10-0773 (RPL)81307 Amundson Ave
10-0773
IIIIIIIIIIIIIIIIIIIIIIIII 18 •
P.O. BOX 1504 IE 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
10-00000773 _
Property Address:
81307 AMUNDSEN AVE
APN:
767-690-020- - -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
400000
Owner:
MICHAEL
PO BOX
NEWPORT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/30/10
H GRAY TRUST
9935
BEACH, CA 92658
Applicant: Architect or Engineer:
Contractor:3 oAO t
DUNN-' S DESERT LANDS SR1W
q 1
74866 LENNON PL, SU
PALM DESERT, CA 9226 (N1t1i
`
(760) 773-9923
jj fA
Lic. No.: 635896
-------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of peijwy that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Busin s and Professionals Code, and my License is in full force and effect._
1 have and will maintain a certificate of consent to self -insure for workers' cuiiipensation, as provided
license Class: C27 C53 License No.: 635896
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
/ate: ^ dpy ractor:
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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier DELOS INS CO Policy Number 04DKRM12000717
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree th , if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
Code shall forthwith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
L;;,Labor
plicant:
—any
applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
ate: .— `_dt---- .
(_) 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.).
(_ 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:
LQPERN11T
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 Quints, 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 1 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
oOhis count to//enter u on the above-mentioned property f(9/n/nspection purposes.
DatEJ G3 Signature (Applicant or Agent):
Application Number . . . . . 10-00000773
Permit . . . BLDG POOL PERMIT
Additional desc .
Permit Fee . . . . 1689.50 Plan Check Fee 1098.18
Issue Date . . . . 'Valuation . . . . 400000
Expiration Date 2/26/11
Qty Unit Charge Per Extension
BASE FEE 639.'50
300.00 3.5000 THOU BLDG 100,001 -UP 1050.00
----------------------------------------------------------------------------
Permit . . . MECH POOL
Additional desc . .
Permit Fee . . . . 92.00 Plan Check Fee 23.00
Issue Date Valuation 0
Expiration Date 2/26/11
Qty Unit Charge Per Extension
BASE FEE 15.00
7.00 11.0000 EA MECH FURNACE >100K 77.00
---------------------------------------------------------------------------
Permit .. . . ELEC POOL PERMIT -RES
Additional desc . .
Permit Fee . . . . 75.00 Plan Check Fee 18.75
Issue Date . . . . Valuation . . . . 0
Expiration Date 2/26/11
Qty Unit Charge Per Extension
BASE FEE 15.00
2.00 30.0000.EA ELEC PRIVATE SWIMMING POOL 60.00
----------------------------------------------------------------------------
Permit PLUMBING
Additional desc
Permit Fee . . . . 65.25 Plan Check Fee 16.31
Issue Date . . . . Valuation . . . . 0
Expiration Date 2/26/11.
Qty Unit Charge Per Extension
BASE FEE 15.00
7.00 6.0000 EA PLB FIXTURE 42.00
1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00
7.00 .7500 EA PLB GAS PIPE >=5 5.25
---------------7------------------------------------------------------------
Special Notes and Comments
2 POOLS,2 SPAS & ASSOCIATED EQUIPMENT AT
LQPERMIT
Application Number . . . . . 10-00000773
----------------------------------------------------------------------------
Special Notes and Comments
DESIGNATED AREAS ON PROPERTY.
ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURES NOT INCLUDED. 2007 CODES.
------------------------------=---------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 16.00
HOURLY PLAN CHECK 196.00
Fee summary
-----------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
LQPERMIT
Charged Paid
1921.75 .00
1156.24 .00
212.00 .00
3289.99 .00
Credited Due
.00 1921.75
.00 1156.24
.00 212.00
.00 3289.99
Bin #
City Of La Quinta
Building 8T Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-70 i 2
Building Permit Application and Tracking Sheet
Permit #
_
Project Address: --
Owner's Name:
A. P. Number:
Address: l Sol
Legal Description:
City, ST, Zip:
Contractor: 910,
Telephone:
Address: ...
Project Description:
City, ST, Zip: O
O C Ssu�
Telephon 7 O i
City Lic. #,
State Lic. # :
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Name of Contact Person: /
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 010 — d
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACE ING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Tine 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"' Review, ready for corrections/iasue
Electrical
Subcoutactor 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 correctionsliaaue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
EsGil Corporation
In Tartnership with Government for Building Safety
DATE: AUG. 26, 2010 APPLICANT
4JURIS.
JURISDICTION: LA QUINTA ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: 10-773 SET: I
PROJECT ADDRESS: 81-307 AMUNDSEN AVENUE
PROJECT NAME: WATER FEATURES FOR GRAY RESIDENCE
® The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
❑ The plans transmitted herewith will substantially comply with the jurisdiction's codes
when minor deficiencies identified below are resolved and checked by building department staff.
❑ The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
❑ The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
❑ The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
❑ The applicant's copy of the check list has been sent to:
❑ Esgil Corporation staff did not advise the applicant that the plan check has been completed.
❑ Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted:
Date contacted
Mail Telephone
❑ REMARKS:
Eby: )
Fax In Person
By: ALI SADRE
EsGil Corporation
❑ GA ❑ EJ ❑ PC
8/23
Telephone #:
Enclosures:
Fax #:
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: LA QUINTA PLAN CHECK NO.: 10-773
PREPARED BY: ALI SADRE
DATE: AUG. 26, 2010
BUILDING ADDRESS: 81-307 AMUNDSEN AVENUE
BUILDING OCCUPANCY: R3/U TYPE OF CONSTRUCTION: V-B
BUILDING
PORTION
AREA
( Sq. Ft.)
Valuation
Multiplier
Reg.
Mod.
VALUE ($)
WATER
FEATURES
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code JLQManual Input
Bldg. Permit Fee by Ordinance—�
Plan Check Fee by Ordinance •
Type of Review: ❑ Complete Review
❑ Repetitive Fee
� Repeats
* Based on hourly rate
Comments:
❑ Structural Only
❑ Other
❑_Hourly 2 Hrs. @
Es011 Fee $98.00
I
$245.00
$196.001
Sheet 1 of 1
macvalue.doc +