04-3612 (RPL)a,
u�l'CvA&L, ANNA
f , .BUILDING &
D
SAFETY DEPARTMENT
O X 1504
(760)777-7012
OF 78- 95 CALLE TAMPICO
FAX (760) 777-7011
or`AQUI N �► QUI TA, CALIFORNIA 92253 •INSPECTION RE -QUESTS
CITE CEDE
(760)777-7153
PIIID.PI
BUILDING PERMIT
Application Number 040-00.0.3-6-1-2
Date, 4/27/04
Property Address . . . . 80500 VIA TERRACINA
APN: 772-250-999-116 -30357
-
Application description POOL -.RESIDENTIAL
Property Zoning •. LOW DENSITY RESIDENT -AL
....Application valuation.. 15000
Owner- ;Contractor
PETROCELLI MCINTYRE POOLS &
SPAS, INC.
80500 VIA TERRACING P.'O. BOX 1791
LA,-QUINTA , CA 92253 LA QUINTA ...
CA 92253
(760) 342=361 ,
WCC: HRH -NS.
WC: 1769=1104
01/01/05
CSLB: 6146-1.
0.9/30/05
CCC: C53
Permit . . . . . BLDG POOL PERMIT
Additional desc
Permit Fee . .' . 162.00 Plan Check'Fee
105.3.0
Issue Date . . . . Valuation
15000
Qty Unit Charge Per
Extension
BASE FEE
45.00•
13.00 9.0000 THOU BLDG 2,001-25,000
117.00 .
Permit ELEC POOL PERMIT -RES
Additional desc
Permit Fee '45.00 Plan Check Fee
.. 3.75
Issue. Date Valuation
.0
Qty Unit Charge .Per
Extension
BASE FEE "
15.00
1.00 3.0.0000 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 6:0.00'0 EA PLB FIXTURE
12.00
P.O. BOX 1504 l�r��
78-495 CALLE TAMPICO VOICE (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
440
INSPECTIONS (760) 777-7153
Application Number: C lct'
Applicant:
Applicant's Mailing Address:
BUILDING & SAFETY DEPARTMENT
Date: q -d / -OAf
itect or Eng7'
Chitect of Engineer's feSS:
lac. No. Y
UUILUINO PERMIT DECLARATIONS
1 Hereby affam under LICENSED CONTRACToR'S DECLARATION
penalty d perjury gnat 1 am icensed under pmvawm ofCthapbr 9 (commencing with Ssciw 7000) of Division 3 of the Business and Pmknion*
Code. and my Lioenae is In lull kmand effect.
"No.
—4 �C77 1
1 hereby af&m under penally of perjury flat I am OWNE.R'8U0.DER DECLARATION
exartnpt from I» Contractors' Stale Lkmmse Law ler the f wAV reason (Sec. 7031.5. Business and Probssions Code: Any
W ennerrt test he ks icer b •eller. irnprova. demoislL ar repe� any sftu uro prior b b Waorloe. also requires the applicant ler the permit b tie a signed
and Professions Code) or flat he or b to provisions n tis basis or ll Stab License Law (Chao 9 ( 1e n0 wfth Section 7000) d Division 3 d Ire Buslne"
the applicant b a CM than
I hundred
and the basis fa Ire alaged exennption Any violation d section 7031.5 by any applicant for a permit subjects
U I. as owner d the DAY a not more than five Inurhdred dollars (5500).):
property. Or my employees with wages as heir sob aompensafom will do the wok and the Structure is not intended or opened for sale (Sec 7044,
Business and Prdessions Code: The Cartraclors' Stab License Law does not apply b an owner d property who builds or improves tfinereon and who does the work
�himself r or though 14s or her own arrnpioyees, providedthat the improvements
are not intended or offered for sale. U. howeyer. the bui*V or inprovernenl is
said thin am year of completion, the Omm- uider will have the burden of proving that he or she did not build or improve for the purpose at sale.).
