RPL (06-0728)60940 Living Stone Dr
06-0728
Application Number:
�06-_00000728
Property Address:
60940 LIVING STONE DR -
APN:
764 -270 -999 -119 -300234 -
Application description:
POOL - RESIDENTIAL
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
23000
Applicant:
Architect or Engineer:
4
ul�cv
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 ofthe Business Cd Professionals Code, and my License is in full force and effect.
License Class: CC�8�yC27 C29 1 License No.: 656128
te2 / "" o: -Z- ntractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 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 (5500).: '
1 _ 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.). -
(_) 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: ,
LQPERMIT
Owner:
WEST
60-940 LIVING STONE DR
LA QUINTA, CA 92253
Contractor:
CALIFORNIA POOLS &'SPAS'
P.O. BOX 1280
COACHELLA,,.CA 92236
(760)398-9222
Lic: No.: 656128
.i
VOICE (760) 777-7012 t.r
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/17/06
--------------------------------------r---------
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
�i Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier HRH INS Policy Number BB1060516
I 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 the workers' compensation provisions of Section
3700 of the Labor Co I ILforthwith comply with those provisions.
Ile? —Z v7 ��ApplicanY '
WARNING: FAILURE TO SECURE WORKER '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 dr 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 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 building ruction, and hereby authorize representatives
of this
county to enter upon the above-mentioned propert ecti n purposes.
Dated c— T>ignature (Applicant or Agent):
ApplicationNumber
06-00000728
Permit . .
BLDG POOL PERMIT
Additional desc .
` Permit Fee234.00
Plan Check Fee
152.10
-Issue Date . . . .
Valuation .
. 22760
-, Expiration Date
8/16/06
Qty Unit Charge
Per
Extension
BASE FEE
45.00
21.00.' 9.0000
---------------------------------------------------------
THOU' BLDG 2;001-251000
189.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee
26.00 Plan Check Fee
6.50
Issue Date
Valuation . . .
0
Expiration Date ,.
8/16/06
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
8/16/06.
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
8/16/06
Qty Unit' Charge
Per.
Extension
BASE FEE
15.00
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.Q0•
----------------------------
----------------- -------.------,--------
----------
Permit . . . .
WALL/FENCE PERMIT
LQPERMIT -
-
Application Number . . . . . 06-00000728
Permit WALL/FENCE PERMIT
Additional desc .
Permit Fee 15.00,
Plan Check
Fee
.00 ,
Issue Date . .
Valuation
240
Expiration Date 8/16/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
Special Notes and Comments
POOL & SPA. 15 L.F. 4' EQUIPMENT BLOCK
WALL, CITY STANDARD. ALARMS/BARRIERS
SHALL BE IN PLAE PRIOR TO PRE -PLASTER
INSPECTION.
Fee summary Charged Paid
Credited
Due
Permit Fee Total 353.00
.00
.00
353:00
'Plan Check Total 178.10
.00
.00
178.10
Grand Total 531.10
.00
.00
531.10
LQPERMIT ' .
B'°
City of La Quinta
Building & Safety Division.
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit
0—
Project Address:} Z ! Liv S; E
Owner's Name: W oL. '�—,
A. P. Number:
Address: d_ 9 Y Q
Legal Description:
City, ST, Zip: (s , v -,--r
Contractor: \- �
Telephone:
� `+
Address:Y, LZ
Project Description:
City, ST, Zip:Gp0,C) l0, �.. 12-2. SG
TO
Telephone:760) 3/S'— 9 2 Z Z
wti c.�9
State Lie. # :G-56 ( 2. $ City Lie. #:
Arch., Engr., Designer:
L 8 it
C
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person: Nck_r_ -Nin Se s5 e
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo.
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 2 6-04JY. Z .2 -S 0 YY
Estimated Value of Project: Z
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG .
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 Cales.
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:-
'"' 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
LflT
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