RPL (09-1101)61482 Living Stone Dr
09-1101
Application Number: 09-00001101 '
Property Address: 61482 LIVING STONE DR '
APN: 764-280-999-188 -300236-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 31000
Applicant: Architect or Engineer:
-----------------------
I hereby affirm under penalty of perjurytt t I 'm licensed
Section 7000) of Division 3 of the Busi s d Professic
License Class: C13-053
ate: Q ntractor:
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' 4t - 4's (fv Q"
BUILDING & SAFETY DEPARTMENT.
BUILDING PERMIT
---------------- -------
VS DECLARATION
visions of Chapter 9 (commencing with
, and my License is in full force and effect.
No.: 935936
�`O UILDER DECLARATION
I hereby affirm under penalty of perjury that I am e _ pt from the Contractor's State License Law for the
following reason ISec. 7031.5, Business and Pr ssions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair a 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 (55001.:
(_ 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 ISec. 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 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec.
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 contractorls) 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: A
Lender's Address: 1
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/15/09
Owner:
SWEET
61842 LIVING STONE DRIVE
LA QUINTA, CA 92292
LHC
g Contractor:
CLASSIC POOLS &79461 AVENUE 40BERMUDA DUNES,(760)413-4867
Lic. No.: 935936
--------------- - - -
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
kb issued.
I have and will maintain workers' compensation insurance, required by Section 3700 of the Labor
Code, for the performance of the work for which this mit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier NATIONAL INS Policy Number 0 090117388
I certify that, in the perfor an a of the work for w ch is permit is issued, I shall not employ any
person in any manner, a to become subject th workers' compensation laws of California,
and agree that, if I s Id come subject to a wo kers' compensation provisions of Section
3.700 of the„Labor C , I hall forthwith co ply with those provisions.
WARNING: FIAILURE TO SECURE WORKERS' Op ENS§ATION RAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PEN ES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND '
DOLLARS ($100,000). IN ADDITION to TlIft 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 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 Quints, its officers, agents and employees for any act or omission relate 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 wo is not commenced
within 180 days from date of issuance of such p rmit, or cessation of 'or for 180 days will subject
permit to cancellation.
I certify that 1 have read this application and state that the ab a information is c rec . I agree to comply with all
city and co my ordinances and state laws relating to bu in onstruction, and ere authorize representatives
of this cou ty to enter upon he above-mentioned prop for nspection purp es.
Date: nature (Applicant or Agent): ._
V •,
Application Number .
. . . . 09-00001101
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Feb
291.00 Plan Check Fee
189.15,
Issue Date . . . .
Valuation . . .
. 31000
Expiration Date
4/13/10
Qty Unit Charge
Per
Extension
BASE FEE
252.00 -
6.00 6.5000
------------ ----------------------------------------------------------------
THOU BLDG 25,001-50,000
39.00
PermitMECH
POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . .
0
Expiration Date
4/13/10
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 .'
4/13/10
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
4/13/10
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
Permit . . . . . ..
WALL/FENCE PERMIT
LQPERMIT
LQPERMIT
Application Number . . . . . 09-00001101
Permit WALL/FENCE PERMIT
Additional desc.
Permit Fee . . . . 15.00 Plan Check
Fee
.00
Issue Date . . Valuation
. . .
192
Expiration Date 4/13/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
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Special Notes and Comments
POOL/SPA, BBQ ISLAND (INDLUDES 60 L.F.
3/4" GAS LINE), 12 L.F. 4' EQUIPMENT
WALL, CITY STANDARD. ALARMS/BARRIERS
SHALL BE IN PLACE AT PRE -PLASTER
INSPECTION, 2007 CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
2.00
Fee summary Charged Paid Credited
Due
Permit Fee Total 410.00 .00
.00
410.00
Plan Check Total 215.15 .00
.00
215.15
Other Fee Total 2.00 .00
.00
2.00
Grand Total 627.15 .00
.00
627.15
Bin #
City of La Quin'
Building 8l• Safety Division
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
permit #P.O.
Project Address: .
Owner's Name:
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A. P. Number: t-�g
A ress: U^
Legal Description:
City, ST, Zip:
Contractor:
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Telephone: >?:�t�':~o"�"�,L;:r.'•.�:
Address: e
Project Description: UU
City, ST, Zip:t
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Telephone: 3 —0 001—
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State Lic. # : %
City Lic. •#.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
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Construction T e:
Type: Occupancy:
. State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: nq
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 1 �j
Estimated Value of Project: UCS
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 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°° Review, ready for co rrectionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'n° Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date or permit issue
School Fees
Total Permit Fees
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DAT D BY .!a
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