RPL (10-0237)61434 Living Stone Dr
10-0237
Application Number: 10-00000237:
Property Address: 61434 LIVING STONE DR
APN: 764-280-999-190 -300236-
Application description: POOL -.RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 22000
Applicant: Architect or Engineer:
dv
D CONTRACTOR'S DECLARATION
hereby affirm under penalty of perju I a licensed under provisions of Chapter 9 (commencing with
Section 700) of Division 3 of the Bus Professionals Code, and my License is in full force and effect.
Licens&CI s: C53 License No.: 658996
Pde.`t+tJ Contr r:
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 rofessions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair y structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or sh is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with S tion 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the ba is for the alleged exemption. Any violation of Section 7031.5 by
any'applicant for a permit subjects the applicdAt to a civil penalty of not more than five hundred dollars ($500).:
(_ ) 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. 704,4, 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 br 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.).
(_ 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:
�11 _
Lender's Address: ' ll
LQPERMIT
Date: 3/23/10
Owner:
ELLIOTT
61434 LIVING STONE DRIVE
LP, QUINTA, CA 92253
Contractor:
FAMILY POOLS CON UCTION
P O BOX 283
LA QUINTA, CA 9 d
(760)564-3655
Lic. No..: 6589 h
A �3 ?opo i
-- -- - -------
Flea'
---- -- - - -- --
WORKER'S - - ----
I hereby affirm under penalty of perjury one of the followings
I have and will maintain a certificate of consent to self -ins r workers' c mpensation, as provided
for by Section 3700 of the Labor Code, for the performance o or for which this permit is
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance qt-tOe work for which this permit is issued. My workers' compensation
insurance carrier and oolic nJ umber are:
Carrier 5'fA'1'Y: Y'UNll
I certify that, in the performa ce
*G:
erson in any manner s o
agree that, if I sh b co
0 of the Labor C de,
A licant: \
E TO SECURE WORKERS'
SUBJECT AN EMPLOYER TO CRIMINAL PENA
DOLLARS ($100,000). IN ADDITION TO THE
SECTION 3706 OF THE LABOR. CODE, INTERI
er 1344032-2009
trk for which this permit is issued, I shall not employ any
subject to the workers' compensation laws of California, "
act to the workers' compensation provisions of Section
th,pomply with those provisions.
MPENSATION COVERAGE IS UNLAWFUL, AND SHALL
ES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
,ST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
, 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 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 applicatio a omes null and void if work is not commenced
within 180 days from date of issuance of suc pe it, or tion of work for 180 days will subject
permit to cancellation. ,
I certify that I have read this application and state that the information is correct. I agree to comply with all
cityAndicnty ordinances and state laws relating to b g nstruction, and hereby authorize representatives
of tI n1ltle�Zrupon the above-mentioned pr i pection purposes.
Dat ISignatureopplicant or Agent)•
Application Number 10-00000237
Permit . . .
BLDG POOL PERMIT'
Additional desc .
Permit Fee
225.00 Plan Check
Fee
146.25
Issue Date
Valuation
. . .
. 22000
Expiration Date
9/19/10
Qty Unit Charge
Per
Extension .
BASE FEE'
45.00
20.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
180.00
Permit . . . MECH POOL
Additional desc
Permit Fee
26.00 Plan Check
Fee
6.50
Issue Date . .
Valuation-
0
Expiration Date
9/19/10
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
9/19/10
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
27.00 Plan Check
Fee
6.75
Issue Date . . . .
Valuation
. . . .
0
Expiration Date
9/19/10
Qty Unit.Charge
Per
Extension
BASE FEE
15.00
1.00 6.0000
EA PLB FIXTURE
6.00
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'
-------------- -------------------------------------------------------------
Special Notes and Comments
SPA - ALARMS/BARRIERS
SHALL BE IN PLACE
LQPERMIT
Application Number . . . . .
10-00600237'.
Special Notes and Comments
AT PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED. 2007
CODES.
-------------------------------------------------------------------
Other Fees . . . . .
BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged
Paid
Credited
Due
Permit Fee Total 323.00
.00
.00
323.00
Plan Check Total 170.75
.00
.00
170.75
Other Fee Total 1.00
.00'
.00
1.00
Grand Total 494.75
.00
.00
494.75
LQPERMIT
Bin # Qty of La Quinta
Building 8r Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampido
I}� La Quinta, CA 92253 - (760) 777-7012
1�' �`✓ Building Permit Application and Tracking Sheet
Project Address: Owner's Name:
A. P. Number: Address: 6
i.e�al Description: City, ST, Zip: Qki Z
Contractor /�i�h/ i mepnone: ,»:< s>s> ::;: ;z<:: <:: «:< :::'s:;; :<;
Address:. U, Project Description: _
City, ST, Zip: [� 6/_//!
State Lie. # : City Lie. #:
Arch., Engr., Designer:
Address:
City., ST, Zip:
..:;;:.:•:.,; .,::.<:;::.:;,..:•; Construction Type: Occupancy:
Telephone:,:<:,>:::•�:>::>;:::>�;•<.>.:•::•;:::;,. •::•:::>::::::::<>srs:
is i4�::j<C$•i'i'i.`•in i::�X:'t:�ti}`COv.
<:{:»><>> :<:':<>%'>: "K< Project type (circle one): New Add'n Alter Repair Demo
State Lie. #: ;...:;:•::::::;.;:.>::;:::>::::•:>:: J
Name of Contact Person: Sq. Ft.: # St #Units:
Telephone # of Contact Person: Estimated Value of Project:zo
APPLICANT: DO NOT WRITE BELOW THIS LINE•' >
#
Submittal
Req'd
Recd
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
1 I Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2 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
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