08-0302 (RPL)79735 Amalfi Dr
08-0302
P.O. BOX 1504 IE
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
n a
9Z
08-00000302
79735 AMALFI DR
609-590-039- - -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
24000
Tit 144Q"
Architect or Engineer:
0
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 my License is in full force and effect.
License Class:: ,053 LicenseNo.: 824080
Date: S ontractor:
OWNE - ILDER DECLARATION
I hereby affirm under penalty of p ' ry tPtam 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, atter, 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 _ 1 1, 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 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 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:
BRADFORD RESIDENCE
79-735 AMALFI DR
LA QUINTA, CA 92253
Contractor:
MARCELO'S POOL & SPA
79040 LADERA DR
LA QUINTA, CA 92253
(760)784-1220
Lic. No.: 824080
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/14/08
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 EXEMPT Policy Number EXEMPT
1 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 1 should become subject to the workers' compensation provisions of Section
3O0 of the Labor Code, hall fort ith comply with those provisions.
Dater lij eapplic La -
WARNING: FAILURE TO SECURE W R ' 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 this county to enter upon the above-mentioned property for inspection purpose
Date: 45 6&nature (Applicant or Agent). -
Application Number . . . 08-00000302
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee -. . . .
243.00
Plan Check Fee
157.95
Issue Date
Valuation . . .
. 23610
Expiration Date
8/12/08.
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
22.00 9.0000
----------------------------------------------------------------------------
THOU BLDG
2,001-25,000
198.00
Permit .. . .
MECH POOL
Additional desc .
Permit Fee
26.00
Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
8/12/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 11.0000
----------------------------------------------------------------------------
EA MECH
FURNACE >100K
11.00
Permit. . . .
ELEC POOL PERMIT
-RES
Additional desc . .
Permit Fee
45.00
Plan Check Fee
11.25
Issue Date
Valuation
0
Expiration Date..
8/12/08
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 . . . .
33.00
Plan Check Fee
8.25
Issue Date . .
Valuation
0
Expiration Date
8/12/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2.00 6.0000
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 . . . . . . WALL/FENCE PERMIT
LQPERMIT
Application Number . . . . 08-00000302
Permit . . . WALL/FENCE
PERMIT
Additional desc . .
Permit Fee- . . . . 15.00
Plan Check
Fee
.00
_ Issue Date . . . .
Valuation
. . .
. 390
Expiration Date 8/12/08
Qty Unit Charge Per
Extension
BASE
FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL, SPA/ALARMS BARRIERS SHALL
BE IN
PLACE AT PRE -PLASTER INSPECTION.
18' L.F
X 5- HIGH EQUIPMENT WALL.
Fee summary Charged
-------------------------------------
Paid Credited
Due
Permit Fee Total 362.00
----------
.00
----------
.00
362.00
Plan Check Total 183.95
.00
.00
183.95
Grand Total 545.95
.00
.00
545.95
L
LQPERA11T
Bin#
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
g La
Project Address: % cf `% 3 (
Owner's Name:' I Gk0.
A. P. Number:
Address: Z l _. -7 3 f
Legal Description:
City, ST, Zip: &C\ QQ
Contractor: A1rLC—e ( uS eoj
Telephone:i 6O ?,bO . 3 .37
Address: d LP L4-2 a
Project Description:
City, ST, Zip:
S 1 1 l
Vhone:Lic. # : o 8 0 . City Lic. #: 3& 3 Engr., Designer.
Address:
ISO'
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project: 2 coo
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIQNG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correctionsfissue
Electrical
Subcontactor List
Called *Contact Person
Plumbing
Grant Deed
Plans. picked up
S.M.I.
Ii.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''" Review, ready for correctionAssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
/j CITY OF LA QUINTA SUB -CONTRACTOR LIST /
JOB ADDRESS W-73:5 A W 1,4 lf f /%% PERMIT NUMBER OWNER
This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized 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.
Y......_
Name
Classification
License Number
Exp Date
Carrier NPolic Number
ame
Date
Ex .
License Number
Exp.. Da to
(e.g. A B C 81
(xxxxxx)
1xx/xx/xx1
(e.9. State FundCaIComP1 (Format
1xx/xx/xx1
xxxx1
1ComPanY
xx xx/xx
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or
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.............
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
1700?NSTRUCTION