09-0279 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09-00000279
Property Address: 53355 AVENIDA CARRANZA
APN: 774-075-018-6 -000000-
Application description: POOL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 20000
T4bt 4 4 Q"
Architect or Engineer:
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 Business and Professionals Code, and my License is in full force and effect.
License Class: C53 L' se No.: 786133
ate: Cy ractor, /
OWNER -BUILDER DECLARATION
I hereby affirm under penalty /perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 705, 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 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.).
Lender's Name:
Lender's Address: -
LQPERMIT
Owner:
JILL EASLEY
53355 AVENIDA
LA QUINTA, CA
CARRANZ)
92253
Contractor:
JP POOLS INC
2030 N. ACACIA ROAD E
PALM SPRINGS, CA 9226:
(760)272-4621
Lic. No.: 786133
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/26/09
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.
1/ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
�G 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 1615367
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 , �aag9,ree that, if I should be subjec�1�
mpensation provisions of Section
—$7d(1f e Labor Code 1 forthwithprovisions.
v� 'Applicant:
f"
WARNING: FAILURE TO SE R ' C PENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER T IN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN rrION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE _ BOR 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 readAs application and state that the above information is correct. I a ree to comply with all
t _ n ^�^��,'(��',' and state laws relatin to buildin co str tion, a senta fives
-��Yi)s u to enTerr u on the above-mentioned prope�y ins ctioh s.
Date: /Signature (Applicant or Agent
Application Number• . . . . . 09-00000279
Permit . . .
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . . .
45.00 Plan Check Fee
11.25
Issue Date
Valuation . . .
. 0
Expiration Date
9/22/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000
----------------------------------------------------------------------------
EA ELEC PRIVATE SWIMMING POOL
30.00
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
207.00 Plan Check Fee
134.55
Issue Date . . . .
Valuation . . .
. .20000
Expiration Date
9/22/09
Qty Unit Charge
Per
Extension
BASE FEE
45.00
18.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
162.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
27.0.0 Plan Check Fee
6.75
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
9/22/09
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
POOL ONLY. ALARMS/BARRIERS SHALL BE IN
PLACE AT PRE -PLASTER
INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED.
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged
---------------------------
Paid Credited
------------------------------
Due
Permit Fee Total
279.00 .00 .00
279.00
Plan Check Total
152.55 .00 .00
152.55
Other Fee Total
1.00 .00 .00
1.00
Grand Total
432.55' .00 .00
432.55
u
LQPERMIT
pool equipment 50 ft.
TAN HEgF
y
LO
24 ft.
i s
5 ft. 6 in.
_ 5'DEEP
X9 ft. 6 in. N N 10" DEEP M
'6" DEEP
-� O O
� rn
5 ft.
RAISE POWER TO ELECT CODE —�
HOUSE
7 ft. 6 in.
J P Pools Phone: 272-4621
SCALE: 1/8" = 1' 2030 N Acacia
Palm Springs CA 92262 Fax: 322-1482
5 ft.
N--:>
-�} Lj4-o e c t
k t VVI BVI -e-N`
I CITY OF LA QUINTq
BUILDING & SAFE
PPROVED
OR CONSTRUCTION
DAT
a �4C
Designed by:
E01-123
Ed Bogel
Designed
3/25/2009
for:
Y Bin #
ION M
Permit #
Project Address: 5 3 3 C;
A. P. Number:
Legal Description:
Contractor: �i a 0 J S
Address: 2-o3o Al, �
City, ST, Zip: /JaI%Yt
Telephone: '7(o 0 2 �Z•-y6
StateL� t� ## V � J'3
Arch., Engr., Designer:�1r�
Address: "� 7 �z
City, ST, Zip:
Telephone:
State Lic. #:
I Name of Contact Person: +r
Telephone # of Contact Person:
# Submittal
Plan Sets
Structural Calcs.
Truss Calcs.
Energy Calcs.
Flood plain plan
® E� plan
List
H.O.A.
Planning Approval
Pub. Wks. Appr
School Fees
City of La Quinita
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
Owner's Name: T
Address: C-aY
o4 74
City, ST, Zip: C' Z
Telephone:
Project Description:
City Lic. #:
Total Permit Fees
Construction Type: Occupancy:
Project type (circle one): 'New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Estimated Value of Project: Uq0,Q0(2
APPLICANT: DO NOT WRITE BELOW THIS LINE
Reed . -
TRACKING PERMIT FEES
Plan Check submitted LS Item Amount
Reviewed, ready for corrections Plan Check Deposit
Called Contact Person Plan Check Balance
Plans picked up Construction
Plans resubmitted Mechanical
2" Review, ready for correctiousfissue Electrical
Called Contact Person Plumbing
Plans picked up S.M.I.
Plans resubmitted Grading
Review, ready for corrections/issue Developer Impact Fee
Called Contact Person A.I.P.P.
Date of permit issue
Total Permit Fees