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04-6440 (RPL)BUILDING & SAFETY DEPARTMENT P.O. BOX .1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT. Application Number 04-00006440-9 04 Property Address 56336"PEBBLE BEACH D e APN: 775-131-087- - - Application description . . . POOL - RESIDENTIAL �P Property Zoning . . . . . . . LOW DENSITY RESID AL 2 82004 Application valuation 21000 CITY OFLAQUINTA FIJI CO IDEPT. Owner Contractor ------- DON BROWN _--------- ---_-------_--------- FREELAND, TRIDON G �- 56336 PEBBLE BEACH _ i 48.8-6-9-_PARADISE,_AVENU - -' LA QUINTA CA'92253 MORONGO VALLEY CA92256 (760) 363-7400 WCC: EXEMPT WC': EXEMPT .09/30/05 CSLB: 837648 05/31/06 CCC: C53 -------------------------------------------------------------------------- Permit . . . ME.CH 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 Permit . . . . . . BLDG POOL PERMIT Additional desc. Permit Fee 216.00 Plan.Check Fee 140.40 Issue Date Valuation . . . 21000 Qty Unit Charge Per Extension BASE FEE 45.00 19.00 .9.0000 ----------------------------------------------- THOU BLDG 2,001-25,000 171.00 Permit .. . . . . . ------------------------------- ELEC POOL PERMIT -RES Additional 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 P.O. Boz 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT VOICE (760) 777-7012 FAX (J60) 77-7-7011 INSPECTIONS (760) 777-7153 Application Number: -s2�1� �j� CC�p Date: Applicant: I Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Add r AI. Lic. No.: OUILNI111%J rltKMI I ULULAKATIONS LICENSED CONTRACTOR'S DECLARATION 1 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 Lice0ke is force and effect. // F� License Class /' License No.0 ? !O q Y Date 7% Contractor 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 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 contractors) 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: _ 1 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 Policy Number _1,etertify 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 provisions. Date Applicant / WARNING: FAILURE TO SECURE WORKERS' COM ENSATION 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. 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 Lenders Address IMPORTANT Application is hereby made to the Director of Buildingand Safety ACKNOWLEDGEMENT 1. Each tY permit subject to the conditions and restrictions set forth on this application. 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, indemnity and hold harmless the City of La Quints, 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 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 property for inspection purposes. Date i � 1�% �� " _Signature (Applicant or D ~ 1 Z Page 2 ��Ii�a�io� 0izm�e�� ' ' ^� . ' 0�-0O006��O ---------------------------------------------------------------------------- Date 9/27/04 Permit . . . ' ' . PLUMBING Additional deoo . Permit Feb ' ' . . 27'00 Plan Check Fee ' '' 6'75 Issue Date . ' ' . Valuation ' . ' ' 0 Qty Unit -Charge Per Extension BASE FEE I5'OO ' I.00 6.0000 EA PLB FIXTURE 6'00 I'00 3.0000 EA PI,B WATER Z2JGT/AI,T/BEP 3'00 1'00 3.0000 EA PI,B GAS PIPE 1-4 OUTLETS 3'00 � -------------r-------------------------------------------------------------- Special Note's and Comments � . SPA ONLY. ALARMS BAJlBIIZIlS8BALI, BE IN PLACE PRIOR TO PREPL&STEIl INSPECTION. Fee summary Charged Paid Credited ----------------- Due ' ---------- ---------- ---------- Permit Fee Total 312-.00 .00 .00 ----------- 312.00 Plan Check TotsiI 164.40. .00 .00 164.40 Grand Total 476'40 '00 .00 476'40 IOB ADDRESS 5�33(o I?ebblC Bch PERMIT NUMBER OWNER -81rQQn BUILDER 11' I(' f 1 1")D, c5D3 eOY1 is form shall be posted on the job with the Building Inspection Card at all times in a cons icuous pJace. Only persons appearing on this list or their employees. are authorized to work ,n this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Faitwf-e to complywill result in a stoppage of work and/or the voidance ,f building permit. For each applicable trade, all information requested below must be completed by applicant "On File" is not an a CC eptabin r'��`� Trade /Classification Contractor State Contractor's LicenseWorkers espouse. Com ens tion Insurance. Cit Business- License Company Name Classification. (e.g. A1A1, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C-12) �,('x1`I?