53 Grand Total 554*.03 .00. .00 554.03 tD A "RE-INSPECTIJ U GENEWSPECIFICAVONS Ln W LL BE CHARGED IF THE APPROVED <, p°°`E°UIPMENt PIANS ,�. 9 AND JOB CARD ARE CT w 4W o ' TILE: SITE F CHEDULED 0 IIN SPECTIO 1. 91:101CAPA&IM. APP , N EXCEPTIONS! 13'6' IMAM 0 CI ►�... ®F QUINT- _ BUIL ING & AFETY DEPT. �•./ -L%A O1 PP OVED -1rO' r. C F -- 9' (r . R CON TRUCTION oA �'°s er l � . NOW-. -- • 'm V SPA SPECIFICATIONS �3 , .. NPFC CUSTOM o 58' — J BOOR= Ln Ln ao&pcos co Ln - I 78-385 VIA TUSCAN:: - HOUSE APPROVED Sr (7 S 0) 27 S • S 403 THIS pRAVHNp jtEMgINS THE PROPERTY pF McCALLUM - INOIO, c SHOUT PERMISSION IS PPROO �r� IlEo use ✓VVyV NOV-.05-2004.14:30 FROM:LENNFF-HOMES DESERT 760 325'.3791 TO:760 7764746 PAC+ by ISM/29V$0:®7 7607764740 RIG>rIARD... T-4=1. Nunn • LA OUINTA DEL ORO COMMUNITY HOMEOWNERS ASSOCIA7lON do CLAYTON $ O8BORNE PROPERTY MANAGEMENT, INC. P. O. Box 13443 Patin Dwai t, CA 82265 fic 760.778.4740 AAClfIj'ECTURAAL REQUEST F0" Lat�l :" _WMET ACCRIBW 19 ' 3 Sir r V t LA 'r+• % a,0.. •4 CITY_STATH.ZIP_ LA 0��rr� _ _G�► ',91i-s1 TT FIONO ' a& 114,L - -7 4< 4.L - rMS OR REQUEST (I( aorma Rr M�w yard wwwwo d"ism or ove ftmohm a pyre. OiMM fAaCA b bmw Gabo'cP01 E&- : SPA F66 P-N 5W Avis . ft Pj � L Ae t iwils, 'fM�� 1f�SR+�_—M•+ ��b. �v �a � ?•P w � {��.iijL�� lifi� �,Iwr� r EowNSA 51GmTtft pAT� 1 PAW J�4. j HOWOMMER GWlTURE DATA r FOR ARCHITECTURALCOMMITTEE.unONIy DAZE R gr►TE AElAEM1A�b AMOW0 OI>s1rPPROVEO •