08-0223 (RPL)P.O. BOX 1504
78-495 CALL£ TAMPICO 1.
LA QUINTA, CALIFORNIA 92253
Application Number:0,8 08 00002.23'
Property Address:. 81685 RUSTIC CANYON DR
APN: 764-280-999-35 -300237-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 20000
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
WALLACE & JANICE MORGAN
81685 RUSTIC CANYON DRIVE
LA QUINTA, CA 92253
Contractor:
FAMILY POOLS CONSTR
P O BOX 283
LA QUINTA, CA 92247
(760) 564 - 3655
Lic. No.: 658996
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:
JAN 30 ?Do
8
1/30/08
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I hereby affi m under penalty of perjury that I am ice ed under provisio of Chapter 9 (commencing with
Section 70 01 of Division 3 of the Business Yg,.na ls Code, a my License is in full force and effect.
License: C 3 � License/.-- 658996
i w
r OWNER•BUILDER DECLARATION
I hereby affirm under penalty of perjury that I m 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 a y 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 herown 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.).
( 1 1 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
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations: I .
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' com,pensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the oik for which this permit is issued. My workers' compensation
insurance carrier and policy nu erare:
Carrier STATE FUND P 'r mber 1344032-06
_ I certify that, in the perfor the work for which this permit is issued, I shall not employ any
person in any m o as be ome subject to the workers' compensation laws of California,
an agree that, if I shout p e subject to the workers' compensation provisions of Section
13.0.4 of the.. for Cod �Ith^h comply with those provisions.
WARN G: FAILURE TO SECURE WORKgiq}RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJ CT AN EMPLOYER TO CRIMINAL JENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO HE 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 beco es n d void if work is not commenced
within 180 days from date of issuance of such per r cessation of work for 180 days will subject
permit to cancellation.
I certify t at I have read this application and state that th information is correct. I agree to comply with all
city and oun[ or finances and state laws relating to bui i struction, and hereby authorize representatives
of thi nter upon the above-mentioned prop t ion purposes. -
e: Si ure (Applicant or Agent):
• Application Number .
. . . . 08-00000223
Permit . . .
BLDG POOL PERMIT
Additional desc .
-- Permit Fee -,
207.00 Plan Check Fee
134.55
Issue Date
Valuation . . . .
20000
Expiration Date
7/28/08 -_
- Qty Unit Charge
Per
Extension
BASE FEE
45.00
18.00 9.0000
_
THOU BLDG 2,001-25,000
162.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation
0
Expiration Date
•.7/28/08
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..
7/28/08
Qty Unit Charge
Per-
Extension
BASE FEE
15.00
1.00 30.0000
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EA ELEC PRIVATE SWIMMING POOL
30.00
Permit
PLUMBING
Additional desc
a
Permit Fee
27.00 Plan Check Fee
6.75
Issue Date. . . . .
- Valuation . . .
0
.Expiration Date
7/28/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 6.0000
EA PLB FIXTURE
6.00
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 r P`
SPA. ALARMS/BARRIERS
SHALL BE IN PLACE
• LQPER\7IT -
-
, EWA4q 9- W-1
MORGAN NOME rod 4"W&
81685 ku5tic Caw
-frdoqq Calbxu Club
I a QuAa
C,onstructi-on
Pcd5 5pa5 Founrains
. C 160) 56��3655
#658996
CIWOF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATEI' 30- oe;
Y
Bin #
City of La Qutnta .
Building 8L Safety DlvWon —%
P.O. Box 1504, 78-495 Calle Tampico
Permitfl
La Quinta, CA 92253 - (760) 777-7012
Application Tracking. Sheet
Building Permit .and
i
Owner's Name:
Project Address:
Jam/
S C�
Address: RA!o l�
A. P. Number:
-
City, ST, Zip:
Legal Description:
Telephone:
Contractor: /
Project Description:
Address: .;('�
,s
City; ST, Zip:
-
Telephone:
State Lic: # : t,
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Construction Type: Occupancy:
Telephone:
Project type (circle;one): New Add's Alter Repair Demo
State Lic. C.
Sq. Ft.:
# Sto*tp
# Units :
Name of Contact Person:
Estimated Value of Project: -
Telephone # of Contact Person:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal
Req'd Recd TRAC ING . PERMIT FEES
Plan Check submitted Item Amount
Plan Sets
Reviewed, ready for corrections Plan Cheek Deposit
Structural Calcs.
Plan ChecM Balance
Truss Calcs.
Called Contact Person
Pleas picked up Construction
Energy Coles.
Plans resubmitted Mechanical
Flood plain plan
ready for corrections/issue Electrical
Grading. plan
Subcontactor List
tact Person Plumbing
Grant Deed
d up S.M.I.
M',-red
H.O.A. Approval
mitted Grading
ready for correctio�ssue Developerimpact Fee
IN HOUSE:-
Planting Approval
tact Person A.LP.P...
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
to