� tt aq�v 6�'�3C r� ��.J� .ate_ f Y"7 3y2 0 ATO/ . aY/ o CONCRETE (C-8) u INN (D`1L2C0 1 z' 0 ( c. FRAMING (C-6) STRUCT. STEEL (C-51) -Q' o /� % /05 MASONRY (C•29) PLUMBING (C-36)"StC,l:�(.l�V LATH, PLASTER (C-35) I w/A '•3 C 5 c�� 3� 1�3i/o5ol �iLnCr I r)U�D'`_3 'q0104 1-i�3� b3/o2%( DRYWALL (C-9) ti HVAC (C-20) A) l ELECTRICAL (C-10) 1e - 5-3 152,14Y7 I-z'3i U5 bia-I-p awn 1 1`1a • 3L10(o-2Uo'3 "115/01} 04-731 6 -To a ROOFING IC -39) SHEET METAL (C-43) A FLOORING (C-16) GLAZING IC -1'7) INSULATION (C-2) N/A SEWAGE DISP. (C-42) gel PAINTING (C-33) CERAMIC TILE (C-54) r1f�Q CABINETS (C-6) AJIA FENCING IC -13) ti A LANDSCAPINofG (C-27)/jq LZ4- POOL (C-5 31 p i :zw /` PGA WEST. RESIDENTIAL ASSOCIATION, INC, September 22, 2004 Dr. Donald Brown 56-336 Pebble Beach La Quinta, CA 92253 Dear Dr. Brown: The Architectural Committee has reviewed and approved your request to install a spa at your 56-336 Pebble Beach residence with the following stipulations: • Protect existing improvements during construction. Repair and/or replace any damaged improvernents. • Do not place demolition material and dirt in the street. • Coordinate with HOA Irrigation Department when existing irrigation lines are relocated. • Provide signed inspection card from,the City of La Quinta when the work is completed. • Comply with HOA construction hours. • Do not use the street to wash out wnStTUCtiOn materials: Wereserve the right to make a final inspection of this change to make sure that it matches the original request. An approval is based only on the aesthetics of your. proposed plan and should not be 'taken as any certification as to the construction worthiness or structural integrity of the proposed change. We want to reiterate that the maintenance of the spa is solely the responsibility of the homeowner and will not be the responsibility of the Association. This provision is recorded with the Comity of Riverside and runs with the land. We appreciate your cooperation in submitting this request for approval. If you Ifavo any questions, please contact me at (760) 771-1234, ext. 15. Sincerely, K2eIr1y11A%cGaI I iard Operations Manager For the Architectural Committee cc: Architectural Committee Y. 1;4-320 Southern Imlik, La Quinta, California 02250-6005, Tc6ljl sui ju TW?71--1234 t -AA /ou- t f1-5915 4-- P/L 2steos 3' -3'0- +runt and entrance 6t. .8'2' 6'9 WC1D planter 20'0 existing cement wall J9 , I Existing pool Planter 1'S Existing wall 2'6" ta111' width TO Existing Deck 99'0— RESIDENCE I p� Don Brown" 56366 Pebble Beach P/. L.Q. i. \ P.G.A. REST STADIUM 47'0 NJ r CITY OF LA C�UIVTA BUILDING & SAFETY DEPT. APPO�� FOR CONSTRUCTI6N . I/ f k. Existing Deck A RE -INSPECTION FEE 'OF $30 WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. NO EXCEPTIONS! Tkdon Pool and Spa Construction 760-363-7900 POOL/SPA SPECS: Spa Only 6' x8' oval ; 18" raised Bond Beam Perimeter; 22 linear ft I Area; 40 sq. & Brown Residence 56-336 Pebble Beach' La Quinta PGA West y OUTSIDE OF SPA IS GOING TO MATCH AS CLOSE AS POSSIBLE TO THE EXISTING STONE AROUND POOL AND RAISED PLANTER. ONLY THREE EXISTING PLANTS SHOULD HAVE TO BE REMOVED FOR SPA LOCATION. NO DECKING, LAY STONE SLABS FOR WALK WAY. CUT OUT WALL FOR STEPS. P/' Spa 6 X 8 Perm. 22 LF. 28'1 Area 40 Sq. Raised 18" Circulation 1 HP Jet Pump 2 HP Filter 300 Sq. Heater 333 BTU Salt system URSE Jandy RS4 w\ spa side remote Pebble Tec Finish