06-2621 (SOTB)Fi
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: .
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
06-00002621
57665 BALLYBUNION
762-360-015- - -
STRUCTURES OTHER THAN BUILDI
LOW DENSITY RESIDENTIAL
. 1500
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
2,
nDING PERMIT
,— d n
JUL 13 2006
LICENSED C/1.iemseNo.:
CTOR'S DECLARATION
I hereby affirm under penalty of perjury th I am licener provisions of Chapter 9 (commencing with
Section 700 of Di ion 3 of the Busi and ProfeCode, and my License is in full force and effect.
License Cla : C I 813565
%�
Dat /1 ontractor:
0 NER- UILDE DECLARATION
I hereby affirm under penalty of perjury that I am exempt f e 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 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 ISec. 3097, Civ. C.). =�
Lender's Name: f
Lender's Address:
LQPERniIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/11/06
Owner:
KAREN & BRETT NOBL
57-665 BALLY BUNION
LA QUINTA, CA 92253
(760)777-4158
Contractor:
CONTINENTAL PRECISION POOL INC
13555 CRAPE MYRTLE DRIVE
MORENO VALLEY, CA 92553
(951)924-5141
LiC. No.: 813565
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm underpenalty 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 THE ZENITH Policy Nu r Z049130903
I certify that, m the perfo ante of the wor f r which this permit is issued, I shall not employ any
person in any manner o as to become u Iect to the workers' compensation laws of California,
reethat,ifIbecomestheworkers'compensationprovisions of Section
37 0 y>'the Labor ode, I shall for w' h co?nply with those provisionsDate/and
,I/.4{{�/ppWARNLURE TO SECURE R S' C PEQSATIOpCOVERAGE IS UNLAWFUL, -AND SHALLSUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST ENSATION, 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 emay
r any act or omi n related to the work being
performed under or following issuance mit.
2. Any permit issued as a result of this appcomes null a v id if work is not commenced
within 180 days from date of issuanceermit, or ces ti of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state thve inform io s correct. I agree to comply with all
cityand cou y or 'antes and state laws relating tconstruc' on, nd hereby authorize representatives
of this couy to_ter on the above-mentioned prinspec o rposes.
I
Date: 'nature (Applicant or Agentl:
Application Number . . . . . 06-00002621
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 35.00
Plan Check
Fee
22.75
3 Issue Date
Valuation
. . .
.
1500
C Expiration Date 1/07/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
10.00 2.0000 HND BLDG 501-2,000
-
20.00
----------------------------------------------------------------------------
Special Notes and Comments
36" FIREPIT ONLY PER APPROVED PLAN
Fee summary Charged Paid
-------------------------------------
Credited
----------
----------
Due
Permit Fee Total 35.00
.00
.00
35.00
Plan Check Total 22.75
.00
.00
22.75
Grand Total 57.75
.00
..00
57.75
•j
'.V
.
!PERAIIT
Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
OCA— ��
Project Address:
Owner's Name:
A. P. Number:
Address: �
Legal Description:
City, ST, Zip: C W1153
Contractor: w
Telephone:
Address:
Project Description:
'/
City, ST, Zip-.Ynp/z U CZ,4 �2
Z %i0 3 6 I&XI
Telephone:
State Lie. # : C — 9133-(,5
City Lic. #:
572 X4X9 L
Arch., Engr., Designer:
Address:
City, ST, Zip: °
Telephone:
Construction Type: Occupancy:
State Lic. #: -
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: 1 Z�rr� 1
Sq. Ft.: -7
—7
# Stories:
# Units:
Telephone # of Contact Person:-Tj
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd• -
Rec'd
TRACKING .PERMIT
FEES
Plan Sets
Plan Check submitted.
(% 6
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Q
S Tf3
Flood plain plan
Plans resubmitted
Mechanical
Grading. plan
2"d Review, ready for corrections/issue
I Electrical WA
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
''' Review, ready for correction ue
?�/
Developer Impact Fee
Planning Approval
Called Contact Person
TQ'
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees