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05-4190 (CP)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: �0 5'0-00-0 4 19 0 - 80440 HIDEAWAY CLUB CT 772-410-998-30 -32453 POOL - COMMERCIAL LOW DENSITY RESIDENTIAL 70000 Architect or Engineer ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I afn licensed under provisions of Chapter 9 (commencing with Section 7000) of Diis' n 3 f the Business and Professionals Code, and y Liicensg�ii it 11 ice and effect. Li(;,^^se Class: License No.: JS ��lr-S! js "D//ate: Contracto . _Ial 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): (_) 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, 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.). ( ) 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 Owner: ND LA QUINTA PARTNERS 375'N FRONT ST STE 200 COLUMBUS, OH 43215 Contractor: CALIFORNIA POOLS & SPAS WCC: SEABRIGHT INS WC: BB1050510 CSLB: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 , INSPECTIONS (760) 777-7153 01/01/06 10/31/06 Date: 9/20/05 ----------------------------------------------— 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 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 CS 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 'j 3700 of the Labor Code, I shall forthwith comply with those provisions. Applicafit: GL 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. 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 thi co_urnyy to enter upon the above-mentioned property fob inspection purposes. Da. . D Signature (Applicant or Age t), r Application Number . . . . . 05-00004190 Permit MECH POOL Additional desc . .Permit Fee 59.00 Plan Check Fee .. 14.75 Issue Date Valuation 0 . Expiration Date 3/19/06 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 11.0000 ---------------------------------------------------------------------------- EA MECH FURNACE >100K 44:00 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee 60.00 Plan Check Fee 15.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/19/06 Qty Unit Charge Per Extension BASE FEE 15.00 6.00 7.5000 ------------------ ---------------------------------------------------------- EA ELEC PWR APP >1 TO <=10 45.00" Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 33.00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date 3/19/06 Qty Unit Charge Per Extension .BASE FEE 15.00 2.00 6.00.00 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 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 504.50 Plan Check Fee 327.93 Issue Date . . . Valuation . . . . 70000 Expiration Date 3/19/06 Qty Unit Charge Per Extension BASE FEE 414.50 20.00 4.5000 THOU BLDG 50,001-100,000 90.00 ---------------------------------------------------------------------------- Special Notes and Comments COMMERCIAL POOL & SPA ONLY. LQPERMIT Application Number . . . . . .05-00004190 Special.Notes and Comments ALARMS/BARRIERS SHALL BE IN PLACE PRIOR .TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 656.50 .00 .00 656.50 Plan Check Total 365.93 .00 .00 365.93 Grand Total 1022.43 .00 .00 1022.43 LQPERMIT COUNTY OF RIVERSIDE. DEPARTMENT OF HEALTH ENVIRONMENTAL HEALTH SERVICES DIVISION POOL AND SPA PLAN CORRECTION Area # IV PLAN # IVP05-021 DATE: 9/14/2005 PROJECT NAME: Hideaway Pool & Spa PROJECT LOCATION: 80-440 Hideaway Club Court, La Quinta OWNERICONTRACTOR: ND La Quinta Partners, LLC. / California Pools and Spas The plans are now approved subject to the conditions listed below: I. If the pool's air gap is located at a remote location outside the equipment enclosure, install a sight glass in the back wash line 2. The restroom and shower details provided by you have been incorporated into the plans. These facilities must be constructed and fully operational prior to issuance of a permit 3. Provide written approval from the Environmental Resources Division offices at 82675 Highway 111, Room 209 Indio CA: telephone (760)863-7000, for the sizing of the waste water discharge from the backwash for the pool(s) and/or spa(s) on these plans. This information must be provided prior to the commencement of any field or site inspections 4. Chlorinators are to be installed downstream of the heaters. An approved check valve is to be installed upstream of the chlorinator and downstream of the heater in the return line to the pool. 5. Spa suction anti -vortex covers are to be within two inches of the bottom of the spa. 6. There are to be no shrubs, trees planters, etc. within four feet of any pool or spa. 7. Provide effluent pressure gauges on the pool and spa equipment inunediate downstream of the filter and upstream of the heater. They are to be within one foot of the same level as the influent gauge which may be found on the filter. 8. Provide separate waste discharge lines for each recirculation system. Do not join the spa and pool waste lines together. They may discharge into the same receptor. 9. The flow meter is to be located on a straight run of piping at least four (4) pipe diameters downstream of any bend or elbow and 10 pipe diameters upstream of any elbow. (Example: for a 2.5" pipe use 10 inches upstream and 25 inches downstream). 10. Increase the size of the Pool chlorinator from Rainbow HC 3315 to HC 3330. Minimum chlorine requirement is 3lbs/10,000 gallons per day. 11. The use of pavers is approved within the 4' pool and spa deck clearance only if permanently installed, i.e. set in cement, sealed, grouted and smooth as possible. -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 1 acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate them during construction: Signature��CJ�� Company CoA \�C,r1,% a_ ZS SSS 9-/ 5 s Permit # . EAddress: : �- SlyO on: City, ST, Zip: 6ca Telephone:���- State Lic. # : Arch., Engr., Designer: Address: City., ST, Zip: Telephone: State Lic. #: Nalne of Contact Person: pAAJ Telenhone # of Contact Person: '� # Submittal Plan Sets Structural Calcs. Truss Calcs. Title 24 Calcs. . Flood plain plan Grading plan Subcontactor List Grant Deed Ii:O.A. Approval IN HOUSE:- . Planning Approval Pub. Wks, Appr School Fees i City Of La Quinta Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking. Sheet Uvb CT Owner'sName: N Lo, C?v' ccrC5 Address: City, ST, Zip: i ProjectDescripti n: Aloc�C ®f,�1..mal /s ox �Pwa-rz. (� . e Lic. #; E# Construction Type: e: Occupancy: �°wfik'101 •�sLL.»•i• oAdd'n Alter Repair Dem' type circle one): N' Sq. Ft.: # Stories: #Units: ,.P1 f q �li � Estimated Value of Project -" p 7e� ® d C> APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACMG Plan Check submitted l> Reviewed, ready for corrections Called Contact Person Plans picked up Plans resubmitted 2"" Review, ready for correctionsfissue Called Contact.Person Plans picked up Plans resubmitted Review, ready for corrections/issue Called Contact Person Date of permit issue Item PERMIT FEES Amount plan. Check Deposit Plan Check Balance Construction 1Aechanical 3 Electrical Plumbing 3 S.M.I. Grading rA.I.P oper Impact Fee .P. -