07-0530 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
07-00000530
Property Address:
81641 HIDDEN LINKS DR
APN:
767-200-999-28 -312022-
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
14000
Applicant: 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.
Lic se Class: C53 C27 License Nq.: 419309- C
DaZ_ 2-0 _0ntractor: <Q�C��pS
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 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 filg 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 sale 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.).
( ) 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:
RAND & GENEVIEVE PARKER
81641 HIDDEN LINKS DRIVE
LA QUINTA, CA 929gl
(
Contractor:
DESERT PARADISE
78005 WILDCAT DR
PALM DESERT, CA
(760)360-7400
Lic. No.: 419309
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/20/07
-----------------------------------------------
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
r issued.
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 are:
Carrier ENDURANCE WORK - Policy Number WVS001347901
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 be a subject to the workers' compensation provisions of Section
3700 of the Labor Code II f hwith comply with those provisions.
icanr
WARNING: FAILURE TO SE W KERS' MPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER CRIM ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). 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 an ounty ordinances and state laws relating to building construction, and hereby authorize representatives
of county to enter upon the ove-mentioned property nspe 'on purposes.
Oate_Z� _– Si ture (Applicant or Agen
J
LQPERMIT-
Application Number . . . . . 07-00000530
Permit . . . BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . . 153.00 Plan Check Fee 99.45
Issue Date . . Valuation . . . . 14000
Expiration Date 8/19/07
Qty Unit Charge Per Extension
BASE FEE 45.00
12.00 9.0000 THOU BLDG 2,001-25,00.0 108.00
----------------------------------------------------------------------------
Permit . . . MECH POOL
Additional desc . .
Permit Fee . . . . 26..00 Plan Check Fee 6.50
Issue Date . . . . Valuation . . . . 0
Expiration Date 8/19/07
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 . . 8/19/07 -
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 8/19/07
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
Application Number . . . . _ 07-00000530
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary Charged Paid Credited Due.
---------------------------------------------------------
Permit.Fee Total 257.00 .00 .00 257.00
Plan Check Total 125.45 .0.0 .00 125.45
Grand Total 382.45 .00 .00 382.45
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Bin #
City Of La Quinta
Building U. Safety Division
Permit #
r . P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:' % _ r /77s:
A. P. Number:
Owner's Name:
Legal Description: ' •
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Project type (circle one): New Add"n Alter Repair Demo
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Telephone # of Contact Perso
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�Ots:'x7Q8 APPROVAL U VA ZD YM go.DAYS Fat�QK /1?l�t�pvAt. DATE
-" 949 733 4320
09/25/02 WED' 09:19 FAX 949 733 4320 CSA/IAS Irvine
SP
CSA INTERNATIONAL
Certificate of Compliance
Certificate: 1355624
Project: 1355624
Issued to: Grand Effects
10 Argento Dr.
MISSION VIEJO, CA 92692
USA
Attention: Mr. Kevin Doud
Master Contract: 217348
Date Issued: 2002-09-24
Vie products listed below are eligible to bear the CSA Mark shown
with adjacent indicator 'US'
goo
CIssued by: H1 Trinidad
�„ • dd�i
us Authorized by: Len Bardsley
Operations Manager
PRODUCTS .
2.73.1=82 . LIGHTING (GAS) Outdoor Decorative Type
Model Number
For Use With Natural Gas
Illuminating Appliance for Outdoor Installation
E9
APPLICABLE REQUIREMENTS
Minimum Maximum
Input Rating Input Rating
me: GRAND EFFECTS
60,000 80,000
I.A.S. Requirement 8-96 Gas -Fred Decorative Illuminating Appliances For Outdoor Installation
MARKINGS
All markings and printed instructions are in compliance with the above-mentioned requirements.
lb 003
The'US' indicator adjacent to -the CSA Mark signifies that the product has been evaluated to the applicable ANSUUL Standards, for use in the U.S;. Ibis 1JS' indicator
L:
includes products eligible to bear the 'NRTindicator. NRTL, i.e. National Recognized Testing Laboratory, is a designation granted by the U.S. Occupational Safety
and Health Administration (OSHA) to laboratories which have been recognized to perform certification to U.S. Standards. _