06-3000 (CP) Pool 4P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
f
Application Number:
Property Address:
- - APN:
'^ Application description
Property Zoning:
Application valuation:
06-00003000
45245 SEELEY DR
604-040-999-2 -31116
POOL - COMMERCIAL
TOURIST COMMERCIAL
20000
T'
,ht 4 40"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
-------------------------------•-------------------
LICENSED CONTRACTOR'S DECLARATION
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 nd Professionals Code, and my License is in full force and effect.
License Class: C8 C27 C29 License No.: 656128
Date: ! Contractor:
WNER-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 ISec. 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.).
(_ 1 1, 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.).
(_ 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.I.
Lender's Name: _
Lender's Address:
LQPER111IT
Owner:
CP DEVELOPMENT LA QUINTA
77564 COUNTRY CLUB DRIVE
PALM DESERT, CA.92211 ►(
VOICE (760) 777-7012
FAX (760) 777-7011 ..
INSPECTIONS (760) 777-7153
Date: 8/15/06:
U 1,� Zpp6
ave
Contractor: F 1�►��
CALIFORNIA POOLS & SPAS �m(O CEQE�
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
-----------------------------------------------
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 SEABRIGHT Policy Number B131060 510
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner s as to become subject to the workers' compensation laws of California,
and agree that, if I sho d become subject to the workers' compensation provisions of Section
3700 of the Lab o shall forthwith comply with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WO ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES 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 ab a information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildin onstruction, and hereby authorize representatives
of this co un to enter upon the above-mentioned pr action purposes.
Date: l Signature (Applicant or Agent):
LQPMA11T
Application Number . . . . . 06-00003000
Permit . . . . . .. BLDG POOL PERMIT
Additional desc .
_ Permit Fee . . . . • 207.00 Plan Check
Fee
134.55
Issue Date Valuation
.
. 20000
Expiration.Date 2/11/07 ,
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 . . 26.00 Plan Check.Fee
6.50
Issue Date . . .". Valuation
0
Expiration Date 2/11/07
Qty, Unit Charge Per
Extension
BASE FEE
15.00
1.00 11.0000 EA MECH FURNACE >100K
11.00
Permit . . ELEC-MISCELLANEOUS
Additional desc .
'Permit Fee 41.00 Plan Check
Fee
10.25 .
Issue Date Valuation
0
Expiration Date 2/11/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 7.5000 EA ELEC PWR APP >1 TO <=10
7.50
1.00 18.5000 EA ELEC SVC <=600V/<=200A
--------------------------------------------------------
--------------------
18.50
Permit . . . PLUMBING
Additional desc .
Permit Fee 27.00 Plan Check
Fee
6.75
Issue Date . . . . Valuation
. . .
. 0
Expiration Date 2/11/07'
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
COMMERICAL SPA ONLY #4.. PERMIT DOES
LQPMA11T
LQPERAIIT
Application Number" . . . .
06-00003000
---------- -
Special Notes and Comments
-----------------
NOT INCLUDE WROUGHT IRON OR BLOCK
WALLS.
='
- Fee summary Charged
---------------------------
Paid
----------
Credited
--------------------
Due
-"". Permit Fee Total 301.00
.00
.00
301.0.0
Plan Check Total 158.05
.00
.00
158.05
Grand Total 459.05
�I
.00
.00
459.05
LQPERAIIT
'
Bint5A
City of. La Quinta
Building U Safety Division
Permit #
p�
P.O. Box 1504, 78-495 Calle Tampico
La
Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 1/5- :2 L` S
F L�f
Owner's Name:
A. P. Number:
L C C
Address:
Legal Description:
City, ST, Zip:
Contractor``
�•
t
Telephone:
Address: E0 Z
Cp
Project Description:
City, ST, Zip CA
Telephone: 76C SNJI7 Z 2
7
State Lie. # : Z
City Lic. #:
Arch., Engr., Designer:
Address:
'
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): Add'n Alter Repair Demo
Name of Contact Person:
C>
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
A.
Estimated Value of Project: Zo o cO
APPLICANT:
DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACMG
PERMIT FEES
Plan Sets
Plan.Check submitted
Item
Amount
Structural Cates.
Reviewed; ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading. plan
20' Review, ready for co rrectionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
�er4nJ .:
Grant Deed
Plans picked up
S.M.I.
ILO:A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'`' 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 I