The URL can be used to link to this page

05-3835 (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: 10'5-0'0'0 0'-3 83'5 52840 AVENIDA RUBIO 773-313=005-22 -000000- POOL - RESIDENTIAL COVE RESIDENTIAL 18000 Ta!t 4 4 Q,," Architect -or Enginee 7ti/ BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 1 LICENSED CONTRACTOR'S'DECLARATION �1-herebyaffirmunder penalty of perjury theIt;I.am lic6nsed under= provisions Iof.Chapter 9 (commencing with+: Sectiont7,000)'of Division 3 of the Business end Professionals Code; and my License is in full force. and effect; License Class: V�•a . _License No.: / Q Date. G'.*�� Contractor: \ • - - OW ER -BUILDER. DECLARATION - I hereby affirm under penalty of. perjury that) am exempt from the,Contractor.'s•State License Law for the following reason ISee.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 fcensed pursuant to the provisions of the Contractor's State License Law (Chapter. 9 (commencing with Section 7000).of Division 3 -of the Business arid. Professions Code) or - thaflie or she is'exempt therefrom and the: basis for: the alleged exemption : Any wolationof.Section 7031.5 by any applicant for a permitsubjects the applicant to -a civil penalty ,of.not'more than five hundred dollars ($500).: (_ 1 li,as owner of. the property, or my.employees.with wages :as',theirsole compensation; will do the work, and, the st(66ture is notintended'or offered for: sale (Se6.'7044, business and Professions Code: The w '.Z Contractors' State License La. does not apply. to;an'owi er.of property who builds or improves thereon,, and who does the work himself'orherself through his or her own employees, provided that the ' improvements are not intended or offered for'sale., If, however, the,building'orimprovement 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 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the_project (Sec. 7044; Business and P(ofessions'Code: The Contractors' State Li6ense'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—) 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: NISTA 52-840 AVENIDA RUBIO LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/30/05 Contractor: LOZANO PROF POOL CONST, MIKE WCC:. 'EXEMPT WC: EXEMPT 07/31/06 CSLB: 840397 06/30/06 WORKER'S COMPENSATION `DECLARATION I hereby affirm; under, penalty of -perjury one;of the following declarations: _ 1Chave and',kill maintain a certificate of consent,to self -insure for: workers', compensation;. as provided . for by(Section MO of the Labor.Code, forthe:performance oft 'o k for which this permit is � - issued '+ I have and -will maintain_ workers' compensation insurance, as -required by Section 3700 of the Labor - n Code, forithe performance*of, thework for which this permit is issued. My,wo_rkers' compensation insurancecarrier and policy number aie: Carrier C53`.-.. » Policy Number - - I certify,that, in the performance of the.work for,which this permit is'issued, l shall,noremploy any. . person in'any manner so as to become subject to.,the workers' compensation laws`of California, and agree that; if I should b'eco. a sub'ect-to the workers' compensation provisions of Section', 3700 of the Labor Cod - I' ha fort4 �ith'comply_withahose provisions. . — tl Date: APP IicaH[: WARNING: FAILURE TO SECURE WORKERS' C5aENSATION COVERAGE ISUNLAWFUL, .AND SHALL SUBJECT AN, EMPLOYER TO CRIMINAL PENALTIES ANDCIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS.($ 100,000). IN ADDITION TO.THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN. SECTION 37060E THE LABOR CODE, INTEREST, AND ATTOR'NEY'S FEES. APPLICANT ACKNOWLEDGEMENT .:IMPORTANT. Application:is hereby made to•the''Diiectorof Building and Safety fora permit subject tothe conditions and restrictions set forth on this application. 1 . Each person upon whose behalfthis application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permitissued 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�6ounty to enter upon the above-mentioned p�ropert r, or in Qectio�rposes. Dat/e: —r/ —0 Signature (Applicant or Age Application Number . . . . 05-00003835 Permit . . . BLDG POOL PERMIT Additional desc - Permit Fee. 189.00 Plan Check Fee 122.85 Issue Date Valuation . . . . 18000 Expiration Date 2/26/06 Qty Unit Charge Per Extension BASE .FEE 45.00. 16.00 9.0000 THOU BLDG 2,001-25;000 144:00 Permit MECH POOL Additional desc . Permit' Fee 26.00 Plan Check Fee 6.50 ..Issue Date Valuation 0 Expiration Date 2/2.6/06 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 Expirat on..Date 2/26/06 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 . 2/26/06 „,.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/BARRIERS SHALL LQPERMTT Application Number . . . . . 05-00003835. ---------------------------------------------------------------------------- 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. .293.00 .00 .00 293.00 Plan Check Total 148:85 .00 00 148.85 Grand Total." 441.85: .00 00, 441.85 LQPERMIT PI L ii Extsb,J3 tiu%35A S'a-Yla iWE?-ublo 0 Rwrw /4 CITY OF: LA QUIN'TA BUILDING k SAFETY DEPT. ROVED FOR CONSTRUCTION DATES &0 BY t r to CITY OF LA QUINTA SUB -CONTRACTOR LIST. JOB ADDRESS S2 - Y10 ML K AIM, PERMIT NUMBER, . OWNER_ Tc W A/ic6 4 BUILDER Lobo P� C' This form shag be posted on the•lob with the Building Inspection Cardat,all times in a conspicuous place. Onl {t(kssronr�k(. Qct i y persons appearing on This list or their employees are m r3 wo authorised to to wo on -this job. Any changes to this list must' be approved by the Building Oiytsion prior to commencement of work. 'Failure to comply will result in a stoppage of work and/or the Vr)anct N' of building permit. For each applicable trade, ail information requested below must be completed by a pGcant. 'On File' -is not an acce table response. � m Trade J Classirmation Contractor, < .': State.l:witractp's lfecnae :.;. Wprkeis C' . ensation,fnsutar�e.' C' Bitsi�ie4a�lle:ense N m w Company Hame - ClassHicatwn license Number Exp. Date Carrier tName . PoScy Number EXP. Li Date cense Number Exp._Date te.g A,B, E-61 (ua:zx) t:xlxxhocl, (e.g- State Fund. CalComp) lFormat.Varies} fuhi<hoil "(■icxxl Iroc/xxfxic} m > garliwoau tc t21 si _ LOidV i,( trt.sdt- S .. c ooNCRETE {C-81 FRAMING JC -5) ` S :L a: j:;j c..-? S4a 3�7 '7 Y'6 fi70 S i , vd o 00 11 STRl1CT:STEEI-IC-61) (C -291y Sri, aA- POOL =C.- S SS+66 d O PLMMBINd(C-36) LATH:LASTERC-35}.SONy 3c 1. z DRVWALL (C-9) - HVAC IG20 8 3"rl �cTRicattalo}. R OFWG IC.39 oatw ��(. tk.e, c:-rc - s?.4�4� �-ji-a�. �i.� 04��a'•iti-s - (��-�� r�s:g 6� 6-0` SHEETMETAL (G=43} " . FLUORNG Ilp "TT :. -21 SEWAGE` DISP. (Q-40_ : PAINTING (C-33) CERAMIC TILE (C-54} " CABBETSfC-6I FIEICING (C-13} LANDSCAPING Wm271 ; POOL (C-53) '' N 3 X133 y 2, 3-3i-a6kErL Euro t7 S b -(_V b -- 4 rt Fid -�7-06