RPL (05-4342)P.O. BOX 1504
78-495 CALLE TAMPICO '
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
'(05'-'00004342
56865 MOUNTAIN VIEW
762-320-004-3 -29147
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
33500
Architect or Engineer
E4,
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
- FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/27/05
Owner-
O'CONNELL
56-865 MOUNTAIN VIEW
_LA QUINTA, CA 92253
SCD 3:0 2005 (Infractor:
Cr (INDLY'S
CC:
CITY OF LA %awl"TA C
c11NeNCE DEPT. SLB :
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, ProfessionalsCode, and my License is in full force and effect.
License Class: Ucerise No.:
a atey V-tJ$ Contracto .
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjur 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 0500).: '
1 _ 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, 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 I am exempt under Sec.' B.&P.C. for this reason
Date: Owner:
J'
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:
f Lender's Address:
LQPERMIT
POOLS OF CALIFORNIA
STATE FUND
1769855 06/01/06
833313 06/30/06
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 C53 Policy Number - - - - - - - - - -- - - --
_ I 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' compensation laws of California,
and agree that, if I should become sub* ct to the workers' compensation provisions of Section.
3700 of the Labor C , I shall forthw h com A ly with those provisions.
e:
30
WARNING: FAILURE TO SECURE RKERS' 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.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and cou99ty�ordinances and state laws relating to building construction, an here j y authorize representatives
of�thisco rfty to enter upon the above-mentioned property f nspection purp ses.
Dke y' 3o -y 5c.
Signature (Applicant or Agent):
Application Number 05-00004342
Permit . . . BLDG POOL_ PERMIT
Additional-desc .
Permit Fee 310.50- Plan Check Fee
201.83
Issue Date .Valuation
33500
Expiration•Date . 3/26/06
Qty Unit, Chargee' Per
Extension
BASE FEE
.252.00
" 9.00 6.5000.THOU BLDG 25,001-50,000 _
58.50
Permit . .' MECH POOL
Additional desc .
Permit Fee '26.00 Plan Check Fee
6.50
Issue Date . . . . Valuation . . .
. 0
Expiration Date 3/26/06
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 3/26/06
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 3/26/06
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
FGAWEA
fY
FAIRWAYS ASSOCIATION
July 30, 2005
NJichaei, john & Vetna O'Connell
23351 Cbbblefi.eld
Mission Viejo CA 92692
Re: 56-865 Nlounrdn View fool Construction Application
To Whom. It May Concern:
At the July 18`'', 2005 Architectural (;onnmittec meeting the com,mitrce reviewed your
sub.nnitted plans. Your contracted pool company has made all of tae chair ges.required by the'
Comxnitiec and approval it given for you to begin construction_
If you should have any questions, please do not hesitate to contact the a.t any ttpns .
Sincerely,
Nancy C. nsoxA, CCAIvf, CAC14
Operations Manager
For the AircWtectural C.otrunittee
l.in.dly's Pool, -
Fax: 343-0600
Post Office Box 1690 • La. Qujnta, California 92247- phone (760) 776-'5100 • Fax (760) 776-5111
Bin #
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta; CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
J
Project Address:,15G ,. K-57 (MD w7 , J if j E W
Owner's Name: G •t4
A. P. Number:
Address:
Legal Description:
Contractor: l: i ND l -IS Poo IS Of C-s'al ', Fo2.►; J! X.,j C
City, ST, Zip: (- Ql T A C A 9 Z2 -S3
Telephone:
Address:3p L S J7(LSf 2 i 2
Project Description:
City, ST, Zip: (Doo,4`'Al 5 C o '922-7Q
?
7�
Tele hone:
p 2 -7S (,6G
.o
State Lic. # :�f 3?j3
City Lic. #:
Arch., Engr., Designer:
Address:
�P r7 N — [ .( 2 — 32O — 0(7 1
City, ST, Zip:
(, 3. 7— 3 78
Telephone: P � = �"
State Lic. #:
Name of Contact Person: ''TAm c,S L'I Ai
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 2 -7 S — (, 6 Z-
stimated Value of Project: 33 -Soo ®=
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd .
Rec'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
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
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 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