06-0016 (RPL)r..
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application. Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
06-00000016
813x5 NATIONAL- DR
767-500-015- - -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
1200
T4ht
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
Owner:
MR. GATH
81-315 NATIONAL
LA QUINTA, CA 92253
a
VOICE (760) 777-'7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor: D
DESERT CONCETS LANDSCAPE/MAINT
79469 COUNTRY CLUB DR, STE I
INDIO, CA 92201
(760)200-9007
Lic. No.: 849837600533
.Date: 1/04/06
JAN 0 41005
I �r<
------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
--
----------------------------------------------—
WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Profes:aIs Code,' d my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C27 Licen o 849837600533
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
Date: Contractor:
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
-""T
' OW -BUILDER DECLARATION
insurance carrier and policy number are: ,
I hereby affirm under penalty of perjury that empt from the Contractor's State License Law for the
Carrier AUSTIN COOPER Policy Number W5734284
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
_
person in any manner so as to become subject the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject he workers' ompensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Lobar Code, I sh orth comply with se provisions.
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 ($5001.:
Date: Applicant:.
(_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
�- r
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The -
WARNING: FAILURE TO SECURE WORKERS' OMP ION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENAL SAND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
APPLICANT ACKNOWLEDGEMENT
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_) I am exempt under Sec. , B.&P.C. for this reason
"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
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
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 inform tion is corre I agree to comply with all
city and county ordinances and state laws relating to building constr ion, and he y authorize representatives
of this county to enter upon the above-mentioned property cti purpo s.,
DatDat^eb -Signature (Applicant or Agent):
'�
LQPExMrr
Application Number .
. . . . 06-00000016
Permit . . .
BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . .
29.00 Plan Check
Fee
18.85
Issue Date ... .
Valuation
. . .
. 1200
Expiration Date
7/03/06
Qty Unit Charge
Per
Extension,
BASE FEE
15.00
7.00 2.0000
----------------------------------------------------------------------------
HND BLDG 501-2,000
14.00
Permit
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . . .
45.00 Plan Check
Fee
11.25
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
7/03/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000
-------------------------------------------------------------7--------------
EA ELEC PRIVATE SWIMMING
POOL
30.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . .
21.00 Plan Check
Fee
5.25
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date . .
7/03/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00.
1.00 6.0000
EA PLB FIXTURE
6.00
-----------------------------------------------------------------7----------
Special Notes and Comments
WATER FOUNTAIN IN INTERIOR
COURTYARD
WITH TWO SUBMERSIBLE
PUMPS.
Fee summary Charged
Paid Credited
Due
Permit Fee Total
95.00 .00
.00
95.00
Plan Check Total
35.35 .00
.00
35.35
Grand Total
130.35 .00
.00
130.35
Bin IN
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 IN
pb- O°V
Project Address: / , �(f
tftq's Name:�� 7 .' .,
A. P. Number:
Address: p tr y!7 S
Legal Description:
City, ST, Zip: L
Contractor:' e C
Telephone:
Address:_ ST
Project Description: c/
City, ST, Zip:
Telephone: Q
t
City Lic. #:
State Lic. # :
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): e Add'n ..Alter Repair Demo
Name of Contact Person: n Y7 ,
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person
p
Estimated Value of Project: ._--
APPLICANT: DO NOT WRITE BELOW THIS LINE
q
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
2nd 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:-
''d 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
�s
f�� r�� ��
81, 315 IONAL DRIVE
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2SCALE:
ATERIALS LIST
EXTERIOR WALL STONE VENEER = SAME A5 RESIDENCE
INTERIOR WALL VENEER = OUARTZ I TE
NALL. GAP $ ROOF = "TECATE" TERRA GOTTA BRICK
(5EPUL VEDA BUILDING MATER I AL5)
(TEL: -160/342-5522)
CLAY ROOF TILE = MANUS: REDLAND TILE
STYLE: BAJA MISSION/ 5ANDCA5T
COLOR: OLD HACIENDA
(TEL: 1-500-554-5c155)
5A51 N FILL _ 5" ARIZONA GOBBLE RIVER ROCK
CLAY TILE SPOUT
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ON BOTTOM
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1 SCALE: 1" =1'-0•'
"TECATE"
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CR
STAKABLE CMU I f I I 1 I r I! I t t
" �� .---•-r'"
TERRA GOTTA
I f I i I I I I I I I I
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FILL ALL GAP
CAVITIES w/ I I I I I I ILi 1 1 1 11 1
GROUT
�-- USE REBAR I I I l I I I LINE OF CMU
AS REOU I RED BELOW
I I I I I I I LINE OF
STONE VENEER
BELOW
I I II
I I I I I I I I LINE OF
QUARTZITE
VENEER BELOW
I
BRICK -CAP PLAN".
2SCALE:
ATERIALS LIST
EXTERIOR WALL STONE VENEER = SAME A5 RESIDENCE
INTERIOR WALL VENEER = OUARTZ I TE
NALL. GAP $ ROOF = "TECATE" TERRA GOTTA BRICK
(5EPUL VEDA BUILDING MATER I AL5)
(TEL: -160/342-5522)
CLAY ROOF TILE = MANUS: REDLAND TILE
STYLE: BAJA MISSION/ 5ANDCA5T
COLOR: OLD HACIENDA
(TEL: 1-500-554-5c155)
5A51 N FILL _ 5" ARIZONA GOBBLE RIVER ROCK
CLAY TILE SPOUT
PIEGE ON TOP
3 PIECES STACKED Lj WATERLINE
ON BOTTOM
CLAY TILE SPOUT QUARTZITE c
I PIECE ON TOP INSIDE OF W
3 PIECES STACKED'! _ "TECATE"
ON BOTTOM TERRA GOT'
BRICK WALL
QUARTZITE c
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' 6"WxIa"Lx8"
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3" "ARIZONA
co
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-�.... RIPER R
LINE OF GR
i.... ..,.. », }
te
w r CONCRETE
REINFORCE
REQUIRED
SECTION THRU FRONT
FRONT ELEVATION
SCALE:
In =1%off
114'TN
pf-p't'.
,:SECTION THRU SIDE
SCALE: