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05-1375 (RPL)T4hf 4 4 a" BUILDING & SAFETY DEPARTMENT O. Box 1504 (760).777-7012 3 495 CALLE TAMPICO FAX (760) 777-7011 k QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT zmber . . ass . . . APN: Application description Property Zoning . . . . Application valuation . 05-00001375 Date 4/12/05 77942 GREY WOLF TR 658-140-999-88 -29436 - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 20000 Owner Contractor HANNA MCINTYRE POOLS & SPAS, INC. 77-942 GREY WOLF TR 83695 AVENUE 45 LA QUINTA CA 92253 INDIO CA 92201 (760) 342-3612 WCC: STATE FUND WC: 1769111 01/01/06 CSLB: 614611 09/30/05 CCC: C53 ------------------------------------------------------------------------------ Permit . . . . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 207.00 Plan Check Fee 134.55 Issue Date . . . . Valuation 20000 Qty Unit Charge Per Extension BASE FEE 45.00 18.00 9.0000 THOU BLDG 2,001-25,000 162.00 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- Permit . . . . PLUMBING Additional desc Permit Fee 33.00 Plan Check Fee 8.25 P.O. BOX 1504 aL� ! VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: Z/- 0-5 Applicant: + Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS M LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions f Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals CWe, and my Licprrsl is and effect. �Cicense Class Ll ;3 License�te Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the foltowing 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 7060) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exempf on. Any vioialion of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500),) 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. aril exclusively contracting with licensed contractors to construct the protect (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 , B,& 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 of the work for which this permit is issued. I ha e anftnthe tain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is uers' compensation insurance carrier d p 1' u b e: rher Policy Number c rlify thperformance of the work for which this permit it ssued, 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. y Applicantd�S� c 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 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 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. ua<e v Signature (Applicant or Agenv/ Page 2 Application Number . . . . . 05-00001375 Date 4/12/05 Issue Date . . . . Valuation . . . . 0 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. BBQ Z21-58-1995. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Permit Fee Total 309.00 Plan Check Total 160.05 Grand Total 469.05 Paid Credited Due .00 .00 309.00 .00 .00 160.05 .00 .00 469.05 1 a +3 c) -7, x 7 rOvcyl t5pa U ,3r,6r, Tcrnninq-6" 1i1�7��li�L STUNE TILE, BOULDERS DECK COLOR CONTROLLER PEBBLE PLASTER DAM WALL EQ WALL wig .. .. IX PIantel- (3 shelf _ tied a I�l?Q 5crlONS 0 a xeq doi - 000 5,ffGTlON5 Covere2 pofio� " and rwbo - wit light. 9 f7� cove) ea/ Pcflo non■ � o ed K M ■ aa.aa71 a a anal SPAS' RIDGE C A IT E MsrmmNsma"T 342-3612 LA QUUTA) CPS �c ! CITY OF , , " t��l/l5/011S �Y p0o- I? SPA POW(S12E 35' _6 x16' POOL S.A. 434 50.FT, POOL PER. 108 ,-r DEPTHS 3`-6" TO 5'-0" POOL PUMP [5 fir HEATER 400coo P7-u FILTER ccp 4Zo LIGHTS 2-400 wiTr CONTROLLER SPA SIZE -7r xT SPA PER. ZB 50, Fr SPA S.A. 34 50, r7- SPA DEPTH 36" JETS 5 JET PUMP 1'n Hp DECK AREA 655'—PATID- AREA 5q,r W.F. CLCD cyD r c CJ c 0 MIN Z H 0 DATE: 09108104 SCALE: DRAWN BY: -9 T JOB: HANNA SHEET OF SHEETS