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04-4761 (RPL)A atl. --- -- p O BUILDING.& SAFETY DEPARTMENT w� P.O. BOX 1504 (750).777-7012 -495 CALLE TAMPICO78F` FAX (7 50) 777-7011 3 A`QU' IN'T�A, CALIFORNIA 92253 INSPECTION REQUESTS (750) 777-7153 BUILDING PERMIT .0 cJ04 App1iPca(V �N"umber . . . .04 00004T7;6►1 Date 6,/03/04 Pr-operty��AFddre�04 s•s . . . . . . �9 A TERRACINA APN: 772-250-999-77 -30357 - Application description . . . POOL - RESIDENTIAL Property Zoning LOW DENSITY RESIDENTIAL - Application valuation 15000 Owner Contractor -------------------- --------- ----------- DURNAL REMBRANDT POOLS & SPAS 80495 VIA TERRACINA 78910 VIA VENTANA LA QUINTA CA 92253 LA QUINTA CA 92253 -' (760) 771-2121 WCC: STATE FUND WC: .1744664 10/01/04 CSLB: 800680 10/31/05 CCC: C53 ----------------------------------------------------------------------------- Permit . . . . BLDG -POOL PERMIT Additional desc Permit Fee.% 162.00 Plan Check Fee 105.30 Issue Date Valuation . . . . .15000 Expiration.Date 12/03/04 - Qty Unit Charge Per Extension BASE FEE 45.00 13.00 9.0000 THOU BLDG, 2',0'01-25 000 117.00 ----------------------------------------------------------------------------- Permit . . . . . MECH POOL Additional desc Permit Fee 24.00 `Plan"Check Fee 6.00 Issue Date . . . Valuation . . . 0 Expiration Date 12/03/04 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 Expiration Date .12/03/04 Qty Unit *Charge Per Extension -- P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: ,Rppllcant-s maaing Address: Architect or Engineer: r VOICE (760) 777-7012 FAX (760) 777.7011 INSPECTIONS (760) 777-7153 Date: Arcrinect or tnglneer'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 erode, and my License is in full force and effect. —n License Class( jam: -___L�Cense No. I hereby affirm under penaltyof OWNER -BUILDER DECLARATION perjury that I am exempt from the Contractors' State License Law fort 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 t 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 t 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 1 am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 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, fort performance of the work for which this permit is issued. WL 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 r ed. y worke comp satio�yaedrance carrier and po nu bei are: /Cartier . —Policy Number �i cf yI I ce ify that, in the performance of the work for which this Permit i— s issued. I shall r(ot employ an y person in any so as to become subject to " woers' compensation laws of California, and agree that, if I should become subject tot workers' compensation provisionsro of 3700 of the Labor Code, l shall forthwith comply with those provisions. DateO t A !/ 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. I hereby affirm under penalty of perjury that there is a construction lending C ONSTRUCTION for the Performance erfor ma GceeNoC he work for which this g � � � permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address IMPORTANT APPLICANT ACKNOWLEDGEMENT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this ap 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 plication. issued as a result of this application, the owner, and the applicant, each agrees to. and shall, defend, indemnity and hold harmless the City of Le Ouinta, 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 daymt from date of issuance of such pemmiL 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 oorecL I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. /Date6 1 Vgnature (Applicant or Agent): Page 2 Application Number . . 04-00004761 Date 6/03/04 Qty Unit Charge J Extension Page 2 Application Number . . 04-00004761 Date 6/03/04 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 12/03/04 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 SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged -- - - - - - - - - - - Paid Credited -= Due - - - ---- Permit Fee Total -- - - - - ----- - - - ------ - - - - - - ..264.00 .00 .00 ---------- 264.00 Plan Check Total 130.80 .00 .00 -30.80 Grand Total 394.80 .00 .00 ;394'.80 I I i. r . i ❑ U c •I pq�A a;cna0 60 R J a71-011 R 6-5 1/2 9'-0" R 8'-2" R D 18'-3"uj W ' w A tih�c 4'-10" R -� 0 0 T-1 1/2" R 4'-9 1/2" R d J ' 4'-1 1/2" R O T-61/2" q ` i Q 5'-1" R q.' _ N W •� • Ad A`,i' a d 3' 6 R W 4'-6 ' R j I A 00 • �• a' � � rW-1 r �p N� 00 0° o p 00d - M 0 0 O o0,o 000 O o ° Wda� • 0 00 c$ 3' 0 " baa M 11'-9" R 6-10" (R o 0 I 7'-0" R I H A^ a 0 00. °°oo M A4 A 0 O O 5'-2" R o f r>> °0 0 0 W Z F., 10'-0" R H 0 0 . 0� Z U � C5 W d W a 4'-0" R �F.,a.AaW 4918 0 U��n W oN W :AZz Ha�� v U I • ' : C7 : J v (� w W I Z. Lu Q H _ o m m a . . I— N o 0 Lu :x: r MBRAND OLS & SPAS INC RA. LIC. 800680 C-53-910 VIA VENTANA Q (760) , CA 9 2253 AX (760) 771-2181 L & SPA SPECS E: 40'6" X 25'9" POOL AREA: 715'SF POOL PER: 112 POOL DEPTH: 5' TO 3'6" TO 4' SPA SIZE: 8' DIA. SPA AREA: 50 SF SPA PER: 25 DECK AREA: 576 SF COLOR/FINISH: PUMP: 2 HP FILTER: 400 SF HEATER: 400K BTU CONTROL: JANDY RS -4 CHLOR: AQUA RITE CLEANER: NAVIGATOR PLASTER: PEBBLE TILE: GROUP 1-3 POOL LIGHT: 2-400 W SPA LIGHT: 1-100 W RBB: +6" AS PER PLAN MISC: 2-100 W LIGHTS AT - STREAM DURNAL RESIDENCE ADDRESS: 80495 VIA TERRACINA CITY: LA QUINTA LOT # : 77 DATE: 04/23/04 SCALE: 1 "=8' DRAWN BY: JOB: LANDSCAPE NOT INCLUDED ■m e