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RPL (06-2519)
77662 Avenida Madrugada 06-2519 P.O. BOX 1'504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: X06=00002519 Property Address: 77662 AVENIDA MADRUGADA APN: 773-340-058-58 -14496 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 24000 Tiht 4 4 w Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------7------------------------------ 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 of the Business and Professionals Code, and my License is in full force and effect. License Class: C53 LicenseNo.: 837648 ate: lD•- 7ontractor:iA jL'e OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I 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 ($500).: (_ 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 _ 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 (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: JOHN & KASEY HANSEN 77622 AVENIDA MADRUGADA VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/29/06 LA QUINTA, CA 92253 De C Contractor: JUL 1 2006 FREELAND, TRIDON G. 48869 PARADISE AVENU CIT ®F LA QUINTA MORONGO VALLEY, CA 92256 FINANCS. DEPT. (760)363-7400 Lic. No.: 837648 ----------------------------------------------- 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 Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier EXEMPT Policy Number EXEMPT 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 Code, I sh II forthwith comp y with those provisions. Ke plicant:' WARNING: FAILURE TO SECUR WORKERS' 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 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 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 construction, and hereby authorize representatives of this county to /,4! enter upon the above-mentioned property for ins tion purposes. op ate: ry a - (Applicant or Agent): Application Number . . . . . 06-00002519 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 243.00 Plan Check Fee 157.95 Issue Date . . . . Valuation . . . . 24000 Expiration Date 12/23/06 Qty Unit Charge Per Extension BASE FEE 45.00 22.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 198.00 Permit ELEC POOL PERMIT -RES Additional desc . Permit Fee 45.00 Plan Check Fee 11.25 Issue Date Valuation . . . . 0 Expiration Date 12/23/06 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 . . . . 30.00 Plan Check Fee 7.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/23/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 1.00 3.0000 ---------------------------------------------------------------------------- EA PLB GAS PIPE 1-4 OUTLETS 3.00 Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION.EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited ----------------- Due ---------- Permit Fee Total ------------------------------ 318.00 .00 .00 318.00 Plan Check Total 176.70 .00 .00 176.70 Grand Total 494.70 .00 .00 494.70 LQPERMIT # 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.# IGJ Q Project Address: "? (p Owner's Name: A. P. Number: Address: -7 vYtLe Legal Description: Contractor: t , . oTfl x City, ST, Zip: f Telephone: P Address: f g c Project Description: Pa 01 City, ST, Zip: /c,//e>7 L 2 z Telephone: State Lic. # : g 3 City Lic. #: Arch., Engr., Designer: L G. t T SS Address: tlez4, City, ST, Zip: A f Telephone: - _ p ( D State Lic. #: Name of Contact Person:p r L T / Lc2 Construction Type: PCL,( Occupancy: Project type (circle one):ew Add'n Alter Repair Demo Sq. Ft : # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project:& L © D APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING . PERMTT 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 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 correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue ,kcffool Fees Total Permit Fees 06/19/2006 11:35 7605648418 SANTA ROSA COVE PAGE 01 June 19, 2006 John R. Hansen 1080 Continental Drive Menlo Park, CA 94025 .Re: 77-662 Avenida Madrugada Dear Mr. Hansen, Your arcbitecttual request dated May 21, 2006 for the installation of a Spa and Pool with swin jets bias been