RPL (06-1746)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: --S 06-00-00-1746
Property Address: 57125 --MOUNTAIN VIEW
APN: 762-350-014 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 25000
Applicant: Architect or Engineer:
)A.
-------—---------
LICENSED CONTRACTOR'S DECLARATION
4
"
VOICE (760) 777-7012 4
FAX (760) 777-701.1"
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/04/06
Owner:
GATH
57-125 MOUNTAIN VIEW
LA QUINTA, CA 92253
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 la s: C53 eNo.: 856835
Date:' Con actor:
OWNER -BUILDER DECLARATION
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.). "
(_) 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 contractorls) licensed
pursuant to the Contractors' State License Law.).
( 1 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
D
Contractor:
VACATION POOLS INC ��� 0 4 1006
83900 AVE 45 STE"C 2
INDIO- CA 92201 �IT1!O
(760) 775-0468AA, iiNrA
Lic. No.: 856835
------------------
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 STATE FUND Policy Number 1795938-2006
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 subject to the workers' compensation provisions of Section -
�
0 of the Labo e, I shall forthw' h co ith those provisions.
Date: GAPPlicant:
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.
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 o nances and state laws relating to building const uction, and hereb horize representatives
�of this co`u ent upon the above-mentioned property for ' pection p ses.
Date: ` • ture (Applicant or Agent): -
rclllli l..
DLLI] rVVL YLiKClll
-
Additional
desc .
Permit Fee
. . . .. 252.0'0
Plan Check Fee
163.80
Issue Date
Valuation . . . .
25000
Expiration
Date 10/31/06
Qty Unit Charge Per
Extension
BASE
FEE
45.00
23.00
9.0000 THOU BLDG
2,001-25,000
207.00
Permit
MECH POOL
Additional
desc .
Permit Fee
26:00
Plan Check Fee
6.50
Issue Date
Valuation
0
Expiration
Date 10/31/06
Qty Unit Charge 'Per
Extension.
BASE
FEE
•15.00
1.00
11.0000 EA MECH
FURNACE 5100K
11.00
Permit
. . . ELEC POOL PERMIT -RES
Additional
desc .
Permit Fee
45.00
Plan Check Fee ...
11.25
Issue Date
. . . .
Valuation
0
Expiration
Date 10/31/06
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 -f
_ 10
Expiration
Date 10/31/06
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
rrr tc-co-G tip ri0 n�j : a-t 141-1
— M-L
FAMWA'YS ASS®CiATTQN
.o 272006f
W &Uh. Dondd 'HwWWm Beach
CA
9260 1
l ,
Ret 57-123 Annain Visa►
Fool sad spA Apoicidm
)&. ae m t.
7
Amhb=LW CD=due has mik"d dm sum On for the pool ow- and ho
givu their approvaL The hndsmm t be MubXni=d far at a Leer date as they,
ww* am �d for. .
If ym shout have anyquenns, p mt Nwme to o== this offax,
Sino�ty,
OC
opt
For PGA VEST PakwW ,Assoc
Gcs VU96M POA lac. - jun P
Put 399.5401 ,
POR 0000 Oft t690 • Lei Quints, CWifomia 92247• Pbcmo (7W) 776-5100 • Foe (760)77&51)1
!. ' � 1 � - � a•..+--•, ..._,. � . .., r.... :.. i •. —a. ,,; t _.� i � .t _ q —_ t-_ . _ ..__F._..�._J._...y. � _.r_ y_ �..L_ _ . -j- . _
( t F
y
r
1e�t�®T
47
81.900 ehue,45 �- SuOte
(760)
775 046 (760). 775 0469
Lace�i'S :C� 53 056 35
_ .:
SPECIFIC
-GENERAL -ATION
:....
SIZE ... - X
, s...
_.,.•._--..6____ _.. f. ;.
�_..<. -- AREA-�..:. ._. P:ERIMET.ER -
DEPTH
-
�x�
PO -:,OL CAPACITY GAL -S _' ...
^.
3 : _ r r
MOTOR HP
'
._�.... MOTOR -HP - HP
FILTER
_......� .._ r.
:_ __HEATER ..: .:_SIZE', BTU:
e
SUCTION LINES
R�ETURN'LINES'-- _ -
SKIMMER MODEL -
a.. __L_ �__;
:.. ,• �- CWECK-VALVE'.._.'
- ...QA FT.
:
{-
_PO;OL LIGHT` .
T IME�R
'TIMER'
_
-ELECTRICAL.EY FT `.
-ELECTRICAL
_. �. ... ..
�.... .�.t�.- AUTO -CLEANER'. .
f ._ .
_ SALT SYSTEM .
PLASTER COLOR
t,
I
TYPE.. t
I. 5 'F uoG� W f�-L t .. _
STE P _ F
�FECt�e
SIZEr
# JETS �..
LITE' i
ry
_ .BACK LEG:
: DUAL LEVEL'SEATS-
_
DANIWALL
! -DAMWALLtTOP. ;
-X'WIDE
SPILLWAY
..
CONTRACTOR cannot -assume responsibility for
DATE
damage to_curb•s,'sidewalks, driveways, cement
"
slabs, sewers, lawns, trees, fences, retaining
walls, sprinklers, wires; valves, telephone or
NAMEc4'p?k ;
Ishrubs.
�
i When access. is made -through a neighbor's
g
ADDRESS 5. las N�pu�t-� � 4 ,;Sv1 ..
- fNk J
i property it is understood thatyou, the owner, have
.!
_
teat neighbor's- permission and assume full
CITY:
responsibility.
TRACT:.
---
LOT: PHASE: .. 4
DATE SIGNATURE ,
y
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 #
Project Address:' S 7- 45' MO M >
Owner's Name:
"
A. P. Number:
Address:
i
Legal Description:
Contractor: 7"Telephone:
City, ST, Zip: g ( yam, �' 3
C7/'{ X6 6 -12 3
Address::
City, ST, Zip: ^� G
Project. Description: S' "
Telephone: 7�0,7P 7
State Lic. #
City Lic. #:
Arch., Engr., Designer: "
Address:
City, ST, Zip:
Telephone:.
State Lie. #:
Name of Contact Person:
Construction Type: Occupancy:
P cY:
Project type (circle one): New Add'n Alter Repair Demo
Sq.. FL: Y %
# Stories:
# Units:
Telephone # of Contact Person: Estimated Value ofProj . QDC7 �—
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Plan Sets
Req'd
Recd
TRACMG •
Plan Check submitted S `3 I p
PERMIT FEES
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cales.
Plans picked up
Construction
Flood plain plan.
Pians resubmitted
Mechanical
Grading.plan
..
2a° Review, ready for"correctionsfi
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up :
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
7r° Review, ready for corrcctionsrssue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date oC permit issue
School Fees
-
Total Permit Fees —