RPL (08-1281)51880 Avenida Madero
08-1281
(;e4i t 4
P.O. BOX 1504 ^' VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/29/08
Application Number: 08-00001281 Owner:
Property Address: 51880 AVENIDA MADERO BOB VADEN
APN: 773-154-007-18 -000000- 51880 AVENIDA MADERO
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 D
Property Zoning: COVE RESIDENTIAL Q
Application valuation: 15000
Contractor: JUL 3 9
Applicant: Architect or Engineer: AZURE POOLS AND SPAS ?008
P.O. BOX 10641 C1TyOF
PALM DESERT, CA 9225
(760) 322-7665 RpyAN FD@p TTA
) r LiC. No.: 802919
------------------------------------------------------------------------------------=------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Bu ' sand Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
Lice e C 53 License No.: 802919 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
ate tractor: 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
OW ER-BUI ER CLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am ex a Contractor's State License Law for the Carrier DELOS INS CO Policy Number 01DKRM12002794
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to — I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, atter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manne as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I ho a%sub'ecto theworkers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 700 of the Labo ode hall foamply with those provisions.
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).: _ at ppticant
(_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 10
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
_ Pip,
LQPERMIT
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 t ve informatio 's correct. I agree to comply with all
city and county ordinances and state laws relating to b Idi n, hereby authorize representatives
of upon the above-mentioned proectio rp s
Date:T er
Si ure (Applicant or Agent):
Application Number . . 08-00001281
Permit . . .
BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . .
153.00 Plan Check Fee
99.45
Issue Date . . . .
Valuation . . .
. 13658
Expiration Date . .
1/25/09
Qty Unit Charge
Per
Extension
BASE FEE
45.00
12.00 9.0000
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THOU BLDG 2,001-25,000
108.00
Permit . . .
MECH POOL
Additional desc . .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
1/25/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
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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
1/25/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000
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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
1/25/09
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
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EA PLB GAS PIPE 1-4 OUTLETS
3.00
Permit . . . . . . WALL/FENCE PERMIT
LQPERMIT
Application Number . . . . . 08-00001281
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 33.00 Plan Check
Fee
00
Issue Date . . . . Valuation
. . .
. 1342
Expiration Date .. 1/25/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
9.00 2.0000 HND BLDG 501-2,000
18.00
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Special Notes and Comments
POOL/SPA, 38 L.F. 5' GARDEN WALL & 24.
L.F. 5- EQUIPMENT ENCLOSURE, BOTH CITY
STANDARD. ALARMS/BARRIERS SHALL BE IN
PLACE AT PRE -PLASTER INSPECTION.
Fee summary Charged Paid Credited
----------------- ---------- ---------- ----------
----------
Due
Permit Fee Total 290.00 .00
.00
290.00
Plan Check Total 125.45 .00
.00
125.45
Grand Total 415.45 .00
.00
415.45
LQPERMIT
ii a e 1
LIC# C-53, 802919
POOL SPECS
POOL SIZE: I F x 25'
POOL AREA: 265 SF.
?OOL PER: 76 FT.
?OOL DEPTH:
SPA SPECS
;PA SIZE: 6'
;PA AREA: 36 SF
'PA PER: 24 FT.
EQUIPMENT
'UMP:
ILTER:
[EATER:
'OOL LIGHT:
PA LIGHT:
FINISHES
)ECK AREA: 416 SF.
1 "=8' SCALE
BOB
V ADEN
4DDRESS: 51-880 AVENIDA MADERO
CITY: LA QUINTA
LOT #:
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Bin #
C, of
City La Quinta
Building a 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: 1Ave , r V \
Owner's Name: b
A. P. Number:
Address:,
Legal Description:
City, ST, Zip:
Contractor:
I GJ S
Telephone: q
Project Des cr t o : ' +
Address: gjo X- 1 4 l
City, ST, Zip: Q! `
Telephone: ?_Z . 1 [9
I
N 5 0 l
✓ i
State Lic. #City : Lic. #:
l
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: 1 I b
State Lic. #:
Name of Contact Person: IfSq.
Construction Type: Occupancy: Y
Project type (circle one): New Add'n Alter Repair Demo
Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 2,J 2 •
Estimated Value of Project:IN I
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
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"d 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:-
1rd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
15000
School Fees
3
3 b58
Total Permit Fees
m k \ lon" daW i -siru LAtra,' w i\-k ( P) C -f -