RPL (09-0430)60910 Living Stone Dr
09-0430
Application Number: i'_09 -00000430 -
Property Address: 60910 LIVING STONE DR
APN: 764-270-999-122 -300234-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 17000
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
GARY
60910 LIVING STONE DRIVE
LA QUINTA, CA 92253
Dry 14
U MAY � rt'actor:
Applicant: Architect or Engineer: 1 1 2n®n QY & SONS
VOICE (760) 777-7012
FAX (760) 777-701.1
INSPECTIONS (760) 777-7153
Date: 5/08/09
Q ' -21 CACTUS APPLE
$ERT HOT SPRINGS, CA 92241
��1t1<9 fs ti c�::if'
•,��<,;,..�„ NT ( 60) 251-8945
C. No.: 866518
1�
LICENSED CONTRACT R'S .DECLARATION _ WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I m licensed and rovisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business d Professional de, 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 CI s: C53 is se No.: 866518 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
ate•ontractou _ 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
0 NER-BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I a exempt from the Contractor's State License Law for the Carrier DELOS INS CO Policy Number 02DKRM220010101
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in t4RKER
ance the work for whic this permit is issued, I shall not employ any
.construct, 'atter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any as t ecome subject to a 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 nd gree thatId be me subject to he orkers' compensation provisions of Section "
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or. 37 0 of the L, I II forthwith c mp with thoseprovisions.
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).: te: A canI, 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 WAR NG: AIL E TO SECKERS' C PENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors', State License Law does not apply to an owner of property who builds or improves thereon, SUB ECT N EMPLOYER TO PEN ES 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 ADO TH 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 I, 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
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
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 wor for 180 days will subject
permit to cancellation.
I certify that I have read this application and state Atheabformation is correc .1 agree to comply with all
city and coun or finances and state laws relatingruction, and hereb authorize representatives
of this count to nter upon the above-mentioned ction
ate: A,ASi ature (Applicant or Agen
Application Number
I. . . . 09-00000430
Permit . . .
BLDG POOL PERMIT
Additional desc.'
Permit Fee . . . .
180.00 Plan Check Fee
117.00
Issue Date . . . .
Valuation . . .
. 1.7000
Expiration Date
11/04/09
Qty Unit Charge
Per
Extension
BASE FEE
45.00
15.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
135.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50,
` Issue Date . . .
Valuation
0
Expiration Date
11/04/09
A
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
11/04/09.
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
11/04/09
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 . . . . 09-00000430
Permit .WALL/FENCE PERMIT
Additional desc .
Permit Fee 15.00 Plan Check Fee
'. .00
Issue Date . . Valuation . . .
. 160
Expiration Date 11/04/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
- ----------------------------------------------
Special Notes and Comments
POOL/SPA, 10 L.F. 4' EQUIPMENT
ENCLOSURE, CITY STANDARD.
ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION.
-----------------------------------------------------------------------------
Other Fees . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
Due
----- ---------- ---------- ----------
Permit Fee Total 299.00 .00 .00
299.00
Plan Check Total 143.00 .00 .00
143.00
Other Fee Total 1.00 .00 .00
1.00
Grand Total 443.00 .00 .00
443.00
Bin #
Permit #
N J�
Project Address:
City of La. Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 CalleTampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Q I Owner's Name: /
de .
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone• ZO(o
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Address:
Project Description:
City, ST, Zip:
4
Telephone . -7 ' �3 r �O
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in\i�•'r.i:4:t+[i4i'iY +'i)':{fi'i;{Yj'i'v'.:'i•g
State Lic. # C
Arch., Engr., Designer:.
City Lie. #•:
P+R t
Address:
City., ST, Zip:
Telephone:
State Lic. #c;"'•:`:`:«>'::>;;;::;.;:
#•':::r:. ;`:;;.;: .:><
Construction Type: Occupancy:
Project type (circle one): New _ . Add'n Alter Repair Demo
Name of Contact Person:.
Sq. Ft.:
#Stories:
# Units:
Telephone # of Contact Person: V/ y c-
Estimated Value of Project:17UUv --
APPLICANT: DO NOT WRITE. BELOW THIS LINE
#
Submittal
Req'd
Recd
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
Title 14 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up_
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'rd Reyiew,.ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date,of permit issue
School Fees
i
Total Permit Fees