Loading...
06-2573 (RPL),, ,,,.�,. v IIIIIIIIIIIIIIIIIIIIIIIII 19 II P.O:'BOX 1504 IE 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00002573 Property Address: 60875 AZUL CT APN: 764-270-999-87 -300234- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 104000 T4ht 4 4 Q" Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Businesl and Professionals Code, and my License is in full force and effect. License Class, C53 �---License No.: 518742 /te: (0 �ontr or: 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 155001.: (_) 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.). ( ) I am exempt under Sec. , BAP.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: MIKE ROGERS 60-875 AZUL CT LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/30/06 ------------------ 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. IL 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 0001188-2005 _ 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 I should become subject to t rkers' compensation provisions of Section 3700 of the Labor Code, I all forth oo�mlplyy with those provisions. Dat a Applicant: WARNING. FAILURE TO SECU W KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TOC AL 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 theCity 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'ding construction, and hereby authorize representatives of this cote upon the above-mentioned Pr rtY for in s s. Date: 6 Signature (Applicant o e o a � Contractor: AMERICAN POOL CONSTRUCTIO C 6 2006 P.O. BOX 11996 AUL 0 PALM DESERT, CA 92255 (760) 340-2588 C. Or. LAQUI14TA Lic. No.: 518742 iitN EDEPO ------------------ 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. IL 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 0001188-2005 _ 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 I should become subject to t rkers' compensation provisions of Section 3700 of the Labor Code, I all forth oo�mlplyy with those provisions. Dat a Applicant: WARNING. FAILURE TO SECU W KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TOC AL 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 theCity 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'ding construction, and hereby authorize representatives of this cote upon the above-mentioned Pr rtY for in s s. Date: 6 Signature (Applicant o e Application Number . . . . . 06-00002573 Permit BLDG POOL PERMIT Additional desc . Permit Fee . . . . 653.50 Plan Check Fee 424.78 Issue Date . . . . Valuation 104000 Expiration Date 12/27/06 Qty Unit Charge Per. Extension BASE FEE 639.50 4.00 -------------------------------------------------7-------------------------- 3.5000 THOU BLDG 100,001 -UP 14.00 Permit MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . 0 Expiration'Date 12/27/06 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 12/27/06 - 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.. 12/27/06 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 . . . . . 06-00002573 Permit . . . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 21.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 749 Expiration Date 12/27/06 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 2.0000 HND BLDG 501-2,000 6.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA WITH14 LF' 4' HI WALL & 21 LF. 6' HIGH BLOCK WAL CITY STANDARD. INCLUDES 63 LF. 10" HIGH WALL (COURTESY. INSPECTION) Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 778.50 .00 .00 778.50 Plan Check Total 450.78 .00 .00 450.78 Grand Total 1229.28 .00 .00 1229.28 LQPERMIT 06/30/2006 12:22 7606749438 Bin # Permit # Project Address D_ k P, Number: Legal Description: Contractor. Address: City, ST, Zip: Tc,[T[ ono:� ? State Lia. # Atch•. Engn, Designer: Address: City, ST. Zip: Telephone: State Lig. #: Namc of Contact Pelson: Telephone # of Contact Pets6a: # Submittal Plan Sets Structural Calat. i russ Cala. Energy Cales. Flood plain plan Grading plan' Subcontactor List Grant Deed H -OA. Approval IN ROUSE: rlanning Approval Pub. Wks.Appr School Fees ows 7N 7 p Peot 1e"Urj AMERICAN POOL CONST City of La Quinta- Building 8L Safety Division P.O: Box.1504, 78-495 calle Tampico La Quanta, CA 922.53 -.(760) 777-.7012 Building Permit Application and Tracking Sheet Owner's Name: S Address: 60— Ctty, ST, Zip: (�T Project Description_ ty Lic. N: A `hc lL PAGE 01/0 Construction type: ` Occupancy: Project type (cit+cle one): New Add'n Altar Repair Dcmti Sq' Pt: #Stories: # Units: �ZS Estimated value of Proj& t CU 01121 APPLICANT: Do NOT WFIrM.BEiOW THIS UNE Itec'd TRACING PERMIT FEES Plan Check subtgitted • Item Amount Rtviewed, ready for corrections Plan Check Deposit Callcd Cont4Ct PcrsoA Plan Chcck Balance riany. Picked up Construction Plans resubmitted . i►Icchanlcal ' 2" Review, resdyfor aorreWoasAssue Electrical Called Contact Person Plumbing. Plans picked up Pians resubmitted Grading '— $tview, re4dy for correction e 3 o Devetoger zmpaet Fee . Called Contact Person ' A•.I.P.p. bate of permit issue . Total rcrmlt Ftes ■ i 1 a r lam_ ..I i .� � • y / ' / • , - � I �:�. �.� 1• _. � ! Lei i� w' ' 4 i I' ol w Zl aol S i zE b / 9'x 33 ' SPP 0 '$ � -1 +�_1��1n/ PLA2�� " " F 5 r� /yrnFnl� ZiyELL�9 -fDUCh cote('AAJ4r L ' I k� PJ o A1- i L Irk DAI R6.6; (tr L i Shame PUMP' SAL VA- L .� Lf d +h V\ 13.8. Below -MudS u: LAJI 5.y'5 Ad d� LK marc `,,\ 20 (T W) 10, x /,4< -In --577elg5-67- II ;/ -FD flhhtz2j!�_5,5 Azu L Cf- CELL (209) 4/02 - 3 7-19 P.O.CAN pc)-- v5 0 C Palm Desefl, CA 92255 �l O . 2"klDm ��nrrrt PEci( C��� v� P1\A`L... wl A -(JrC-J-I IJ- PLA C � I- � 256 L -b