RPL (07-2302)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA,-CALIFORNIA 92253
CApplication`Number:
0-7 = 0 0 0 0 2 3 0
Property Address: -
7903-0—MISSION DR W
APN:
649-460-003- - -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
28000
Applicant:
Architect or Engineer:
WA
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury thaJan
licensed under provisions of Chapter 9 ommencing with
Section 7000) of Division 3 of the Busine Professio�ntals Code, and my Licence / full force and effect.
License Class: B C53 / /License No.: -1851
OWNER -BUILDER DVELARATION
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 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 pioving 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 (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
LATEK ED
79-030 MISSION
LA QUINTA, CA
DRIVE W
92253 <
Contractor:
CALIFORNIA POOLS & SPAS
3106 E. GARVEY AVENUE SOUTH
WEST COVINA, CA 91791
(760)771-6141
Lic. No.: 185102
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
8/16/07
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:. .
1 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 ARCH INS CO Policy Number ZAWCI9090400
I certify that, in the performan %of the work for which this permit is issued, I shall not employ any
person in any manner so s t become subject to the workers' compensation laws of California,
and agree that, if I sho d be ome subs'� to the workers' compenqAion provisions of Section
.,j 33QO of the Labor C de, I Shall forttlEGiply witft'%ose pro ions.
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 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.
1 certify that I have read this application and state that the e i ormation is correct. I agree to comply with all
city and county ordinances and state laws relating to buildi co truction , d•herebypythoriz esentatives
of this county to enter upon the above-mentioned proper for spectio p;es. ��
•Application Number .
. . . . 07-00002302
Permit . . . . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
271.50
Plan Check Fee
176.48
Issue Date.
Valuation . . .
. 28000
Expiration Date
2/12/08
Qty Unit Charge
Per
Extension
BASE FEE
252.00
3.00.. 6.5000
-------------------------------------------------------------------=--------
THOU BLDG 25,001-50,000
19.50
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00
Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
2/12/08
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
2/12/08
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
2/12/08
.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
LQPFRAIIT
Application Number . . . . . 07-00002302
-----------------------------------------------------------------------------
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
Fee summary•' Charged Paid Credited Due,
---------------------------------------------------------
Permit Fee Total 375.50 .00 .00 375.50
Plan Check Total 202.48 .00 .00. _202.48
Grand Total 577.98 .00 .00 577.98
LQPERbIIT
t
®®
WALLS,
leek.fa Acce-r.
t_ s
�.
La Qu,�� v�.
t
WATERLINE ,
,
•.
CQ4LS/�
L._..
TILE TRIM
... .,. .,
..,_.
..
,. :,. ::
_. , .
R1313,,
CIO 1-4
V�A�
SOL
wA _
U �
DRAINS
}� 1
..
,,
�iG
; : �, _MASTIC
�-
i7.TL�.II_,
a .
tti
o o
DECKS
a
-r f5D
m
Ny
Q YOB
m
ll� a
„zlo
L_
CIO
L
Ira A �x
r ►vISH .,
<.�
_ CURB CORE Y /(N
JIGS , , Y /PATIO
STRAPS YIN I
r:
,� � �I .
.�
7}
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 #
2
Project Address:' 79 OJ D An,, A ..
Owner's Name:
Y
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: a% j� . pop fs
Telephone.
lam
Address: / -//./Project
Description:
9
City, ST, Zip: /N 922Jr 3
Telephone: -�
State Lie. # :
City Lie. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person: �� f
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: 2
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
d 1
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading. plan
2' 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 correctionsrissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
RANCHO LA QUIN`I"A
MASTE=R ASSOCIATION
Arckitectural Control Committee
August 9, 2007
Mr. Edward Latek
i 1-0310 Mission Drive W_ -Sr
1_a 1 LII to CA 92,2. l
Re: 79-030 Mission Drive West
317 Vine Ave
P. O. Box 90
Lake Forest, IL 60045
"Pool Approval ONLY"
The Architectural Committee reviewed your submission for pool/spa, fire pit,
hardscape and water features. The submission as presented is approved
with conditions.
The Committee requires the following:
• Hardscape materials submitted - approved
• Detailed Pool/spa materials, colors, etc. .:.submitted - approved _.
• A detailed landscape plan showing- actual materials need to be ,
submitted.
The elevation drawings were approved, but actual approval cannot be given ...
until samples are submitted/approved. While this is not a requirement, the
Committee would ask that the raised patio elevation be lowered to +6';
instead of +12"for continuity and visual impact to the neighbors.
If there are any questions, please do not hesitate to call me at the on-site
office 777.8807.
Liy
ly,
Iker, CCAM
General Manager
Kancho La Quinta NlasterAssociation
760.777.8807 fax 760.777.8961
Email : mwaIkeradrminternet.com
cc: Architectural Comm.
** ASSOCIATION'S NEW ADDRESS: 79285 Rancho La Quinta Drive
79-2751/2 RANCiio LA Qm. rA DR. - LA QriN-rA. CA 92253 - 760-777-8807 - FAX 760-777-3961