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04-3729 (RPL)49150 Avenida Anselmo IIIIIII VIII III VIII IIII 44 a --1E, - ° th cv • V APR 29 '004 CSF ANCEDEPT. BUILDING & SAFETY DEPARTMENT o 504 (760) 777-7012 OF 'i1 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760)777.7153 BUILDING PERMIT Application Number . . . . . .04-00-003729-`_ Date 4/27/04 Property Address 49150 AVENIDA ANSELMO 'APN: 658 -.280 -004 -136 -000000 - Application description'. -POOL - RESIDENTIAL Property Zoning LOW DENSITY RESIDENTIAL Application valuation 4000 Owner Contractor BARRILE LOIS OWNER/BUILDER P O BOX 1035 LA QUINTA CA.. 92253 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 EAMECH FURNACE.<=100K 9.00 Permit BLDG POOL PERMIT Additiona.l desc Permit Fee . . . . 63.0.0 Plan Check Fee 40.95 Issue Date Valuation . . 4000 Qty Unit Charge Per Extension BASE FEE 45.00 2.00 9.0000 THOU BLDG 2,001-25,000 18.00 ----------------------------------------------------------------------- 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 . . . 27.00 Plan Check Fee 6.75 P.O. Box 1504 9w(VOICE (760) 777-70)2 79.495 CALLE TAM11C0 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4 4 INSPECTIONS (760) 777.7153 BUILDING & SAFETY DEPARTMENT Application Number: O —' 7 Date: Applicant: Applicant's Mailing Address: Architect or Engineer. Arctlited or Engineer's Address: Lic. No.. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby aft. under penalty of perjury fat 1 am licensed under provisions Of CINPIer 9 (CorrmonckV with Secio i 7000) of Division 3 of to Business and Prolessionak Code. and my Lioen3s k in full force and area License Class License No. Drier • Camtractor I penalty OWNER•BUILDER DECLARATION pwr "that 1 am awmpt from to Cortrscbrs' Stab Limme Law for the fo WAV mason (Sec. 7031.5, Business and P101e6610nc Codi: Any city or county tat W-WIs a penult b eohstnrcL after. improve, denafid or repair any sruoxe. prior b as ammi . 0130 requires fa apprreant for M Pwn* to No a signed atW ntoPI01nt fat he o she k ioeaad pursuance to provisions of to ConkscloW Stab Lioeae Law (Gapbr f (Commencing wlth Section 7000) of Division 3 cite Business and Protsssiora Code) or tat he or six k axermhpt aherefrorrm and the basis ler fa alleged exempiwL Any vidsiot or Section 7031.5 by any applicant for a permit subjects las owner oat lheY of not more fan five hundred dollars (5500).$ DreOndY• or mY w*0Yaes wlth wages as their sale cartpensaion wi dote work. and to strucluw Is not I W fJad or o%md ler sale(Sac. 7044. eusirness and Professions CaOe The Cemlwcbrs' Stale License Law does not appy b an owner of property who builds or improves thereon. and who does tree work himselfor herself or through his or her own employees• provided tat aha krprovemwft are not l -, 'ed or aft ler sale. lf, however, to bubft or inprovenmrA is sold w din one year Cf oonnplelion, the ovaw bolder vvil have the burden of prowl ng that he or she did not build or improve for the purpose of isle.). U Las owner 0frw property. am .xcwrsiwy oomasaing with licensed contractors b Constucx the Stale license Low does not appy of property who bukis or' prOlho l n h �. Business and Pivfessionhs Code: The Corheactocs' the Contraclow Stale Lioense ) theieoa, and who cormtracts for the projects with s oontracto(s) icansed pursuant to V 1 am exempt under Sec A .0 for lis reason �a1e Owrar I hereby affirm under penalty of perjury one or oma COMPENSATION DECLARATION_ 1 have and va maintain a cw ieab of b seliruwe for workers• Of the wait for which this peg.. is issued. for as presided ler by Section 3700 of the Labor Code, ler the performance _ 1 h 'A malnian workers' =mpwhsatian km xwxx , as req *W by Section 3700 of the I Code. for the pento r ance of the work ler which this Permmhlt Is Carrier Li, woe khsuanae carrier and policy number aro: _Pwcy Number 1 �Omanea work forl0r which this pemri a issued. I stall not employ any person in any mama so as b become subject b to workers! enon brtm Nh eompy wMh arose agree tat, lf 1 should become subject b to workers' compensation provisions of Section 3700 of aha labor Code, l slat Date f'D /nppct WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AM SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED Tt10USApq DOLLARS ($100.IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. fM'EREST. AND ATTORNEY'S FEES. . I hereby af&m underCONSTRUCTION LENDING AGENCY penalty of perjury tat there k a construction lending agency for fm performance of the work for whid tis permit is Issued (Sec. 3097. Civ. C.). Lenders Name Lenders Address IMPORTANT Application Is hereby malde b the Direcbr ofAPPLICANT ACKNOWLEDGEMENT 1. Each person upon wjwse loafer this BukS'g end Safety for • permit subject b the conditions