05-00003496 (RPL)P.O."BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: -
Property Address:
APN:
Application description:
Property Zoning: -
Application valuation:
4Q"
& SAFETY DEPARTMENT
ILDING PERMIT
05=00003496 C
78955 VIA TRIES
643-140-007-63 -26'152
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL.
33000
Applicant:, Architect or Engineer:
----------------- I
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under pena�3of
of perjury that licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division the Business an Professionals e, a y License is in full force and effect.
License Pass: Li z nse No
bete: �G r Contractor.
v OW R•BUILDER D RAI N�
I hereby affirm under penalty of perjury that I am exempt from the Contra s State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city unty that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its is u ce, also requires the applicant for the
permit to file a signed statement that he or sheds 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).:
(_) 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 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 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 forthe projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ 1 I 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:'
LQPERAIIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/08/05
Owner:.
DONAIS
78-955 VIA TRIESTE
LA QUINTA, CA 92253
Contractor:
'SUNAIR POOLS
WCC: STATE FUND
WC: 0517316-2005 01/11/06
CSLB: 397252 12/31/06
WORKER'S 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, 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 carrier and policy number are:
Carrier C53 �PolicyNumber --------- - - - - --
I certify that, in the performance'ofthe,work,for whi this permit is issued, I shall not employ any
person in any manner so ano becdrnesu�dlect to a workers' compensation laws of California,
-and agree that, if I shoulldbecomdsubjea to the orkers' compensation provisions of Section
' `
3700 of the Labor Code, I shall rt w ifi comply v�ith those provisions.
el -1,
�C�—o 'L� Applicant:- /
WARNING: FAILURE TO SECU ORKERS' COMPENSATION COVER IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TOC MINAL 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.
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 personuponwhose 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 permr4'or cessation ollwork for 180 days will subject
permit to cancellation.
I certify that 1 have read this application and state that the ab forryr�;,a[ion is c�rectree to comply with all
city and county ordinances and state laws relating to build ng.constr 711 d�hereb authorize representatives
of this co nfy to enter upon the above-mentioned pro pert f 'insp ction ose .
`. •'c( "G Signature (Applicant or Agent)'
Application Number 05-00003496
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee
304.00
Plan Check Fee
197:60
Issue Date . .
Valuation . . .
. 33000
Expiration Date
2/04/06
Qty Unit Charge
Per
Extension
BASE FEE
252.00
8.00 6.5000
-----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
52..00'
Permit
MECH POOL
Additional desc .
Permit Fee . . .
26.00
Plan Check Fee
6.50
Issue Date . . . .
Valuation
0
Expiration Date
2/04/06
Qty Unit Charge
Per
Extension
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
2/04/06
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 Fee33.00
Plan Check Fee
8.25
Issue Date . . . .
Valuation . . . .
0
Expiration Date..
2/04/06
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
LQPERMff
Application Number . . 0.5-00003496
v
--------------------------------------------------------------
Special Notes and Comments
BE IN PLACE PRIOR TO PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED IN PERMIT.
Fee summary Charged Paid Credited Due
--- ---------- ---------- ----------
Permit Fee Total 408.00 .00 .00' 408.00
Plan Check Total 223.60 .00' .00 223.60
Grand Total 631.60 .00 .00 631.60
BID&
4 2-07 / ?- 63
CITY OF LA QUI
BUILDING & SAFETY
APPROVEI
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GENERAL SPECIFICATIONS
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Size Id- !e x j 2 Code 80-3 60
SCALE 1/R" - I Ir
Shape CSS 41r yl.
Depth 3/jto' S� to
gyp'
Tile cow
Coping 12' Cantilever s
POW Capacity ! Z O O.. u Gals.
Pump Capacity _ //0 G.P.M.
Fitter . ll GS C- Sq. Ft.
Pump c S.y H.P.
Fitter Rate f l > G.PM.
Tuff wver 3, Hm
Macuum tine 6 Skimmer Z
I Return tine
toMain Drain t*
E Skimmer �✓/a^GQ / Z
Backwash to 8"
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Antes Valve AIJ4�. --
W � f
Heats► . 4-K Sine 2 S®.,o O' B.T.U.
GaWne by S V /yy4 4 �L Electric by !� LIOW ie
Light /—/ 0 O O !✓
Time Clock s A-4-14�
-
Decking CO. ✓— ra T TM
Board -} Color -6�-
Skde- color
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Name Q ✓Z�4 1i /� i9 s�
Address
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Cross
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Date �'2.a°�-v s orawn by:
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OWL
SINCE 1974
P.O. BOX 14095
PALM DESERT, CA 92261
PHONE (760) 5684014
STATE LICENSE C-53-397252