06-1200 (RPL)�.q
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00001200
Property Address: 55410 CHERRY HILLS
APN: 775-170-028- -
Application- description: POOL - RESIDENTIAL
Property Zoning: LOWDENSITY RESIDENTIAL
Application valuation: 53800
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division of the Business and Professionals, Code, and my License is in full force_ and effect.
License:Class: C8 C27 C29 License No.: 839002
Date: �6 Contrac
OWNER -BUILDER DECLARATION
I 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 tharrequires;a permit to
alter, improve, demolish, or repaivany.structure, prior to its.issuance, also requires the applicant for the
permit to file a signed statement,that he or she is licensedpursuant to the, provision of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business end 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 (9500).:
(_J 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 bu(Ids 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 hwor she did not build or
improve for the purpose of sale.)..
(_ 1 I, as owner of the property, am exclusivelycontracting with licensed contractors toconstructthe 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 whocontracts for the projects.with a,contractor(s) licensed
pursuant to the:Contractors' State License Law:):
(_) I am exempt under Seo. , B:dP:C. for this reason
Date: Owner,
CONSTRUCTION LENDING AGENCY
I hereby affirm.under penalty of perjury that;there is a construction lending;agencyfor the performance of the
work for whichthis permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's -Address:
LQPERMIT
Owner:
LA .QUINTA BUILDERS, LLC
79-785 TANGELO
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: . 3/24/06
Contractor:
RIPARIAN ENVIRONMENTS
P.O. BOX 139.90
PALM DESERT, CA 92255 FkAPR
(760,)398-9997
Lie. NO.: 839002
0 1006
—--------------------------- — — — -a+F
WORKER'S COMPENSATION D1;
I hereby affirm.underpenalty 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 whichthis.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 forwhich this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier, STATE. FUND Policy Number
I, certify that, In the performanoe,of the, work for which.this permit is issued, I shall novemploy 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
3700 of the Labor Code I shall forthwith comply with those provision.
Dd Applicam:r a/?AJA,(4/
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 (8100;000). IWADDITION TO THE COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN
SECTION 3708 OF THE LABOR CODE, INTEREST,.AND ATTORNEY'S FEES.
APPLJCANT'ACKNOW LEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
condition and restrictions set forth on thWapplication.
1. Each personupon whose behalf this application is made, each persomat whose request and for
whose'benefitwork 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,Quirtta, hs 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 ofissuance 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 representatives
of this coun Lto enter upon the above-mentioned property f r inspection purposes.
Date "V f, Signature (Applicant or Agent)/
0
.,
Application Number . . . . 06-00001200
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
419.00 Plan Check Fee
272.35
Issue.Date . . .
Valuation . . .
. 50100
Expiration Date
9/2.0/06
' Qty Unit Charge
Per
Extension
BASE FEE
414.5.0
1.00 4.5000
THOU BLDG 50,001-100,0.00
4.50
Permit. . . . .MECH
POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date
Valuation . .
. 0
Expiration Datc-.
9/20/"06
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
9/20/06
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_ .
. 0
Expiration Date . .
9/20/06
Qty Unit Charge
Per
Extension
BASE FEE
1.5.00
2.00 6.0000
EA PLB FIXTURE
12.00
1.00 3.0000
EA PLB WATER INS.T/ALT/REP
3.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
Permit . . . .
WALL/FENCE PERMIT
LQPEUMT
0
Application Number . . . . . 06-00001200
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 370.0
Expiration Date 9/20/06
Qty Unit Charge Per
Extension.
BASE FEE
45.00
2.00 9.0000 THOU BLDG 2,00.1-25,000
18.00
---------------------------------------------------------_..
Special Notes and Comments
POOL & SPA. 148 LF 6' BLOCK,WALL, CITY
STANDARD. ALARMS/BARRIERS SHALL BE IN
PLACE PRIOR TO PRE -PLASTER INSPECTION.
Fee summary Charged Paid Credited
---------- -
Due
------
----------------- ---------- ----------
`Permit Fee Tot"al 586.00 .00 .00
586.00
Plan Check Total 298.35 .00 .00
298.35
Grand Total 884.35 .•00 .00
884.35
LQPHRMU
3 70
A Ivo
City of La Quinta
Building ex Safety Division
P.0. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and. Tracking. Sheet
Permtt
Projed Address:' —Jrj � 4-1 pG. ,—Q�Z�( l � Owner's Name: LA- Qat(,!(�
A. P. Number: Address: 85,
Legal Description: City, ST, Zip:
Contractor: Telephone:
Address: Project Description:
City, STZip: 1 = 6 ► r� IACD Finaxe
Telephone:
State Lic. # :
City Lic. #:
Arch., EngL, Designer:
Address:
City, ST, Zip:
Telephone: ConstructionTYpe: Occupancy:
State Lic: #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq. FL: # Stories: # Uaits:
Telephone# of Contact.Person: Estimated Value of.Project: ,. o a
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
submittal
Req'd
Rec'd
TRACIONG ,
PERMIT FEES
Plan Sets
Plan Check submitted'4/
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan.Check Balance
Energy Calcs.
Plans bicked.up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading: plan
21w Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans pickedap
S.M:L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for correctionsrusue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub -Mics. Apps
Date,of permit issue
School Fecs
Total Permit Fees
3 70
A Ivo
KEYNOTES
1. FLAGSTONE SLAB FLOORING
2. CONCRETE STEPS
3. POOL EQUIPMENT
4. ELECTRICAL PANEL
5. 24" HT. LOW WALL W/ CONCRETE ON TOP
6. GAS METER
7. MAIN DRAIN
8. SKIMMER -------- - -
9. UNDERWATER LIGHT FIXTURE
10, CERAMIC TILE
11. A/C CONDENSER
12. FOUNTAIN
13. GATE
14. 4' 0 FIRE PIT
15. BUILT-IN BBQ (BY OTHERS)
16, EXISTING COLUMN
17. CERAMIC TILE
18, 6'-0" HT. PLASTERED BLOCK WALL
15
I
1
1
dl
L00
1 \
\
I
1 /
\
1
• v ,\
Of
O
UjAkic-
I TO ,
=T_'°lr
,K3 — — �— —� -
I
- _
\
V_
wx13 6
L
DRAWN BY: I CONTRERAS
1 ..
I
DATE
- -"" MARCH 2O06
SCALE
E
SCALE 1 /8"=1'-0"
CONTRERAS DESIGN ASSOCIATES
Design / Site Planning
Jove A. Contreras
Principal Designer
41-175 Carter Lane
Bermuda Dunes, California 92203
PHONE (760) 272-9516
FAX (760) 772-9732
contrerasolmos@aol.com
Uj
Ujill
0
i
_ i
i
i
i
•
•*.
0
r
uni
F-