RPL (05-5582)51525 Marbella Ct
05-5582
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 .
Application Number: 05-,000~ 05 2
Property Address:. 51525—MARBELLA CT
APN: 772-250-998-58 -31349 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 25000
Ti"It 4.4-a"
Applicant: 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: C8 C27 C299LicenseNo.: 656128
ate: Contraefoor:
WNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that aexempt 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 1, 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.).
(_) 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 ISec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMTT
Owner:.
TOLL CA V
C/O KEVIN D DUERMIT
8901 E MOUNTAIN VIEW 200
SCOTTSDALE, AZ 85258
Contractor:
CALIFORNIA POOLS &
P.O. BOX 1280.
COACHELLA, CA 9223
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/29/05
SPA
6
D ® 0.
JAN 0 4 1005
CIT`! OF LA t UINTA
FIt01 Eur d1GIDY, _ _
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 SEABRIGHT INS Policy Number BB1050510
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
3700 of the Labor Code, I s rthwith comply with those provisions.
Date: K Applicant: !
WARNING: FAILURE TO SECURE WORKERS' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENAL IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,000). IN ADDITION TO THE C ST 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 cons ruction, and hereby authorize representatives
of this county too enter upon the above-mentioned property f r i action purposes.
Dater' Signature (Applicant ar Agent)
Application_Number . . . . 05-00005582
Permit
BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . .
252.00 Plan Check Fee
163.80 .
Issue Date . . . .
Valuation . . .
. 24920
Expiration Date
6/27/06
Qty Unit Charge
Per
Extension
BASE FEE
45.00
23.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
207.00
Permit
MECH POOL
Additional desc
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . .
0
Expiration Date
6/27/06
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.
6/27/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000
-------------- 7-------------------------------------------------------------
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
6/27/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 6.0000
EA PLB FIXTURE
12.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
.3.00
1.00 3.0000
--------------------------
EA PLB GAS PIPE 1-4 OUTLETS
------------------------------------
3.00
--------------
Permit . . . . . .
WALL/FENCE PERMIT
LQPEP,MTT
f
Application Number . . . . .
05-00005582
Permit . . . WALL/FENCE
PERMIT
Additional desc .
Permit Fee . . . . 15.00
Plan Check
Fee
.00
Issue Date . .
Valuation
. . .
. 80
Expiration Date 6/27/06
Qty Unit Charge Per
Extension
BASE
FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL & SPA. 5 L.F. 4- EQUIPMENT
WALL,
CITY STANDARD. ALARMS/BARRIERS
SHALL BE.
IN PLACE PRIOR TO PRE -PLASTER
INSPECTION.
Fee summary Charged
Paid Credited
Due
Permit Fee Total 371.00
.00
.00
371.00
Plan Check Total 189.80
.00
.00
189.80
Grand Total 560.80
.00
.00
560.80
LQPERMTT
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.,,.
--- - 7,..
__
Bin #
City of La Quints
Building a Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
J Building Permit Application and Tracking Sheet
Project Address: J "
S Owner's Name \
A. P. Number: Address:
Legal Description: City, ST, Zip:
Contractor°„ I, r--. — _ , t
Address:
City, ST, Zip:/
Telephone:7loo) 0G'y' 2 -
State
State Lic. # : 05 p I K
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person: 21;-0
# Submittal
Plan Sets
Structural Calcs.
Truss Calcs.
Energy Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
q 90
Project Description:
Lic. #:
Total Permit Fees
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
/ /Jesse Sq. Ft.: # Stories: # Units-:: :
Estimated Value of Project: ZS d C)
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd
TRACKING .
Plan Check submitted
Reviewed, ready for corrections
,Z Z
PERMIT FEES
Item
Amount
Plan Check Deposit
Called Contact Person
Plan Check Balance
Plans picked up
Construction
Plans resubmitted
Mechanical
2"" Review, ready for corrections/issue
Electrical
Called Contact Person
Plumbing
Plans picked up
S.M.I.
Plans resubmitted
Grading
Review, ready for corrections/issue
Developer Impact Fee
Called Contact Person
A.I.P.P.
Date of permit issue
Total Permit Fees