06-3198 (RPL) 69
4' 4 �j�
P.O. BOX 1504 IE - - ^� VOICE(760) 777-7012
78-495 CALLE TAMPICO FAX(760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/31/06
Application Number: WO6`,000_03199-8� Owner:
Property Address: 80860 CALLE_-AZUL LARRY KAGLEY
APN: 762-240-003-62 -300962- 80860 CALLE AZUL
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: MEDIUM DENSITY RES
Application valuation: 18500 -
Contractor: D
Applicant: Architect or Engineer: ACE POOLS
42116 PITCHFORK RD SEP 0 g
INDIO, CA 92203
pip (760)578-8780 Cj1YOFL
Lic. No. : 869106 FINANC
- ------ ---- ---------- --- ------- ------------------------------ ----------- --- - - ---- --------------- -
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjrsinfand
I am license er ovisions of Chapter 9(commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000)of Division 3 of the 8 Profe ionals Cod and my License is in full force and effect. _ I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided
License Class: C53 License o.: 869106 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
I- ,1r(�, N issued.
ate: '-S_0`�- ontr.c.,-. 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
OW R-BUILDE DECLARATION - insurance carrier and policy number are:
I hereby affirm under penalty of perjury th I am exem rom Contractor's State License Law for the Carrier STATE FUND Policy Number 22906
following reason(Sec.7031.5,Business lid Professions C e: 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 ct 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 that,i I hould becomes ject to a workers'compensation provisions of Section
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 3700 of the or de,I shall orthwith comly with those provisions.
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).: Date:"l (Jlp pelican
(_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 WARNING: FAILURE TO SECURE KERS'C ENSAT N COVERAGE IS UNLAWFUL,AND SHALL
Contractors'State License Law does not apply to ari owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRI NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees,provided that the DOLLARS($100,000). IN ADD ION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If,however,the building or improvement is sold within SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
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.). APPLICANT ACKNOWLEDGEMENT
(_) 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044,Business and Professions Code: The Contractors'State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon,and who contracts for the projects with a contractor(s)licensed 1. Each person upon whose behalf this application is made,each person at whose request and for
pursuant to the Contractors'State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
1_1 I am exempt under Sec. B.&P.C.for this reason 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.
Date: Owner: 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
CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued(Sec.3097,Civ.C.). city and co ordinances and state laws relating to building construction, eby authorize representatives
of thi unty to enter upon thea ove-mentioned pr y for inspec' purposes. r
Lender's Name: \ -
Date: ($i ure(Applicant or Agent):
Lender's Address:
LQPERA11T -
Application Number 06-00003198
Permit . . . BLDG POOL PERMIT
Additional desc .
Permit Fee . . . . 198..00 Plan Check Fee 128.70
Issue Date . . . . Valuation . . . . 18276
Expiration Date 2/27/07
Qty Unit Charge Per Extension
BASE FEE 45.00
17.00 9.0000 THOU BLDG 2, 001-25, 000 153.00
----------------------------------------------------------------------------
Permit . . MECH POOL
Additional desc .
Permit Fee . . . . 26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation 0
Expirat4Dn Date .. 2/27/07
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 2/27/07
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 2/27/07
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
ti
Application Number . . . . . 06-00003198
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee. 15.00 Plan Check Fee .00
Issue Date Valuation . . . . 224
Expiration Date 2/27/07
Qty Unit Charge Per Extension
BASE FEE 15.00
---------------=------------------------------------------------------------
Special Notes and Comments
POOL/SPA, 14 L.F. 3 ' WALL CITY
STANDARD. ALARMS/BARRIERS SHALL BE IN
PLACE AT PRE-PLASTER INSPECTION.
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 317.00 . 00 .00 317.00
Plan Check Total 154.70 .00 .00 154.70
Grand Total 471.70 .00 .00 471.70
LQPERMIT
it
sidewalk
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UMB
4 ft.10 in.
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2
.9" deeep
10 ft.6 in.
patio tcagle� res�dewts
CITY OF LA QUINTA
BUILDING &SAFETY DEPT
sOR&O Calle azul APPROVED
qutwta FOR CONSTRUCTION
Puerta azul
42 in. DATE—!- 31 O(0 BY ,
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Bin # City of La Quinta *4
Building 81 Safety Division
Permit# P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: — 8 C-(Ice 2 U Owner's Name:
�-A�t_vz1�
A.P.Number: Address: �8 U,S(DG (:,--; I C-1 ) ZJ 1
Legal Description: SSW nn��Vic cQ (� City,ST,Zip: LA
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Contractor: A C 5 Telephone: Ll g'?
Address: --{ 2 1 ( tom P •C Project Description: .Sw�, ;• J P-1 S ,�
City,ST,Zip: �-0 Qj ?2c3
Telephone: g —Ca`��'v
State Lic.#: to Q b City Lic.#:
Arch.,Engr.,Designer:
Address:
City,ST,Zip:
Telephone: Construction Type: Occupancy:
State Lic.#: Project type(circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq.Ft.: #Stories: #Units:
c4
Telephone#of Contact Person: Estimated Value of Project: !�;:co
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'd TRACKING. 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 2nd Review,ready for corrections/issue Electrical
Subcontactor List Called Contact Person Plumbing
Grant Deed Plans picked up S.M.I.
H.O.A.Approval Plans resubmitted Grading
IN HOUSE:- ''d Review,ready for corrections/issue Developer Impact Fee
Planning Approval Called Contact Person A.I.P.P.
Pub.Wks.Appr Date of permit issue
School Fees
Total Permit Fees
200
' 214