RPL (13-0417)y \P.O. BOX 1504
78-495 CALLE TAMPICO
LA. QUINTA, CALIFORNIA 92253
Application Number: 13-00000417
Property Address: 61730 MESA CT
APN: 764-280-999-66 -300237-
Application description: POOL-- RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES..
Application valuation: 42850
I Tihf 4
Y
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
• v v
----------------
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 Css: C27-053 License No.: 964474
Date: t t 3 Contractor:
I .
OWNER -BU ER DECLARATION
I hereby affirm under penalty o p xempt from the Contractor's S�LicensetaLaw 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec.
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 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:
VERAL HERBST
61730 MESA CT.
LA QUINTA, CA 92253
(760)399-9600
Contractor: •
DESERT OUTDOORS INC
78065 MAIN ST STE #:
LA QUINTA, CA 92253
(760)399-9600
LiC. No.: 964474
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/05/13
-----------------------------------------------
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 NORGUARD INS Policy Number DEWC338066
1 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' com tion laws of California,
and agree that, if I should become subject to the wo pensation provisions of Section
/ 700 of the Labor Code, I shall fort y with those provisions.
Date: �[ l5 Applicant:
WARNING: FAILURE TO SEC MPENSATION 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 authorize representatives -
of this coup to enter upon the above -m purposes.
Date: f Signature (Appl' r gent):
Application Number .
. . . . 13-00000417
Permit
MECH.POOL
Additional desc .
Permit Fee . . . .
24.00 Plan Check Fee
6.00
Issue Date . . . .
Valuation . . .
. 0.
Expiration Date
10/02/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH FURNACE <=100K
9.00
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee
369.00 Plan Check Fee
239.85
Issue Date . . . .
_ Valuation . . .
. 42850
Expiration Date
10/02/13
Qty Unit Charge
Per
Extension,
BASE -FEE
252.00
18.00 6.5000
----------------------------------------------------------------------------
THOU BLDG•25,001-50.,000
117.00
Permit
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee
45.00 Plan Check Fee_
11.25.
Issue Date . . . .
Valuation . .
0
Expiration Date
10/02/13
Qty Unit Charge
Per
Extension
BASE FEE.
15.00
1 1.00 30.0000
EA ELEC PRIVATE.SWIMMING POOL
30.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
27.00 Plan Check Fee
6.75
Issue Date
Valuation
0
' Expiration Date
10/02/13
Qty Unit Charge
Per
Extension"
BASE FEE
15.00
1.00 6.0000
EA PLB FIXTURE
6.00
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
Application Number 13-00000417
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 15.00 Plan Check
Fee
.00
Issue Date . . . . Valuation.
150
Expiration Date 10/02/13
Qty Unit Charge Per
Extension
BASE'FEE
15.00
-----------
Special Notes and Comments
INSTALL NEW POOL, SPA, WATERFALL IN REAR
YARD OF PROPERTY. RE -INSTALL 6 L.F. OF 6
'FT. HIGH BLOCK WALL ON EXISTING NORTH
PROPERTY WALL THAT WAS REMOVED FOR
ACCESS. FIREPIT & BBQ ARE EXISTING. 2010.
CALIFORNIA BUILDING CODES.
-------------------_-----------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary_' Charged Paid Credited
---------
Due•
------------------ ----------
Permit Fee Total 480'.00. .00
:00
480.00
Plan Check Total 263.85 .00
.00
263.85
Other "Fee Total 1.00 .00
.00
1.00
Grand Total _ 744.85 .00
.00
744.85
LQPERMIT
Brn.l;E
CIS Of U Quin
Buiidrng ar sarety Division
P.O Box I SO4,784 95 Carte Tampico
14.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application' and Tracking Sheet
It #
L
ProjedAddress:
Owner's Name.
A. P. Number
Address: 1 l 2� S
Legal Description:
City, ST, Zip:
Contractor. Desert Outdoors -
Telephone. �ild.x7
Address: 78-065 Main St. Ste. 205
Project Description:
City, ST, zip: : - La Quinta, Ca. 92253
,� S LL
Telephone: 760-399-9600 :MM'
State Lic. # : • -c-53 964474 City Tac #:
Arch, Eagr., Designer: Flying Buttress
V 1 .4 T,YJ&Z>
Adams: - 77725 Enfield Ln. Ste. 130
City, ST, zip: Palm Desert, CA. 92211
Telephone: %60-7.72-4411
Construction Type: - Oaupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft-. # Stories: # Units:
State Lia #: 33446
Name of Contact Person: J
Telephone # of Contact Person:
Estimated Value of Ptoject 3 -
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req,d
Recd
TRACIMMG
PERM T FEES -
Plan Sets
Plan Check submitted i3
Item Amount
Structural CaICS.
Reviewed, ready for corrections
Pian Check Deposit. .
Truss Calcs.
Called Contact Person
Pian Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.'.
Mechanical
Grading plan
2'! Review, ready for corrections/issue
Electrical
Subcontaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.T.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"` Review; ready for corrections/issac
Developer Impact Fee
Planning Approval-
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
C
BUILDING
it Fees
MATERIAL SELECTIONS:
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BUBBLER SYSTEM
RECEIVED
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