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10-1105 (RPL)4 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 10-00001105 Owner: Property Address: 78690 NAPLES DR BILL FERSTENFELD APN: 609-512-007-21 -28457 - 78-690 NAPLES DRIVE Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 20000 Contractor: App' nt: Architect or tUlgineer: CALIFORNIA POOLS & SPAS LIN ONLN PL v RANCHO MIRAGE, CA 92270 (760)409-4093 Lic. No.: 185102 L19CNSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of peri y th I am licen ed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the i ss and Pro/fR ionals Code, and my License is in full force and effect. License Cl s: C53 ,/ Licens � 185102 'Date: NER-BUILDER DECLARATION I hereby affirm under penal of per' am exempt from the Contractor's State license law for the following reason (Sec. -"041.5, B ' s and Professions Code: Any city or county that requires a permit to construct, alter, improve, ish, 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 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.). 1 _ 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.I. Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/27/10 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 ar : Carrier ARCH INS CO Policy Number ZAWC19195400 I certify that, in the p ormance of th k hich this permit is issued, I shall not employ any person in any mann r so s to b ome bj ct o the workers' compensation laws of California, and agree that, if I sh becophe s j o the workers' compensation provisions of Section 11�r, 700 of the Labor Co "I sh I for th omply with those provisions. Date: 4 Applicant: , WARNING: FAILURE TO SECU ORKERA*SAND ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO IMINAL PEIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 th above i or a' n is orr t. I agree to comply with all city and county ordinances and state laws relating to b ding c struat n, an here y authorize representatives of this couny-"yf/oto center upon the above-mentioned pr' rty for nspe n pur ose . Date: Signature (Applicant or Agent) i Application Number . . . . . 10-00001105 Permit MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/25/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 ---------------------------------------------------------------------------- EA MECH FURNACE >100K 11.00 Permit BLDG POOL PERMIT INV FEE Additional desc . . Permit Fee . . . . 414.00 Plan Check Fee 134.55 Issue Date . . . . Valuation . . . . 20000 Expiration Date 4/25/11 Qty Unit Charge Per Extension BASE FEE 90.00 18.00 18.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 324.00 Permit ELEC POOL PERMIT -RES Additional desc . Permit Fee 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/25/11 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 . . . . 27.00 Plan Check Fee 6.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/25/11 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 ---------------------------------------------------------------------------- Special Notes and Comments SPOOL, FIREPIT (INCLUDES GAS RUN OF 105 LQPERMIT Application Number . . . . . 10-00001105 ---------------------------------------------------------------------------- Special Notes and Comments L.F.)ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED.INVESTIGATION FEE ASSESSED PER 1997 UNIFORM ADMINISTRATIVE CODE §304.5 FOR WORK BEGUN WITHOUT BUILDING PERMIT. 2007 CODES. Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Permit Fee Total 512.00 Plan Check Total 159.05 Other Fee Total 1.00 Grand Total 672.05 LQPERMIT Paid Credited Due .00 .00 512.00 .00 .00 159.05 .00 .00 1.00 .00 .00 672.05 Bin # Cit/ Of La QUinta Building 8r Safety Division PermitAl P.O. Box 1504, 78-495 Calle Tampico \`� La Quinta, CA 92253 - (760) 777-7012 1 Building Permit Application and Tracking Sheet : Estimated Value of Projec Owner's Name: F EP.jNumber: Req'd Address: 8 _ yon: TRACKING Plan Sets City, ST, Zip: LA01 s- 6 Contractor. Address: 2 1 Ll D Telephone: Project Description:1& cr3z,??r:: <'•w' kK < s• I` City, ST, Zip: f!hatzz4o 0.61 L O TelephonejVJ• -(.V Truss Calcs. State Lie. # : City Lic. #•: lop�'()?i Title 24 Calcs. Arch., Engr., Designer. Plans picked up Address: Flood plain plan City., ST, Zip: Pians resubmitted Telephone: Grading plan :✓'G�,,f+:`n..t;:;:6';�:"�•�';/.f;k.:;;.;t\J`i�s '�.\��'£' ; ,f•��,r�•+-�,r,�� <ns�>«�wnF�„��'r;�,�c> Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo State Lic. #: Name of Contact Person: Sq. Ft.: i j # Stories: # Units: Telephone # of Contact Person: Estimated Value of Projec APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING Plan Sets Plan Check submitted Structural Calcs. Reviewed, ready for corrections Truss Calcs. Called Contact Person Title 24 Calcs. Plans picked up Flood plain plan Pians resubmitted Grading plan 2"" Review, ready for corrections/issue Subcontactor List Called Contact Person Grant Deed Plans picked up H.O.A. Approval Plans resubmitted IN HOUSE:- ''” Review, ready for correctlons/issue Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees PERMIT FEES Item Plan Check Deposit Plan Check Balance Construction Mechanical Electrical Plumbing S.M.I. Grading Developer Impact Fee A.I.P.P. Fees Bu►LUllvu — ��D AF' o�O uc TION FOR C DAT 0' -'-L0— BY 6--i Amount A vi o OF LA IN Q(f/ AP p& sqF�, c FOR Co R0 VEL oqr a '26 , RUCTI pl l VNER APPROVAL 10 THIS CONSTRUCTION DRAWING IS GIVEN IN CONFIDENCE. NO USE OR DISSEMINATION MAY BE MADE WITHOUT PRIOR WRITTEN CONSENT OF THE ENGINEER. ALL RIGHTS ARE HEREBY RESERVED. PLANS ARE DESIGNED PER 2007 CALIFORNIA BUILDING CODE WITH 2009 SUPPLEMENTS AND 2005 NATIONAL ELECTRIC CODE, UNLESS NOTED OTHERWISE. CONSTRUCTION SET FOR OWNER REVIEW AND APPROVAL SIGNED: DATE: 8 o o .1 JIM 8s� UH0 Igl 56z=� 5$� 'g��55p 5 a 39a��3�F3 m a al a OI C) d_ Z J W IZ U Q Z a W �o a c w�/ a N O LL O Of V] Opera aa Wo Z w Q LLS o 5 ZLU �^ C,) � D W O Uj LL U REVISED SCALE• JOB B START DATE: 1012-10 DRAwN Bl': IN REJM!FED BY SM APROVED BY: S.N P1.00