07-0668 (RPL)-P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4'ht
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 7. 07-00000668
Property Address: 81708 HIDDEN LINKS' DR
APN: 767-200-999-36 -312022-
Application description: POOL - RESIDENTIAL.
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 14000
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 Class: C53 C27 License No.: 419309
�Date>3 �'610� tractor. �(�a�C 1L�-PA?-^— 1 �y�p(
/ 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 ISec. 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 _ 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.).
(_) 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 contrac_ts:f_or.the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.). • , _ .
( 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 (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
CASSITY
81708 HIDDEN LINKS DRIVE
LA QUINTA, CA 92253
(
Contractor:
DESERT PARADISE POOL
78005 WILDCAT DRIVE
PALM DESERT, CA 9221
(760)360-7400
LiC. No.: 419309
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/02/07
-----------------------------7------------------
WORKER'S COMPENSATION DECLARATION
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
t+-_ Code, for the performance of the work for which this permit is issued. My workers' compensation
N 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 Cod4ER9!��MPEI'NSATION
th comply with those provisions.
��^6 _�
ate: cant:
WARNING: FAILURE TO SE WOCOVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001. 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 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 county to enter upon the above-mentioned property for inspection purposes. -
u�te: 3 6-a� S' ature (Applicant or Agent):
Application Number .
. . . . 07-00000668
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
153.00 Plan Check Fee
99.45
Issue Date . . . .
Valuation
13675
Expiration Date . .
8/29/07
Qty Unit Charge
Per
Extension
BASE FEE
45.00
12.00, 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
108.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
8/29/07
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—
8/29/07
I
Qty Unit Charge
•Per
Extension
BASE FEE
15.00
1.00 30-.0000
------------------------- ----------------------
EA ELEC PRIVATE SWIMMING POOL
30.00-
. . . PLUMBING
Additional desc .
Permit Fee
33.00 Plan Check Fee
8.25
Issue Date . . . .
Valuation . . . .
0
Expiration Date
8/29/07 -
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
Permit . . . . . . WALL/FENCE PERMIT
LQPERMIT ~
Application Number 07-00000668-
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 15.00
Plan Check
Fee
.00
Issue Date
Valuation
. . .
. 325
Expiration Date 8/29/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA, 15 L.F. 5' EQUIPMENT
ENCLOSURE,CITY STANDARD.
ALARMS/BARRIERS.SHALL,BE IN PLACE AT
PRE-PLASTER INSPECTION
Fee summary Charged Paid
-------------------------------------
Credited
--------------------
Due
Permit Fee Total 272.00
.00
.00
.272.00
Plan Check Total 125.45
.00
.00
125.45
Grand Total 397.45
.00
.00
397:45
Bin
Permit
/#
. 11J
Project Address:
A. P. Number:
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
Owner's Name:
Address:DD:ci ) Z NILS
City, ST, Zip:
Contractor: 2, � IZd�17I S ice,
Address: 5005 4,)? 1"r,t
i
City, ST, Zip: ALM 0
Telephone: 6 D — 7 YO
State Lic. #
Arch., Engr., Designer:
Address:
City; ST, Zip:
Telephone:
State Lic. #:_0
Nameof Contact Person: S
Telephone # of Contact Person:
# Submittal 1
Plan Sets
Structural CalcL
Truss Calcs.
Energy Glp.
Flood plain plan
Grading.plin'
Subcootactor List
Grant Deed
FLO.A. Approval
IN HOUSE:-
Planning Approval
Pub. Wks. Appr
School Fees
L 10 v Protect Description:
e 4 l v� L
- '� � dor, o -,� 5��'. � •
Lic. #:
W'd
Total Permit Fees
l �{
00c)
4
Construction Type:
Occupancy:
Jn't
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
Stories:
# Units:
.,
Bstimated Value of Project:
. �,/ O (JU
APPUCANT:
DO NOT WRITE BELOW
THIS UNE
Recd
TRACIQDIG
PERMIT FEES
Plan Check submitted
Item
Amount .
Reviewed, rcady for corrections
Plan Check Deposit
Called Contact Person
Plan Check Balance
Plans jricked.up
Construction
Plans resubmitted
•
Mechanical
2" Review, ready for correctionsassue
Electrical
Called Contact Person
Plumbing
Plans picked up
SALL
Plans resubmitted
Grading
Review, ready for•correctioWlssue
Developer impact Fey
Called .Contact person
A.I.P.P.
.Date of permit issue
Total Permit Fees
l �{
00c)
4