06-1639 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: CO -6-00001639'-?
Property Address: 't57665'-BALLYBUNION
APN: 762-360-015- - -
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 12000
Applicant:
Architect or Engineer:
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
NOEL
57-665 BALLYBUNION
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-3153
4AContractor:
1O�B CONTINENTAL PRECISION POOL INC
13555 CRAPE MYRTLE DRIVE
q
MORENO VALLEY, CA 92553
(951)924-5141
Lic. No.: 813565
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 License No.: 813565
Date: ContraL�:
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 (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 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.).
(_ 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
Date: 4/25/66
WORKER'S COMPENSATION DECLARATION
.I hereby affirm under penalty of perjury one of the following declarations: '
1 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
�s Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier THE ZENITH Policy Number Z049130903
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 s to become suN o the workers' compensation laws of California,
m
and ree that, if I sho becoe subjec the workers' compensation provisions of Section
3 of he Labor Co , I shall forth�d//omply with those provisions.
/ t
:e: ✓ pplicanfoRN G: AILURE TO SECURE WOR COM NSATN C VERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND C VIL ES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF CO NSATION, 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 oid if work is not commenced
within 180 days from date of issuance of such permit, or cess ion of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the ove inform i n is correct. I agree to comply with all
city and c my o finances and state laws relating to buil g construc , and hereby authorize representatives
of/thiS/,ep my ant upon the above-mentioned prop e for inspec purposes.
•aD teY � Signature (Applicant or Agentt:
Application Number . . . . . 06-00001639
Permit . . .
BUILDING PERMIT
Additional desc . .
Y
Permit Fee . . . .
135.00 Plan Check Fee
'. 87.75
Issue Date . . . .
Valuation . . .
. 12000
Expiration Date
10/22/06
Qty Unit Charge
Per
Extension
BASE FEE
45.00
10.00 9.0000
--------------------------
THOU BLDG 2,001-25,000
--------------------------------------------------
90.00
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . .
16.50 Plan Check Fee
4.13
Issue Date
Valuation . . .
. 0.
Expiration Date
•10/22/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 .7500
--------------------------
PER ELEC DEVICE/FIXTURE 1ST 20
--------------------=-----------------------------
.1.50
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
30.00 Plan Check Fee
6.75
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
10/22/06
Qty Unit Charge
Per.
Extension
BASE FEE
15.00
2.00 6.0000
EA PLB FIXTURE
12.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
------------------------------ ---------------------------------------------
Special Notes and Comments
WATERFEATURE 5' X 73'
NO DEEPER THAN
18" WITH 3 WATER FALLS
AND 2 RAISED
SHEER DESCENTS. PERMIT DOES NOT INCLUDE
BARBEQUE OR FIREPIT.
---------------------------------------------------------------
Other Fees . . . . .
. . . . ENERGY REVIEW FEE
-------------'
8.78
Fee summary Charged
---------------------------
Paid Credited
--------------------
Due
Permit Fee Total
----------
181.50 .00 .00
181.50
Plan Check Total
98.63 .00 .00
98.63
Other Fee Total
8.78 .00 .00
8.78
Grand Total
288.91 .00 .00
288.91
1
LQPERMIT
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Coachella Valley Unified School District This Box For District Use Only
83-733 Avenue 55, Thermal, CA 92274 DEVELOPER FEES PAID
(760) 398-5909 — Fax (760) 398-1224
AREA:
AMOUNT
LEVEL ONE AMOUNT:
LEVEL TWO AMOUNT:
MITIGATION AMOUNT:
COMM/IND. AMOUNT:
DATE:
RECEWT:
CHECK #:
INITIALS:
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Name: Wejsko fp�Partners Date: July 11, 2005
Owner's Name: Weiskopf Partners Phone No. (760) 485-5650
Project Address: 57-665 Ballybunion, La Quinta, CA 92253
Project Description: 1 Room Addition
APN: 762-360-15
Tract #:
Lot #'s:
Type of Development: Residential N, Commercial Industrial
Total Square Feet of Building Area: 300 sq. feet
Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under
penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer.
Dated: 07/11/05
Signature:
*****************************,Pr*****************************************
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code Gov. Code Project
17620 65995 Approval
Number of Sq.Ft. 300
Amount per Sq.Ft. $ 0.00
Amount Collected $ 0.00
Building Permit Application Completed: Yes/No
By: Carey M. Carlson, Asst. Supt., Business Services
Certificate issued by: Leticia C. Torres
Agreement Existing Not Subject to Fee
Prior to 1/1/87 Requirement
Note: Pursuant to AB -181, any mobiehomes being replaced or
relocated within the same school disttict are exempt from
developer fees. Any additions of 500 sq. ft. or less is also
exmpt from developer fees. (Unless additions are on a
structure that is under construction.)
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the
project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these
Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to
advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other
requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this
time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of
Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up
to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject
of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance.
til''C`nitiili3i S`C]f'YYce '�CI'tIilCBte of compliance i:xln tal ks fO I!`k:.dilc
1/16/03 T
O)
\O
Bin #
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
Permit #
3
Project Address: t7_ gfiL d
Owner's Name:R e c- —i ;7��
A. P. Number:
Legal Description:
Contractor: + P l 0� 5
Address: _
City, ST, Zip: A
Telephonc:7 a %%— 4I-5—Y
Address: ��
City, ST, Zip:
Project Description:
1/73 r /� J
Tcicphone -
State Lic. # : City Lic. #:
Arch., Engr., Designer:
' I l� �LIZ , 3 l /
ZE
ANO a I 5?
D1
Address:
EJ
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # S Dries: # Units:
Name of Contact Person: C — (
Telephone # of Contact Person: r
Estimated Value of Project: /--�. (3061, Awl�
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Req'd
TRACKING
PERMITFEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Energy Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
- ) xr d�S
Subcontactor List
Called Contact Person
Plumbingk (o fFS
2 Pejm/'S
/—y o�7/E75
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
p.I,p.p.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees