06-1695 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
06-00001695
81660 HIDDEN LINKS DR
767-200-999-.39 -312022-
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
19000
T4 -tit 4'4v Qumm
Architect or Engineer:
A-4(,
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
DESERT CHEYENNE, INC.
78401 HIGHWAY 111, SUITE G,
LA QUINTA, CA 92253
(760)777-9920
MAY1�E� ERT PARADISE POOL & SPAS
J_ 78005 WILDCAT DRIVE SUITE 104
/ 2000 F LM DESERT, CP 92211
NCH 1' 41 f �F760) 360-7400
\��r) rA 1Llc. No.: 419309
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.
Licensee Class: C53 C27 License No.: 419309
DeCe: S� 7 0L' Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of erjury 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 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, 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 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153''
Date: 5/02/06
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.
K 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 VIRIGINA SURETY Policy Number WV9001347901
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 b
!9come subject to the workers' compensation provisions of Section
3700 of the Labor Co , shall forthwith comply with those provisions.
DS —17�
7 e Applicant,
WARNING: FAILURE TO SE RE WO KE MPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYE 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.
certify that I have read this application and state that the abov information is correct.: I agree to comply with all
city and county. ordinances and state laws relating to buildin struction and hereby authorize representatives
of this county to enter upon the above-mentioned prope f inspecti purposes. .
Date/! -G Signature (Applicant or Agent)
Application Number . . . . . 06-00001695
Permit . . . . . BLDG POOL PERMIT
Additional desc .
Permit Fee . . . . .198.00 Plan Check Fee 128.70
Issue Date Valuation . . . . 19000
Expiration Date 10/29/06
Qty Unit Charge Per Extension
BASE FEE 45.00
17.00 9.0000 THOU BLDG 2,001-25,000 153.00
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• Permit . . . MECH POOL
Additional desc .
Permit Fee . . . . 26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation . . . . 0
Expiration Date 10/29/06
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 10/29/06
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 10/29/06
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 ONLY. ALARMS/BARRIER SHALL
LQPERMIT
Application Number . . . . . 06-00001695
t. ----------------------------------------------------------------------------
Special Notes and Comments
BE IN PLACE PRIOR TO PRE-PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED IN PERMIT.
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 302.00 .00 .00 302.00
Plan Check Total 154.70 .00 .00 154.70
Grand Total 456.70 .00 .00 456.70
1
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LQPERMTT
Vij
A
Bin #
City of La Quint
Building-& Safety Dig Won .
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building' Permit Application and"Tracking Sheet
Permit
.Project Address: _ Owner's Name: ✓ EK : b v. �A �1Ckb
A..P. Number. Address: — 83CkA S
Legal Description: Lo T, 31 C_ ity, ST. Zip:LA
Contractor:h E erg?fit fS
..LC Telephone:"
p• � ' j e Pjeet:Desaipti�t:, �
.Address: 10,!L, 41ESwrG tn � � Z
City, ST, Zip: `r E tAo 9.2 2- d
Telephone: .; "`•x-..,.:::.• _ - ..
`^
State Lic. # :Aq 3 `City Lic. #:�y�
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Y�4a.Construction Type: Occupancy:
Poo*L.type(circte_one):. esu Add -'n Alter Repair .. --Dema
Name of Contact Person: _S;O � Sq. Ft.:.5/-/7
# Stories:
# Units:
Telephone # of Contact Persow. / Value -of Project:
APPLICANT: DO, N&T WRITE BELOW TM& LINE-- -
q
Submittal
Req•d
Rec'd ' TRACKING PERMIT FEES
Z
Plan Sets
Plan Check submitittt"'
Z[tem
:
Amount
'
Structural Cates.Reviewed,
ready'ror corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked up
Construction
Flood plain plan
Pians resubmitted
Mechanical
Grading plan
2i° Review, ready for corrections/issue
Electrical .
Subtontactor List
Called Contact Person
Plumbing
Grant Deed •
Plans picked up
S.All,
H.O.A. Approval
Plans resubmitted
Grading..
IN HOUSE:-
Review, readv for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person'
Pub. Wks. Appr
Date of permit issue'
School Fees
`
Total Permit -Fees -