RPL (07-0111)49065 Marimba Ct
07-0111
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00000111,
Property Address: 49065 MARIMBA DR
APN: 646-300-038- -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 27000
Applicant:
tfal
Architect or Engineer:
N/ik
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LICENSEDVONTRACTOR'S DECLARATION
4*.4'Q*
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty.of perjury that I am sed under prov' ions f Chapter 9 (commencing with
Section 70001 of Division 3 of the Busin ss nd o ssi Is Code an License is in full force and effect. '
License Class: A -C -C8 tens 40 10
i
Date: Y 1ib Contractor:
OWNER -BUILDER DE ION
I hereby affirm under penalty of perjury that I am exempt from the Contract is 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 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:
DANNY RODRIGUEZ
49-065 MARIMBA DR.
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/12/07
. rF
Contractor:CROCODILE CONSTRUCTIOy200750660 EISENHOWER DR,l.
LA QUINTA, CA 92253
(760)360-5895" LALic. No.: 840210NCEDEPT.
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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 STATE FUND Policy Number '1828832-2006
1 certify that, in the performance of a work for which t ermit is issued, I shall not employ any
person in any mjs to o subje to th o keyys ' compensation laws of California,
and agree that,beco e e t hew ker ' c6mpensation provisions of Section
37000 of the Lasha fh i ply A ose provisions.
Dater Applicant
WARNING: FAILURE TO SECURE 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 ' t commenced
within 180 days from date of issuance of such permit, or ce idn of wor or 8 days will subject
permit to cancellation.
I certify that I have read this application and state thqbuilding
infor i is or to comply with all
city and county ordinances and state laws relating tostruct , n h out r e repesentatives
of this county to enter upon the above-mentioned prpecti p rp s
Date: _kB Signature (Applicant or Agentl:
Application Number
l
. . . 07-00000111
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee
252.00 Plan Check Fee
163.80
Issue Date
Valuation
24775
Expiration Date
7/11/07
Qty Unit Charge
Per
Extension
BASE FEE
45.00 ,
23.00 9.0000
-THOU BLDG 2,001=25,000,
207.00
Permit . . .
MECH POOL
r Additional desc . .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date ".
Valuation . . .
. 0
Expiration Date
7/11/07
Qty Unit Charge..
Per
Extension
BASE FEE
15.00,
1.00 11.0000
EA MECH FURNACE >1OOK
11.00
Permit . . .
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . . .
45.00 Plan Check Fee
11.25
Issue Date. . . . .
Valuation . . .
. 0
Expiration Date
7/11/07
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
33.00 Plan Check Fee
8.25
Issue Date
Valuation . . . .
0
Expiration Date
7/11/07
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
LQPERMIT
t
Application Number . . . . . 07-00000111
Permit . . . WALL/FENCE'PERMIT
Additional desc f
Permit Fee . . . 54.00 Plan Check Fee .00
Issue Date Valuation . . . . 2225
Expiration Date 7/11/07
o Qty Unit Charge Per 'Extension
BASE FEE 45.00 t
1.00 9.0000 THOU BLDG 2,001-25,000 9.00
Special Notes and -Comments
POOL, SPA, ALARMS/BARRIERS SHALL BE IN
PLACE AT PRE" -PLASTER INSPECTION. 89,
L. -F. X 6' CITY STANDARD BLOCK WALL.
Fee summary Charged Paid Credited Due
Permit Fee Total 410.00 .00. .00 410.00
Plan Check Total 189.80 .00 .00 189.80
Grand Total 599.80 .00 .00 599.80
• i
LQPERMIT
Nr I;1C v, A Gtty gas GW44-'
Bin #
City of La Quints
Building U Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 4 _O S m otn M gi Dr, Owner's Name: Ddfl a t l 'Z, . 41 OJ
A. P. Num Address: _ "'
Legal D ription: City,'ST, Zip:
Contr ctor: cro cods. —C —cost,l-S1 '
Telephone;
Address: ff 11
5d"l 7` I M / Project Description:
City, ST, Zip: l i1 arevx+c CA- r/ as -77 PQ O L_
SPA
Telephone: 3a,7 $ = "740 % I0 C
' 5u
State Lie. # City Lie #• P I J&
Arch., Engr., Designer:
tgVip.
Address:
r r e J&4^4e
Construction Type: Occupancy:
p cy:
City, ST, Zip:
Telephone:
State Lie. #:
Project type (circle New.
Name of Contact Person:
one): Add'n Alter Repair Demo
Sq. FL: # Stories: # Units:
Estimated Value of Project: spZ 7 () OO O d
Telephone # of Contact Person:
APPLICANT:
DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd _.
Rec'd
TRACIONG
Plan Check submittedItem
9
PERMIT FEES
Amount
Structural Cales.
Reviewed, ready for ' ections
lT
Ptan Check Deposit
Plan Check Balance
Truss Cafes.
Called Contact Person
Energy Cafes.
Plans ticked op
Construction
Flood plain plan
Plans resubmitteEo
Mechanical
Grading.plau
Z'' Review, readrrections/issue
Electrical
Subcontactor List.
Called Contact Person
Plumbing
S.M.I.
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
Developer Impact Fee
A.I P.P.
IN HOUSE:-
''' Review, ready for. correctionsrssue
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
vlvl
1
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