U 6 as owner of the property, am exclusively contradirg with licensed conbactors b construct to PmJed (Sec 7044. Business and Professions Code: The Contactors•
State License Law does not apply.) an corner a prope
the Contracbrs'stab License Law.). rty who bards a inproves rieieon. and who contracts for the projects with a contradw(s) licensed pure and b
U 1 am exempt under Sec . 8.3 P.C. for this mason
Date Owner
1 hereby affirm under penalty d perjury one d 1114 following dedarations:
WORKERS' COMPENSATION DECLARATION
_ I have and will ffmhtain a oertiticate Of CWsent to self4rnsurs for workers'
d the work ler which this penrnit is issued compensation. as provided for by Section 3700 of the Labor Code. ler the pertomwhoe
1 have and will maintain workers' compensation ingxgnce, as required by Section 3700 d the Lcanierabor Code. for the perfomwrce d the work ler which this permit k
_ 1 Cer4fy that, le the pa1,c�` yP�NunhDer � (�
We work ler whim - issued. l sha�no(yl any person in any manner to as to beccnhe ar*d b the workers•
Col. -9 Fawc of CaiforNa, and epee Ihst N 1 should become subject b the workers'
bMwft comply with Those provisions. compensation Pens d Section 3700 a the Labor Code, 161 W
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFZIL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S IS
IN N ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR tit
SECTION 3705 OF THE LABOR CODE. MREST. AND ATTORNEYS FEES. .
1 hereby affirm under penalty of pajuy riot Irorak a construction CONSTRUCTION LENDING AGENCY
landing agency ler the perfornwoe d the work ler which this permit is issued (Sec. 3097. Civ. C.).
Lenders N"
Lenders Address
IMPORTANT Application is hereby Hyde b the Melo, of APPLICANT ACKNOWLEDGEMENT
i. Each person upon whose behalf Chis ung and Safety for a permit subject b the conditions and restrictions set forth on this appicafron.
Issued as a result a 0* a �h r. le made, each person at whose request and for whose bahefd work a pertomhed under or pursuard b any pem*
PP�atiorh. the owner. and the appica *- each agrees b. and shall. defend. indemnify and hold harmless the City of La Oulnts. Its
agents and employees ler any act Or omission related b Che work being Performed under or following Issuance d Oils pemhit
2 Any permit issued as a result of rills application becomes null and void 9 work is not commenced within 100 days from date of issuance of such pentyl or
cessation of work for 180 days will subject pan mit b cancellation.
1 certify that I have read this application and state flat the above Information is correat 1 agree b comply with all city and county ordinances and state laws rotating b buk"
construction, and hereby authorize representatives d this eohmty to enter upon the above-mentioned
property #or inspechorh purposes.
gnafue (Applicant or Agent): �� A,�
Page 2
Application Number . . . 04-00003612
Date 4/27/04
Qty. Unit Charge Per
Extension
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 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, FIREPIT (496AGAL), BBQ -
(Z21.58.1995). ALARMS/BARRIERS SHALL BE
IN PLACE AT°PRE-PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED. -
Fee summary Charged Paid Credited
Due
Permit Fee Total 264.00 .00 CIO
264.00
Plan Check Total 123.30 .00, C-0
1.23.30
Grand Total 387.30 .00 C-0
387.30
Sppa 7'x7'+
with stone -£c
Quartzite s
coping & wa
REVISIONS BY
;SPA SPECS.
;' 34' x 13'
E
. 356 SO. F
;r 86 FT
:3n~6' 5'
fnA. f
A'; 1.5 H.P.
Wit
400,000 BT
fLfm
`,,.'CCP 320
um
0 T
LQ111"
W
5fA w
Din
5f11 ML
22 SO. FT.
'A $A
38 SO. FT.
VA t1�1M
.in
5
.1Ef fly
1.5 HP
KK NA
1146 SO
MID NA
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DATE: 03/17/04
SCALE: 1/8'=1I
DRAWN BY: DT
JOB: PETROCELLI
SHEET
OF SHEETS