The URL can be used to link to this page

09-1158 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09 -00001158 -- Property Address: 81382 RUSTIC CANYON DR APN: 764-280-999-172 -300236- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Applic3tion valuation: 20000 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- ENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjure th t am licensed ur�er provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bu rte and Professions s Code, and my License is in full force and effect. License Class: C13-053 icenseNo.: 935936 \ OVVER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am eVUempt 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 _ 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 _ 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.l. (_ 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/02/09 Owner: WEBB 81382 RUSTIC CAN LA QUINTA, CA 92 Contractor: Yeo/ CLASSIC POO & 0, 79461 AVENUE 4 H�.TJ'p?;, BERMUDA DUNES, (760).413-4867 Lic. No.: 935936 tAA�.A i ----------------------------------------------- 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 NATIONAL INS Policy Number 200090117388 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 a to become subject to the workers' compensation laws of California, a d agree that, if I s ould ecoma subject to the o,kers' compensation prov'sions of Section /,7G00 r the Lab d sh forthwith co pl with those provisions. at/D e: v / icant: WARNING: FAILURE TO SECUR WORKERS' COQ�}}� SATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT�AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE C T 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 rk is not commenced within 180 days from date of issuan*suchper cessation of rkfor180 days will subject permit to cancellation. I certify that I have read this application and statermatiVscort. I agree to comply with all city and county ordinances and state laws relatingctiony authorize representatives of thiscou y t ente�the above-mentionedion p ate: nature (Applicant or Agen Application Number . . . . . 09-00001158 Permit• BLDG POOL PERMIT Additional desc . Permit Fee . . . 284.50 Plan Check Fee 184.93 Issue Date . . . . Valuation . . 30000 Expiration Date 5/01/10 Qty Unit Charge Per Extension BASE FEE 252.00 5.00 6.5000 THOU BLDG 25,001-50,000 32.50 Permit MECH POOL Additional desc Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . 0 Expiration Date 5/01/10 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 5/01/10 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 5/01/10, 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 . . . . 09-00001158 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 15.00 - Plan Check Fee .00 Issue Date . . . Valuation 208 Expiration Date 5/01/10 Qty Unit Charge Per Extension BASE FEE 15.00 ---- Special Notes and Comments POOL/SPA, 13 L.F. 4' EQUIPMENT ENCLOSURE CITY STANDARD, FIREPIT (GAS RUN OF 35 L.F. 3/4" PIPE). ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. 2007 CODES. ------------------------------------------------ Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 403.50 .00 .00 403.50 Plan Check Total 210.93 00 .00 210.93 Other Fee Total 2.00 .00 00 2.00 Grand Total 616.43 ,:00 00 616.43 PLANTER m PLANTER 3 U V V U '� -u POOL EQUIP. • '� � 'RTL�W /''/fid lIUL�TI _ I �� I �✓� q _1 N 6rl (I SS Z C Pools / Spas Landscaping (760) 345-8302 I Lic. # C 53-935936 )UINTA T( DEPT. /ED ICTION NAMEI DERRELL WEBB ADDRESS- 81382 RUSTIC CANYON DR, CITY. LA QUINTA, CA 92253 PHASE- --TRACT: — LOT# 172 Bin # City of La Quinta Building & Safety Division Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking sheet Permit # f 1 7—P.O. `l Project Address: U (G G O Owner's Name: A. P. Number: Address: 1 ' v� G 7 e)lt Legal Description: City, ST, Zip: L (� G Contractor: Telephone: hon e.o1S Address: iWif Project Description: City, ST, Zip: c U L L Telephone: hone: i Ltd f� � .dYl G State Lie. # : City Lia #: Arch., Engr.; Designer: / Address: City., ST, Zip: ;.,: Telephone: �> State Lic. # Name of Contact Person: Construction ' tion TY P e: Occupancy: P Y: Pr Je ct type (circle one): New Add' n Alter Repair Demo Sq. Ft.: #Stories: # Units: Telephone # of Contact Person• -9 is Estimated Value of Project: E0,035 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING ]PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs.. Reviewed, ready for corrections Plan Check Deposit Truss Caics. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction = Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue 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 Fe -s