12-1082 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 12-00001082
Property Address: 53520 AVENIDA RAMIREZ
APN:, 774-122-024-24 -000000'-
Application
000000=Application description: POOL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
.Application :valuation: 16900
App "cant: / Architect or Engineer:
Y —
414 Qa4m.
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT .
UCENSED.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 Business and Professionals Code, and my License is in full force and effect.
License Class: C53. _ License No.: 946375
ate:%ontractor. (JUL.] 0 C. �%v[-S
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 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.).
mac,
1_) I am exempt under Sec. , BAP.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:
NIPLender's Address:
LQPERMIT
VOICE (760)` 77- i
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Dater- 9/21/12
Owner:
RW REAL STATE INC:
P.O.. BOX 447
LA QUINTA, CA 92.253
r (760)619-7611
Contractor: D
NOGUES, JULIO CESAR SIC, �� Zo,?
46625 DESERT VILLA #1`
INDIO, CA 92201 C/Ty Op
Lic. No.:7946375 F�Nq� F QV/NT,q
. E'=T
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 Cotg, for the performance of the work for which this permit is
issued. Il
_ 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 X MPT Policy Number EXEMPT
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 should become subject to the workers' compensation provisions of Section
3700 of the Labor Code, I shall forthwith comply with those provisions.
�y r
a6 te: T'�� cant: /bi C q i2 V C� s
WARNING:' FAILURE TO SECUFjZWORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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 Application4s 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. 1 agree to comply with all
city a d county ordinances and state laws relating to building construction, and hereby authorize representatives
of is county to ennter upon the above-mentioned property or in action purposes.
,atura (Applicant or Agent):
F
Application Number .
. . . . 12-00001082
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . ." . .
Valuation . . .
. 0
Expiration Date
3/20/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
----------------------------------------------------------------------------
EA MECH FURNACE >100K
11.00
Permit . . .
BLDG POOL PERMIT
Additional desc . .
Permit Fee
180.00 Plan Check Fee .. '.
117.00
Issue Date . . . .
Valuation . . .
. 16800
Expiration Date
3/20/13
Qty Unit Charge
Per
Extension
BASE FEE
45.00
15.00 9.0000
-------------------------------------------------------------------------------
THOU BLDG 2,001-25,000
135.00
Permit . . .
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . . .
45.00 Plan Check Fee
11.25
Issue Date
Valuation . . .
. 0
Expiration Date.
3/20/13
Qty 4Unit Charge
Per
Extension `
BASE FEE
15.00
1.00 30:0000
EA ELEC PRIVATE SWIMMING POOL
30.00
Permit
PLUMBING
Additional desc
2 '
Permit Fee
33.00 Plan Check Fee
8.25
Issue Date . . . .
Valuation .
. A
Expiration Date
3/20/13
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 / ALARMS/ BARRIERS
SHALL BE IN
LQPERMIT
Application Number
. . . . .
12-00001082
--------------------------------
Special Notes and
-------------------------------------------
Comments
PLACE AT PRE-PLASTERINSPECTION.EQUIPMENT
ENCLOSURE NOT INCLUDED 2010 CODES.
----------------------------------------------------------------------------
Other Fees .
. . . . . .
BLDG STDS ADMIN (SB1473)
1.00
Fee summary,
Charged
Paid
Credited
Due
Permit Fee Total
284.00
.00
.00
284.00
Plan Check Total
143.00
.00
�.00
.143.00
Other Fee Total
1.00
.00
:00
1.00
Grand Total
428.00
.00
.00
428.00
LQPERMIT
P/L
3- GREY
CONCRETE 3'6" SHALLOW 5' DEEP 4' SHALT
END ENDJ END
21' 30
TANNING �, ,
14'
P/L
SHELF
i
300 WTTS
' POOL LIGHT
11, _
MAIN ELEC
STER BEDROOM
KITCHEN
RESIDENCE
ARAGE
53-520 AVENIDA RAMIREZ
LA QUINTA CALIFORNIA, 92253
APPROVE®TITLE
o.�aC3 - -
•
FOR CONSTRUCTION - �r D POOL ONLY
DATE -BY 57'' / «( Z
SIZE CAGE
,l"7'lao ? �d �c�tFlc�-------- ------ A4
SCALE
36" BENC
JCB ADDRESS
OF LA:'I
- OR UST '
NtJlt116>3R
This form shall be Rostad ftn a lob wit
. BUILDE 1
on this job. Any changes to this Ilet must be
of buildingpermit.
CtWafon
Only oormad a•appearing on this Iat fst or th a
* to cdmme.neement of
ees uthorized to wort
For each able trade,
w must
be complete
work. Failtue to comply vVAI Jesuit In a st e o
•O
and/or the voidanc(
Trade / Cl"4 ieatbo
t. File' Is not an a res on
„ ..< .:, <:,<. `•'..'
..., ....,
Canpany Name
..
l)s
:.
.i ;:..
::... �
�� ..'..
te.b. A. B. t aof37ggti
'
Cartier Name P990Y NumberTE—Np. Date
(e4p, state ftW, CWComp) IFemnat Vaasa)/xx/xx)
Ueanae Number Exp.
ixx�hcxX))
EARTHWORK IC•12)
I ft.Myiz�
�/
(xxxx)
CONCRETE IC -el ,
-12
FRAMING (C-611711
%AW" 372. - $- 3
_i 2
STRUCT. STEEL IC -61)
MASONRY IC -281
!
_
/
PLUMBING (C-36) KAtjw � �S
a!
i 12
LATH, PLASTER (6,36)
� 1
23)-12
IOg261 12-3)-12-
DRYWALL
DRYWALL (C-9)
HVAC IC -20)
ELF�CTRICAL (C-10) .
ROOFING 10-381 :.
SHEET METAL (C-43) '
FLO RING (C16)
INSULATION IC -21
SEWAGE D18P. (C-42)
PAINTING IC -331
CERAMIC TILE (C•64) P U
1
C 5 16
ylz l
E1:E�tP�
CABINETS (C•6)
8 12 -►2
FENCING (C-13)
LANDSCAPING (C-27)
nin ff
Permit #
JC Project Address: 2
A. P. Number:
Legal Description:
Contractor: U I
'T Address: 114' ,
Cit)', ST, Zip:
Telephone: n — 3
State Lic. # : q L' 631 5
Arch., Engr., Designer:rJ�t,,`�
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
L
Telephone # of Contact Person:
# Submittal
Plan Sets
Structural CaICs.
Truss Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
FA
23
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA 92253 - (760) 777-7012
Building Permit Application and Trackin, Sheet
wner's Name: 6
S -a le
Address:
1D City, ST, Zip:
�&Aullvrn
elephone:
Project Description: t
Lic. #: (Q
R
Total Permit Fres
Constuction Tv P e .
� n Ub O_ c u P an cr•
Project 4Pecircleone. New Add'r, Alter Repair Demo
U C. Sq. Ft.:
# Stories:
Units:
a imateEstd Value of Project: c?
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd
TRACKING
PERMIT FEES
Plan Check submitted
Item
Amount
Reviewed, ready for corrections
Plan Check Deposit
Called Contact Person
Plan Check 021ance
Plans picked up
Construction
Plans resubmitted
Mechanical
2'' Review, ready for corrections/issue
Electrical
Called Contact Person
Plumbing
Plans picked up
S.M.1.
'Plans resubmitted
Grading
''' Review, ready for corrections/issue
Developer Impact Fee
Called Contact Person
A.I.P. P.
Date of permit issue
Total Permit Fres