10-0435 (AR)54255 Alysheba Dr
111111111111111111111111148.-
IETAt .4
P.O. BOX 1504 ---
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
10-00000435
Property Address:
54255 ALYSHEBA DR
APN:
767-320-999-51 -32879 -
Application description:.
ADDITION --RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
15000
r
Applicant:
Architect or Engineer:
iW_a7yG, Z'E y
71171
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
S tion 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
icense Class: B C27 C53 License No.: 810111
Date: To ontractor:
ki
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 hot 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 _ 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 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:
LQPERDIIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/23/10
Owner:
KEITH & PAT WRIGHT
54255 ALYSHEBA I EVE Fn LA QUINTA, CA 9( U
JUN 24 2010
Contractor:
PICASSO POOLS I'C CITY OF LAQUINYA
41800 WASHINGTO RIF ' 'g
BERMUDA DUNES, CA 92203
(760)345-4600
LiC. No.: 810111
------------------
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 STATE FUND Policy Number 290-0001790
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 we kers' compensation laws of California,
and agree that if I should become subject to the workers' compensation provisions of Section
3700 cfCode, I shall forthwith comply with those provisions.
DateApplicant:m2e
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 1$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 stateAteinforma is correct. I agree to comply with all
city d county ordinances nd state laws relatinstruction, a tereb nze representatives
of is co ty enter u n the above-mentionedpe on pur
Date: « ignature-(Applicant or Age
Application Number . . . . . 10-00000435
------ Structure Information 324 SF CABANA
-----
Construction Type . .
. . . TYPE V,.UNPROTECTED
Occupancy Type . .
. . . DWELLG/LODGING/CONG <=10
Other struct info . .
. . . CODE EDITION
2007/08 ENERGY
# BEDROOMS
.00
FLOOD ZONE
NO
GARAGE SQ FTG
.00
PATIO SQ FTG
.00
1ST FLOOR SQUARE FOOTAGE
324.00
----------------------------------------------------------------------------
2ND FLOOR SQUARE FOOTAGE.
.00
Permit . . .
BUILDING PERMIT
Additional desc . .
324 CABANA W/ FIREPLACE
" Permit Fee . . . .
162.00 Plan Check Fee
105.30
Issue Date . . .
Valuation
15000
Expiration Date
12/20/10
.Qty Unit Charge
Per
Extension
BASE FEE
45.00
13.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
117.00
Permit . . .
ELECT.-ADD/ALT/REM
Additional desc .
Permit'Fee . . . .
26.34 Plan Check Fee
6.59
Issue Date . . . .
Valuation
0
Expiration Date
12/20/10
Qty Unit Charge
Per
Extension
BASE FEE
15.00
324.00 .0350
----------------------------------------------------------------------------
ELEC NEW RES - 1 OR 2 FAMILY
11.34
Permit . . . . .
GRADING PERMIT
Additional desc .
Permit Fee
15.00 Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
12/20/10
Qty Unit Charge
Per
Extension
------------ ---------------------------------------------------------------
BASE FEE
15.00
Permit . . . I
PLUMBING
Additional desc . .
Permit Fee . .
18.00 Plan Check Fee
4.50
LQPERnIIT
Application Number
Permit
Issue Date . . . .
Expiration Date . .
. . . . . 10-00000435
PLUMBING
Valuation
12/20/10
0
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00
------------------------------------------------------------------------- --
Special Notes and Comments
324 SF DETACHED CABANA WITH GAS
FIREPLACE. TYPE V -B CONSTRUCTI0N.2007
CODES. 2008 ENERGY.
----------------------------------------------------------------------------
Other Fees . . . . . . BLDG STDS ADMIN (SB1473)' 1.00
ENERGY REVIEW FEE 10.53
STRONG MOTION (SMI) - RES 1.50
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 221.34 .00 .00 221.34
Plan Check Total 116.39 .00 .00 116.39
Other Fee Total 13.03 .00 .00 13.03
Grand Total 350.76 .0,0 .00 350.76
LQPERMIT
Personalized Property Management
68950 Adelina Road
Cathedral City, CA 92324
• (760)325.9500
(760) 325-9300 fax
OF
n Ohl."
April 6, 2010
Keith C. and Barbara P. Wright 1 �Qls�� ���
80079 Presidio Court J
Indio, CA 92201 LOSS—YDcc
RE: 554-255 Alysheba Dr. La Quinta, CA 92253 J
Your application to install a pool, cabana and landscaping in your rear yard has been approved by the
Architectural Committee as per the plans submitted. Please ensure your contractor keeps the area in
and around your property in a good condition during the work and does not display any signs on the
property. Thank you for your cooperation.
Comrriunity Lrp(ng at%its Finest.: