07-1706 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Nurn6er.
-'-07_-00001,706
Property Address:
81657 HIDDEN LINKS DR
APN:
767-200-999-29 -.312022-
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
25000
Td'4
"
VOICE (760) 777-7012
14Q
FAX (760) 777-7011
BUILDING 4 SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/12/07
Owner:
SCHERPF RESIDENCE!
81-657 HIDDEN LINK
LA QUINTA, CA 9225
( JUN 3
Applicant: Architect or Engineer:
-----------------
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 clasp: C53 License No.: 777601
.Dat` 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 155001.:
(_) 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 I am exempt under Sec. , BAP.C. for this reason
Date:
Owner:
r -
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:
LQPERN11T
CITY OF
Contractor: F {�
CAL -NEVADA POOLS I
P.O. BOX 2222
RANCHO MIRAGE, CA 92270
(760)831-0860
Lic. No.: 777601
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.
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
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1795596
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 tobecome su 'ect to the workers' com nsation laws of California,
and agree that, if I should become sub' tot orkers' com sation provisions of Section
//FAILURE
f the Labor Code, I sh ith c ovisions.
Daie: Applic�— antiWA NIN TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,0001. 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 infyin.tionglAorrect. 1 a o comply with all
city and county ordinances and state laws relating to buil ' % a rize representatives
of this county tp entej upon the above-mentioned prop r ' pectio urposes.
Date:
dicant or A
Application Number . . . 07-00001706
LQPERMIT
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
252.00 Plan Check Fee
163.80
Issue Date.
Valuation . . .
. 25000
Expiration Date
12/09/07
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
12/09/07
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
12/09/07
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
12/09/07
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 . . . . . 07-00001706
-----------------------------;------'----------------------------------------
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
LQPERM[T -
Bin #
City. of La Quinta-
Building 8T' Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking SheetStnf er .
Permit,#
Project Address:' "- o t{ a Owner's Name: �� ` �,( 5C114
A. P. Number: Address: S,;;,
Legal Description: fes,, ice. 1w City, ST, Zip: L� : �+�,� H
Contractor:�—
Address: 3 Project Description:
i
City, ST, Zip:,e4,A1,1 04
Telephone:
City Lic. #:
State Lic.•# :
Arch., Eng., Designer:
Address:
City, ST, Zip: �G�� %--
Telephone: D Construction Type:. Occupancy:
State t4c. #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: 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 �Q7
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss CRIcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans. resubmitted
Mechanical
Grading, plan
2°" Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
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
Total Permit Fees
Pte.