BLCK (10-0107)61625 Living Stone Dr
10-0107
Application Number: 10--00000107
Property Address: 61625 LIVING STONE DR
APN: 764-280-999-19 -300236-
Application description: WALL/FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 192
Applicant: C-� .Architect or En i eer:
P
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed unde provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busines- and Professions ' ode, and my License is in full force and effect.
License Cl s: C13 C53 c nseNo.: 935936
-Dat Contractor:
-BUIL ER DECLARATION
I hereby affirm under penalty of perjury that I mpt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and offessions 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 ($5001.:
(_) 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 am exempt under Sec. , BAP.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:
WOODS RESIDENCE
61-625 LIVING STONE DRIVE
LA QUINTA,. CA 92253
Contractor:
CLASSIC POOLS & SPAS
79461 AVENUE 40TH
BERMUDA DUNES, CA 92203
(760)413-4867
Lic. No.: 935936
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
l�
I
Date: 2/16/10
FEB 1 2610
C'
rr•. —01F LA � J� iia
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier NATIONAL INS Policy Number 200090117388
I certify that, in the performance of the wo for which this permit is issued, I shall not employ any
person in any manner so as to become bject to the workers' compensation laws of California,
and agree that, if I should come s je t to the workers' compensation provisions of Section
3 `0((0 of the Labor Cod I all fo wi comply with those provisions.
JLA
Date: V Applicant. -,
WARNI F (LURE TO SECURE WORK COMP NSATIONCOVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL E ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO HE 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 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 oid if work is not commenced
within 180 days from date of issuance of such permit, or cessati in of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the aboJec
on i correct. I agree to comply with all
city and co u ty.ordinances and state laws relating to Willing , an hereby authorize representatives
of this coun toe ter upon the above-mentioned pro for purposes.
Date: USignature (Applicant or Agent):
:.Application Number . . . . . 10-00000107
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Additional desc
4
f
Permit.Fee. . . .
. 15.00 Plan Check Fee
.00
Issue Date . . .
:.Application Number . . . . . 10-00000107
.Permit . .
. WALL/FENCE PERMIT
Additional desc
Permit.Fee. . . .
. 15.00 Plan Check Fee
.00
Issue Date . . .
.. Valuation . . .
. 192
Expiration Date
8/15/10
Qty Unit Charge Per
Extension
BASE FEE-
15.00
Special Notes and
------------------------------------------
Comments
4FT HT X 12 IN FT
BLOCK WALL/BENCH PER
CITY STANDARDS & APPROVED PLANS.
-
Other Fees
-----------------------
BLDG STDS ADMIN (SB1473)
------------
1.00
Fee summary
-----------------
Charged Paid Credited
----------
Due
Permit Fee -Total
------------------------------
15.00 .00 .00
15.00
Plan Check Total
.00 .00 .00
.00
Other Fee Total
1.00 00 .00
1.00
Grand Total
16.00 .00 •.00
16.00
f
nr
Bin #
p ..,
City of La -Quints
Building at Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:
Owner's Name:
A. P. Number:
Address: e -
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
Address:
Project Description:
City, ST, Zip:
Telephone:
State Lic. # : City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: , ,
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: �j — y (e�
Estimated Value of Project: 5-W `—
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
Energy Calcs.
Plans bicked 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
i
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d 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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GAS METER
ELEC.
PANEL
Landscaping 1
(760) 345-8302
Lic. # C 53-935936
THESE PLANS, DRAWINGS AND SPECIFICATIONS ARE NOT TO BE REPRODUCED,
CHANGED OR COPIED IN ANY FORM OR MANNER WHATSOEVER WITHOUT THE
EXPRESSED WRITTEN CONSENT OF CLASSIC POOLS/SPAS
NAME: WOODS RESIDENCE
ADDRESS: 61-625 LIVING STONE DRIVE
CITY: LA QUINTA, CA 92253
PHASE; - TRACT: - L❑T# -
PLANT LEGEND
PALMS
5YM. NAME
511E QTY. C0MMENT5
Q GH Ghamaerops humllls
24' Box 4 Multi
Mediterranean Fan Palm
IA R Pinhingtonla robusto
see plan 6 Not Skinned
-• T
.Mexkcm-Fan-Palm _..
SHRUBS
SYM. NAME
SIZE G?TY. GOMMENT5
®BLO Bougainvillea 'Oh -La -La'
5 gal. I Magenta
Bougainvillea
<
GAP Goeselpinla pulcherinmo
5901. 3 Orange
Red Bird of Paradise
+ GBB Garissa grandlflora 'Boxwood Beauty'
5 gal. 7
Boxwood Beauty Natal Palm
.•
OH HH Hemerocallls hybrid
I gal. 28 Yellow
Day Lily
Oz MB Morea iris
1901. 13 mite
Fortnight Lily
ONo Nandlna domestica 'Compacta'
5 gal. 17 Mite
Gompact Heavenly Bamboo
ESPALIERS 3 VINES
5YM. NAME
SIZE QTY. GOMMENT5
BBK Bougainvillea 'Barbara Karst'
5 gal. 16
p Bougainvillea
DOOR GROUND COVER5
5YM. NAME
SIZE QTY. GOMMENT5
>•,rb 3/8' - 'Apache Brown'
DG, 2 inches thick in all planters
ATE
NOTE: ALL QUANTITIES ARE FOR ESTIMATE
PURPOSE ONLY,
. _
CONTRACTOR TO VERIFY QUATITIES.
GAS METER
ELEC.
PANEL
Landscaping 1
(760) 345-8302
Lic. # C 53-935936
THESE PLANS, DRAWINGS AND SPECIFICATIONS ARE NOT TO BE REPRODUCED,
CHANGED OR COPIED IN ANY FORM OR MANNER WHATSOEVER WITHOUT THE
EXPRESSED WRITTEN CONSENT OF CLASSIC POOLS/SPAS
NAME: WOODS RESIDENCE
ADDRESS: 61-625 LIVING STONE DRIVE
CITY: LA QUINTA, CA 92253
PHASE; - TRACT: - L❑T# -