RPL (06-0550)78215 Masters Cir
06-0550
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tiht 4,4 Q"
Application Number:
106-00000550
Property Address:
78215 MASTERS CIR
APN:
770-360-011- . - -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY `RESIDENTIAL
Application valuation:
40000
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
- LICENSED CONTRACTOR'S DECLARATION.
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 Cla s: 53 Licen1se N : 59(8681
or.
Dat ` Contrac i' L J, &T IA LJ
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.). '
( _ 1 1 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
VOICE (760) 777 -7012 -
FAX (760) 777-7011.
INSPECTIONS (760) 777-7153
Date: 2/06/06
-
---------------------------- - -----------------
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.
x I have and will maintain workers' compensation insurance, as required by Section,3700 of the Labor
f]'T Code, for the performance of the work'for which this permit is issued. My workers' compensation
insurance carrier and policy number are: -
Carrier AU INS Policy Number 46-0030110101
_ I certify that, in the perf ance of the work for which this permit is issued, I shall not employ any
person in any mann r so s to become subject to the workers' compensation laws of California,
and agree that, if I hould become sub'e to the workers' compensation provisions of Section
3/700 of the Lab/or Code, shal with comply with those provisions.
Applicaof
WARNING: FAILURE TO SECURE W KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000)..IN ADDITIO 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 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, iridemnify 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 issuanc4sucermit, or cessation of work for 180 dayswill subject
permit to cancellation.
I.certify that l have read this application and state tformation is correct. I agree omply with all
city and county ordinances and state laws relating tructi n, and hereby auth a representativesof this, ou y o nter_upon the above-mentioned a rposes.
Ddte: U Signature (Applicant or Agent
Owner:
ZAR
d
78-215 MASTERS CIRCLE
fJ
LA QUINTA, CA 92253
FEB 091006
Contractor:
C'TYgF
FIj4NO
AINSWORTH POOL CONSTR,
EurA,-
-40900 GLENMORE DRIVE
PALM DESERT, CA 92260
(760)568-4993
Lic. ,No.: 598681
--------------------------------------------------
- LICENSED CONTRACTOR'S DECLARATION.
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 Cla s: 53 Licen1se N : 59(8681
or.
Dat ` Contrac i' L J, &T IA LJ
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.). '
( _ 1 1 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
VOICE (760) 777 -7012 -
FAX (760) 777-7011.
INSPECTIONS (760) 777-7153
Date: 2/06/06
-
---------------------------- - -----------------
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.
x I have and will maintain workers' compensation insurance, as required by Section,3700 of the Labor
f]'T Code, for the performance of the work'for which this permit is issued. My workers' compensation
insurance carrier and policy number are: -
Carrier AU INS Policy Number 46-0030110101
_ I certify that, in the perf ance of the work for which this permit is issued, I shall not employ any
person in any mann r so s to become subject to the workers' compensation laws of California,
and agree that, if I hould become sub'e to the workers' compensation provisions of Section
3/700 of the Lab/or Code, shal with comply with those provisions.
Applicaof
WARNING: FAILURE TO SECURE W KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000)..IN ADDITIO 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 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, iridemnify 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 issuanc4sucermit, or cessation of work for 180 dayswill subject
permit to cancellation.
I.certify that l have read this application and state tformation is correct. I agree omply with all
city and county ordinances and state laws relating tructi n, and hereby auth a representativesof this, ou y o nter_upon the above-mentioned a rposes.
Ddte: U Signature (Applicant or Agent
Application Number .
. . 06-00000550,
Permit . . .
BLDG POOL PERMIT
Additional desc''.
Permit Fee
349.50 Plan Check Fee
227.18
Issue Date . . . .
Valuation
40000
Expiration Date
8/05/06
Qty Unit -Charge
Per
Extension
BASE FEE
252.00
- 15.00 6.5000
THOU BLDG 25,001-50,000
97.50
Permit
MECH POOL
Additional desc .
-Permit Fee26.00
Plan Check Fee
6.50
Issue Date . . . .
Valuation .
. 0
Expiration "Date
8/05/06
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
`8/05/06
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
33.00 Plan Check Fee
8.25
Issue Date
Valuation,
0
Expiration Date
8/05/06
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
------------------------------------------------
Special Notes and Comments -
:.
POOL & SPA ONLY.'ALARMS/BARRIERS`SHALL
._ LQPERMIT -
_
-1 4
Bin. #
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 #
Q 6
Project Address: ' ( M/ 1 E(LS C -,at L E
Owner's Name:.
A. P. Number:
Address:
Legal Descriptio
City, ST, Zip:
Contractor: - N
b SW s21 SOL Dni5 2 t,I LTydn+.
Telephone:
tr Gy f
Address: I f O 5/VM R S /L,
Project Description:
City, ST, Zip:
VP((-
/Z-C
7-36L. f SP 1
Telephone:
State Lic. # : City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:,'Y ,
State Lic. #:
Name of Contact Person:.
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq.. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: (J 6 Q d
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING .
PERMIT FEES
Plan Sets
Plan Check submitted
6
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
2n8 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 corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
{