RPL (09-1059)61362 LIVING STONE DR
09-1059
Owner: MORRIS
APN: 764-280-999-193 -300236- 61362 LIVING STONE DRIVE
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 18000
Contractor:
Applicant: Architect or Engineer: TESERRA
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
,1 Q Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/05/09
— — — — — — — — — — — — — — — — — — — — —X— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
NI-ICENSED C TOR'S D • LARATION
I hereby affirm under penalty of perjury that lic er ovis' sof Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and P Is my License is in full force and effect. -
License Ci s: C , 27, 2 / 656128'
ate: nvactoc
If OWN -BUILDER DECLARATION
I hereby, affirm under penalty of perjury that I am ex pt from the Contractor's State License Law for the
following reason ISec. 7031.5, Business and P ofe ions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair n tructure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or 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 1$5001-:
(_ 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 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 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 ISec. 3097, Civ. C.).
Lender's Name: i
Lender's Address
LQPERMIT
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.
Y� 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 po is bar are:
Carrier SEABRIGHT PSI' y Number BB1080510
I certify that, in th erformance of the for which is permit is issued, I shall not employ any
person in any man r so as to be t t workers' compensation laws of California,
that, f I sho eco o r ers' co pensation provisions of Section
�44WE.:cant:'
e Labor Code, I s i y 't provisions.
IP,il
te:
WARNING: FAILURE TO SECURE RKER COMP SATION COV RAG - S,UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIM NAL P ALTIE NO CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO HE T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, I T ST, 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 benefitwork is performe r or pursuant to any permit issued as a result of this application,
the owner, and the applicant, ea afire to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents a emplo as for any act or omission related to the work being
performed under or following issuance this ermit.
2. Any permit issued as a result of this applic n comes n 11 and void if work is not commenced
within 180 days from date of issuance of suc mit, o sation of wo for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the abov 'on i or . I agree to comply with all
city d county ordinances and state laws relating to building n u r y authorize representatives
o is co t t pon a above-mentioned property r' p
Date: Si ture (Applicant or Agent):
r
Application Number . . . . . 09-00001059
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . .
189.00 Plan Check
Fee
122.85
Issue Date . . . .
Valuation
. . .
. 18000
Expiration Date
4/03/10
Qty Unit Charge
Per
Extension
BASE FEE
45.00
16.00" 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
144.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee
26.00 Plan Check
Fee
6.50
Issue Date
Valuation
. . .
. 0
Expiration Date
4/03/10
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
4/03/10
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
4/03/10
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
. . . . . . WALL/FENCE PERMIT
LQPERMIT
Application Number 09-00001059
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 17.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 541
Expiration Date 4/03/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 2.0000 HND BLDG 501-2,000
2.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA, FIREPIT, 25 L.F. 54" EQUIPMENT
ENCLOSURE, CITY STANDARD.
ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION. 2007 CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
---------- ---------- ---- ----- ----------
Due
-----------------
Permit Fee Total 310.00 .00 .00
310.00
Plan Check Total 148.85 .00 .00
148.85
Other Fee Total 1.00 .00 .00
1.00
Grand Total 459.85 .00 .00
459.85
LQPERMIT
Biri # .
City' of La QUinta
Building U Safety Division
P.O. Box 1504, 78-.495 Calle Tampico .
La Quinta, GA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: �f /� 2 G���j7
Owner's Name: WA I -S
A. P. Number:
Address:
Legal Description: e il- 40- .% G�iL 15�1
Contractor:�� a4
City, ST, Zip:
Telephone:
Address: 9(o-100 A 1/62--
Project Description:
City, ST. ST, Zip: CD = (2A- f7— 7-3
1
-/ h
Telephone: 3�if �iZLL
State Lic. # : City Lic. #:
Arch., Engr., Designer:
AI0C16t-0Q
Address.
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair. Demo
Sq. Ft: 3f # Stories: # Units:
Name of Contact Person: <_
Telephone # of Contact Person:.
gg
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
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
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted .
Mechanical
Grading plan
21" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.1
HOA. Approval:
Plans resubmitted
Grading
IN ROUSE:-
''" Review, ready for correctionsTssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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