05-4225 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 05=06004225�
Property Address:
53875 AVENIDA RUBIO
APN:
774-152-020-8 -000000-
Application description:
POOL - RESIDENTIAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
15000
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
------------------------------------------------
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 Bu ' ss and Professionals Code, and my License.is in full force and effect.
License Class: 'cense No.:
ate' ( 2 Contractor.
OWNER -BUILDER DECLA TION
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 1, 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 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 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: 9/21/05
Owner:
JOSEPH BIRDSELL
P.O. BOX 630
LA QUINTA, CA 92253
Contractor:
VICTORIA LANDSCAPES/WATERFALL
WCC: EVEREST NTNL
WC: 380002849 08/26/06
CSLB: 801813 12/31/05
________________--
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
y 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 C27 C53 Policy Number - - - - - - - - - - - - - - -
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 shOA become subject to the workerscompensation provisions of Section
,,/ p�� 3700 of the Labor ; le, hshall� fgcthwl p ly w/i'tth those prov' ioQs.
Date: / 1 Applicant:-
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE NLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). 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 b di construction, artf1wreby authorize re�tatives
of thisp, unty o enter upon the above -mention pr p y for in act n u oses.
Date: 1 Z/6 Signature (Applicant or Agen
1. r.
Application Number . . . . . 05-00004225
Permit . . .
BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . .
162.00 Plan Check.Fee
105.30
Issue Date . . . .
Valuation . . .
. 15000
Expiration bate
3/20/06
Qty Unit Charge
Per
Extension
BASE FEE
45.00
13.00 9.0000
-----------------------------------------------------=----------------------
THOU BLDG 2,001-25,000
117.00
Permit . . .
MECH POOL
Additional desc . .
Permit Fee'
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
3/20/06
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
Expiration Date
3/20/06
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 .•
3/20/06
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
--------------7-------------------------------------------------------------
Special Notes and Comments
POOL & SPA ONLY. ALARMS/BARRIERS SHALL
LQPERMIT
Application
Number . . . . . 05-00004225
----------------------------------------------------------------------
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 266.00 .00
.00
266.00.
Plan Check
Total 131.30 .00
.00
131.30
Grand Total
397.30 .00
.00
397.30
LQPERMIT
RESIDENCE
53-875 AVENIDA RUBIO JGHT(
ISMTTCI
LA QUINTA, CA. 92253
TWO CAR.
GARAGE
DRIVEWAY
PATIO
9 1 0
-.1510-01
11 � 1
DXT
�9'6--EEP EN AT
AREAA ER
)..400 sf
decking
p,ate8'6
- 11.1v/1
_ _ 1 YVVL,
1,,lNG LEDGE
'6
-�r
PLANTER—
AREA
PLANTER
-6,0kREA
-j;
I\", -W,�: vv I T�J. 12' setback
APPROACH to wall
STREET.
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
'APPROVED
FOR CONSTRUCTION
- 9�1'11
TE /05-
Victoria Landscapcs & -Watcrfalls -
82-365 flivy. ill, Suite 104
Indio, Ca 92201
Contractors Lic #801813
0
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a
0
Ct
0
20
C
Ln
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LO
Se 20 05 02:00p Victoria LBW 17607750449 p.2
Bin // ' I
permit #
Project Address: 15
53-
A. P. Number: ber
CRY of La Quinta
Building a Wecy Division
P.O. BOX 1504, 78-495 Calle Tampico
LaQuinta,CA9.2253-.(760)777-7012
Building Permit Application and Tracking Sheet
4 0,wrier's Name: clod
AJe--;
Address: �-' -�' / --
Legal Descrition: AAA ------
KCit)'. ST. Zip:
Contractor � 1',-L " a - -h . . * L-0- CR -7< 3
clepnone:
Construction Type:
ccu
p y: O
State Lic. anc
Project type (circle one): Ncw Add'n
'Name of Contact Person: Alter Repair Demo
--------- aA, Sq. FL: 0 Stories:
Telephone # of Contact Person: --1 -7 -, - r) U 1!11 x- I
1 ata C
'
FTcicpho,c:
Address:
tk(�, c- -A
City, ST, Zip: \ 07
cct Description:
DO NOT WPJTE BELOW THIS LINE
... ... .. ... .... ..... ....... ....... .... . .......... 01 22,E 1
Submittal
Req'd
Telephone -n
5-
A
CKJNG
'atc
State: Lie. 9 G) fl 3 City Lic,
Arch.. Engr, Designer.
rAddress:
Plan Cheek submitted p[tern
Ciq,
City. ST. Zip:
StruituralCaics-';
Amount
clepnone:
Construction Type:
ccu
p y: O
State Lic. anc
Project type (circle one): Ncw Add'n
'Name of Contact Person: Alter Repair Demo
--------- aA, Sq. FL: 0 Stories:
Telephone # of Contact Person: --1 -7 -, - r) U 1!11 x- I
Total Perm -it Fees 1
—7—
stimated Value of project: 5 CJ\
APPLICANT:
DO NOT WPJTE BELOW THIS LINE
9
Submittal
Req'd
Ree'dTIL
A
CKJNG
Plan Stu
PERNIfT FEES
Plan Cheek submitted p[tern
StruituralCaics-';
Amount
--------------
Truss
----------
corrections_._Plan Citeck, 7777=7777=
CaIcs,
Called Contact Person
Energy Calm
Plan Check Balance
Plans picked up
Flood plain plan
Construction
Plans resubmitted
Grading planPlechanical
Z' Review, ready for correction
Subcon(actor List
ssue Electrical
Called Contact person
Grant Deed
Piumbing
Plans picked up
H.O.A. Approval
S.M.I.
Plans resubmitted
EN HOUSE: -Grading
Planning Approval
Re'view, ready for carrectioWissuc ----------
Developer Impact Pet
Called Contact Person .
Wks. Appr
A.
IPub.
—1
Date of permit issue
School F
Total Perm -it Fees 1