The URL can be used to link to this page

RPL (06-2600)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 06-00002600 78855 MERIDIAN WY 609-480-063-17 -23773 - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 14000 Tiht nF 4 Q" 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: License No.: Date: Contractor: 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 (5500).: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure isnot 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 1I as owner of the property, Y.amexclusively 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 I am exempt under Sec. , B.&Y.117fdt this reason Date: a7/ Owner: \c J CONSTRUCTION LENDING AGENCY 1 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: BJ .ADAMS 78855 MERIDIAN WAY LA QUINTA, CA 92253 Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/10/06 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 Policy Number _ I certify that, in the perlormanc f the work for which this permit is issued, I shall not employ any person in any manner so to be ome subject to the workers' compensation laws of California, and agree that, if I sh d becom subject to the workers' compensation provisions of Section 3700 of the Labor d , I shall f rthwi co ply with those provisions. Date: i� 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 apermit 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 Ouinta, 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 buildin nst uction, tereby authorize representatives of this county to enter upon the above-mentioned pro rt or inspe tion rpos s. Date: ignature (Applicant or Agent): Application Number . . . . . 06-00002600 Permit . . . MECH POOL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date Valuation 0 Expiration Date 1/03/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 ---------------------------------------------------------------------------- EA MECH FURNACE >100K 11.00 Permit . . . BLDG POOL PERMIT Additional desc . . Permit Fee . . . . 153.00 Plan Check Fee 99.45 Issue Date . . . . Valuation . . . . 14000 Expiration Date 1/03/07 Qty Unit Charge Per Extension BASE FEE 45.00 12.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 108.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . . Permit Fee 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/03/07 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 1/03/07 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 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA ALARMS/BARRIERS SHALL BE IN LQPERMIT Application Number ... . 06-00002600 Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURES NOT INCLUDED. Fee summary Charged Paid Credited Due ----------------------------------------------=---------- Permit Fee -To tal 257.00 .00 .00 257.00 Plan Check Total 125.45 .00 :00 125.45 Grand Total 382.45 .00 .00 382.45 LQPERMIT CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB ADDRESS �U��t�', OLAC4.)Q PERMIT NUMBER OWNER ory--% BUILDER This -form shall be losted on the job with the Building Inslection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. " On File" is not an acceptable .response. Trade / Class,frcat,orl ......... ....................... Contractor :.::........................... .................................. c nse.:..:...... Stat2 ContractoY..s..Lt e. :::... .:................... ,>:::.:.;.:•;:• ............. ::;:::>::>.;:::.:>::>:::::;>:. ; :>::>::>::>:.::.:.::: WGrkecs...Co ......:.::.::....... m ensat,o . Irt$tir;;.:>e::..::.;:.;:.::.::.;::.::.::.;:.:. p ::.:::::::::::..:... ;::.;::.:;;:::.>:.:::.;.;. Bu` iness Cit s Ucen >se <»'' Name Classification - e. .A B C8 ( 1 9 License Number ( . Date xxx xx ( x / / 1 CarrierName Fund CaICo m Ie..State 1 g. P 9 Policy Number F rmat Varies) o 1 Exp. Date xx x x xx / 1 I License e Nutuber x xxx 1 1 . Exp. DateEx xx xx xx / I 1 - EA'RTW1111iD'.` `'C:12 .� J 1 0 Q � O 0 ................ :::::::::::::::::::::::::: r � MASONRY?'C�29``>>>:>>>::::. —_� -71 PLUMBrNc (c 361��J--� S�� ' bLl�b �01' �.�j 'T I�• � / DRMALU.AG-91 ;>>; ; > < > V c -2o`<>< > >> . (—AJ � � � � 1� moi.. 1 n3 l0�p / Q� o(( �J� 01 LJ C 3`>< . r • S RW A (3 I S P>(G_42j«> i ABI NETS>iC- ::::::..;.. j ..:....:::::::::5:..:::.::1: . AYE L m C3( �.•CZ5 q o� w 355 I 'meq 5 c� OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes,_worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contracts are allowed to perform their work personally or through their own employees, without a'licensed contractor or subcontractor, only tinder "limited"- —� conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: (760) 777-7011 /�/� -� �� OWNER'S SIGNATURE/DAT_E PROPERTY ADDRESS 0� - X11,%�00 PERMIT NUMBER(S) r r. tarlight Dunes Homeowners Association C/o Personalized Property Management 68-910 Adelina Road Cathedral City, Ca. 92234 Attn: ALC Committee The above reqt Comments: _ Date reviewed: Approved By:, beenr iewed by the ALC and has bee -ft -W approved () denied () pending (Must ha two 2) signatures) Deposit Amount: QL&J • J ' Bin # Permit # 2( 00. Project Address:' A. P. Number: Address: City, ST, Zip: Telephone: State Lic. # Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone # of Contact Person: N 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 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 Owner's Name - Address: City, ST, Zip: G� ► Y 1 . Telephone: o - IJIM Project Description: Construction Type: k Project type (circle Sq. Ft.: Estimated Value of APPLICANT: DO NOT WRITE BELOW THI: teed TRACKING Plan Check submitted Reviewed, ready for corrections Called Contact Person Plans picked up Plans resubmitted 2°" Review, ready for correctionsrssue Called Contact Person Plans picked up Plans resubmitted 3'd Review, ready for corrections issue Called Contact Person Date of permit issue Occupancy: Ne Add'n Alter -Repair. Demo # Stories: # Units: PERMIT FEES Item Amount Plan Check Deposit Plan Check Balance Construction Mechanical Electrical Plumbing S.M.I. Grading Developer Impact Fee A.I.P.P. Total Permit Fees 1601.2 Pi A RE -INSPECTION FEE OF $3.0 WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. NO EXCEPTIONS!. G�- Fcr r3(3G� av�NEp . �of�Fo D1 G & �e� �P� .gig -I•-0. -- — PROPERTY lt�E U UTILITY POLE O Q •JNCTON BOO( ® HESE ,BIB � SKPA4ER >� OE3CK*� -- -- -- UTLFTY EASEMENT OE ELEC PANELOB MDWER --- FL.L LTE j1 LIGHT ® , �— FEWE (Hf T,TTPE) O GAS METER 0 VITER LEVELERFO FLIER DR RETURN PVC OfWd —E—E— UrDERIC40 I D ELFC BENCH LWK Rflw0TE SALVE HEATER THERAPY .v. (RAS RALS. 'l FM G15 - /*\ .. �.— . _ . � n ...... r.rs � ., � • CA A rAD --I AMER I bo ICY KW N0. LIC. 0 ADOR _ 'i-" P Lc� C lAT 6U TE E12L .� AAIER 1 n MCI COV