07-0112 (RPL)4 P.O. BOX 1504 �VOICE 760 777-7012
7f495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/17/07
_
Application Number: _ 07-00000112 Owner.
Property Address: 81692 HIDDEN LINKS DR ROTHMAN
APN: 767-200-999-37 -312022- 81692 HIDDEN LINKS DRIVE
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL ( rjOQ�
Application valuation: 14000
Contractor.
Applicant: Architect or Engineer: DESERT PARADISE POOL & SPAS
IVI� 78005 WILDCAT DRIVE SUITE 104
PALM DESERT, CA 92211
W
ool,,,
(760)360-7400
Lic. 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.
License Class: C53 C27 License No.: 419309
? 'Pe6—Conn tor:1/L'sr6iZ�T/'/$iG6dd/��_
l.••r- �j
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 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.).
(_) 1, 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 contractors) 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 ISec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQ11ERMIT
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
l 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 become subject to the workers' compensation provisions of Section
3700 of the Labor Cod shall forthwith comply with those provisions.
f a/te: 1%7 l
Applicant:
WARNING: FAILURE TO URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOY TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). 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.
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 c struction, and hereby authorize representatives
of this county to enter upon the above-mentioned propert inspectio purposes.
Date:/ 'Signature (Applicant or Agent).
r
Application Number .
. . . . 07-00000112
Permit . . .
MECH POOL
' Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
7/16/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
----------------------------------------------------------------------------
EA MECH FURNACE,>100K
11.00
Permit . . .
BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . .
153.00 Plan Check Fee
99.45
Issue Date . . . .
Valuation
14000
Expiration Date
7/16/07
Qty Unit Charge
Per
Extension
BASE FEE
45.00
12.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
108.00
Permit . . .
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . . .
45.00 Plan Check Fee
11.25
Issue Date . . . .
Valuation . . . .
0
Expiration Date
7/16/07 '
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
7/16/07
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 07-00000112
----------------------------------------------------------------------------
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
.00
.00
125.45
Grand Total 382.45
.00
.00
382.45
LQPERMIT . .
Bin #
City of La Quinta
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
Permit # n
�\ 1�
Project Address: J _G c� Z �1�1/�A/
Owner's Name:
A. P. Number:
Address: 9I—Wo 9Z /Glde4 z--,,lik—S
Legal Description:
City,'ST, Zip:
Contractor: -►yl� '�
Address: '7 gOQS /l/lar-l-
Telephone �
Project Description:
City, ST, Zip: �t�h� I !e711
J l'G�G�l�L
Telepho 6 D- CD
09 S J l e
State Lic. # : 62'7
City Lic.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type: Occupancy:
P cY:
Project type (circle one): New. Add'n Alter Repair Demo
Name of Contact Person: 7�%
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person•
Estimated Value of Project: ODO
APPLICANT:
DO NOT WRITE BELOW THIS LINE
#
2
Submittal
Plan Sets
Req'd
Reed
TRACKING.
Plan Check submitted U 0
PERMIT FEES
Item Amount
Structural Cales.
Reviewed, ready for' -rection 14
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cities.
Plans ticked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading.plan
2" Review, ready for correctionstissue
Electrical
Subcoutactor 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 correctionsrissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
•-�� • vv ��c c V VlJlll l inni.�a�m[ii 1
IgJVVL/VVI
/01104/2007 1 •20 FAX 9410 982 121V utUMI RAPAOCRtne �.
ARCHITECTURAL IMPROVEMENT APPLICATION AND AGREEMENT �
DATE - Alva
NAME (s)
J'
4 STREET ADDRE
LOCM. PHONE OTH&R PHON$ ki
RrQUESTED IMPROVEMENT
tV [Z A trA CG aoT rf
Approval is roquestmd for the above improvement according to the plane attached. We
have attaohed two (2) sets of pians outlining the work to be done along with a complete
deseriptlon of the materials nae colors to be used. If we are using a contractor(@), we
enclose copies of this Contractor's License.
Attachments;
1. Two copies ofthe Architectural Impr"wneot Application
2. Tuve sets ofplaw with materials ad colors to be used.
Notal One set is for the management office; tho other set to be returned to you as
"Approved
3. Contractor's name and copy of eontractot's license. (Not required if the
improvement is under $300.00 or if "Owner-Bulidw .
4, Brochures (2) and/or color samples of manufmared products tobe uecd.
We have'read the Architectural Committee Rules and Guidelines and have famished
wpies to all contractors to be engaged by ue .and we agree to comply with those Rules
and Wdeliaw. 'Wo &loo understand that it is oar respombility to insure that our
Conaaetar(s) comply with said Rules. We acknowledge that Building Permits for borne
impvDwa +,i—irm may be required by the City if Indio. The cost of pamits, responsibility
sr Vbjts n nb 'ih , the subsequent inspections wig be our responsibility. In sli caste
.vtv,�,_ e• t'o in cvmpliunce with applicable building codes
ijc1u4iu0, 0Wt 461 haoilad, . d-. al ;:, d subsequent to the original completion and
Bcog6tence of aw dwellingt
y� 9 PIN t2+ d