and restrictions sel Iorth on aft appicaion. Issued es o molt v aft a application Is made, each person at whose request and for whose benefit work is performed under or pursuant b any permit Ppkaft% the owner. and the appr'w*' each agrees b. and shat, defend. indemnity and hold hamless the City of La QLjnla, ks agents and enpbysts for any act a omission related to the wok being pe armed under at following issuance at ants peaidL 2 MY fit Issued as a result of ads application bMEE enced within ISO d4ys Isom date of Issuance of such permit or cessation of work for 180 days row subject pet., I Cally that 1 have road anis application and state that the ab construction. he,abY auahorize represerwtives d this eopropert y' city and Canty «drnarhoes and state laws ►atatinhpb OnAdirg Clor sP�h pwposes. . OaU O Signature (Applicant or Agen(): Fee summary Charged ----------------- ---------- Permit Fee Total 159.00 Plan Check Total 64.95 Grand Total 223.9,5 Paid Credited Due ---------- ---------- ---------- .00 .00 159.00 .00 .00 64.95 .00 .00 223.95 Page 2 Application Number . . . . . 04-00003729 Date 4/27/04 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 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 SPA ADDITION TO EXISTING POOL. Fee summary Charged ----------------- ---------- Permit Fee Total 159.00 Plan Check Total 64.95 Grand Total 223.9,5 Paid Credited Due ---------- ---------- ---------- .00 .00 159.00 .00 .00 64.95 .00 .00 223.95 CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB ADDRESS PERMIT NUMBER OWNER- BUILDER This form shall be posted an the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authori2ed to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File?' is not an acceptable response. .......... . ........... ........... ...... ..... ....... .... ... .. ........ ..... ..... ........... I U", .... . . . . ........ ... . ..... .............. ........ 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Watts " 8:5 41 Watts 8.2 } lumens per Watt (Efficacy) 42 i Color Accuracy fWax 68 Caw Rendaring (CRI) White) Ught Color 4047 (Bright i 6500K I Ah reN.`.'3 am dxarosrgi to tE5n0.1M.79-2x08: Mpro%ad Atetrad tau Na EYaotrkol an0 2700K- _ 3000K 45WK - 6500K { 1 2700K 3000K 4500K 6500K i Rapisnntia ft-tSar; GcxvxKDaJR A!i ravfb oro a000rllYr(; to tCStu LM.7g1,a09: APPm.ad Akrr,eo id d+o LAxetfie.N ane Plwronutrtc ioR4tp d5o8dS:am /. na us. Depvtrtten: a Eror(ff ox}gt r1 plod= twt data araireuttts. Trp&' otter tfisit wwwAightingfacts.CM for the Label Referenm Guile. Ragisaetion R.'ew: GexvvH0Slo Modal N TW. NS•LEDw2341FIL-12 Typo: Othm ■ 9 • M2o Starr" • i.7pd. Flootl • ko:Afinear lighting factscm k Pro0rxo of Uro. DGE Light Output (Lumens) Light Output(Lumens) . r w 299 Watts " 8:5 Lumens per -Watt (Efficacy] ' 35 Color Accura 66 II i Coni RandeRrlg Mticy ek (CRi)Ught [ I% . 1 Color 22 (Bright Cwrobtod Color TOTP&MUM =n White) 1 i 6500K I Ah reN.`.'3 am dxarosrgi to tE5n0.1M.79-2x08: Mpro%ad Atetrad tau Na EYaotrkol an0 2700K- _ 3000K 45WK - 6500K { 1 At ,wks tae nocord.rtim MW A Ltd.79.2008: Appmvad A4~ for the F Catr and Fratnrou2 iiuriap d 5aBd$ii0 fJgR:irlp. Tl,e US. Depvtmmt c3'eawgy (DDEI eartlies product lost data ane msob. Rapisnntia ft-tSar; GcxvxKDaJR Mstt www.tighiingtacts.oem for the Label Reference Guido. M." fta l w. NS-LEDa28SP-42 Rep[saatius Al+rErrx. GCXV.AXCRJJ Trp&' otter M."N-rtw NS-LEDo234AFL-14 Type; other ligfiting r] factsem {d'1(•i.iPT • $Pot k Pro0rxo of Uro. DGE Light Output (Lumens) 354 ; Watts 8.1 I Lumens per Watt (Efficacy) 43 j ColorAccuracy 68 Coity Rendwing indox (CRI) Colnr'_itririgi_it (CRI) Ught Color 1:1 Cwd.lod Color TWMXM- (CCT) - ; 1 2700K 30(10 K •' 6500K I Ah reN.`.'3 am dxarosrgi to tE5n0.1M.79-2x08: Mpro%ad Atetrad tau Na EYaotrkol an0 phoi0rrurrtc Thbiv dsbw-S'nx! 11gASv Ti. us. Daperara ot&Way mmrarities product tat; data estd rex,Ab. product tea. d0 -a cad rowris. Visit www.fightingfects.com for the Label Reference Guide. Visit www.lighUnglaets.com for the Label Reference Guide. Rapisnntia ft-tSar; GcxvxKDaJR ! RrA;i¢vrion 0.Mrrber: GCXV-LUSTIS M." fta l w. NS-LEDa28SP-42 A•,odd nun!bor; NS•tEDa23•rr.t-t2 Trp&' otter i Typo: Oevcr rbxsua -Yt. Food ft❑t5 ti lig hEting fac°M ts { Light Output (Lumens) f 345 Watts 8.3 Lumens per Watt (Efficacy) 41, ColorAccurac fi7 Colnr'_itririgi_it (CRI) i 111 Ught Color 3981 (Bright White Comfaw Color Tarpwittwo pm ! 2706K• 306DK 45WK _ 6500K AA mrAs are lmaor&q to IE.SNA LM. 79.2M'. AWMod od M~ for dme Eketi:cai .d P»oxar•uic tbsfmp dSaRl•staa Lfgn:Liy, The U.S. DaparaRa d et Erorer MM emif" product tea. d0 -a cad rowris. Visit www.lighUnglaets.com for the Label Reference Guide. ! RrA;i¢vrion 0.Mrrber: GCXV-LUSTIS A•,odd nun!bor; NS•tEDa23•rr.t-t2 i Typo: Oevcr it u vt:.-cc CS