RPL (06-3447)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
-Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
t
Applicant:
06-00003447 }
52355 AVENIDA-NAVARRO
773-274-016-5 -000000-
POOL - RESIDENTIAL
COVE RESIDENTIAL
25000
T4,ht 4 4 Q"
Architect or Engineer:
O/or
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
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 Bus' ess and Professionals Code, and y License is in full force and effect.
License Class: C53 License No.: 881743
�te: 1 P - ontractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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).:
I _) 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 _ 1 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 contractorls) 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:
MEJIA CALEDONIO
52355 AVENIDA NAVARRO
LA QUINTA, CA 92253
Contractor:
RUIZ, JUSTINO
82879 DAVIS DRIVE
INDIO, CA 92201
(916)501-8117
Lic. No.: 881743
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Dater 9/26/06
Q \
a
WORKER'S COM TION �A
I hereby affirm under penalty of perjury one of the followi a aratio
_ I have and will maintain a certificate of conse If -insure for w action, a �ided
for by Section 3700 of the Labor Code; for he rfor 1Jje is permit is
issued.
_ I have and will maintain workers' compensation surance, as t2 y Section 3700 of the Labor
Code, for the performance of the work for w ch thi it is issued. My workers' compensation
insurance carrier and policy number are:
Carrier EX MPT Policy Number EXEMPT
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' compensat' provisions of Section
�� ^3/,70000 of the Lab r C e, I shall f rthwith comply with those provis' s.
at/D e:'t_2�L plicant:
WARNING: FAILURE TO SECUR 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 ordinances and state laws relating to building construction, and hereby authorize representativ
of this c unty to enter upon a above-mentioned property r inspect' n purposes.
ate: gnature (Applicant or Agent): -
Application Number .
. . . . 06-00003447
•Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
252.00 Plan Check
Fee
163.80
Issue Date . . . .
Valuation
. .
. 25000.
Expiration Date
3/25/07
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 :•
3%25/07
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
3/25/07
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
3/25/07
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
LQPERMIT `
LQPERMIT
Application Number . . . . . 06-00003447
-------------------------------=--------------------------------------------
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 356.00 .00 .00 356.00
Plan Check Total 189.80 00 .00 189.80
Grand Total 545.80 .00 .00 545.80
POOL SPECIFICATIONS
.7'X 7' SPA WITH. 18" RAISED
' 3 BOND BEAM 4' STACKED
S
Length:" 25'-0" -
l y• cu Width: 14,_0„
TONE SPILLWAY.
u rface Area: sq.t..22W,
Perimeter: lin.ft. Z_
5' i Depth: 3-0" to 5,_0„
5' h • 7 ° R2 . • _: SPA SPECIFICATIONS
' .. RZ-6" Q i Size: 7' X 7'
�x. Area: _+1 '
y 4, S X 9:5' TANNING LEDGE a ; '. sq.f[:
•�. Perimeter: lin.ft. -�'
oI ° 7 ° a WITH UMBRELLA SLEEVE. Depth: 3,_6„
- #Jets 6'standard
3'-0° z H d FINISHES
DEPTH �' w ,, r
7'-6" . Decking:. 2' band around pool
. 2'iBAND OF GREY ° 5' 0" 9'-�'" y Sq. Ft 2' _ t
DEPTH 4 `� w P =4 ► Color: Grey R
BROOM -FINISH :
Finish*
.. s Broom
CONCRETE TO °
d
SURROUND POOL: 07' 25' ;
Coping. Concrete
Spillway: Stacked Stone -
z _ ,; • ° 16'-10. Lina ft: 4`
F }'� �• _ ��-- * �' � �atertine: Natural -stone
• ,, { ° ° a `. _ ! . -1. Lin: ft: 32 "5 x'
° ° ° a a f Plaster%Pebble: Plaster
ti Color White
Y 4' 10; EXI TING CONCRETE.° ° ' d Y
° °. d ° . TO -REMAIN ° ° Y y FINISHES
° a ° Pump: Hayward
° a size: '
- - .
Filter:, Hayward,}
a
°
Size:°.
• a r i = ° Heater: Hayward `
° Size: - 250,000 btu
° 7. • • a Control: Time -clock
• ti ° 4 d 1�,+% NOTES:
4 _ .. :` ..� RESIDENCE' " ' �'
PLAN PRINTED
9/20/2006-bt
. • - _ Yy� G ACCESS TITLE:
y J a L a'
• ,
POOL PLAN
IRON GATES IN SIDE Y RD ` x
OPEN TO FRONT WITH JOB:
• SELF-CLOSING LATCHES.
t` y
y G/E #+ ADDRESS
52355 Ave Navarro
} :: • , r • " j � La Ouinta, CA' 92253
I ..
Bin #
e - - City of Lia, Quinta
Building 8i Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012 `
Building Permit Application and Tracking Sheet
Permit # �/I
3aI
Project Address:'
J
j
Owner's Name: • [� e r.e Woo e I Q
A. P. Number:
Address: 523556k verrrcl Ili Lec0
Legal Description:
c
Contractor:
City, ST, Zip:
W' W
Telephone: ' `
Address: 216701
Project Description:
City, ST, Zip:
ni I O - Cr Mo f
I o 07q A Cyd 5 o,
Telephone: !lZ -502 `01?
ZEN, k "
tate Lic. # Z �13
City Lic. #:
IA66 -
Arch., Engr., Designer:
-
Address:
'
City, ST, Zip:
Telephone: � ' n� ? �
P
State Lic. #:
Name of Contact Person: J •:641k �J I Z ,
-
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:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
b
tem
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person'
Plan Check Balance
Energy Calcs.
Plans picked up -
Construction
Flood plain plan
Plans resubmitted j
Mechanical
'
Grading plan,_
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
r
Plumbing
Grant Deed
r
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
o
Total Permit Fees ^
CITY OF LA QUINTA SUB-C.ONTRC R :LI o
JOB ADDRESS PERMIT NUMBER O'J NER � �� BUILDER
P
This -form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any changes to this list- must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
of building permit. t -or each applicable trade, all rntormation requested below must be completed by applicant. "un Flle"' is not an acceptable response.
::;.:....:..
-.
B L'
Trade Classification
/
Contractor
:»:..:-.:::.::>: State.Contractor.s License :::..:.:::>:.
Workers -Com ensation:lnsurance: ..
Cit : usiness
Y
icense::>
Company Name
Classification
(e.g. A, B, C-8)
License Number
(xxxxxx)
Ez Date
(xx/xx/xx)
Carrier Name
(e:g. State Fund, CalComp)
Policy Number
(Format Varies)
. Exp. Date
(xx/xx/xx)
License Number
(xxxx)
Exp. Date
Ixx/xx/xx)
EARTHWORK IC -12) ..;
CONCRETE (C=8)-:'.' :.
FRAMING ;(C-5)
STRUCT.: STEEL (C-51)
MASONRY 1C-291 T ';
PLUMBING (C7.36) .
LATH; PLASTER (C=35)
DRYWALL (C-9).::.
;
HVAC. (C-20):.::::<.>
ELECTRICAL. (CA 0). ; ..
ROOFINGIC=39):
SHEET METAL (.=•43Y.
FLOORING (C'A.5)..';..><:':`
GLAZING (C, 7):
INSULATION: (C-2). ....: .
SEWAGE DISP (6-42)..
PAINTING (C=33)
CERAMIC TILE IC -54)
CABINETS (C-6)
FENCING (C1713)
LANDSCAPING.: (C=27) .:
POOL (C-53)'.
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