approved with the following stipulations- • Actual modification must conform to the plans and specifications submitted and approved. • Pool and Spa must be connected to the individual owner's domestic water supply. • Competent and licensed professionals shall do all work in a workmanlike manner. • All worm is to lie in compliance with local building codes and ordinances. • All electrical wiring, if applicable, must be bontained within approved conduit painted to match the surface it contacts. • Any damage to the common area resulting from this modification and its construction shall be repaired at the Owner's expense. • If a construction bin is rented through Waste Mmagemout it trust be beige at color and stored, if possible, in the garage. 'I'hc consmicem bin must be kept lucked. All CODsttucctiam debris is to be removed from the site by the close of each day to maintain order and retain the aesthetics of the Santa Rosa Cove. • PHOF to the cattmrencenment Of any work the contractor and their subcontractor(s) must provide the Association proof of workee s comp, liability and auto iuxw=ce; nwning the Anociation as additionally imared. • PrMr to the ao:amnemanent of any work you or your coiaputctor must provide the names of the soheduled wc)*Men to the security guards at the Mazatlan pate, (564.-5414). • prior to the comm"Cement of arty work your contractor must road and sign the Association's Contractor .Rules, which has been supplied to them. . Please contact the Association office once Yom modifications are cotnplete for a final inspection. A copy of the approved variance will be mailed to you after the inspection. If you bave any questions, please call. Very V*e lat'I itta Fnriqum Association Manager On Bebalf of the ArdiitechxA Coomittee THE SANTA ROSA COVE ASSOCIATION 49-99x Zeenbower'Drive La Quints, Califorzda 91153 (760) 777-7641 Fax_ C760) 564 - 8418 Mailing Address: Pot ofoe Bux 18980 SlWAD"'IQ AVYE7SSOCIAOV Palm Deswt,(14ifomia9a155 S Post-it® Fax Note 7671 Date / 8 .p 7 pages ► r To From Co./Dept. Co. Phone # ` ; Phone -# -7,, - -7 O F5 41 Fax # -7-71— 1 1 I Fax # AV 1 Y OF LA QUINTA SUB -CONTRA TOR LIST JOB ADDRESS —C CaZ r'rV ,i i0{A + IGCLt99%NUMBER OWNER BUILDER 1 This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authoriz d to work on this job. Any changes to this list must be approved by the Building Division prior, to commencement of work. FailW to comly will result in a stoppage of work and/or the voidance of building permit_ For each applicable trade, all information requested below must be completed 6v annlicant_ c JFiEp" ioz nor an ar-rpntatilo i Trade / Classification Contractor State Contractor's License l llorkers Co ensatiast Insurance Cit Business License Company Name Classification. (e.g. Ar B, C-81 License Number (xxxxpxgxl Exp. Date fxx/xxlxx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date License Number (xxxx) Exp. Date (xx/xxlxxl EARTHWORK (C-12) `` I/ Va rro `nim5ho !lxx/xx/xx) CONCRETE fC-8) ( ,S c O 252pC,o C- _ s I o S 6 va o 1 Ol dl 0( 2 i STRUCT. STEEL fC-5t1 -. b?j d 3r ` 2g06 2J4 410 CP U(btoq (11A; Qrl MASONRY (C-29) PLUMBING (C-361 LATH, PLASTER (C-35) `'— DRYWALL IC -91 HVAC (C -201 - ELECTRICAL (C-10) -6yO 2& I`76 31 ROOFING (C-39) SHEET METAL (C431 FLOORING IC -15) GLAZING (C-171 INSULATION (C-2) SEWAGE D)SP. (C-02) PAINTING (C-33) CERAMIC TILE; (C-541 CABINETS IC -61 FENCING -IC -131 LANDSCAPING (C-271 POOL (C-53) TyY C $ fig Jr of - 0, 0 3 0 3 T 0 0 N v a n 0 3 C+ 0 3 7 D X z 0 G) G U m U m m ti s= 3 N OD N m M CT) m m A OD U 3 r \ FRONT ENTRY ,,,0--22'10 i ---- DESIGN BY; 5p TRIDON POOL AND SPA CONSTRUCTION 3.5" AVER 48869 PARADISE AVE. MORONGO VLY.. CA. 92256 r wIDE COPING OFF/FAX 760"363-7900 20'10 j 640-1,- ! 7'1 POOL 5'XW SPA 5'X6' 5' PER 38 LF. PER 22 LF. AREA 70 S.F. AREA 30 S.F. ` 6'UEl 3'0 3.5' 0 2T 2' - - - - - -' J SCALE 1/8"4' 3'9 SWIM JETS GARAGE DOO r 8'6 COURTYARD © EQUIPMENT RESIDENCE. M JOHN & KATCY HANSEN 77662 AVD. MADRUGADA 14'8 LQ. SANTA ROSA COVE a IIS GUEST QUARTERS GARAGE ". h --TY OF LA QUINTA 1, BUILDING & SAFETY DEPT. APPROVED FG i CONSTRUCTION