08-0912 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
08-00000912
Property Address:
57720 BALLYBUNION
APN:
762-360-005- - -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
6000
Ti -ht 4 4 Q"
Applicant: Architect or Engineer:
Cr
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LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjuryArX I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Bu iness nd Prof e ionals Code, and my License is in full force and effect.
License Pass. C53 License No.: 598681
�Bate5 L ontractor:
/ WNER-BUILDER DECLARATION
I hereby affirm under penalty of perju t t I exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Busines 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).: /
(_) 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 1, 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 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: 5/20/08
Owner:
KARIMA
57720 BALLYBUNION
LA QUINTff,-)2Mr %2253
Contract %%�� {{//
AINSW T POOL�COR,�?TwON
77848 WOLF
PALM ERT �F
(760) zoo -2 gNCF�/NTq
Lic. No.: 598681 FPT
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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
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 CALIF INS Policy Number 460030110103
I certify that, in the perform of the work for which this permit is issued, I shall not employ any
person in any manner as to ecome subject to the workers' compensation laws of California,
and agree that, if I sh uld beco e ' ct to the workers' compensation provisions of Section
/('[0/o�bor C de, I shall hw' omp ith those provisions.
Date: p, a Y plicant:
WARNING: FAILURE TO SECURE WOE ' COM ENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMIN NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001. IN ADDITION 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 applicatio and state th the ab a infor 'on is correct. I gree to comply with all
city an unty ordinances and st laws relating t building ns ctio and hereby thorize representatives
of t c 1 my t enter upon t above-mentioned pr erty for n e rposes.
Date ` Q p Si ture (Applicant or Agent):
Application Number . . . . . 08-00000912
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
81.00
Plan Check
Fee
52.65
Issue Date . . . .
Valuation
. . .
. 6000
Expiration Date
11/16/08
Qty Unit Charge
Per
Extension
BASE FEE
45.00
4.00 9.0000
------------------------------------------------------------`---------------
THOU BLDG 2,001-25,000
36.00
Permit . . .
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . . .
45.00
Plan Check
Fee
11.25
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
11/16/08
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 . . . .
24.00
Plan Check
Fee
6.00
Issue Date
Valuation
. . .
. 0
Expiration Date
11/16/08
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
----------------------------------------------------------------------------
Special Notes and Comments
ENTRY FOUNTAIN 18" DEEP. EQUIPMENT
LOCATED IN SAME LOCATION AS POOL
EQUIPMENT.
Fee summary Charged Paid
-----------------
Credited
Due
----------
Permit Fee Total
----------
150.00
----------
.00
----------
.00
150.00
Plan Check Total
69.90
.00
.00
69.90
Grand Total
219.90
.00
.00
219.90
LQPERMIT
��E�51 ENGE-l'
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01
May 20 08 12:37P
760 200-0040 P • 1
� ooiiooi
City of La Quinta
Building aL Safety Division.
P.O. Boa 1504, 78-495 Cade Tatltpko
La Quilita, CA 92253 - (760) 777-7012 '
Building Permit Application and Tracking •Sheet
Ptdtrtit,#
0-
Project Address Lt �.! ; VT u�
Owner's Name • 1 �}
'A. P. NumberAyddress:
51-12 0
Legal Descnphoa:
Contact a "4 44 � i1w D �.
Addrew.-
��
Y. ST. Zip: Lpf lg N" %i � 1r
T eltphoae
Prosect Desuiptioa f (-0U?11-,4 'Al ° finYnr l
CRY, ST. Zip
All LO C-4,
. Tcicpha=: ti j !) Lt_
State Lit- if : City Lic, 4:
Aid., EnV , Demptr. '
Address:
City. ST, Zip:
Telepi CoasRvction7ype: Occupancy
State Lic. C Eiojxttype (chle ager New AMn Alter Repair Dcmo
m--
man
Name of Contact Person:. S4 Ft: ii Storiex p Units:
Trlegisone 0 of correct Pers=- � � � l S � Esiimaw Value of Pmjeclr .
APPUCANT; DO NOT WRITE BEtOVIf THIS LIKE
/
submittal
Wd '•
RWd
IVACMG .
PBAttZr
Plan sets
Flan Chale submitted
J
Item
Amoatt
Strudwml lata..
Qevimed, ready far anzedlou
Yka CIuckDtposit
Tran Cates.
Called Cauimet Person -
Plu Chick Data= .
Fhtru Catck
Pions fgcked up
CDndevet4om�-
Flood platm plan.
Pt:as rssubmttted
Mee>taaiall
CradinGptaus •
r Revieli ready for cerrec60iDa%we
Elettlital-
Subcontsetor flat
(itUed Contactperson
Plembiag
-
Graut Deed
Platy picked rep
E O.A. Approval
Plans resubmitted -
6r+dine
IN Hopm.-
Re*w, ready For aorre onemm
De*doper impact Fee
Planatng Approval
Cased Contact Perm
Pcb. Wky. Appr '
Date of W -,h issue
&io01 Hca
Total Ptrinit7m