12-1066 (RPL)60162 Angora Ct
I IIIIIII1111II IIIA IIII 29
P.O. BOX 1504 IE
78749.5 CALLE TAMPICO
LA QUINTA, CALIFORNIA" 92253
Application Number: 12-00001066
Property Address: 60162 ANGORA CT
APN: 764-270-999-115 -300233-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: i32000
T4ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
------- -,--------------------------------
LI SED CONTRACTOR'S DECLARATION
I here y a irm under penalty of perju t I am licensed under provisions of Chapter 9 (commencing with
Secti 70 1 of Division 3 of the Bu ' gs and Professionals Code, and my License is in full force and effect.
Lic 5 C6 : C53J License No.: 658996
.% OWNER -BUILDER DECLARATION
I hereby ffirm oder penalty of perjury t Ell am exempt from the Contractor's State License Law for the
following Eason (Sec. 7031.5Business Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or reny structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she isI tensed 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 (55001.:
(_ 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 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.).
(_) 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: Pi
LQPERMIT
Owner:
GENE PARKER
60162 ANGORA COURT
LA QUINTA, CA 92253
Contractor:
FAMILY POOLS CONSTRUCTION
P O BOX 283
LA QUINTA, CA 92247
(760) 564 -3 655
Lic. No.: 658996
VOICE (760)-
FAX (760) 77 - 11
INSPECTIONS (760) 777-7153
Date: 9/17/12
-----------------------------------------------
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 polic umber are:
Carrier STATE FUND Policy N er 1344032-2012
I certify that, in the performar c oft ork for which this permit is issued, I shall not employ any
person in any manner so a come subject to the workers' compensation laws of California,
1 and agree that, if I sho come subject to the workers' compensation provisions of Section
1
3700o the Labor d , I ha)Qforthwith comply with those provisions.
WARNING: IFAIWRE TO SECURE WORKERJ' COMPE TION COVERAGE IS UNLAWFUL, AND SHALL
SUBJ T A EMPLOYER TO CRIMINAL PEILTIES AN CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THII 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 est and for
whose benefit work is performed under or pursuant to any permit issu a result of this application,
the owner, and the applicant, each agrees to, and shall defend, i nify and hold harmless the City
of La Quinta, its officers, agents and employees for any ac omission related to the work being
performed under or following issuance of is permit.
2. Any permit issued as a result of this appli at n omes null and void if work is not commenced
within 180 days from date of issuance o permit, or cessation of work for 180 days will subject
permit to cancellation.
I certi tha 1 have read this application and sl that above information is correct. I agree to comply with all
city a d /1u ty ordinances and state laws r ting to in constr on, and hereby authorize representatives
of I -d lnt to ant r upon the above- urposes.
Date: 1'x,1 4 ignature (Applicant or Agent):
J _
Application Number . . . . . 12-00001066
Permit BLDG POOL PERMIT
Additional desc
Permit Fee . . . . 297.50 Plan Check Fee 193.38
Issue Date . . . . Valuation 32000
Expiration Date 3/16/13
Qty Unit Charge Per Extension
BASE FEE 252.00
7.00 6.5000 THOU BLDG 25,001-50,000 45.50
----------------------------------------------------------------------------
Permit MECH POOL
Additional desc .
Permit Fee . . . . 26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation . . . . 0
Expiration Date 3/16/13
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 3/16/13
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 . 3/16/13
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
-------------------------------------------------- -------------------------
Special Notes and Comments
POOL/SPA.ALARMS/BARRIERS SHALL BE IN
1
LQPERMIT
Application Number
. . . . . 12-00001066
----------------------------------------------------------------------------
Special Notes and
Comments
PLACE AT PRE -PLASTER
INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
2`010
CODES.
---------------------------------------------------------------
Other Fees . . .
. . . . . . BLDG STDS ADMIN (SB1473)
------------
2.00
Fee summary
-----------------
Charged
--------------------
Paid
Credited
--------------------
Due
Permit Fee Total
401.50
.00
.00
401.50
Plan Check Total
219.38
.00
.00
219.38
Other Fee Total
2.00
.00
.00
2.00
Grand Total
622.88
.00
.00
622.88
Existing 6' Wall
l
FAMIL Y P®OLS
Construction
Llc. #658995
(760)564-3655
Existing 6' Wall
11
Equipment
Existing 6' Wall
Bin #City
of La Qurnta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Iti
Project Address:
Owner's Name: PRIPAyL e
A. P. Number.
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone: _ d> `k ��
Address:
Project Description: MOL
City, ST, Zip: L14- 6)i-4Jk171-
Telephone:;
•hi. }Z��~M�:.\�4 yid.+fi::l+~ •LL;j i.
c •: < •: ;fir Nirz �r/,
ri •"•`•
State Lic. # : City Lia #•-.
Arch., Engr., Designer.
Address:
City., ST, Zip:
4
�• • \ ��
Telephone: �i }.• i�tt�Cv4:+•MS `E n �..:�Y:}+'
�
State Lic. #:
Name of Contact Person: Dw e4va',Sq.
Constriction Type: Occupancy:
Project type circle one): New Add'n Alter Repair Demo
Ft: # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACE3NG
PERMIT FEES
Plan Sets
Plan Check submitted
esl Oa l:-
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Tide 24 Calcs.
Plans picked up
Consti ction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan'
2°° Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SM.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees