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05-4515 (CP)Fa P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 1, T4ht-4 40" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number:X05 00004515^, O Property Address: 80440 HIDEAWAY CLUB CT f7 APN: 772-410-998-30-'-32453 - Application description: POOL - COMMERCIAL Property Zoning: LOW DENSITY RESIDENTIAL n T Application valuation: 20000 ! 1f' I 2 0 %nnr CiTYOF - Fi�C� Applicant: Architect or Engineer: FD�`iy 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 Code, and Li in l 211 fy�e and effect. License Class: License No.: !e C[QQ �( Date: 10 -�-&_ntractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 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).: (_ 1 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.). (_ I 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 improvesthereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.l. ( 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/19/05 Owner: ND LA QUINTA PARTNERS N FRONT ST STE 200 LUMBUS, OH 43215 r,ntractor: CALIFORNIA POOLS & SPAS WCC: SEABRIGHT INS WC: BB1050510 01/01/06 CSLB: 656128 10/31/06 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 YY issued. /\ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor r Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier C8 C27 C29 C53 Policy Number - - - - - - - - - - - - - - - I certify 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 Co , I shall forthwith comply with those provisions. e: `� Applicant, i 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 ($106,000). 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 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 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 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 prope for inspection purposes. Dat Signature (Applicant or Agent)' —� I Application Number . . . . . 05-00004515 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 37.00 Plan Check.Fee 9.25 Issue Date . . . Valuation 0 Expiration Date 4/05/06, Qty Unit Charge Per Extension BASE FEE 15.00 2.00 11.0000 ----------------------------------------------- EA MECH FURNACE >100K ---------------------------- 22.00 Permit ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 30.00 Plan Check Fee 7.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 7.5000 EA ELEC PWR APP >1 TO <=10 15.00 Permit . . . PLUMBING Additional desc . Permit Fee39.00 Plan Check Fee 9.75 .Issue Date . . . . Valuation . . . . 0 Expiration Date 4/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 2.00 3.0000 EA PLB WATER INST/ALT/REP 6.00 2.00 3.0000 ------------------------ --------------------- EA PLB GAS PIPE 1-4 OUTLETS 6.00 . . . BLDG POOL PERMIT Additional desc. Permit Fee . . . . 207.00 Plan Check Fee_ 134.55 Issue Date . . . . Valuation 20000 Expiration Date 4/05/06. Qty Unit Charge. Per Extension BASE FEE 45.00 18.00 9. .0000 THOU BLDG 2,001=25,000 162.00 ---------------------------------------------------------------------------- Special Notes and Comments TWO SPAS ONLY. ALARMS/BARRIERS SHALL BE LQPERMIT Application Number . . . . . 05-00004515 ----------------------------------------------- Special Notes and Comments ----------------------------- IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due Permit Fee Total 313.00 .00 -- - - - - - - --- .00 --- - ----- 313.00 Plan Check Total 161.05 .00 .00 161.05 Grand Total 474.05 .00 .00 474.05 Bin # City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Permit # Project Address: C-) cW1 C7— Owner's Name: N Owner's Name: A. P. Number: Legal Description: City, ST, Zip: Contractor: Telephone: Project Description: Addres Zip: C&6-� City, ST,2-3 Telephone: 5c/f--�Fz-z State Lic. # 7-- City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New -Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: ................ 4 Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc.'d TRACKING/, PERMIT FEES Plan Sets Plan Check submitted //-/7 Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss CaIcs. Called Contact Person Plan' Check Balance Energy Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"' Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person. Plumbing' Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH ENVIRONMENTAL HEALTH SERVICES DIVISION POOL AND SPA PLAN CORRECTION Area # IV PLAN # IVP05-021c DATE: 11/14/2005 PROJECT NAME: Hideaway Pool & Spa PROJECT LOCATION: 80-440 Hideaway Club Court, La Quinta OWNER/CONTRACTOR: ND La Quinta Partners, LLC. / California Pools and Spas The plans are now approved subject to the conditions listed below: r. 1 HIS approval is ror me sxinimer placement and pool step location/configuration change only. All other conditions listed on plan correction sheet IVP05-021 still apply. -CONSTRUCTION INSPECTIONS: Contact the Plan Checker for pre-gunite, pre -plaster and final inspections at least five (5) working days in advance. All three inspections must be completed prior to issuance of a permit. - A FINAL INSPECTION MUST be made upon completion of all work including fencing, safety equipment, signs and support facilities such as restrooms. - APPROVAL to operate shall not be granted until the facility has passed the FINAL INSPECTION, and "APPLICATION TO OPERATE" has been completed and PERMIT fees have been paid. PLAN CHECK BY: Jerry Dubin Phone (760) 320-1048 I acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate them during construction: Signature G Company c.�c.f�"i Date ��� �(�.,or COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY . DEPARTMENT OF ENVIRONMENTAL HEALTH APPLICATION FOR POOL AND SPA PLAN REVIEW NOTE: Plans will not be accepted unless this Application is complete and Plan Check Fee is paid. FOR OFFICIAL USE _� '00PFlCP-` C 1C.1.. - i 4-3 DATE ITEii 1 J7 E FEE PROJECT NAME W PROJECT LOCATION �y 0 CITY%c-r OWNER/OPERATOR 1-/4 c�'iern/1T ,,o,,.LL L PHONE ADDRESS AJ3 CITY ,ia Ll)za— ZIP F2 2.0 CONTRACTOR PHONE (76-o CONTACT PERSON /W PHONE (-760) S-//0 FAX NUMBER OF POOLS: # POOLS UNDER 1,000 SQ. FT. # SPAS , # POOLS OVER 1,000 SQ. FT. TYPE OF DEVELOPMENT: Motel/Hotel Apartment Homeowner's Assn. Municipal Other (Specify) OWNER/REPRESENTATIVE DECLARATION: I understand that the amount of fee paid is based on my declaration of information on this form, and that incorrect information is grounds for denia! of the submitted plans. NO inspection of my pool/spa will be conducted until all proper information requested has been received and the plans have been approved and returned to the contractor/owner. APPROVAL to operate shall not be granted until the facility has passed the FINAL INSPECTION, an "Application to Operate" has been completed and Permit fees have been paid. Signature DEH -SAN -182 (Rev 11101) Date Distribution: BLUE—Office; CANARY—Applicant; PINK—Bldg. Dept.