SOTB (06-2555)51304 Marbella Ct
06-2555
P.O. BOX 1504 ib
78-495 CAI;LE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ht 4 4 Q"
Application Number: 06-00002555
Property Address: 51304 MARBELLA CT
APN: 772-250-998-46 -31349 -
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2000
Applicant:
--------------- u Ifs
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 License No.: 614611
rDat
OWNER•B ILDER DEC E'
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).:
(_ I 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 1,
-
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 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: / If
Lender's Address: 94
LQPERMIT
Owner:
KLESSLER
51-304 MARBELLA CT.
LA QUINTA, CA 92253
Contractor:
MCINTYRE POOLS &
83695 AVENUE .45
INDIO, CA 92201
(760)342-3612
LiC. No.: 614611
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
SPAS, INC. V
Date: 6/29/06
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 HRH INS Policy Number C20060333601
I 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
3700of the Labor Codll forth th comply wi hose pro 'ions
Date:—Serea7/liPPlica -
WARNING: FAILURE TO SECURE WOR ERS' COMPENS TION 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 au rize representatives
of this county to enter upon the above-mentioned property for ' s ecti purposes.
Date4 Signature (Applicant or Agent):
Application Number . . . . . 06-00002555
Permit . . . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 45.00
Plan Check
Fee
29.25
Issue Date
Valuation
2000
Expiration Date 12/26/06
Qty Unit Charge Per
Extension
BASE
FEE
15.00
15.00 2.0000 HND BLDG
501-2,000
30.00
----------------------------------------------------------------------------
Special Notes and Comments
FIREPIT ONLY PER APPROVED PLANS
Fee summary Charged
-------------------------------------
Paid Credited
----------
----------
Due
Permit Fee Total 45.00
.00
.00
45.00
Plan Check Total 29.25
.00
.00
29.25
Grand Total 74.25
.00
.00
74.25
LQPEn11T
Bin f/
---------------- City of La Quina .
Building 8t Safety. Division
Permit P.O. Box 1504, 78.495 Calle Tampico
0& , y5 La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:
Owner's Namc:
A. P. Number:
/ Address:,
Legal Description:
City, ST, Zip: Z11- 1112,
Contractor:`
iv_
A Telephone:
Address: _ >:-<'>.:;>:>-;,ef>'.:''<`:;•>:
........:...:.
001
oe
City, ST, Zip: O Project Description:
Telephone: IZ €s >' 'zY}';'•:y%X 0A;•,',;.:;> s:z>;{: ::..:,//rte /
State Lic.
City Lic. #:
00
Arch., Engr., Designer:
Address! -
City, ,ST, Zip:
Telephone: ;q < 's: `:x . -dn j _
• • rE'JyN:`.•; 'Y^`F3 :f"'f"-'{ " 9!.•`hxi'S lij `%•?
F ,•fy<,•,•••••f;!.syx::.:: a,£;i ,'.;: ?
Construction Type:
State s ,, ,sjk; :;,, ., .;j,.,..G, Occupancy:
Lic. #:fF.:.f: ,:.:>3.; P y:
't^'!'t;''.;<do@?;^r•,.`, :f;;v;if j£i::: ProfCCt c circle one)'EewAdd'n .
Name of Contact Person: type Alter Repair Dcmo
Sq. Fl.: #S: #Units;
Telephone # of Contact Person:
Estimated Value of Project: '00Z6CL
APPLICANT: DO 'NOT WRI
Submittal TE BELOW THIS LINE
#
Re9'd Recd
'[ RAI.cKlNC PERMIT US
Plait Sets
Plan Check submitted
Structural Cates.item
Amount
' Reviewed, ready for corrections
Truss'Calcs. Plan Check Deposit
.Called Contac(Person
Title T4 Cates.. Plan Check Balance
Plans pieked'up
Flood plain -pian Construction
Plans resubmitted
Grading plan Mechanical
2" Review, ready for correctionstiissue
Subcontactor List Electrical
Called Contact Person
Grant Deed Clumbing
Plans picked up
H.O.A. A SM.l.
Approval Plans. resubmitted
IN IIOUSE:-Grading
Review eady for correctionsAssue*
Planning Approval A Developer lmpact Fee
Called Contact Person
Pub. Wks. Appr A.I.P.P.
Date of permit. issue
School Fees
7 )(at Permit Fees
T' ARTA
NESSLER RESIDENCE
FLAWV
ROMA