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04-5767 (RPL)t , i P.O. Box. 1504 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760) .777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 7.77-7153 Application Number X04-0000576_7 Date 7/29/04 Property Address . . . . . 56165 VILLAGE DR APN: 764-030-015- - - Application description . . . REMODEL - RESIDENTIAL Property Zoning . . . LOW DENSITY RESIDENTIAL Application valuation . . . 5000 Owner Contractor STEVE DUNN REMBRANDT POOLS & SPAS 56165 VILLAGE DRIVE 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 Other struct info . . . . CODE EDITION ---------------------------------------- ------------------------------------ Permit . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 72.00 Plan Check Fee 46 80 Issue Date . . . . Valuation n "N0 Qty Unit Charge Per D "�' Extens"iAn BASE FEE (; 2Q�4 45`00 3.00 9.0000 THOU BLDG 2,001-25,000 ,u`- J 279.0 --------------------- ---------------------------------- PermitANCE PLUMBING CIN �� 1A DEPT Additional desc FIN Permit Fee 18.00 Plan Check.Fee 4.50 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00. 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 -----------------------------------------------------7---------------------- Special Notes and Comments CINDER BLOCK FIREPLACE/BBQ(ANSI A21 981 1995) PER APPROVED PLANS ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 4.68 STRONG MOTION (SMI) - RES .50 Fee summary Charged Paid Credited Due P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: O Applicant: Applicant's Mailing Address: Date: 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 e, and my License i yl force and effect. icense Class l: -�License No. +e)U 6 �te / V�ntractor 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 rive hundred dollars ($500).): U 1, 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 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 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 -,Kof 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 is�s-ugP� M wdc eers' compensation m ce carrier an olicy num rare: artier ��a /M.+--y� olicy Number _ �� C� (s u _ I certify that, in the perforrhance of the work for which this permit is issued, I ihall 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 provisions. ate Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COV RAGE 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. 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 Ouinta, 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 correct. 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 pr perty for inspection purposes. ate __*/ 9 u ��- Signature (Applicant or Agent): �. Application Number ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total ,�IMIZIIIII]MMAA 90.00 .00 51.30 .00 5.18 .00 146.48 .00 .00 .00 .00 .00 Page 2 Date 7/29/04 90.00 51.30 5.18 146.48 s /o �. W /nl �r,4, Q9" �iz2s.3 tic 00/oro C(0 2 /2/ JXJ OPEN AREA (V O fV 1 1 \ 1 1 1 1 1 1 1 1 1 1' ----------------------- CITY ® F � QTMIp P� I BUILDING & 5���® APPS FOR CONSTRUCTION DATE FIRE PLACE a rCONCRETE AREA I TO REMOVE O � / �b o -- �o GRUANTTE SLAB (OPEN NDERNEATH) PERM NENT STOOLS 1 1 1 � 1 1 1 1 1 5'-0" 1 1 i 1 1 1 BBQ ------- 5'-0- 311 •-O" 3" 1 1/8" BULL NOSE EDGING N 0 opu_ N � n^I 3'-0" V-6" 2'-91/2" -DUNN- BBQ & FIRE PLACE PLAN (BBQ #. ANSI Z21 981 1995) 1"=4! SCALE SIDE VIEW I 2'-0" I 1'-0" 4'-6" i 1/2" Q, 12" O.C. BOTH DIR. * BBQ & FIRE PLACE STRUCTURE TO BE BUILT W/ 6" X 12" CINDER BLOCK ALSO CINDER BLOCK TO HAVE 1/2" TO 3/8" REBAR & FILLED W/ CONCRETE. -DUNN- FIRE PLACE DETAIL 1 "=4' SCALE 12" WIDE BOND BEAM -1211 *ROCK SHELF 220 SQ FT +36" c W/L +33" -24" ,m DEEP °` P/L +36" BOND BEAM +24" BOND BEAM -1211 +12" BOND BEAM -� 36" WIDE ROCK SHELF 0 GRADE -1211 TV DEEP 4'-g" \ 10' -7j1 m -12" TANNING LEDGE ~ 4'-9 RR WITH UMBRELLA " ' DEEP SLEEVE 1�"6 �— 51-7" R 4'6" DEEP 4'-0" R P/L AUTO FILL -J 11'-0" R 5 DEEP 12" WIDE BOND BEAM ---, I m" , PVC PLUMBING SIZE • POOL/SPA CIRC. 2 1/2" SUCTION AND RETURN. *TWO SPA JET AUX. PUMPS 3" SUCTION 3" RETURN. *TWO AIR BLOWERS 2". *WATERFALL PUMP 3" SUCTION 3" RETURN. m N POOUSPA EQUIPMENT 24" WIDE ROCK SHELF 12 JETS 27'-6" i SKIMMER i t 12" WIDE BOND BEAM 7'-6" R IN, ❑N 12" WIDE BOND BEAM * STARLIGTil P/L EMBRAND POOLS &SPAS INC CA. LIC. 800880 C-53 78-910 VIA VENTANA L ECL (760) �TA 71A212153 FAX (760) 771-2181. POOL & SPA SPECS POOL SIZE: 44'6" X 22' POOL AREA: 703 POOL PER: 121 POOL DEPTH: PASIZE: 8X 96" SPA AREA: 67 SF SPA PER: 29 FT DECK ,AREA: 761 SF COLOR/FINISH: PUMP:0) 1.5 HP 3 3HP FILTER: T I E HEATER: 400K BTU CONTROL: JANDY RS 1 TOUCH CHLOR: MANUAL CLEANER: PEBBLE: OWNER TO CHOOSE TILE: NONE -,-POOL LIGHT: 3-250 QTZ HALOGEN SPA LIGHT: 1 OOW QTZ HALOGEN RBB: MISC: SPA SIDE CONTROL TWO 1 HP SOUTHWIND BLOWERS STEVE DUNN ADDRESS: 56-165 VILLAGE DR CITY: LA QUINTA LOT #: 55 THE PALM DATE: SCALE: 1 "=8' DRAWN BY: JOB: